Porcelain Veneers Dental Procedure

Cosmetic dentistry is transforming lives through complete smile makeovers, and porcelain veneers lead the list of aesthetic treatments as a wildly popular procedure. If you’re considering porcelain veneers for a new smile, here’s what you can expect…

The First Appointment
You will need to schedule an hour or two for your initial appointment, and you may want to take photos or magazine clippings to show your dentist the kind of smile you prefer. After a thorough examination to assess your oral health and existing teeth, your dentist will discuss with you the kind of smile you envision. Be prepared to discuss the color and shape of your ideal smile at this appointment.

The dentist will take notes on the shade of your teeth, your facial features, and measurements of your face. He’ll consider your skin tone and facial symmetry when designing your veneers. If you have questions about your veneers or the procedure, your dentist should be happy to give comprehensive answers. You may want to ask to see his portfolio or inquire about digital imaging, which is software that manipulates a photo to predict what you will look like after your smile makeover.

Tooth Preparation
Often during the first appointment, your dentist will gently buff your teeth to remove 1 to 2mm of enamel in preparation for your new veneers. Tooth reduction will allow the veneers to lie flat, in line with surrounding teeth. Reshaping of teeth may also be required to create the look you want.

Your dentist will take an impression of your mouth to send to the lab. Before you leave the dental chair, temporary veneers will be placed. Your teeth may feel sensitive until the permanent veneers are placed.

Behind the Scenes
After your first appointment, your dentist will order your veneers from a dental lab. A talented ceramist will handcraft the porcelain veneers from durable materials that look and function like natural teeth. The information your dentist provides the lab will ensure that you receive veneers that will create a smile that complements your appearance. The lab will ship your veneers to your dentist’s office.

Veneer Placement
Local anesthetic may be administered to ensure your complete comfort during veneer placement. Your dentist will remove the temporary veneers and check the fit of your permanent veneers. You can look at the shape, color, and fit before they are attached. If adjustments need to be made, you should tell your dentist at this time. Veneers cannot be altered once in place.

If all is well, your dentist will permanently bond the new veneers to the front surface of your teeth. First, he will apply a mild acidic solution to clean the surface of your teeth, then he will bond the veneers in place. A small light will cure the bonding material. The dentist will make sure that the veneers allow adequate flossing space.

If you’re interested in experiencing patient-centered dentistry, it’s time you scheduled an appointment with Dr. Bob Perkins. We specialize in enhancing Southern California smiles with exceptional cosmetic dentistry and teeth-straightening options from our convenient Malibu and San Francisco area locations. Contact our Malibu dental office at (310) 456-5700. We look forward to making you smile!

Chips. Cracks. Gaps. Stains. Even malformed and misaligned teeth can be transformed into a magnificent smile in about two visits with cosmetic dentist Dr. Perkins. With dazzling porcelain veneers, imperfections vanish and sensational smiles are born. Lives change.

Do you want a new smile? Dr. Perkins can meet with you to discuss your vision for the perfect smile. He'll assess your oral health and your teeth, then present treatment options to give you the smile of your dreams. Oftentimes, porcelain veneers are the best option. These thin porcelain shells, custom-made by hand to our specifications, are permanently adhered to front teeth to change the color, shape, and overall appearance of a smile. In just two or three visits to our Malibu or San Francisco area dental offices, you can have a brand new smile – and a brand new outlook on life – with custom-made porcelain veneers.

Schedule your consultation with cosmetic dentist Dr. Perkins now. Our Malibu and San Francisco area offices serve patients from the Malibu area with modern cosmetic dentistry and state-of-the-art technology. We can't wait to see you smile!

back to cosmetic dentistry

If you’re interested in experiencing patient-centered dentistry, it’s time you scheduled an appointment with Dr. Bob Perkins. We specialize in enhancing Southern California smiles with exceptional cosmetic dentistry and teeth-straightening options from our convenient Malibu and San Francisco area locations. Contact our Malibu dental office at (310) 456-5700. We look forward to making you smile!

Dental Exam, Cleaning & Therapy

All of our services begin with a thorough checkup and cleaning. During Dr. Perkins comprehensive examination, he checks everything in your mouth, from the teeth to the muscles in your jaws. For cleanings, we use microsonic scalers and advanced techniques to deter and treat gum disease. Our hygienists are gentle, yet thorough, because gum disease can advance quickly to cause serious health risks and tooth loss.

Dr. Perkins will screen your soft tissues for oral cancer, as well. Our ViziLite system can detect cancerous cells in the earliest stage, before they are visible with the naked eye. Finding oral cancer early gives patients an 80 to 90-percent chance of cure.

If you suffer with chronic headaches, earaches, or pain in your face, neck, jaw, or shoulders, you may have TMJ dysfunction. Dr. Perkins recommends non-surgical TMJ therapy to correct jaw misalignment, relieve symptoms, and stop teeth grinding.

Dr. Perkins can even help you stop snoring! If you or your spouse snore, or if you wake up tired and go through your day forgetting things, feeling irritable, and even dozing off sometimes, you may have sleep apnea. Our corrective, non-surgical approach to snoring and sleep apnea therapy has helped many people find the relief they deserve.

Preventive dental care in this day and age means more than checkups and cleanings. Dr. Perkins and our team will take every precaution to protect your oral health and improve your quality of life with preventive dental therapies. Call our Malibu or San Francisco area dental offices, we look forward to meeting you and helping you achieve total oral wellness for life.

back to dental services

If you’re interested in experiencing patient-centered dentistry, it’s time you scheduled an appointment with Dr. Bob Perkins. We specialize in enhancing Southern California smiles with exceptional cosmetic dentistry and teeth-straightening options from our convenient Malibu and San Francisco area locations. Contact our Malibu dental office at (310) 456-5700. We look forward to making you smile!

Teeth Replacement Services

Every day, you put your teeth through a workout. It’s normal for even diligent dental patients to get a cavity or damage a tooth. If you have a toothache, Dr. Perkins can stop the pain and repair your teeth with natural-looking, durable restorations.

For instance, we will use tooth-colored composite resin to fill your cavities and all-porcelain crowns to repair structurally damaged teeth in your “smile zone.” If your smile is missing teeth, our natural-looking replacement teeth fit and function like nature intended. We offer crown and bridgework, as well as dental implant restorations to return your smile to full health and beauty.

Don’t suffer with worn-out dental work or a toothache. Call Dr. Perkins in Malibu today to reserve your restorative consultation. Our Malibu dental office serves patients from the Malibu and San Francisco area area, as well as surrounding areas.

back to dental services

If you’re interested in experiencing patient-centered dentistry, it’s time you scheduled an appointment with Dr. Bob Perkins. We specialize in enhancing Southern California smiles with exceptional cosmetic dentistry and teeth-straightening options from our convenient Malibu and San Francisco area locations. Contact our Malibu dental office at (310) 456-5700. We look forward to making you smile!

Over the years, many patients have come to Dr. Perkins with crooked, broken, or missing teeth and asked for his advice on what to do. Using his extensive cosmetics training and skills, he has been able to create many beautiful, healthy looking smiles. Some of the results are posted below.

If there’s something about your smile that you want to change, browse through our gallery of pictures to see what we can do. Then, call us at 310-419-6900 to schedule your first appointment.

Check out our Orthodontic or Restorative galleries

If you’re interested in experiencing patient-centered dentistry, it’s time you scheduled an appointment with Dr. Bob Perkins. We specialize in enhancing Southern California smiles with exceptional cosmetic dentistry and teeth-straightening options from our convenient Malibu and San Francisco area locations. Contact our Malibu dental office at (310) 456-5700. We look forward to making you smile!

Managing Stress to Help Your Jaw Rest

You may spend most of your life unaware of the important little triangular-shaped joints located in front of your ears. Lined with cartilage, these joints move with a smooth, gliding motion. Under normal conditions, they join your lower jaw and temporal bone, allowing your mouth to open and close easily. However, stress or an improper bite can cause the joints to dysfunction, exposing nerve endings to create pain. In fact, the temporomandibular joint is highly sensitive to overall physical, emotional, and psychological stress. It is affected by the mechanics of your bite and the condition of your jaw muscles. A little extra stress, a little extra fatigue, a little change in your bite, and you may temporarily knock the whole system out of balance. The resulting TMJ disorder, or TMD, can create a variety of mild to severe symptoms, from jaw clicking and minor discomfort to sharp pain in your temple, ear, neck, and shoulders.

The condition is very common in our culture, so we evaluate patients for TMJ dysfunction at their regular dental exam. If we detect a problem, our goals are to arrest it, protect teeth from further damage, and correct underlying bite misalignment. Therapy may involve fitting you with a physiologic bite appliance, suggesting ways to alleviate stress, and recommending symptom relief measures. Typically, TMJ patients need to avoid chewing gum or hard, chewy food, take small bites, and alternate chewing between both sides of the mouth. Good nutrition will help the joint heal more quickly; good posture will also help relieve discomfort. A straight back and relaxed neck is also helpful. To relieve soreness, light temple and jaw massage will stimulate circulation and relax the muscles. If pain is present, we suggest alternating moist heat and cold for 20 minutes to further increase circulation. Over-the-counter anti-inflammatories or analgesics can be very helpful as well.

If you’re interested in experiencing patient-centered dentistry, it’s time you scheduled an appointment with Dr. Bob Perkins. We specialize in enhancing Southern California smiles with exceptional cosmetic dentistry and teeth-straightening options from our convenient Malibu and San Francisco area locations. Contact our Malibu dental office at (310) 456-5700. We look forward to making you smile!

If you had fillings placed years ago, you know what an amalgam filling can do for your smile. While these dark metal fillings improve oral health and stop tooth decay from spreading, they also create obvious dark blot in an otherwise white smile. Furthermore, amalgams contain trace amounts of mercury, a hazardous heavy metal. Dr. Perkins uses composite resin to repair tooth decay.

Composite resin, tooth-colored fillings are durable, long lasting, and esthetic. In fact, because Dr. Perkins can tint the liquid resin to match your tooth, you probably won’t even notice the filling when you look in the mirror!

Tooth decay will only get worse if left untreated, but with composite resin fillings, you can enjoy improved oral health and beauty. Our Malibu dentist’s office cares for patients from across the Malibu and San Francisco area area, so call today to schedule your visit with Dr. Perkins.

back to cosmetic dentistry

If you’re interested in experiencing patient-centered dentistry, it’s time you scheduled an appointment with Dr. Bob Perkins. We specialize in enhancing Southern California smiles with exceptional cosmetic dentistry and teeth-straightening options from our convenient Malibu and San Francisco area locations. Contact our Malibu dental office at (310) 456-5700. We look forward to making you smile!

What is an airway and why is it so important? For starters, our airway (specifically our upper respiratory system) is the channel through which the body gets oxygen. We can live without food for weeks and without water for days but we cannot live for more than a few minutes without oxygen. “O.K., I knew that already” you might be saying, but let’s go further…. Without question, breathing through the nose is the most effective way to take in oxygen and to allow for complete oxygen transfer across the blood stream. Studies show that breathing through the nose is at least 7 times more efficient than breathing through the mouth. If your mind and body do not get proper oxygenation, they cannot perform properly. The problem is, many children (and adults) for a variety of reasons cannot breathe properly through their nose due to a number of possible causes and because of this they become chronic mouth breathers.

As stated, mouth breathing when compared to breathing through the nose, is grossly inefficient and for that reason alone it is to be avoided, but there are many other things that take place when one has upper airway obstructions and breathes chronically through their mouths. With chronic mouth breathing also comes a series of facial and jaw changes which can be unfavorable in many ways. These changes can manifest as a recessed lower jaw, overeruption of the upper and lower teeth (gummy smile), narrowed archform of our upper and lower teeth, and thus, crowded, poorly aligned teeth, and malocclusion, which can lead to TMJ related symptoms. However, the most potentially serious of these “changes” is the way the face and jaw change as a result of consistent mouth breathing and how those changes further compromise the airway.

Let’s think of the inside of your mouth as a “garage” for the tongue. If the garage is of adequate size, then the car (your tongue) has plenty of room to reside. If , however, the garage is too small, due to the retrusive and narrowing forces on the jaws (induced by chronic mouth breathing), then the tongue is forced back in the throat and the airway is compromised yet again. People who snore experience this to some degree… people with sleep apnea experience this to a large degree… a serious degree and this isn’t just adults either, it’s children…2 to 3% of our children are experiencing sleep apnea according a a recent study. Some studies show that the numbers may be even higher.

What is sleep apnea? Sleep apnea most commonly called obstructive sleep apnea (OSA), is characterized by repeated episodes of upper airway obstruction that occur during sleep, usually associated with reduction in blood oxygen saturation. Daytime symptoms of OSA can include a feeling of fatigue, never feeling fully rested, dozing off during the day, and many others. OSA is a major health concern that is known to induce stroke and fatal cardiac episodes. Unfortunately, it often goes undiagnosed by the medical and dental community. In adults, it afflicts approximately 9% of men and 4% of women.

In children, at the very least, OSA is, according to a very recent Johns Hopkins study, associated with a 10 point drop in IQ as well as the onset of irreversible changes to the cardiovascular system in said children. At a recent meeting of the American Association of Craniofacial Pain in Phoenix, John Remmers M.D. remarked that OSA would become the number one chronic disease in industrialized societies and further noted that 65 -80% of stroke patients suffer from OSA.

The stakes are high and the first step is education, followed by detection, followed by corrective action. If you feel like you may be suffering from OSA symptoms consult a your physician or an Ears Nose and Throat specialist. Persons suffering chronically from symptoms such as these should have a sleep study performed by a trained physician in order to determine if those symptoms are OSA related.

My goal through this article is to properly empower parents to be able to recognize the signs and symptoms of upper airway obstruction and to seek out the appropriate means to reverse the negative trends before more serious complications crystallize. For these reasons I would encourage parents to make the following observations:

  1. Observe your child (or spouse) during sleep to see if they have labored or loud breathing, snoring, or breathing through the mouth. If so, it would be wise to consult an Ear, Nose, and Throat doctor (ENT) in an effort to see if there are any airway blockages due to enlarge tonsils, adenoids, etc. Mouth breathing can also result commonly from allergies. A common allergy that afflicts children and their airway is an allergy to house dust. Allergies such as this cause swelling of the sinus tissues and impair breathing through the nose.
  2. Observe your child to see if they are chronic mouth breathers during the day. If your child walks around during the day, watching TV, while in the car, etc. with his mouth open, then there is a very good chance that they are chronic mouth breathers. Mouth breathing shouldn’t be the path of least resistance so if your child is breathing through his or her mouth then it is almost certainly related to some inability to breath properly through their nose.
  3. Observe your child (or spouse) to see if they have difficulty staying alert during the day. Are they prone to falling asleep in chairs, or while watching T.V.? These signs, if exhibited, on a regular basis, could be reflective of a sleep apnea condition.

For any further questions regarding chronic mouth breathing and its impact on child development go to www.orthotropics.com. For more information regarding sleep apnea go to www.sleepapnea.org.

I can be reached at www.bobperkinsdds.com.

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Dr. Bob Perkins Simi Valley CA dentist (805) 955-0181 smilesinmalibu@gmail.com