My Blog

By Denise A. Perrotta DMD
February 19, 2020
Category: Dental
Tags: cosmetic dentistry  

Cosmetic dentistry procedures have opened up a tremendous amount of ways to improve your smile. No matter what bothers you about your smile, chances are there is an option to correct it and give you the beautiful smile you deserve. Dr. Denise Perrotta in Winston Salem, North Carolina offers a wide range of cosmetic dentistry choices to remake your smile.

Let’s consider just a few of the many ways we can help your smile:

Professional teeth whitening is an excellent option to whiten and brighten a dull, aging smile. You can whiten your teeth up to 8 shades, and your amazing results can last for years You can be assured professional teeth whitening is safe too, because the products have been rigorously tested and approved by the American Dental Association.

Cosmetic bonding, contouring, and reshaping are often combined to hide many aesthetic issues. Bonding uses composite, a liquid material that can be matched to the color of your teeth and sculpted to match natural tooth contours. Contouring and reshaping are often combined with bonding to even out chipped edges and minimize the appearance of crowding, tooth overlap, and other issues.

Porcelain veneers are the option of choice if you want a dramatic difference in the beauty of your smile. Veneers are versatile enough to hide many minor and major aesthetic issues. They are thin laminates of beautiful, stain-resistant porcelain that are cemented on to the front surfaces of your teeth. You should consider veneers if you have teeth that are:

  • Chipped or cracked
  • Eroded or abraded
  • Discolored or stained

You can also minimize the appearance of crowded teeth, rotated teeth, gaps between your teeth and other alignment issues. In fact, you can change the size, color, and shape of your teeth with veneers. The choice is up to you!

Dr. Perrotta can help you discover more about your cosmetic dentistry options and which procedure is the right choice for you. To find out more ways to remake your smile, call Dr. Denise Perrotta in Winston Salem, North Carolina today.

By Denise A. Perrotta DMD
February 18, 2020
Category: Dental Procedures
Tags: Dental Crown  

Dental crowns are one of the most effective ways to rebuild broken or badly decayed teeth. They are also the recommended choice for teeth that have had a root canal. That’s because dental crowns provide superb chewing and biting strength. Dr. Denise Perrotta in Winston Salem, North Carolina offers dental crowns to give you an outstanding smile.

Not too many years ago, dental crowns took at least two appointments to complete. Now, thanks to modern cosmetic dentistry technology, you can have your crown in one day. Dr. Perrotta offers CEREC One Day Crown technology using the CAD/CAM system. CAD/CAM stands for computer-aided design/computer-aided manufacturing and uses precise computer measurement along with 3-D technology.

This advanced technology allows your new crown to be manufactured right in the office, while you wait. Imagine being able to have a strong, beautiful dental crown in a single day. When you choose One Day Crowns, you can count on these amazing benefits:

Natural beauty, because CEREC crowns are manufactured using high-grade dental ceramic that reflects light and looks just like tooth enamel. In fact, once a CEREC crown is placed, it is virtually indistinguishable from your natural teeth.

Precise fit, because exact computer measurements are used. Your crown will fit perfectly.

Time savings, because instead of taking two to three appointments, your crown will be manufactured and placed in one day.

Thanks to CEREC and CAD/CAM technology, you won’t have to wear a temporary crown either. Your new crown will be ready and placed in a single appointment.

You and your smile deserve to find out how One Day Crowns can help you. To find out more about this amazing dental crown technology, talk with an expert. Call Dr. Denise Perrotta in Winston Salem, North Carolina today.

By Denise A. Perrotta DMD
July 17, 2019
Category: Dental
Tags: bonding  

Composite resin bonding is one of today's most popular and versatile dentistry services. Remaking small enamel defects in size, shape, and color, and also, restoring dental decay, composite resin is realistic, easy, quick, and cost-sparing. Your dentist in Winston Salem, Dr. Denise Perrotta, beautifies smiles with true artistic and technical skill. Learn more here.

Your tooth structure

It's comprised of interior soft pulp, yellow dentin and rock-hard enamel. All three layers contribute to a tooth's vitality, strength, function, and appearance. When the outermost layer--enamel--is chipped, cracked, or pitted, smile appearance is less than satisfactory. However, not all defects require tooth replacement or extensive restoration through fillings, porcelain crowns or dental veneers.

Fixing cosmetic problems

Enter composite resin. A unique blend of glass particles and acrylic, composite resin mimics tooth enamel in strength, color, resiliency and texture. It's well-suited to remake:

  • Gaps
  • Mild overlapping
  • Defects in tooth-length and shape
  • Chips
  • Hairline cracks
  • Craze lines
  • Pits

After examining the tooth in question, the Winston Salem dentist cleans the tooth, buffs it and adds an etching chemical. With the surface prepared, she chooses a resin which matches the color of the natural tooth enamel. She adds the resin to the flaw in layers, hardening each with a special ultraviolet light.

Layer by layer, she builds up the tooth structure and gives it a final shaping and polishing. Also, she checks the dental bite to ensure it is accurate and comfortable. In all, the procedure takes half an hour to an hour and requires no anesthetic of any kind.

Caring for composite resin repairs

Composite resin bonding produces amazing results which last ten years or more, provided you are gentle with your teeth. in other words:

  • Brush twice a day for two minutes as the American Dental Association recommends.
  • Floss daily to stay ahead of plaque and tartar.
  • Get your semi-annual check-ups and cleanings with Dr. Perrotta.
  • Avoid highly staining foods, or limit, them (items such as coffee, blackberries, and curry).
  • Stop all tobacco usage.
  • Wear a bite guard if you repeatedly grind or clench your teeth.

Make dental defects disappear

Find out what composite resin could do for your smile. Contact Dr. Denise Perrotta in Winston Salem, NC, for a cosmetic dentistry consultation to learn your options. Phone (336) 760-9258.


Fans of the legendary rock band Steely Dan received some sad news a few months ago: Co-founder Walter Becker died unexpectedly at the age of 67. The cause of his death was an aggressive form of esophageal cancer. This disease, which is related to oral cancer, may not get as much attention as some others. Yet Becker's name is the latest addition to the list of well-known people whose lives it has cut short—including actor Humphrey Bogart, writer Christopher Hitchens, and TV personality Richard Dawson.

As its name implies, esophageal cancer affects the esophagus: the long, hollow tube that joins the throat to the stomach. Solid and liquid foods taken into the mouth pass through this tube on their way through the digestive system. Worldwide, it is the sixth most common cause of cancer deaths.

Like oral cancer, esophageal cancer generally does not produce obvious symptoms in its early stages. As a result, by the time these diseases are discovered, both types of cancer are most often in their later stages, and often prove difficult to treat successfully. Another similarity is that dentists can play an important role in oral and esophageal cancer detection.

Many people see dentists more often than any other health care professionals—at recommended twice-yearly checkups, for example. During routine examinations, we check the mouth, tongue, neck and throat for possible signs of oral cancer. These may include lumps, swellings, discolorations, and other abnormalities—which, fortunately, are most often harmless. Other symptoms, including persistent coughing or hoarseness, difficulty swallowing, and unexplained weight loss, are common to both oral and esophageal cancer. Chest pain, worsening heartburn or indigestion and gastroesophageal reflux disease (GERD) can also alert us to the possibility of esophageal cancer.

Cancer may be a scary subject—but early detection and treatment can offer many people the best possible outcome. If you have questions about oral or esophageal cancer, call our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Oral Cancer.”


Ask any kid and they'll tell you just how valuable "baby" teeth really are—out of the mouth, of course, and under their pillow awaiting a transaction with the Tooth Fairy. But there's more to them than their value on the Fairy Exchange Market—they play a critical role in future dental health.

Primary teeth provide the same kind of dental function as their future replacements. Children weaned from nursing can now eat solid food. They provide contact points for the tongue as a child learns to speak. And they play a role socially, as children with a "toothsome" smile begin to look more like what they will become when they're fully mature.

But primary teeth also serve as guides for the permanent teeth that will follow. As a future tooth develops below the gum line, the primary tooth preserves the space in which it will erupt. Otherwise, the space can be taken over by other teeth. This crowds out the intended tooth, which may erupt out of position or remain impacted below the gum line.

In either case, the situation could create a poor bite (malocclusion) that can be quite costly to correct. But if we can preserve a primary tooth on the verge of premature loss, we may be able to reduce the impact of a developing malocclusion or even prevent it.

We can help primary teeth last for their intended lifespan by preventing tooth decay with daily oral hygiene or clinically-applied sealants and topical fluoride. If they do become infected, it may be worth the effort to preserve them using procedures similar to a root canal treatment.

If a tooth can't be preserved, then we can try to reserve the empty space for the future tooth. One way is a space maintainer, which is a stiff wire loop attached to metal band bonded around an adjacent tooth. This keeps other teeth from drifting into the space until the permanent tooth is ready to erupt, at which time we can remove the appliance.

Your child may be anxious to get another tooth to put under their pillow. But helping that primary tooth go the distance will be more than worth it for their future dental health.

If you would like more information on the care and treatment of baby teeth, 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 “Importance of Baby Teeth.”

This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.

Contact Us