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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. 



6/11/2018 3:43:00 PM

In a beautiful painting, it's not a single color of paint that matters. It is the combination of all the colors in harmony with each other that makes a painting described as art. The same philosophy applies to cosmetic dentistry. It may not always be just the chipped, or oddly shaped, or dark tooth that needs to be fixed. There are cases when the best results can only be achieved when treating the adjacent teeth as well to create the most natural appearance.







6/9/2018 11:12:00 AM

Although a routine checkup may not be seem important, it provides the best predictor when something might be starting to become a problem. A cavity usually takes at least three weeks before it will be evident on an x-ray. Once it does, it commonly indicates that the cavity is larger in your mouth, since an x-ray is only a 2-dimensional picture of a 3-dimensional cavity. Routine  appointments every six months reduces the chances that a simple cavity normally fixed with a filling, would turn into a root canal and crown problem.



6/4/2018 7:34:00 AM

Cosmetic bonding is available for correcting teeth that don't quite have the shape to fit a nice smile. In this example, a patient has misshaped peg-lateral incisors that initially developed this way. A no-anesthesia, bonding procedure was able to correct her appearance in one visit. Bonding is a safe, non-invasive way to correct many problems since it doesn't remove any tooth structure.




6/1/2018 9:41:00 AM

Not all cosmetic dentistry requires a full mouth reconstruction to achieve a great result. Sometimes a simple problem can be corrected with a simple procedure. This patient was unhappy with a space between his teeth and the previous bonding had recently fractured. This procedure was completed in one appointment and without anesthesia.





5/30/2018 11:08:00 AM

The American Academy of Cosmetic Dentistry (AACD) is the most prestigious organization that focuses on the art and science of comprehensive cosmetic dentistry. The accreditation process is extremely detailed and rigorous to ensure that this honor is only awarded to the most deserving. Cosmetic dentistry is the discipline that involves procedures such as veneers, bonding, porcelain crowns, and aesthetic gum shaping. Most details are measured down to less than 1/10 of a millimeter to ensure a perfect smile.



5/21/2018 3:23:00 PM

Cosmetic dentistry is a wonderful field of dentistry that makes everyone smile when treatment is finished. The doctor is happy with the results of their artistry by creating the perfect smile. The patient is ecstatic with a life-transforming smile. It's positive effect of a patient's self-esteem is limitless. However, the long-term success of treatment is dependent on the function of the TMJ, orofacial muscles, and jaw relationship to each other. A successful case should not be based solely on appearance at the final appointment, but years later.



5/21/2018 3:20:00 PM

Gaps between teeth can easily be solved with cosmetic dentistry. There are many options to choose from which include porcelain veneers, no-prep Lumineers, minimal-prep Lumineers, and cosmetic bonding to name a few. Anesthesia is normally not even required for these procedures, which makes it painless and more comfortable that you could imagine.  A free consult is always available to discuss your options.





5/12/2018 10:59:00 AM

Almost every celebration of life involves food. As we age, it becomes one of the few joys that we can cherish. Although health issues may limit or curb our diets, the ability to chew should not be a concern when our muscles start to lose strength, or our brain doesn't respond as quick as we would like. Losing the ability to chew also affects what we can eat and how much we can eat. Dentistry has transformed to a point where we can provide teeth for everyone, even to the extent of replacing your original set of teeth without losing any strength or function. We are always happy to consult and discuss your options for cosmetic dentistry, TMJ disorders, or full mouth rehabilitation/restoration.





5/9/2018 1:24:00 PM

Dr.Do has created another great smile with porcelain veneers. In only 2 appointments, Dr. Do was able to transform his smile! If you have any questions about how cosmetic dentistry can help you, call to schedule your consult today.






5/8/2018 9:26:00 AM

Here is an excellent video about why early treatment is so vital. Facial development and airway are crucial factors for orthodontics to be successful. Once facial features are developed, there will be adequate jaw space to straighten teeth without extractions and minimal chance of relapse later in life.



https://www.youtube.com/watch?v=VvqndYJRniI




5/5/2018 10:05:00 AM

Obstructive Sleep Apnea (OSA) is a vital tool for predicting your risk for a myocardial infarction (heart attack). It is now the leading predictor (20%), over smoking (11%) and high blood pressure (11%). The unfortunate fact is that OSA is mostly undiagnosed in the population, or not treated correctly. Continuous positive airway pressure machines, or CPAP, are commonly prescribed to increase a patient's airflow where they may have had trouble breathing on their own during sleep. However, the major disadvantage is that the airway was blocked or narrow to begin with, so now air is forced into this constriction with reduced efficiency. The solution should be to treat the source of OSA and not only the symptoms. We are trained to diagnose and treat these conditions non-surgically safely, and always welcome new or existing patients who wish to discuss their condition and to see if we could help.





5/2/2018 1:32:00 PM

Did you know that grinding and clenching has been linked to Obstructive Sleep Apnea (OSA)? Approximately 1 in 15 Americans have OSA but not everyone has been diagnosed. The significance of that number is there are at least 1 in 15 Americans with an undiagnosed condition (OSA) that will lead to high blood pressure, depression, diabetes, weight gain, or cancer. Grinding and clenching are early and continuing signs of OSA since the body struggles for air when asleep. When the body struggles and gasps for air, it triggers the jaw to reopen the airway, and grinding/clenching occurs during this process.








4/27/2018 9:57:00 PM

Congratulations to Dr.Do for giving an insightful lecture for an Orthodontic Association meeting on Kauai this week. She detailed the signs and symptoms of a Class II malocclusion, temporomandibular joint disorder (TMJ), and Obstructive Sleep Apnea (OSA) in children and adults.




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.






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