My Blog

Posts for: May, 2014

By Denise A. Perrotta DMD
May 27, 2014
Category: Oral Health

The Tooth Fairy has been easing the process of losing baby teeth for hundreds of years — at least 500 years according to one authority on the subject. Her name is Brady Reiter, and while she looks only age 11 in earth years, she is actually a 500-year-old Tooth Fairy; at least she plays one on DVD.

Brady is the star of Tooth Fairy 2, a new DVD comedy also starring Larry the Cable Guy as a novice Tooth Fairy doing penance for questioning the existence of the magical sprite who leaves payment under pillows for lost teeth.

In a charming interview with Dear Doctor magazine, Brady says it wasn't very difficult to play an ancient tooth fairy trapped in a child's body.

“I'm kind of more mature than an average 11-year-old because I have older brothers and sisters,” Brady told Dear Doctor. “It was kind of just connecting with my inner 500-year-old. It was very fun to play a character like that!”

Brady also enjoyed working with Larry, who dons a pink tutu and fluffy wings for his role.

“In hair and makeup every morning, he'd be making all these jokes,” she said. “He just cracked us up 100 percent of the time!”

But as much fun as Brady had on the set, her character, Nyx, is all business. And that's how Brady, who recently lost her last baby tooth, has always believed it should be.

“My whole life I thought the Tooth Fairy is just like Nyx,” Brady said. “They know what to do, they come in, they're professionals, you don't see them and they never make a mistake and forget your tooth. Just like Santa Claus, tooth fairies are very professional.”

Brady also told Dear Doctor that she is very excited to be helping the National Children's Oral Health Foundation fight childhood tooth decay as spokesfairy for America's ToothFairy Kids Club. The club offers kids personalized letters from the Tooth Fairy along with lots of encouraging oral health tips and fun activities.

If you would like to enroll your child in the club — it's free! — please visit And to make sure your child's teeth and your own are decay-free and as healthy as possible, please contact us to schedule your next appointment.

 Busy Patients in Need of a Smile Makeover Seek One Visit Crowns (CEREC).

The process of getting a classic crown at a dentist’s office usually takes a few visits. After the initial consultation there’s a series of steps that must be completed before the final crown is fitted that are commonly divided up into several different appointments. This can sometimes be a time-consuming process for a patient who has a busy schedule.One Visit Crowns
Dr. Denise A. Perrotta, a popular Winston Salem general and cosmetic dentist, has always prioritized the convenience and comfort of her patients. So when a new dental technology called CEREC, also known as “One Visit Crowns,” was introduced to the world she was eager to offer it to her clients needing help with cosmetic issues.

One-Visit Crowns in Winston Salem

A crown on a tooth is similar to a crown sitting on top of a person’s head. It is a custom restoration that has been made to fit the natural shape and look of a tooth. The inside is hollowed so that it can be positioned over the original tooth. The common process involves about two or three visits—a consultation, a visit to prepare the tooth for the crown and design a permanent restoration, and a final visit to bond the finished custom crown to the abutted tooth.
Dr. Perrotta offers a system that completes the entire process in just one visit. With CEREC dental technology a special machine takes a picture of the area needing a crown and creates a custom restoration while the patient waits. It’s an advanced milling machine that works diligently to create a custom tooth that will fit perfectly over in the desired location. So the dentist can prepare the tooth to receive the crown, take the impression, create the new tooth and bond it to the abutted tooth in one sitting. The entire process takes about an hour or two.
This technology is ideal for people who just don’t have the time or patience to schedule many different appointments at the dentist – that includes business professionals, travelers and local celebrities. Winston Salem CEREC dentist Dr. Perrotta isn’t surprised that One Day Crowns have become so popular with her patients.
For a reliable Winston Salem CEREC dentist, area residents can call Dr. Perrotta at (336) 760-9258, or simply request an appointment right from her website. She’s also on Facebook and Twitter.

North Carolina Surpasses the Healthy People 2020 Oral Health Objective!

The Centers for Disease Control and Prevention National Oral Health Surveillance System just ran an oral health screening on third graders across the state, and the results are in. Drum roll please…
We surpassed the Healthy People 2020’s oral health objectives—three to be exact. Here are the stats:
  • An average of 41.9% of students ever had a dental disease. The target goal was 49.05 % or less.
  • North Carolina’s target goal for dental sealant placements was 28.1 % or more, and our state average for third graders was 45.3%.
  • The National Health People 2020 target was 28.1% or less for untreated dental decay, but North Carolina brushed well enough to only have 14.3%!

Keep This in Mind: 2+2+2=Healthy Teeth

Brushing your teeth once a day isn’t enough. Even twice a day for less than two minutes each time isn’t going to cut it. The rule of thumb is 2+2+2, which means twice a day, two minutes each. If you follow this rule, your teeth and gums will come out to be much healthier than they were before. Where does the other 2 come into play? It’s the number of times you should visit a dentist in one year. Bi-annual dental appointments ensure you and your family are on the right track. Dentistry
You need to have a second opinion on your oral hygiene, just to make sure everything is going well. That’s when the dentist comes into the picture. With annual dental exams at our general and cosmetic dentist office in Winston-Salem, we can ensure there are no cavities, and a professional cleaning will help with removing any plaque buildup.
What can you do to meet your oral health objectives? Take that first step to better oral health by calling our Winston-Salem general and cosmetic dentistry office at (336) 760-9258. We look forward to seeing you!

By Denise A. Perrotta DMD
May 12, 2014
Category: Oral Health

When children begin losing their primary (“baby”) teeth, it’s a rite of passage — a sign that childhood is transitioning to future adulthood. And while it’s a normal part of dental development, it does bear watching for abnormalities.

Primary teeth are like deciduous tree leaves in that it’s their nature to shed and give way for new growth. They serve a purpose not only in providing children a means to bite and chew food, but also as guides for the permanent teeth that will soon erupt in their place.

As it reaches the end of its development within the jaw, the permanent tooth will begin to exert pressure on the primary tooth. This stimulates a process known as resorption where the primary’s roots begin to dissolve. This weakens its attachment to the jaw and the tooth becomes loose to the touch. At the end of this process, it doesn’t take much coaxing for the tooth to finally come out of its socket, with occasional minor bleeding and tenderness around the site. You will notice if you look at the bottom of the lost tooth that the roots have completely dissolved, leaving only a small indention.

This natural process, however, can run into complications. In their roles as permanent teeth guides, there’s a natural sequence for the loss of primary teeth; the permanent teeth develop along this sequence, which helps them erupt in the proper position. If a primary tooth is lost early and out of sequence (notably because of decay), the premature space can cause misalignment of the permanent teeth as they erupt.

That’s why it’s important for your child to have regular dental checkups, beginning sometime around their first birthday. This allows us to monitor primary tooth loss to make sure its progressing normally, as well as treat any condition such as tooth decay that could lead to premature loss. Regular checkups along with good oral hygiene practices will help ensure that the transition from primary to permanent teeth goes just as nature intended.

If you would like more information on the process of losing primary teeth in children, 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 “Losing a Baby Tooth.”

By Denise A. Perrotta DMD
May 02, 2014
Category: Dental Procedures
Tags: celebrity smiles   braces  

Her parents Will and Jada are Hollywood royalty, who helped her land her first acting role when she was 7. She released a hit single, “Whip My Hair,” before she had quite reached the age of 10; shortly afterward, she was signed to a record label. Yet the young singer and actress Willow Smith has at least one thing in common with plenty of ‘tweens and teens across America: She needed to wear braces to correct problems with the alignment of her teeth.

Why do braces seem to be a part of growing up for so many kids? One answer is because they work so well. Braces apply gentle pressure to the teeth through a thin, flexible wire called an archwire. Attached to the teeth with a metal or ceramic bracket, the archwire exerts a light force which causes teeth to gradually move into better positions. Sometimes, when additional force is needed, elastic bands or other appliances may be used in conjunction with braces.

Most everyone is familiar with the silvery metal “tracks” of traditional braces. But did you know that there are a number of other options too? For a more inconspicuous look, you may be able to have braces with tooth-colored ceramic brackets; then, only the thin archwire will be visible in your mouth. It’s even possible in some cases to place the metal wires and brackets on the tongue side of the teeth. With this system, called lingual braces, the orthodontic hardware is truly invisible.

What if you didn’t need metal braces at all? Some people can get good results using a system of clear plastic aligners instead of braces. The aligners are worn 23 hours a day, but can be taken off for cleaning and for important events. They work best for correcting mild or moderate alignment problems.

Still, plenty of people feel that if they’re going to wear braces, they might as well flaunt them. That’s why some types of braces are available with bands that come in different colors. When Willow’s brother Jayden wore braces, he was reported to favor red and black ones. Jayden, who is about two years older than his sister, had his braces removed just before Willow got hers put on.

So if it turns out that you need braces, remember that lots of your favorite celebrities wore them too. And keep in mind that, depending on your own situation, you may have several options to choose from.

If you would like more information about braces or orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “The Magic of Orthodontics” and “Orthodontics for the Older Adult.”

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