My Blog

By Denise A. Perrotta DMD
March 04, 2019
Category: Dental Procedures
Tags: Invisalign  

Is Invisalign the right choice for your smile? Your dentist in Winston Salem, Dr. Denise Perrotta, can tell you for sure. If you're an older invisalignteenager or an adult with a misaligned smile, Invisalign clear aligners could help you improve the health, function, and appearance of your teeth. Read what this modern orthodontic option involves.

Why get orthodontic treatment?

A straight smile has many benefits, including:

  • Healthier teeth and gums with less decay and periodontal disease
  • Fewer occurrences of sleep disorders such as obstructive sleep apnea
  • Clearer speech
  • Improved personal appearance and self-confidence
  • Less jaw pain and fewer headaches

In short, a well-aligned smile makes for a better, happier you. However, traditional metal or ceramic braces pose substantial problems with complicated hygiene, diet restrictions, oral discomforts, and a very obvious appearance. That's why many teens and adults shy away from braces altogether. They just don't want the hassle and embarrassment.


Why not look into Invisalign?
Dr. Denise Perrotta is the dentist in Winston Salem who offers Invisalign clear aligners, the comfortable, convenient and discreet path to a better smile. Customized according to a sophisticated three-dimensional scan of your teeth, Invisalign appliances fit tightly over top and bottom teeth, exerting the proper pressure to move them into the right positions.


In all, patients wear 18 to 30 pairs of aligners in sequence for about 20 to 22 hours a day. Aligner pairs are changed every week, and patients see Dr. Perrotta every three to four weeks for progress checks and to get the next pairs of aligners in their treatment plans.
Patients enjoy how easy it is to eat, brush, and floss while undergoing Invisalign treatment. They simply remove their aligners as desired--even for getting their picture taken. All is well, as long as they wear their aligners for the required time each day to keep their treatment plans progressing.


In all, treatment with Invisalign takes 8-10 months or less. When they're done, patients wear custom-made retainers to keep their new smiles in place.


Can you receive treatment with Invisalign appliances?
A one-on-one consultation with Dr. Perrotta will help you decide what kind of orthodontic treatment is best. She will examine your teeth and outline your options in detail.
In general, many teens and adults qualify for Invisalign. This innovative system correct many different kinds of bite problems, closes gaps, fixes overjet, and rotated teeth and more. And, you'll be very pleased with the results.


Consult with us
The American Academy of Cosmetic Dentistry says that quality orthodontic treatment considers not only smile aesthetics but also health and long-term functionality. Dr. Denise Perrotta and her team in Winston Salem, NC, agree. So, why not contact the office today to set-up your orthodontic consultation and see if Invisalign is your best choice? Call (336) 760-9258.

By Denise A. Perrotta DMD
February 25, 2019
Category: Oral Health
Tags: dry mouth  
ChronicDryMouthCouldIncreaseYourRiskforDentalDisease

When your mouth is dry, you know it: that sticky, uncomfortable feeling when you first wake up or when you're thirsty. Fortunately, it usually goes away after you eat or drink. But what if your mouth felt like that all the time? Then, it's no longer an irritation—chronic dry mouth could also increase your risk of dental disease.

Chronic dry mouth occurs because of inadequate saliva flow. Saliva plays an important role in preventing dental disease because it neutralizes acid, which can cause the mineral content in tooth enamel to break down and lead to tooth decay. The mouth becomes more acidic right after eating, but saliva can restore its normal pH levels in about an hour—as well as some of the enamel's lost mineral content. Without saliva, your tooth enamel is at greater risk from acid.

While a number of things can potentially interfere with normal saliva production, medication is the most common. More than 500 prescription drugs, including many antihistamines, diuretics or antidepressants, can cause dry mouth. Cancer radiation or chemotherapy treatment and certain metabolic conditions like diabetes or Parkinson's disease can also increase symptoms.

If you are experiencing unusual dry mouth symptoms, see your dentist first for a full examination. Your dentist can measure your saliva flow, check your prescriptions and medical history, and examine your salivary glands for abnormalities. With this more accurate picture of your condition, they can help direct you to the most effective remedies and treatments for the cause.

If medication is the problem, you can talk to your doctor about alternative prescriptions that have a lesser effect on saliva flow. You can also drink more water before and after taking oral medication and throughout the day to help lubricate your mouth. Chewing gums or mints with xylitol, a natural alcohol sugar, can also help: xylitol helps reduce the mouth's bacterial levels, as well as stimulate saliva flow.

Easing your dry mouth symptoms can make your life more pleasant. More importantly, it can reduce your risk of future dental problems caused by a lack of saliva.

If you would like more information on dealing with chronic dry mouth, 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 “Dry Mouth: Learn about the Causes and treatment of this Common Problem.”

By Denise A. Perrotta DMD
February 15, 2019
Category: Dental Procedures
WemayNeedtoBuilduptheBoneinYourJawbeforeImplants

Dental implant technology has advanced at such an astounding rate in recent years that you can now walk into a dentist's office with a problem tooth and out the same day with a new one. Unfortunately, not all dental situations allow for this possibility.

For example, you might be considering an implant many years after losing a tooth. But there's a potential problem: there might not be enough supporting bone. While an implant might still be possible, inadequate bone complicates the matter.

Because implants are essentially tooth root replacements, they require a certain amount of bone for stability and the best attractive outcome. As a general rule, implants need to be surrounded by  at least 1.5-2.0 millimeters of healthy bone to support an implant. But you might not have enough if your tooth has been missing for awhile, regardless if you have or haven't worn dentures or other restorations.

That's because bone has a life cycle in which older cells die and newer ones form to take their place. As we chew or bite, the force generated travels up through the teeth to the bone to stimulate this new growth. Without a tooth the bone doesn't receive this stimulus, which can slow the growth rate. Over time the affected bone can lose its volume and density.

If we find you've experienced loss to the point your bone won't support an implant, that doesn't automatically mean this popular restoration is out of the picture. But it will require us first performing a procedure known as augmentation or bone grafting to help rejuvenate some of the lost bone.

With grafting, we place processed bone grafting material in the jaw through a minor surgical procedure to form a scaffold for new bone to grow upon. After several months this can result in several millimeters of new growth maintaining the width of the underlying bone, which in turn may be able to support an implant.

Bone grafting is quite common, often performed at the same time as tooth extraction if there's going to be a time lag before installing an implant. Even if performed later, though, it can successfully rejuvenate lost bone and make it possible for you to take advantage of durable, life-like implants.

If you would like more information on dental implants, 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 “Dental Implants after Previous Tooth Loss.”

By Denise A. Perrotta DMD
February 07, 2019
Category: Dental Procedures

Teeth Whitening SmileYour dentist in Winston Salem, NC, can help you brighten your smile

Does your smile need a little TLC? It’s only natural for teeth to become dull, yellowed, and stained over time. The good news is you can rejuvenate your smile easily, inexpensively, and quickly with professional teeth whitening. Dr. Denise Perrotta in Winston Salem, NC, can give you the brilliant, sparkling smile you deserve.

When you choose professional teeth whitening, you can experience results which far exceed over-the-counter whitening products. Consider that professional teeth whitening is:

  • Effective, because you can whiten your teeth up to 8 shades whiter
  • Long-lasting, because your white smile can last up to 5 years
  • Safe, because professional teeth whitening products have been rigorously tested for safety and approved by the American Dental Association
  • Quick, because the in-office treatment takes only about an hour

Professional teeth whitening is performed in the office and requires only a very short period of time. The prescription strength whitening gel is applied to your teeth by your dentist. It’s a great solution to achieving a white, beautiful smile and because of the rapid results, it’s the perfect way to look your best before a special event like a wedding, reunion, or even an important job interview.

Whether you have stains from tobacco use or drinking coffee, professional teeth whitening can help you say goodbye to your stains. If you have an aging yellow smile due to the natural thinning of tooth enamel as you age, professional teeth whitening can help you say hello to a younger looking smile.

It’s time to rejuvenate your smile with professional teeth whitening. Take control of your smile and find out more about professional teeth whitening. Just pick up the phone and call dentist, Dr. Denise Perrotta in Winston Salem, NC. You deserve to look your best and teeth whitening can help, so call today!

By Denise A. Perrotta DMD
February 05, 2019
Category: Oral Health
Tags: gum disease  
YourRegularDentalVisitsMightChangeifYouvehadGumDisease

Periodontal (gum) disease is as common as it is destructive. Almost half of all adults 30 and older have some form—and those numbers increase to nearly three-quarters by age 65.

Fortunately, we have effective ways to treat this bacterial infection, especially if we catch it early. By thoroughly removing all plaque, the disease-causing, bacterial biofilm that accumulates on tooth surfaces, we can stop the infection and help the gums return to normal.

Unfortunately, though, you're at a greater risk for a repeat infection if you've already had gum disease. To lower your chances of future occurrences, we'll need to take your regular dental exams and cleanings to another level.

Although everyone benefits from routine dental care, if you've had gum disease you may see these and other changes in your normal dental visits.

More frequent visits. For most people, the frequency norm between dental cleanings and exams is about six months. But we may recommend more visits for you as a former gum disease patient: depending on the advancement of your disease, we might see you every three months once you've completed your initial treatment, and if your treatment required a periodontist, we may alternate maintenance appointments every three months.

Other treatments and medications. To control any increases in disease-causing bacteria, dentists may prescribe on-going medications or anti-bacterial applications. If you're on medication, we'll use your regular dental visits to monitor how well they're doing and modify your prescriptions as needed.

Long-term planning. Both dentist and patient must keep an eye out for the ongoing threat of another gum infection. It's helpful then to develop a plan for maintaining periodontal health and then revisiting and updating that plan as necessary. It may also be beneficial to perform certain procedures on the teeth and gums to make it easier to keep them clean in the future.

While everyone should take their oral health seriously, there's even greater reason to increase your vigilance if you've already had gum disease. With a little extra care, you can greatly reduce your chances of another bout with this destructive and aggressive disease.

If you would like more information on preventing recurring gum disease, 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 “Periodontal Cleanings.”





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