Dr. Dezham
Dr. Dezham is inspired by the desire to help you achieve optimal health and provide you with the absolute best that dentistry has to offer.
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3009 K street
suite 255
Sacramento, CA 95816
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Archive:
- 2019
- October (6)
- You May Need an Endodontist for a Tooth With Interior Decay
- Tooth Sensitivity Could Be a Sign of Deeper Problems
- Hugh Jackman Is All Smiles for His New Broadway-Inspired Show
- 3 Reasons to See a Pediatric Dentist
- The Triple Partnership That Could Save a Cancer Patient's Oral Health
- 3 Reasons Why Correcting a Poor Bite Is Worthwhile at Any Age
- August (6)
- Implant-Supported Dentures Could Improve Your Bone Health
- Put the Extra Effort in Your Oral Hygiene While Wearing Braces
- Lingual Braces: An Invisible Way to Move Your Teeth
- Janet Jackson: Even pop stars get insecure about their smiles!
- Oral Hygiene Might Be on the Decline With the Newest Adult Generation
- Don't Let Summer Heat Increase Your Risk of Dental Disease
- July (6)
- Jaw Joint Disorders may be Connected to Other Health Problems
- Fan of Superhero Film Black Panther Breaks Steel Wire...with Her Mouth!
- Diabetes Doesn't Have to Stop You From Getting an Implant - if it's Under Control
- How Early Dental Visits Can Improve Your Child's Oral Health
- Floss First or Last? Here are Reasons for Either Approach
- Pop Star Demi Lovato Pops Out Jay Glazer's Tooth
- June (6)
- Getting a New 'Tooth in a Day' Will Depend on Your Bone Health
- Primary Teeth are Critical to Future Dental Health and Worth Preserving
- Be on the Alert for White Spots on Teeth While Wearing Braces
- Spice Up Your Teeth
- Anchorage Tools Help Orthodontists Correct Complex Bite Problems
- Affordable Veneers Can Give You a New Smile
- May (7)
- Consider an Effective and Affordable RPD for Teeth Replacement
- How Shawn Mendes and Miley Cyrus Got Their Stellar Smiles
- How Dentists Provide Your Child the Benefit of X-Rays as Safely as Possible
- Reduce Your Risk of Oral Cancer with a Healthy Diet
- Root Canal Therapy Might Just Save Your Tooth!
- Crazy Little Thing Called... Hyperdontia?
- Manage Your GERD Symptoms to Prevent Enamel Erosion
- April (6)
- Your Age Doesn't Have to Keep You from a Straighter Smile
- Dentures with Implants Could Help You Avoid Bone Loss
- NBA Player's Injury Points Out Need for Mouthguards
- Your Sinus Infection Might be a Sign of a Tooth Problem
- Your Teenager's Teeth May Not Be Mature Enough for Veneers
- A Dental Exam Could Uncover an Eating Disorder
- March (6)
- Lady Gaga Wasn't "Born This Way?"
- 4 Common-Sense Tactics to Lower Tooth Decay Risk Between Dental Visits
- Dental Sealants can help Prevent Tooth Decay in Children
- The 3 Top Ingredients That Make Your Toothpaste a Super Plaque Buster
- Why Alfonso Ribeiro Is Grateful for Root Canal Treatment
- Catch Root Resorption Early for Best Chances of Saving Your Tooth
- February (5)
- National Children's Dental Health Month Highlights Importance of Baby Teeth
- Composite Resin Could Amp up Your Teeth's Attractiveness in Just One Visit
- Viggo Mortensen's Red-Carpet Smile
- Here's What you Need to Know about a Root Canal Treatment
- Topical Fluoride is a Safe Way to Protect Your Child's Teeth from Decay
- January (7)
- Attention to Detail Crucial to a Beautiful Smile Supported by Dental Implants
- Healthy Smiles for Alfonso Ribeiro and Family
- 3 Things You Might Notice with Your Child's Teeth That Need a Dentist
- A Bonded Retainer Could be a Preferred Choice over a Removable One
- Less-Invasive Pulp Capping Could Save Your Tooth
- Bobby Bones Dances His Way to Dental Damage
- A Root Canal Treatment can Save Your Tooth and Relieve Pain
- 2018
- December (6)
- Orthodontists Anticipate Future Facial Growth When Treating Poor Bites
- Bitewing X-Rays Safely 'Reveal all' About Back Teeth to Prevent Tooth Decay
- J-Lo's Unlucky Break: Chipping a Tooth on Stage
- Advanced Equipment and Safe Practices Ensure X-Ray Safety for Children
- Don't give up on Flossing!
- Wisdom Teeth Warrant Close Watch to Avoid Future Health Issues
- November (6)
- NBC Star Delivers a Message about the "Perfect" Smile
- Dentures are Still a Viable Choice for Tooth Replacement
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- 4 Signs Your Child May Have a Poor Bite
- Steely Dan Founder's Death Highlights Importance of Early Cancer Detection
- Practice Caution with Energy or Sports Drinks to Protect Your Enamel
- October (6)
- Watch What Carbs You Eat to Reduce Your Risk of Further Gum Disease
- Stay Ahead of Plaque Buildup with Effective Brushing and Flossing
- Why Big Bang Theory Actress Mayim Bialik Couldn't Have Braces
- What You Should Know About a Home Teeth Whitening Kit
- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
- 3 Factors That Could Affect the Success of a Root Canal Treatment
- September (6)
- Dental Injury Is Just a Temporary Setback for Basketball Star Kevin Love
- Don't Wait - Seek Out Treatment for Gum Recession Now
- See Your Dentist if You're Having one of These 3 Dental Problems
- It's National Gum Care Month - Take Care of Your Gums
- Margot Robbie Knows: A Great Smile Is Worth Protecting
- Not all Dental Crowns Share the Same Quality of Life-Likeness
- August (6)
- Veneers may Offer a Less Invasive Way to Transform Your Smile
- Take Care of Your Dental Appliance and It Will Take Care of You
- A Different Kind of "Chip Shot" for Pro Golfer Danielle Kang
- Have Your Loose Tooth Examined as Soon as Possible
- 3 Reasons You Should Consider Tooth Whitening
- Pros and Cons for Flossing Before Brushing and Vice-Versa
- July (6)
- Noah Galloway's Dentally Dangerous Dancing
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- Tips to Brighten Your Summer Smile
- Replacing a Back Tooth May Help You Avoid Future Dental Problems
- Any Time, Any Place: Cam Newton's Guide to Flossing
- 4 Important Facts About Gum Recession and What You can do About It
- May (7)
- Baseball's Francisco Lindor Shines as "Mr. Smile"
- Assessing Your Risk for Severe Gum Disease
- 4 Things You Should be Doing Now for Your Baby's Long-Term Dental Health
- What to Do For Mouth Injuries Your Child Might Encounter
- Neil Patrick Harris: What the Oscars Host Treasures Most
- Bone Loss at the Roots can Put Your Tooth in Danger of Loss
- Why we Need to Care for a Younger Patient's Bone after a Tooth Loss
- April (5)
- Topical Fluoride can Enhance Your Child's Dental Care
- Julianne Hough Shares a Video - and a Song - After Wisdom Teeth Come Out
- If You're not a Good Candidate for Dental Implants, Consider Bridgework
- Keep Your Smile Beautiful...in April and Beyond
- 3 Things You Need to Know about Easing Anxiety Over Dental Visits
- 2017
- June (5)
- Not All Bacteria are Harmful to Oral Health
- Fifth Harmony's Camila Cabello Chips a Tooth, but Concert Still "Worth It"
- Screw or Cement: Which is Best for Attaching Your Implant Crown?
- Teeth Grinding in Older Children and Adolescents a Cause for Concern
- Dealing with the Reality of Increased Disease Risk with Braces
- March (5)
- Dr. Travis Stork: If Only I'd Worn A Mouthguard!
- Don't let Limited Finances Keep you From Needed Dental Care
- Antibiotics Before Implant Surgery Could Lower Infection Risk in Some People
- The Top 3 Oral Problems in America - and What You Should Do About Them
- How Kathy Bates Retains Her Movie-Star Smile
- 2016
- December (5)
- Transform Your Smile and Dental Health by Correcting Your Bad Bite
- Keep Ahead of Potential Sidetracks to Your Child's Oral Health
- Help 'De-Stress' Your Child's Dental Visits with these Tips
- Dwight Howard: A Bright NBA Star With a Smile to Match
- Non-Prescription Pain Medication can Manage Most Post-Procedure Discomfort
- September (5)
- 4 Things to Give Your Child a Head Start on Good Oral Health
- Treating "Burning Mouth" Depends on What's Triggering it
- Game, Set, Match: Milos Raonic Says A Mouthguard Helps Him Win
- Encourage Your Child to Stop Thumb Sucking by Age 4
- What's Causing Your Toothache? The Answer Determines Your Treatment
- July (5)
- Consult Your Dentist for Help with Diagnosing and Treating Sleep Apnea
- Master Illusionist Benefits from the Magic of Orthodontics
- Clear Aligners Reduce Risk for Developing Gum Disease Better than Braces
- Increase Bone Mass for Dental Implants through Grafting
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- May (5)
- Dental Porcelain is a Great Option for Creating a Natural Appearance
- Even Celebrities Like Jennifer Lawrence Aren't Immune From Bad Breath!
- Home Whitening Kits are Safe and Effective, if Used the Right Way
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- Create a Strategy to Deal with Dental Problems to Avoid Future Expenses
- 2015
- January (5)
- It's an Art: Determining Tooth Color in Composite Resin Restorations
- Taking the Right Steps to Prevent Early Tooth Decay in Children
- Four Tips for Preventing Premature Loss of Baby Teeth From Tooth Decay
- Actress Florence Henderson Shares Her Secrets for Keeping Your Natural Teeth as You Age
- Test Your Knowledge: A Quiz on Dental Erosion
- 2014
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Categories:
My Blog
Posts for: August, 2015

People mainly identify orthodontics with braces. But while they’re a major part of it, braces aren’t the only way this important dental specialty can make a difference in a person’s bite.
For example, orthodontics can help guide the development of a younger patient’s facial structure that could head off future upper teeth misalignment. The area of focus is the upper jaw and palate (the roof of the mouth) that jointly make up a structure called the maxilla. The maxilla is actually formed by two bones fused together in the center of the palate along what is known as the midline suture running from front to back in the mouth.
The two bones remain separated until puberty, which helps accommodate rapid structural growth during childhood. But problems can arise if the upper jaw is too narrow, causing a “cross-bite” where the lower back teeth bite abnormally outside the upper ones. This can crowd upper permanent teeth and cause them to erupt improperly.
Using a technique called palatal expansion we can correct this abnormality if we act before the maxillary bones fuse. The technique employs a custom-made appliance called a palatal expander that attaches to the posterior teeth of the upper arch. Expanders have two halves joined by a small screw device to increase tension against the teeth to widen the jaw. A parent or the patient (if old enough) increases the tension by using a special key to turn the adjustment screw a tiny amount each day. This may cause minor discomfort that normally eases in a few minutes.
The patient wears the device until the jaw expands to the desired width and then allows the bones to stabilize in the new position. This can sometimes create a small gap between the upper front teeth, but it often closes on its own or it may require braces to close it.
While palatal expanders are not for every case, they can help normalize development and improve the bite, and thus preclude more extensive orthodontic treatment later. But time is of the essence: after the maxilla has fused, surgery will be necessary to separate them and widen the palate. It’s important then not to delay if your child could benefit from this effective treatment.
If you would like more information on palatal expanders and other orthodontic treatments, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Palatal Expanders.”

Sure, it’s big news when celebs tweet selfies from the dental office… if you’re still living in the 20th century. But in Hollywood today, it’s harder to say who hasn’t posted snaps of themselves in the dentist’s chair than who has. Yet the pictures recently uploaded to Twitter by Mark Salling, the actor and singer who regularly appears as Noah “Puck” Puckerman on the popular TV series Glee, made us sit up and take notice.
“Getting my chipped tooth fixed. Also, apparently, I’m a big grinder,” read the caption. The photo showed a set of upper front teeth with visible chips on the biting surface. What’s so special about this seemingly mundane tweet? It’s a great way of bringing attention to a relatively common, but often overlooked problem: teeth clenching and grinding, also called bruxism.
Although bruxism is a habit that affects scores of people, many don’t even realize they have it. That’s because the condition may only become active at night. When the teeth are unconsciously ground together, the forces they produce can wear down the enamel, cause chipping or damage to teeth or dental work (such as veneers or fillings), or even loosen a tooth! While it’s common in children under 11 years old, in adults it can be a cause for concern.
Sometimes, mouth pain, soreness and visible damage alert individuals to their grinding habits; other times, a dental professional will notice the evidence of bruxism during an exam or cleaning: tooth sensitivity and telltale wear and tear on the chewing surfaces. Either way, it’s time to act.
Bruxism is most often caused by stress, which can negatively impact the body in many ways. It may also result from bite problems, the overuse of stimulating substances (caffeine, alcohol, tobacco, and illegal drugs), and as a side effect of certain medications. Sometimes, simply becoming aware of the habit can help a person get it under control. Common methods of stress reduction include exercise, meditation, a warm bath or a quiet period before bedtime; these can be tried while we monitor the situation to see if the problem is going away.
If stress reduction alone doesn’t do the trick, several other methods can be effective. When bruxism is caused by a minor bite problem, we can sometimes do a minor “bite adjustment” in the office. This involves removing a tiny bit of enamel from an individual tooth that is out of position, bringing it in line with the others. If it’s a more serious malocclusion, orthodontic appliances or other procedures may be recommended.
When grinding is severe enough to damage teeth or dental work, we may also recommend a custom-made night guard (occlusal guard), which you put in your mouth at bedtime. Comfortable and secure, this appliance prevents your teeth from being damaged by contacting each other, and protects your jaw joints from stresses due to excessive grinding forces.
Whether or not you have to smile for a living, teeth grinding can be a big problem. If you would like more information about this condition, call our office to schedule a consultation for a consultation.

One of the health issues pregnant women should be concerned about is a higher risk of periodontal (gum) disease. But you don’t have to be pregnant to have an increased risk — you also may be more susceptible to dental disease if you’re taking certain birth control pills.
Gum disease is a bacterial infection caused by plaque, food debris that builds up on tooth and gum surfaces due to poor oral hygiene. If left untreated gum disease can eventually lead to the breakdown of connective gum tissue and cause tooth loss.
Pregnant women are at greater risk because of an increased level of female hormones (estrogen) in their blood stream. This causes a change in the blood vessels that supply the gums, making them more susceptible to the effects of bacteria. A number of birth control options also increase estrogen levels, causing much of the same effect. To heighten the effect, you may also have a predisposition toward gum disease by your genetics or a high stress level.
There are some things you can do, however, to help lower your risk if you’re taking birth control medication. First and foremost, practice a consistent, daily habit of brushing and flossing. If you’re unsure if your technique is effective, we can provide guidance and training to make sure you’re performing these tasks properly. You should also visit us at least twice a year for office cleanings and checkups: no matter how effective you are with brushing and flossing, plaque can still accumulate in hard to reach places and form hardened deposits known as calculus.
You should also be on the lookout for signs of disease like gum redness, swelling or bleeding. If you see any of these signs, contact us as soon as possible for a thorough examination. As with many other issues involving health, the sooner we begin treatment for gum disease the better your chances of stopping it before it does too much harm.
If you would like more information on the relationship between gum disease and pregnancy or birth control, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Pregnancy & Birth Control.”

Transforming your smile doesn’t necessarily require complex treatments like orthodontics, dental implants or porcelain veneers. Sometimes a little brightness can mean all the difference in the world.
Bleaching (or teeth whitening) is a proven method for dealing with tooth discoloration and staining. Nearly all whitening products, whether home or professional, contain the bleaching agent carbamide peroxide or its breakdown product hydrogen peroxide. These agents effectively diminish staining deep within a tooth (intrinsic) or on the enamel surface (extrinsic), although intrinsic staining will require a more invasive office procedure.
If you have extrinsic staining you have three basic options: dental office bleaching, a retail home kit or a kit purchased from a dentist. Again, you’ll find the same basic bleaching agents in each of these versions. The difference will be the concentration: home kits contain about 10% agent by volume, while the office application will be a much higher range of 15% to 35% (which may also employ specialized lights or lasers to increase the bleaching effect). As a result, an office bleaching may take only a visit or two to achieve the desired brightness while a home kit about two or three weeks.
Whitening is a more economical route for smile enhancement of otherwise sound teeth than other measures. But there are other considerations you should weigh before undergoing a procedure. Whitening isn’t a permanent fix — the brightness will diminish over time, optimally six months to a year in what dentists call the “fade rate.” You can slow this process by avoiding or limiting foods and habits that cause staining.
If you have other dental work — crowns, bridgework or fillings — it may be difficult to achieve a tint level that matches these restorations, especially at home. And while whitening is relatively safe (as long as you’re using your kit as directed), you may experience tooth sensitivity, gum irritation or other minor oral side effects.
Before you decide on whitening, visit us first for a complete dental examination. From there we can advise you on whether whitening is a good smile enhancement choice for you.
If you would like more information on teeth whitening, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Teeth Whitening.”

A crown — a life-like “cap” made of dental porcelain that permanently covers an existing tooth — is an effective way to restore a still-viable decayed or broken tooth’s appearance. Properly fitting the crown over the tooth requires some healthy tooth structure above the gum line.
But what if the tooth has broken down to the gum line? In this case, we would need to perform a common procedure known as crown lengthening to expose more of the tooth.
Crown lengthening is a minor surgical procedure performed with local anesthesia to numb the tooth, surrounding gum tissues and supporting bone. We first make tiny incisions inside the gum-line on both the cheek and tongue side of the tooth to expose the bone, and then carefully remove a small amount of bone from either side of the tooth; this will expose or “lengthen” the tooth. Once finished, we suture the gum tissue back into place with self-dissolving sutures against the bone and tooth.
Most procedures take only sixty to ninety minutes, and the mild discomfort afterward is usually managed with pain relievers like ibuprofen. While the gum tissues may appear to be healed after a week, we typically wait six to eight weeks to perform the final crown restoration to give the tissues time to fully mature.
Crown lengthening may not work in all situations, especially with a severely fractured tooth. In these cases, we may need to evaluate the long-term viability of the tooth and consider other restorative options. Depending on your bite, it may also be necessary to treat with orthodontics first: not only will the tooth move into a better position, but the treatment may move both the gum and bone down with the tooth. Subsequent crown lengthening will then only affect the intended tooth and not adjacent ones, resulting in a more even smile.
The first step is for us to decide after a thorough examination if you would benefit from crown lengthening. If so, this minor surgical procedure could pave the way for better mouth function and a more attractive smile.
If you would like more information on crown restorations, please contact us or schedule an appointment for a consultation.