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4/17/2018 2:29:00 PM

Most orthodontic protocols require extractions of 2 or more teeth prior to starting treatment. However, the problem is nearly always that the upper and lower jaws have not developed or were not guided to develop correctly starting from a young age. By extracting teeth and contracting the remaining teeth in the upper and lower jaws, future problems will arise including TMJ disorder, facial muscle pain, and even a reduced airway. The following image shows how two identical twins matured differently. The girl on the left had 4 teeth extracted while the girl on the right had her jaws guided to develop correctly without surgery.


 



4/9/2018 10:33:00 AM

The Temporomandibular joint(TMJ) is the only joint in the human body that is designed to dislocate which in use. Any noises in the TMJ or deviation of the jaw on opening is an indication that the joint is not functioning correctly. A portion of cartilage known as the "disc" provides a cushion between the jaw bone and skull when opening. If the disc is not positioned correctly, shifting or a "click"/"pop" noise will occur. This can lead to future problems such as having a jaw stuck open or closed, or even arthritis in the TMJ. Eventually a cascade effect will occur when teeth may start to crack, or facial/neck muscles will start to produce pain. A proper diagnosis of the condition includes impressions and models, imaging, photos, and possibly and MRI to determine the extent of damage to the TMJ.




4/3/2018 2:40:00 PM

As if losing a tooth or teeth weren't bad enough, now a study found a connection between cardiovascular disease and the loss of a tooth. There already are numerous studies that find a link between periodontal(gum) disease and an increase in cardiovascular disease, so this appears to reinforce that discovery. Proper home care and regular dental visits are the cornerstone to maintaining great oral health. 


https://www.medicalnewstoday.com/articles/321302.php






3/31/2018 4:23:00 PM

Cosmetic dentistry can involve an entire makeover, or something as simple as rejuvenating a few teeth. Our goal is to help you achieve the smile that you want. Dr. Do can do anything you desire, from creating a Hollywood makeover to a simple, natural smile.







3/30/2018 3:39:00 PM

Our office would like to wish everyone a safe and happy Easter weekend! Every celebration in life revolves involves some type of food so feel free to call us for any dental care you are worried about including cleanings, cosmetic, implants, or TMJ disorders.




3/12/2018 4:44:00 PM

At Manoa Dental, we are committed to every patient's long-term oral health. Our goal is to evaluate, diagnose, and treat whatever present or future problems we can see during our exam. Dr.Do and Dr.Choy analyzes three main factors, which are teeth, bite, and TMJ. They are all interrelated, and can affect each other. If there is a breakdown in one of these areas, it will eventually create an issue in another or all three. Training after dental school is imperative to know what future problems can occur.




3/10/2018 11:41:00 AM

Cosmetic dentistry has taken tremendous leaps in the last 20 years regarding techniques and materials used. We now can rejuvenate a smile without cutting down a tooth, as opposed to before where teeth would always need crowns to create your special smile. Additional training is required, so always check the qualifications of your dentist to perform these procedures. Since cosmetic dentistry is not a specialty, training and credentials are the most accurate way to determine their qualifications. Dr. Do is accredited by the premier cosmetic dentistry organization known as the American Academy of Cosmetic Dentistry(AACD). They maintain high standards for their members, and much higher standards for their accredited members.






3/7/2018 3:00:00 PM

Orthodontics(braces) are not just for kids anymore. It's extremely useful for cosmetic dentistry and treating Temporomandibular Joint(TMJ) disorders. Adults do take a little longer to treat than children, but overall treatment  length has decreased as techniques and materials have improved over time. Patient options also include more aesthetic choices such as ceramic(tooth-colored) and clear braces depending on your final goal. It's never too late to achieve that smile or appearance you have always wanted!



3/5/2018 3:33:00 PM

Often times, we become so busy with work that we forget to acknowledge to all of our patients how important you are to us! We love delivering excellent dental care to the community and are grateful for all of our wonderful patients. All of you make it easy for us to go to work and look forward to the day! We are always accepting new patients  and a referral is the best compliment you can give us. Dr.Do and Dr.Choy treat all phases of dentistry including cosmetic, implant, temporomandibular joint(TMJ), sleep apnea, and full mouth reconstruction. They bring the highest credentials and certifications in these fields and are always glad to be of service!




3/2/2018 2:11:00 PM

The American Dental Association is having their annual meeting at the Honolulu convention center in October and we look forward to welcoming all of our colleagues here! It's an honor for Hawaii to host the meeting and a great opportunity for local dentists to experience it on such a large scale. It will have an enormous range of educational lectures ranging from cosmetic, implant, TMJ, and treating sleep apnea to name a few.



2/23/2018 4:41:00 PM

A patient asked if there was anything we could do about his front tooth. Yes we can!




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After




2/16/2018 3:26:00 PM

In her commitment to providing excellence in dental care, Dr. Do is in Los Angeles attending seminars for Orthodontics and Temporomandibular joint(TMJ) treatment. TMJ problems can commonly be mistaken for other disorders such as stuffy ears, neck pain, headaches, or sleep apnea.




2/13/2018 2:51:00 PM

Does your loved one snore? That's a sign that they may be at risk for sleep apnea. Obstructive Sleep Apnea(OSA) is the loss of oxygen throughout the night due to interruption of their sleep. This condition has been studied and associated with heart failure. Do yourself and your loved one a favor by treating this condition so you and they can sleep comfortably.





2/6/2018 4:03:00 PM

51% of Americans between the ages of 55 to 64 have full or partial dentures. There is an entire industry, which includes Poligrip or Fixodent, built around making sure that their loose dentures are stable. However, these short-term fixes do not preserve the underlying bone which eventually resorbs away. At Manoa Dental, we can provide a much better alternative with dental implants. Implants not only stabilize and maintain the jaw bone level, but also allows you to eat like normal again. It may not be exactly like having a new set of teeth, but you will be amazed at what you can eat again!



2/5/2018 8:49:00 AM

As we all return to our normal schedules following a football-filled weekend, I would like to remind everyone that plaque and calculus(tartar) buildup does not only begin from sweet and sugary foods that you might have eaten during the big game. Plaque and calculus can result from anything that you eat, and therefore increases the chances of bacteria accumulation and subsequently, cavities. Cavities in your front teeth are even more noticeable to others since they tend to turn the teeth black. Don't hesitate to call us for an appointment to treat any cosmetic dentistry questions you have!



2/24/2015 12:00:00 PM

Orthodontic care is important in achieving healthy teeth and gums, as teeth that are well-aligned are easier to keep clean to maintain excellent oral health. If you’re interested in getting treatment with orthodontics, and have questions about braces, here’s what we think you should know:

  1. You have options  – From fun, colored bands around your brackets, to clear options for braces, you have choices for making your treatment right for you. At Manoa Dental, we offer Invisalign® in additional to traditional braces, so you can feel comfortable about making the choice that best meets your oral health needs.
  2. Anyone can benefit from braces – Braces aren't just for teenagers. If you are experiencing crowded, gapped, or protruding teeth at any age – braces can provide the same incredible results. If you are an adult in a professional setting and are looking for discreet orthodontic treatment, you may consider Invisalign® in order to maintain a low-profile for teeth straightening.
  3. Keeping your teeth clean is important! – Keeping your braces or other orthodontic appliance clean is important for your overall oral health. If you choose traditional braces, be sure to thoroughly clean around brackets in order to prevent the accumulation of debris and bacteria that can cause tooth decay and periodontal problems.  There are many flossing and brushing aids available that make cleaning between dental appliances a breeze. If you are using clear aligner trays, be sure to brush your teeth and the tray itself before replacing the appliance in your mouth. Because clear aligner trays hug all sides of your teeth, it is easy for debris to become trapped between your teeth and the appliance for long periods of time.
  4. Braces can fix both teeth AND bite alignment issuesBraces aren't just for straightening teeth, they can also treat instances of malocclusion – misalignment of the jaw. Ideal jaw alignment is important for ensuring that your bite is evenly distributed, preventing issues related to uneven wear and tear on teeth. Both traditional braces and Invisalign® are capable of correcting bite problems for orthodontic patients.
  5. Getting Your Braces on Is Easy – Whether your orthodontic appointment is for traditional braces or Invisalign®, getting your braces put on is a simple process. For traditional braces, brackets are bonded to the fronts of teeth and wires are threaded through. Any discomfort experienced as a result of teeth shifting can be effectively controlled with over-the-counter pain medication. When getting clear braces with Invisalign®, molds are taken of your teeth and sent to the Invisalign® lab for custom creation of your trays. When your treatment is sent back to our dental office, you return to see us and simply pop your tray in.


At Manoa Dental, Drs. Keri Do and Malcolm Choy are happy to answer any questions you may have about getting braces or Invisalign® in Honolulu, HI. Contact our dental office to schedule your consultation to see how orthodontics can help you.



11/25/2014 12:00:00 PM

Dental implants are a great way to restore missing teeth. If you have had a tooth knocked out in an injury, or have needed teeth extracted due to decay, and are considering getting a dental implant, you and your dentist will need to map out a treatment plan that takes the following into consideration:


  • How long have you been missing teeth?: If you have been dealing with tooth loss for a while, you may be experiencing loss of bone volume in your jaw. Your natural tooth root stimulates healthy bone density; without the presence of that root, bone can begin to shrink. Getting a dental implant promotes bone volume in the same way as a normal tooth, but implantation of a standard implant requires enough bone volume for successful implantation. However, depleted bone volume is not a deal-breaker for getting a dental implant; patients can take advantage of bone grafting treatment or even mini dental implants.

  • Are you experiencing periodontal issues?: Proper healing after a dental implant is placed requires healthy gum tissue. If you are exhibiting symptoms of periodontal disease, such as sore, puffy, or bleeding gums, Dr. Do or  Dr. Choy can address these issues with a deep cleaning before beginning the implantation process.

  • How many teeth are you missing?: The amount of lost teeth you are experiencing will have an effect on how dental implants can be used to help. In the event of total tooth loss, implants can be used to permanently stabilize a full set of dentures. Dental implants can also anchor dental bridges, if you have a small group of missing teeth on one side of your mouth.


It’s important to schedule a consultation with your dentist before beginning any treatment plan. Dr. Choy is the only dentist in Hawaii that is credentialed by three of the most prominent implant organizations in the nation, which are the International Congress of Oral Implantologists, American Academy of Implant Dentistry, and the Misch International Implant Institute. Contact Drs. Do and Choy at Manoa Dental for more information on how you can get dental implants in Honolulu, HI.



11/19/2014 8:43:00 AM

Thanksgiving is approaching and now is the time to stop and think about how you enjoy this holiday of feasting. Every celebration of life includes food and to enjoy it, you must be able to eat whether with implants, bridges, dentures, or just making sure your TMJ functions properly in order to chew without ache. Maintaining good oral health is not optional, and largely contributes to your quality of life. Feel free to call us for a consultation on any problems you may have!






11/7/2014 8:16:00 AM

At Manoa Dental, we are using the latest and most efficient technology for our braces to ensure your comfort and treatment success. There is a minimal difference in treatment time between using clear or metal braces for your orthodontic treatment. The main advantage is that clear braces are much more difficult to recognize when in public if esthetics are your concern.Feel free to call us for a consult on which type of braces will help you achieve your goals!




11/3/2014 7:26:00 AM

Dental implants have been largely misunderstood by the public as similar to a tooth where once it's gone, it's gone forever. Did you know that even if an implant completely fails, there is an excellent chance of still having the procedure completed with the same success as when you started? At Manoa Dental, we can provide consults for all types of implant failures and what it might require to fix your damaged implant. Don't hesitate to call us if you feel there may be a problem with your implant!



10/21/2014 7:06:00 AM

Our goal at Manoa Dental is to provide Hawaii with a long term solution to TMJ pain. One of the most common causes of TMJ pain is a result of a bad bite. Chewing muscles, TMJ joint, and your teeth all must work in harmony in order to function properly and without pain or discomfort. If not, eventually one of these components will break down resulting in TMJ pain, muscle pain, or damage to your teeth. If you exhibit any of these symptoms, call us now for a consult on what treatment will work best for you! 



9/30/2014 12:48:00 PM

Our goal at Manoa Dental is to ensure healthy and happy oral health for all patients. Having said that, dentures are a huge step backwards without benefiting from what dental implants can offer when used with them. Traditionally, dentures are fitted to your gums and require a combination of oral muscle coordination resting on "thick" gums for the best results. However, patients requiring dentures usually have receded gums or poor oral muscles resulting from their oral health flaws necessitating a denture to begin with. This is especially noticeable if the lower jaw needs a denture.

The addition of at least two implants in the lower jaw makes a world of difference in terms of improving stability and preventing your denture from coming loose. You can avoid any embarrassment of shifting dentures while talking or other inopportune times. When four or five implants are placed, a denture can function with the same strength as natural teeth. Imagine! It will be your third set of teeth without having to worry about cavities ever!

Your overall quality of life will improve tremendously with the addition of implants connected to your dentures! Whether you have existing dentures, or in need of transitioning to dentures, call us now for a consult appointment to find out what options are available to you!



9/17/2014 9:43:00 PM

You can receive complete dental care at Manoa Dental in Honolulu, Hawaii including implants and fixed bridges. Implants and fixed bridges have one trait in common, which is that they both will feel like a natural tooth when completed. However an implant is much more beneficial in your long term future over the bridge in many ways.

First, a bridge requires drilling on the adjacent teeth while and implant does not. This is most harmful when the adjacent teeth are already in excellent health which results in unnecessary loss of tooth structure. The undesirable trauma to the neighboring teeth increases your risk for future treatment to them.

Second, a bridge is cemented to natural teeth adjacent to the missing tooth and therefore susceptible to future cavities on these teeth. A recurrent cavity is the more common reason that fixed bridges must be replaced resulting in more damage or even the additional loss of neighboring teeth. An implant is composed entirely of titanium and cannot develop a cavity effectively eliminating this problem.

Third, an implant simulates a tooth root, consequently it maintains the bone health similar to the original tooth. A fixed bridge however, replaces the missing tooth only above the gums. Therefore the bone and gums will continue to shrink over time under the replacement tooth, and eventually will create an unsightly gap between them. In contrast, an implant replicates the entire tooth above and below the gums.

Fourth, an implant is a machined, smooth surface which doesn't allow plaque and tartar to buildup. A natural tooth is course and rough, which must be maintained on a strict cleaning schedule or cavities will occur on the adjacent teeth of a fixed bridge. It is also extremely inconvenient to floss under the bridge as compared to a normal tooth, leading to inadequate home care around a bridge. This in turn creates an environment for future cavities or gum disease.

Implants and fixed bridges have the greatest advantage over other conventional treatments for replacing a missing tooth. However, an implant has significantly more benefits for your best long-term results when compared to a fixed bridge due to ease of maintenance and care.



9/12/2014 2:55:00 PM

This is an orthodontic case that we have just completed recently. The main goal of any orthodontic treatment is to correctly align the upper jaw to the lower jaw resulting in a healthy TemporoMandibular joint(TMJ). Here, we have not only aligned the patient's teeth, but more importantly properly matched the upper jaw to the lower jaw. This ensures that the patient not only looks good and is stable, but does not develop any TMJ issue afterward, such as clicking or noise in the joints, pain in the jaw, or headaches relating to the bite.





9/3/2014 12:00:00 PM

Cosmetic dental treatments are true to their name – they are usually procedures that are intended to improve your smile’s appearance. However, cosmetic dentistry is a broad term and can encompass treatments that make your smile look nicer, while they also make it easier for your whole mouth to be healthy and happy. Here are just a few of the ways that cosmetic dentistry can boost your oral health:

  1. Improve Bite – Teeth that are cracked, chipped, worn, or otherwise damaged by decay can diminish your smile’s appearance, but they also make exerting full bite force a challenge. With the placement of a dental crown, your tooth is restored to its former healthy appearance, and allows you to bite and chew just as you normally would.
  2. Make it Easier to Clean Your Teeth – If you have a smile with crowded teeth, you know how hard it is to try to floss in tight spots. While your floss might find it difficult to get in-between teeth, debris and harmful bacteria don’t have it so tough. Straightening your teeth for improved aesthetics gives you a visually appealing smile and also makes keeping up excellent oral health a much easier task. If cleaning important areas between teeth is less of a challenge, both your teeth and your gums can be free of damage caused by plaque and bacteria.
  3. Maintain Bone Health  - One or more missing teeth can make a big impact on your smile in plenty of ways, but you may not be thinking of how an entire missing tooth (root and crown) can have an effect on healthy bone density in your jaw. Your natural tooth root is situated in bone in your jaw, and helps stimulate healthy bone volume. When you lose a tooth, that stimulation is lost and bone can begin to shrink. This bone depletion can make your face look prematurely aged, impacting your overall facial aesthetic. However, with the placement of a dental implant, your smile and oral health are restored. A dental implant replaces a whole missing teeth – including the root – so healthy bone density can be stimulated and your bone health can be maintained.


Dr. Do of Manoa Dental is the only Accredited woman cosmetic dentist in all of Hawaii and one of handful in the world to be Accredited by the American Academy of Cosmetic Dentistry. With her expertise, she is able to help many patients fix cosmetic oral health issues, or even complete full mouth restorations, with the help of cosmetic dental care. Schedule your appointment at Dr. Do’s office to learn more about cosmetic dentistry in Honolulu, HI.



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