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1610 Arden Way  #157
Sacramento, CA 95815
(916) 929-3898
(917) 646-6315 fax


900 E. Bidwell St. #400
Folsom, CA 95630
(916) 983-6655
(916) 983-1079 fax


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By Drs. Jeff DiMariano & Shaina DiMariano
September 02, 2014
Category: Dental Procedures
PadmaLakshmisSmileARecipeforBeauty

Before she began hosting the long-running TV competition Top Chef, Padma Lakshmi was a well-known model and successful cookbook author. (Appropriately, she is said to have been “discovered” by a modeling agent while sitting in a café in Madrid.) Yet the Indian-born beauty's striking look — at once exotic and familiar — doesn't come from any cookie-cutter mold.

So when Lakshmi had cosmetic work done on her teeth, early in her career, her dentist didn't use a cookie-cutter approach either: Instead, her smile was carefully designed, using small amounts of bonding material to brighten her teeth and to bring their shape and spacing into harmony with her facial features.

Dentistry by Design
What exactly is smile design — and what could it do for you? Essentially, it's the process of evaluating your smile in concert with the appearance of your entire face, and visualizing the changes — some dramatic and some subtle — that will make it really shine. Some aspects we consider include the face's shape, the proportion or “balance” of facial features, the complexion, eye and lip color and form, and the overall dimensions of the smile.

Based on dental aesthetics and clinical experience, we will probably have a number of suggestions to make on how you can improve your smile. Your input will also be very important; while some individuals prefer perfectly even teeth and a sparkling “Hollywood white” smile, others are looking for a result that's more in keeping with a “natural” look: slight irregularities in tooth shape, spacing, and even color.

There's no right or wrong answer here: Having a “perfect” smile means what's perfect for you, so it's very important for dentists and patients to communicate openly during the smile design process. But sometimes, words alone just aren't enough to convey the subtle dimensions of beauty.

The Trial Smile
Fortunately, it's now possible to preview your “perfect” smile using a number of different techniques. Advances in computer imaging make this the first step in previewing your new smile — you can see the changes before a single tooth is touched! Still, many people find that having a more concrete picture is helpful. The next step is to make a 3-D mock-up the proposed dental work on an actual model of your mouth. That way, you can see a physical representation of the final results — and even turn it around and hold it in your hands.

There's still one more way to really experience the difference cosmetic treatments can make without committing to a permanent change: the provisional restoration. Here, tooth-colored bonding material and other techniques are used to actually create the new smile — temporarily. This gives you time to “live with it,” and see if the proposed changes work for you. If everything goes well with the provisional work, the permanent restoration is guaranteed to please.

So if you want holiday treats, get out the cookie cutter — but if you're looking for a smile that's uniquely yours, and one that enhances your own individual appearance… call our office and ask about a smile design consultation. You can learn more in the Dear Doctor magazine articles “Great Expectations — Perceptions in Smile Design” and “Beautiful Smiles by Design.”

By Drs. Jeff DiMariano & Shaina DiMariano
August 29, 2014
Category: Oral Health
Tags: financing  
ConsiderYourOptionsWhenFinancingMajorDentalProcedures

Dentistry can accomplish some amazing smile transformations. But these advanced techniques and materials all come with a price. Additionally, your dental insurance plan may be of limited use: some procedures may not be fully covered because they’re deemed elective.

It’s important then to review your financial options if you’re considering a major dental procedure. Here are a few of those options with their advantages and disadvantages.

Pay Up Front. It may sound old-fashioned, but saving money first for a procedure is a plausible option — your dental provider, in fact, may offer a discount if you pay up front. If your condition worsens with time, however, you may be postponing needed care that may get worse while you save for it.

Pay As You Go. If the treatment takes months or years to complete, your provider may allow you to make a down payment and then pay monthly installments on the balance. If the treatment only takes a few visits, however, this option may not be available or affordable.

Revolving Credit. You can finance your treatment with a credit card your provider accepts, or obtain a medical expenditure card like CareCredit™ through GE Capital that specializes in healthcare expenses. However, your interest may be higher than other loan options and can limit the use of your available credit for other purchases. In addition, some healthcare cards may offer interest-free purchasing if you pay off the balance by a certain time; however, if you don’t pay off the balance on time, you may have to pay interest assessed from the date you made the purchase.

Installment Loans. Although not as flexible as revolving loans, installment loans are well-suited for large, one-time purchases with their defined payment schedule and fixed interest rate. Some lenders like Springstone℠ Patient Financing specialize in financing healthcare procedures, and may possibly refinance existing loans to pay for additional procedures.

Equity Loans. These loans are secured by the available value in an asset like your home. Because they‚??re secured by equity, they tend to have lower interest rates than credit cards or non-secured installment loans. On the downside, if you fail to repay, the lender can take your property to satisfy the loan.

To determine the best financing route for a dental procedure, be sure to discuss your options with your financial advisor and your dental provider.

If you would like more information on financing dental care, 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 “Financing Dental Care.”

By Drs. Jeff DiMariano & Shaina DiMariano
August 20, 2014
Category: Oral Health
NewStudyShowsCustom-MadeMouthguardsCutConcussionInjuriesinHalf

Concussion in athletes is a topic that’s getting lots of attention recently — not only in professional leagues, but also at the level of high school, collegiate and amateur sports. Helmets are being increasingly used in both contact and non-contact sports, like skiing and biking. But when you’re looking for quality gear that gives you additional protection against head and facial injuries, do you think of getting it at the dental office?

According to some new research, you should. A study published in the journal of the Academy of General Dentistry shows that a custom-made mouthguard, obtained at a dentist’s office, is more than twice as effective against mild traumatic brain injures (MTBI) and concussions than the over-the-counter (OTC) mouthguards you can get at a sporting-goods store.

The randomized study followed six different high school football teams, with a total of 412 players. Half were assigned to wear custom-made mouthguards, while the other half used OTC types; all wore the same type of helmets. When the season ended, a total of 24 MBTI/concussion injuries were reported, for an overall rate of 5.8 percent.

But the study revealed that not all mouthguards are created equal: The incidence of concussion for players wearing OTC mouthguards was 8.3 percent, while the group with dentist-provided custom mouthguards had an incidence rate of just 3.6 percent — less than half the rate of the OTC group!

That’s a big difference — and there’s one more thing to consider: While they can give you additional protection against concussion, mouthguards are primarily designed to protect your teeth from serious injury. It is well established that athletes who wear mouthguards significantly reduce the risk of dental and facial injury. That’s why they are recommended by the American Dental Association, and why so many sports leagues and associations require their use at all levels of play.

A custom fabricated mouthguard, made from a model of your own teeth, fits you better than any generic type can; it’s also a better investment. The mouthguards we provide last much longer than the “boil-and-bite” or self-molded ones available in sporting-goods stores and big-box retailers. And if it prevents a single serious injury, a custom-made mouthguard can pay for itself many times over — not only in terms of medical bills, but also in time lost from school or work… and on the field, the trail or the slopes.

If you have questions about custom-made athletic mouthguards, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Athletic Mouthguards” and “An Introduction to Sports Injuries & Dentistry.”

By Drs. Jeff DiMariano & Shaina DiMariano
August 15, 2014
Category: Dental Procedures
Tags: bridgework  
AFixedBridgeRemainsanEffectiveOptionforToothReplacement

If at all possible, we want to save a tooth — it’s the best outcome for your overall dental health. In many cases, we can achieve this by filling the tooth or installing a crown over it.

Unfortunately, preservation isn’t always possible if the natural tooth has been irreparably weakened by decay or trauma. Replacing the natural tooth with a life-like artificial one is the next best option: the replacement will help you regain lost function and reinvigorate your smile. Filling the missing tooth’s space also prevents neighboring teeth from drifting into it, causing further problems with function and appearance.

Dental implants are widely recognized as the best choice for tooth replacement because of their life-like qualities, durability and positive effect on bone health. Even their biggest drawback, their cost, isn’t that great an issue if you factor in their longevity — they may actually result in less dental expense over the long-term.

A dental implant, however, isn’t always a viable option. Some patients may not have enough bone mass to support an implant. Those with certain systemic diseases like uncontrolled diabetes or a weakened immune system may not be able to undergo dental implant surgery.

Fortunately, many of these patients can benefit from a fixed bridge, a restoration option that’s been used for decades. A bridge is a series of life-like crowns permanently joined like pickets in a fence. The middle crown known as the “pontic” fills the empty space left by the missing tooth. The crowns on either side of the pontic are permanently attached to the natural teeth that border the missing tooth space. Known also as “abutment” teeth, they serve as the support for the bridge.

Bridges do have one downside — the abutment teeth must be prepared by filing them down so the new crowns fit over them properly. This will permanently alter and possibly weaken the teeth. Dental implants, on the other hand, have little to no effect on adjacent teeth.

Still, a bridge remains an effective option for many people. Properly cared for, a bridge can restore function as well as enhance your smile for many years to come.

If you would like more information on bridgework as a restorative option, 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 “Crowns & Bridgework.”

By Drs. Jeff DiMariano & Shaina DiMariano
August 04, 2014
Category: Oral Health
VannaWhiteTalksDentistry

Vanna White has been a household name for the last 27+ years and is best known as the first female co-host of the game show, Wheel of Fortune. She radiates a warm, friendly, down-home appeal and says when describing herself, “what you see is what you get!” While this is quite true, there is so much more to her. She has received a star on the famous Hollywood Walk Of Fame, has starred in an NBC movie and written a book. She is even featured in The Guinness Book of World Records as TV's most frequent clapper, and most recently started her own line of yarn called Vanna's Choice with half of the proceeds going to St. Jude Children's Research Hospital. And while any one of these accolades could serve as the highlight of a lifetime for most, for Vanna they fall slightly short. Her favorite job is being mother to her son, Nicholas, and daughter, Giovanna.

The following are excerpts taken from an exclusive interview in Dear Doctor magazine, the premier oral healthcare resource for patients and consumers.

What is the secret to her dazzling smile?
Vanna's oral healthcare routine is the same today as it has been since her childhood — and one everyone can follow. She brushes her teeth at least twice a day (morning and at bedtime) and flosses her teeth daily. She also has strong feelings about flossing. “I think that flossing is the most important thing. I believe that dental floss helps a lot as it keeps your gums strong and looking younger.”

What about bleaching, has she done it?
Absolutely! Vanna bleaches her teeth once or twice a year to help retain her naturally white teeth and to offset any discoloration from coffee and an occasional glass of red wine. “I have done over-the-counter and professional bleaching, but I do like the trays my dentist made because they fit perfectly.” She also states, “Anything you can do professionally is probably better because I would assume that a dentist's ingredients are stronger than over-the-counter products.”

Has she had any cosmetic dentistry?
When it comes to answering a question about cosmetic dentistry, Vanna is just as open and honest as she is about everything else — a trait for which she is known. “I had a bridge put in probably 30 years ago, where I had a tooth pulled and there was a space. And I did have a little tiny chip on one of my front teeth years ago that my dentist fixed. But that is it. Again, I feel very fortunate to have good teeth. The braces [from her childhood] straightened them out and there has been no need for any cosmetics since then.”

Does she do anything to protect her teeth?
While she admits to occasionally forgetting to use her nightguard, a protective mouthguard worn during sleep, she firmly believes in their need. “I do sleep in a nightguard because I grind my teeth. I have a filling in the back that probably has been filled five times from grinding.” She added, “Both of my children do have mouthguards that they wear for their sports.”

Want a smile like Vanna's?
Contact us today to schedule an appointment or to discuss your questions about bleaching, cosmetic dentistry or mouthguards. You can also learn more about Vanna by reading the entire interview in the Dear Doctor article, “Vanna White — The Smile Defining America's Favorite Game Show — Wheel Of Fortune.”





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Sacramento Office - 916-929-3898
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