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12/1/2018 11:19:00 AM

At this time of year, we all are invited to numerous parties, family gatherings, or meeting new people on the street. Now is a great opportunity to look at your smile and see if it's as amazing as you want it to be. Whether you want something as simple as a teeth whitening to an entire smile rejuvenation, Manoa Dental can provide all your cosmetic dental needs. Dr. Do is expertly trained in cosmetic dentistry with an accreditation from the distinguished American Academy of Cosmetic Dentistry.



11/22/2018 10:56:00 AM

All of us at Manoa Dental would like to wish everyone a happy and safe Thanksgiving! Please take a moment to give thanks for everyone and everything that surrounds you. We also celebrate by ingesting an enormous amount of food so remember that Dr. Do, Dr Choy, and the staff are always here to provide for your oral health care and needs so that you can enjoy this and many other hearty meals. From looking good with cosmetic dentistry to replacing your missing teeth with implants, we can fulfill all your dental needs.




11/17/2018 6:59:00 AM

Everybody wants to look their best. At many times, your appearance can influence strangers around you as well. In a study out of 1000 Americans, people with great smiles were viewed as financially more stable, happy, healthy, and more intelligent. In other words, having a great smile makes an immediate impact on how others perceive you before they even have begun to know you. Crooked or crowded teeth are not just for children anymore, and with advances in technology, have much shorter treatment lengths than decades ago. It's slowly becoming more accepted in today's culture as more adults see how the benefits outweigh the temporary inconvenience in their life. Dr.Do is fully educated in how braces can benefit you through numerous continuing education and rigorous testing. She is a Fellow of the International Association For Orthodontics and an accredited member of the American Academy of Cosmetic Dentistry.



11/14/2018 3:12:00 PM

There is a fascinating book available called "Jaws: The Story of a Hidden Epidemic" by Sandra Kahn and Paul R. Ehrlich. It discusses how correcting crowded teeth has a correlation with obstructing airways. An obstructed airway leads to Obstructive Sleep Apnea Syndrome, which is slowly becoming a leading contributor of heart disease, diabetes, high blood pressure, and many other systemic problems.







11/12/2018 10:09:00 AM

At Manoa Dental, we wish all military members and families a safe  and happy holiday. Many times in our daily lives, we take their service for granted for the lifestyles that we all enjoy.




11/6/2018 3:13:00 PM

Whether you have lost a tooth due to trauma or disease, we have numerous ways to replace it. Ideal treatment would be a dental implant, which would restore the tooth or teeth to be as strong as the original tooth. A fixed bridge would be another good alternative for replacement and still maintain the sensation of having a real tooth. A cosmetic dentist may prefer either depending on the condition of the area where the tooth is missing.



11/2/2018 1:07:00 PM

It's a little late, but Dr.Do and Dr. Choy had a terrific annual meeting at the Honolulu Convention Center which happens roughly every ten years. They attended classes ranging from cosmetic dentistry, orthodontics, and implant dentistry to keep up on the newest techniques. They also walked around the exhibit hall to try out the state-of-the-art equipment available to keep our dental practice on the cutting edge of technology.




10/31/2018 5:38:00 PM

A cosmetic dentist can have a little fun also. This is a set of vampire fangs a patient requested to have made. All she has to do is slip the tray over her natural teeth and it looks like her canines have grown half an inch. Have a safe and happy Halloween everyone!





10/24/2018 1:08:00 PM

Lumineers are a specific type of cosmetic veneers that do not require any, or very minimal tooth structure removal. They are made of porcelain, similar to almost all state-of-the-art cosmetic crowns, and have outstanding esthetics. Dr. Keri Do is one of only a few dentists in Hawaii that have used these veneers with great success.




10/23/2018 3:43:00 PM

Creating a smile takes more than just placing veneers or crown on teeth. A patient must be carefully evaluated to ensure that any dentistry with last a very long time. A patient's bite is a large part of that evaluation and can make or break treatment longevity. If your dentist doesn't perform a full exam which includes the teeth, TMJ, and oral muscles, they are doing you a disservice which will only become evident in the future.



10/15/2018 12:28:00 PM

Dr. Do's article of "The effects of Mandibular Position on Airway and TMD" has been published under the monthly tips. If you wish to discuss how we can correct narrow airways or obstructive sleep apnea (OSA) with orthodontics, do not hesitate to give us a call.







10/9/2018 8:00:00 AM

The International Association for Orthodontics has chosen Dr.Do's article :The Effects of Mandibular Position on Airway and TMD" as their October monthly tip. This case report highlights the relationship between temporomandibular joint disorder and how it negatively affects the airway opening. TMD has been shown to also have a link with obstructive sleep apnea, which incidentally is also related to a narrow airway. Unfortunately, many clinicians treat OSA with palliative treatment such as a CPAP, and ignore curing the true origin of OSA which is the narrow airway and TMD.



9/18/2018 11:16:00 AM

It's hard to imagine that something simple such as straightening teeth can affect the entire body. This 45 year old patient has had two upper premolar teeth removed in preparation for braces in her teens. The removal of the teeth created space and then the orthodontist pulled back her upper teeth to bite with her lower teeth. This "trapped" the jaw into a retruded position and decreased her airway. The decreased airway has led to obstructive sleep apnea and TMD symptoms which have gotten progressively worse. The proper treatment should have been not to extract any teeth and instead allow the jaw to come forward to meet the upper teeth. Braces would then be applied to make sure the bite is correct once the jaw is comfortable at this position.





9/8/2018 9:26:00 AM

An under bite is difficult to treat with braces or even surgery. However, Dr. Do can correct this problem without the need for invasive treatment. This is usually viewed as a cosmetic problem, and most cosmetic dentists are not trained for this protocol. Dentists that can use braces are usually trained to remove teeth from the lower jaw to fix this problem, but that can lead to another set of complications with your TMJ. We are fortunate at Manoa Dental that Dr. Do is trained in all three disciplines of orthodontic, TMJ, and cosmetic dentistry at one location.



8/28/2018 8:54:00 AM

The common misconception is that braces are only for kids. The reality couldn't be farther from the truth. Braces can solve many bite and cosmetic problems that numerous adults have developed as they got older. Sometimes a second treatment of braces are needed to correct problems, such as TMJ disorder or a bad bite, from the initial treatment. Invisalign is a frequently requested treatment and can fix many of these problems as well. Dr. Do has trained extensively to diagnose and treat many of the disorders.



8/3/2018 2:56:00 PM

Invisalign treatment is a great cosmetic procedure that can correct many types of problems such as crowding of teeth. The procedure also requires some enamel removal on the sides of teeth called inter-proximal reduction (IPR) to gain space in order to alleviate crowding. It's critical when the dentist that performs this procedure is able to maintain the shape of the teeth to achieve a great result. In this case, the dentist performed IPR for Invisalign but removed too much tooth structure during the treatment. The conclusion of the case resulted in straight teeth, but with abnormal shapes, especially between the two front incisors which created a gap. This gap can be corrected with cosmetic dentistry such as bonding or veneers. 


 



7/17/2018 3:21:00 PM

Orthodontics used to be known for their metal braces that anyone could see when you smiled. Technology and materials have improved to the point where we can say goodbye to the metal and welcome to tooth-colored braces. They are made of ceramic which is similar to tooth-colored crowns. Ceramic braces can be used in nearly all the same cases as metal braces and are much less likely to draw any attention.




7/13/2018 12:33:00 PM

Do you have hard bumps on the tongue side of your teeth? They may be behind the teeth on your lower jaw, or in the center of the roof of your mouth. These are called Tori are are a sign of trauma due to a bad bite. Tori are made of bone and are enlarged growths that help to brace the teeth during traumatic forces. These forces are usually grinding or clenching due to the lower and upper jaws not properly aligned and in harmony with facial muscles.






7/5/2018 7:42:00 AM

We hope everyone had a wonderful Fourth of July holiday! Holidays and moments in your life when your meet someone for the first time or the one-hundredth time can leave a lasting impact on your life and their memory of you. That's why it's always great to show your best smile. A terrific smile will leave an enduring impression on whoever it may be, whenever it may be. Cosmetic dentistry can create that photogenic smile that you always wanted. It's painless compared to plastic surgery and improves your health as well!



6/27/2018 4:19:00 PM

The procedure to place an implant is really not that difficult. It is actually taught at weekend courses throughout the country. The most critical part of an implant procedure is not the day of the surgery, but the diagnosis and planning that occurs before the patient is even given the appointment for surgery. Factors such as how the teeth bite together, what is the quality of the bone, is the patient a grinder, and many others determine the longevity of an implant. The surgery to place the implant has a >95% success rate. Although as soon as the crown is placed on the implant, the long-term success rate drops because the tooth is actually in use for eating. This x-ray is an example of poor treatment planning by not evaluating how the bite together. Over prolonged use the existing bad bite prior to surgery has created micro-movements of the left implant, which has caused bone resorption. Eventually it will lose more bone until it becomes loose and infected. Once that implant is lost, the same problem will start to affect the remaining implants.





6/22/2018 9:34:00 AM

When patients think of cosmetic dentistry, you may first think of veneers, bonding, or whitening among other procedures. For the unfortunate patients that need full mouth rehabilitation, dentures may be their only solution. However, dentures in combination with implants have proven to be a successful formula that would not make you miss your original teeth in the end. Implants provide reliable support for a denture that will enormously improve the lives of many traditional denture patients. It can restore your chewing strength to nearly pre-denture levels and is an incredible improvement over historical denture treatment.



6/20/2018 2:46:00 PM

Implants have become the highest standard of care to replace a missing tooth. Although, if you still have a tooth with a poor prognosis, it is also advantageous to consider removing it and placing an implant. The long-term success of implants have reached the point where it is a more reliable and safe procedure than trying to nurse a failing tooth. Especially if the tooth in question deteriorates, it may reduce the available bone for the future implant. At this point, you endanger the future implant procedure by not having enough bone, and may need a bone graft. This second procedure adds delay and finances to your treatment plan when it would have been prudent to consider removing the offending tooth to begin with.



6/18/2018 4:03:00 PM

A new treatment called Invisalign has become increasingly popular as an alternative to traditional braces. It uses clear trays that are changed every two weeks to move teeth. It's not a replacement for braces in certain cases, but can be useful for many patients. It's also great in combination with many cosmetic dentistry procedures.



6/13/2018 10:45:00 AM

Teeth whitening is a well known procedure of cosmetic dentistry that most people can enjoy comfortably. It has increased in popularity over the last 20 years and is safe as well as reliable. In-office whitening is great to jump start the process in conjunction with a home kit to bring out the sparkle in your smile. A home kit is perfect for occasional touch-ups throughout the year as well. However, a thorough exam is necessary before treatment to ensure that there are not any oral health concerns prior to whitening.



6/12/2018 3:31:00 PM

Did you know that there are studies to prove that women tend to have teeth shaped differently from men? Female teeth usually have more rounded edges and are not as wide. Male teeth are more wide and broader with noticeable defined angles. We often have patients that ask if we can fix their smile to fit these descriptions. It can be done easily with cosmetic dentistry. Sometimes it may only involve reshaping teeth without anesthesia. Other times it can require bonding, veneers, or other options. 



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