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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.



8/5/2014 9:45:00 AM

At Manoa Dental, implants have already been popular among our patients for the common reasons including; no future cavities, reduced probability of gum disease, and adjacent teeth are not drilled. But did you know that total failures are a rare occurrence? Surgery is not an exact science since every patient is different. Occasionally an implant will not integrate correctly and will need to be removed prior to completion. However the beauty of implant treatment is that the area can be repaired and a new implant placed with a similar prognosis as the original treatment plan. There will be an additional delay in total treatment time, but the ability to replace an implant is remarkable compared to any other procedure in dentistry, let alone how superior an implant is to start with! Call us today to find out more about this extraordinary treatment!



7/28/2014 2:51:00 PM

A dental CAT(CT) scan provides invaluable information when diagnosing Temporomandibular joint(TMJ) dysfunction and implant bone levels. It creates 3D images to help diagnosis and ensure the longevity of any TMJ, implant, or cosmetic case with accurate measurements. A dental CT uses much less exposure to radiation compared to a medical CT and is comparable to film x-rays used for decades in the past, however with an incredible amount of usable information. Traditionally, x-rays were used to evaluate the TMJ joint or how much bone was present to begin an implant case. However using a 2D image to evaluate and treat a 3D object(your jaw) in real life had shortcomings and could not replicate real life conditions. The 3D CT provides a highly accurate computer model to help create the best diagnosis and treatment outcome without the guesswork of using only a 2D x-ray image. Feel free to call us and we can explain how a CT can help your treatment.



6/18/2014 11:16:00 AM



Can you tell if this patient is wearing braces?



Yes she is, it's called Lingual Braces. This type of clear orthodontic braces is offered here in Honolulu at Manoa Dental. Call our office at 808-988-6919 to find out more information about this technique or any other procedure including cosmetic, implant, or TMJ treatment. 



6/9/2014 3:02:00 PM

Dr. Choy at Manoa Dental has trained under the top implant surgeons of the world on how to fix this age-old problem where you may have lost one tooth, but it is surrounded by natural, healthy teeth. Historically, you would have two undesirable options. The first would be to make a removable partial denture, which would be cumbersome and not feel natural at all. The second option would be to cut-down the adjacent healthy teeth for a bridge, which while feeling natural, would put the adjacent teeth at risk for cavities or gum disease in the future. With implants, we can now present a third option which is by far the best alternative. An implant doesn't require any destruction of the adjacent teeth, and feels like any other tooth when used for chewing. The required appointment to place the implant normally takes one visit and usually does not have post-operative pain any worse than an extraction, which was initially performed leading to the loss of a tooth. A main drawback is that the implant needs a waiting time anywhere from 3-6 months to allow the bone to fuse with it, before the tooth can be placed over it. When finished, it will be even better than your old tooth since you won't have to worry about cavities in it anymore! Call us for a consultation to see if you are a candidate for this remarkable procedure!



6/6/2014 3:27:00 PM

Dental implants are a terrific way to rejuvenate your smile without damaging adjacent teeth. It's great if you missing an important tooth when you smile! Patients with dentures can also have an entirely new set of teeth by adding implants to support and stabilize their denture that currently rests on gums only. The difference is night and day! Not only can dental implants increase your chewing ability, but it can finally give you something to smile about! Call us to schedule a consult so you can increase your quality of life!



5/23/2014 2:49:00 PM




Our case of the day:
A smile that is natural looking and blends in seamlessly with her appearance. 

Our concern was not only the appearance, but our patient has a lot of wear (notches on the teeth near the gums) as a result of an improper and bad bite. We first treated the patient with clear orthodontics to properly align the bite. Ultra thin porcelain veneers were placed on her top front teeth and power teeth whitening were done on her bottom teeth. By addressing the bite and placing ultra thin veneers, we were able to produce a result that is beautiful and functional without compromising the patient's tooth structure. Nowadays, there are a million dentists claiming to be a "cosmetic dentist" especially in Honolulu. You will want a treatment plan that is comprehensive to ensure a result that is not only beautiful but healthy and long lasting. 












5/23/2014 9:11:00 AM

     At Manoa Dental, we have planned for all your oral health care as much as possible. From the ample free parking just a few steps away to our CT 3D xray scanner, we are setup so you shouldn't need to travel among other offices for complete care. We have two doctors that have taken rigorous and extensive training is select fields that other dental offices can't provide on one location. Doctor Do has trained with top clinicians in comprehensive cosmetic, orthodontic, and TMJ care. Doctor Choy has studied under internationally respected instructors for implants and your other surgical needs.
     Don't hesitate to call if you have any questions or would like to schedule a complimentary consultation. Our friendly staff is always eager to respond to your call!

Have a happy and safe Memorial Day weekend!



5/21/2014 9:36:00 PM

We are quickly approaching the halfway point for 2014 and you need to ask yourself one important question...have you seen your dentist for a checkup yet? In the times that we live in, our everyday lives are incredibly busy. However that doesn't mean you shouldn't ignore your oral health to tackle another chore. An untreated cavity can lead to more costly treatment if delayed, or worst of all...loss of the tooth. Give our office a call to schedule your checkup appointment to ensure a healthy lifestyle.



3/17/2014 6:09:00 AM

We're excited to announce the official launch of our Manoa Dental Care blog.

We'll be posting helpful dental tips, news from the dental industry, news from our practice, and more about the latest in dentistry.

We built our practice on the notion that we're there for our patients when they need us and we want our online presence to be a reflection of that principle. We hope this blog provides an extra level of service to our current and future patients.

If you would like to stay up to date on the latest from Manoa Dental Care, simply click the RSS “Subscribe to feed” link located at the top of the page and subscribe. Our subscribers will be updated when we make a new post.

Here's to your best oral health ever!



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