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10/13/2016 9:02:00 PM | Maryam Afzali

Seeking corrective treatments for an imperfect smile can be difficult for patients who aren’t interested in braces or have hard to remove stains. When looking for the right cosmetic treatment, many need look no further than ceramic veneers. RB Family and Cosmetic Dentistry wants to help you better understand whether these ceramic prosthetics are right for you and your smile.

What Veneers Fix

Despite some limitations, veneers can be an ideal treatment for many patients. Depending on the severity and the opinion of your dentist, veneers can be used to fix:

  • Uneven Teeth
  • Discolored Teeth
  • Gaps Between Teeth
  • Chipped Teeth
  • Misaligned Teeth

The Advantages of Veneers 

Veneers offer patients the benefit of a relatively short treatment period, in comparison to traditional braces; veneers are usually fitted in just a few visits to your dentist. Traditional porcelain veneers are also stain resistant, so you don’t have to worry about constant whitening treatment.

Caring for your veneers is also relatively simple, as they require the same basic maintenance as your natural teeth.

Keep in Mind: Veneers are Not a Fix-All

One of the common misconceptions about veneers is that they are an instant fix for any problems you have with your smile. While they are useful for many different cosmetic changes, veneers are not always the best solution for every concern.

If you suffer from crowded teeth, you may want to think about additional treatment options as it is always preferable to save natural teeth structure. In cases of younger patients and severe crowding, more traditional orthodontic treatment would be a better option.

Veneers are also not intended to replace missing teeth. These ceramic covers are bonded to your natural teeth, and are not complete prosthetics for missing teeth, such as bridges or partials.

Rancho Bernardo Cosmetic Dentistry

If you live in the Rancho Bernardo area and are looking for cosmetic dentistry, call or schedule an appointment with our office for more information. We are eager to help you find the right treatment to help you achieve best aesthetics for your smile.



10/5/2016 1:58:00 PM | Maryam Afzali

There are many variables that dentists consider when determining the best line of treatment. It’s important to determine the factors responsible for the misalignment of an individual’s smile, such as irregular growth of the jawbone or missing teeth that lead to gaps in a person’s teeth. An individual’s bite affects the way a person chews and speaks, as well as play a role in the way he or she looks. Though severe cases of misalignment may need to be thoroughly looked at by an orthodontist, many common dental problems, such as crowding, spacing, and shifting, can be treated with Invisalign®.

Dangers of a misaligned bite

Common problems with an individual’s occlusion, such as gapped teeth, overbite, or underbite, can affect more than just the aesthetic look of a person, it also affects his or her overall health. Having a misaligned bite often leads to more problems that easily could be prevented through small adjustment processes that fix the alignment of an individual’s teeth. Ailments such as migraines, gum disease, and digestion troubles can be avoided by taking the proper precautions to align your teeth into the most optimal position.

Furthermore, problems with an individual’s bite can have residual effects on an individual’s health, such as joint-related problems, headaches, arthritis, and muscle pain. Optimizing an individual’s bite help encourage healthy eating habits while reducing the excessive amount of wear common with misaligned teeth, preventing further damage to fillings and natural tooth enamel.

Invisalign® to fix crooked teeth

Invisalign® uses a series of customized clear aligners that allow teeth to gently move slowly into place, making Invisalign® a great low-profile alternative to a mouth full of metal. The aligners are to be removed for eating and cleaning, a feature traditional braces cannot achieve. Invisalign® corrects many of the aforementioned ailments that come with misaligned teeth by a thorough step by step process with a consecutive series of aligners.

Invisalign® treats many of the most common ailments that come with misaligned teeth. Fixing an individual’s bite can be life changing, reducing migraines, encouraging healthy eating habits, and completely changing the aesthetic make-up of an individual’s face. Not only will you love your new smile, but you’ll feel better knowing your teeth are working optimally in your favor.

Contact RB Family & Cosmetic Dentistry to find out more about qualifications of Invisalign® and achieving your desired smile.



7/29/2016 5:55:00 AM | RB Family and Cosmetic Dentistry

Brushing your teeth is an important step in everyday personal hygiene. Everyone picks the toothbrush they feel is going to help give them the cleanest mouth, but that decision can be hard to make with all the different types of toothbrushes on the market. Here are some of the options to consider when purchasing a toothbrush:

A manual or powered brush. Both types of brushes have been proven to clean teeth effectively. Individuals who brush vigorously will benefit the same with either a manual or electric toothbrush. An electric toothbrush will have a smaller brush head and this will help to clean each individual tooth better. You can also choose different heads for the toothbrush depending on if you have sensitive teeth or are looking for something to polish your teeth. Powered toothbrushes also offer a number of bristle movements, and the oscillating-rotating technology has been shown to be more effective at reducing plaque and gingivitis compared to manual brushing.

Size of the toothbrush. It is important to make sure that the head of the toothbrush is going to be able to access, with ease, all surfaces of your teeth. A larger toothbrush head may make it harder to clean the backs and sides of your molars.  It is also important to make sure the handle is comfortable to hold.

Types of bristles. A toothbrush can offer soft, medium, or hard bristles. Most people will find soft bristles more comfortable and a safe choice. When using a medium or hard bristle brush you may actually do damage to your tooth enamel, gums, and roots depending on how vigorously you brush your teeth.

Expert Recommendation. It is important to use a toothbrush that has the American Dental Association (ADA) Seal of Approval. This lets consumers know the toothbrush has passed testing for safety and cleaning effectiveness. Here is a sample of what a company must prove in order to receive the ADA Seal of Approval

  • All components are safe for use in the mouth
  • The bristles do not have sharp endpoints and edges
  • The bristles will not fall out under normal use
  • For powered toothbrush they must prove they are safe for dental restorations and both soft and hard oral tissue.
A toothbrush is personal and you should take the time to find the toothbrush that works best for you. For individuals with larger mouths a full-sized head may feel best, but some adults will use a child sized brush due to the ease of reaching their back teeth. Choosing between a manual or powered brush is often based on personal preference and a dentist’s recommendation.

Consistency is a crucial component to good oral care. No matter what type of toothbrush you are using it is important to have a daily routine of brushing morning and night, along with flossing once per day.

Please contact RB Family & Cosmetic Dentistry to discuss recommendations for toothbrush selection or ask our San Diego dentists about it at your next professional cleaning. Schedule an appointment today!



7/19/2016 9:09:00 AM | RB Family and Cosmetic Dentistry

All On Four refers to the use of four dental implants to support a full denture-based restoration. This procedure has exceptional results to give patients a comfortable, secure, and dependable smile.  Because All On Four relies only on four dental implants to anchor the denture in place, it is more affordable than replacing missing teeth with single prosthetic teeth. Patients appreciate the comfort and aesthetic advantages that come from implant-secured (rather than traditional) dentures.

How It Works

All On Four implant secured dentures, as the name implies, require the placement of only four implants to secure a denture per top or bottom arch. Implants may be placed during the course of a single visit, though patients will usually have to return to the dentist’s office on several occasions so that the newly placed implants (and the healing of the surrounding tissue) can be monitored. During this time, patients are provided with a set of temporary teeth to use while they await their permanent denture. Once the implants are fully healed and stable, patients return for final impressions. The final delivery involves securing to the implants and the restoration is complete.

Why Choose All On Four?

Many patients are more comfortable using implant-based denture solutions because of the elevated comfort, expanded range of food options, and greater ease of speech, chewing and breathing. The dentures rest on the implants, not gum tissue, improving comfort and stability. The implants are precisely placed into the jaw bone, and fuse to the bone itself through a process called osseointegration. This process encourages the regeneration of new bone, an additional benefit to procure long-term oral health.

Is All On Four Right For Me?

Finding out if implant supported dentures are right for you begins with a consultation with your dentist. A thorough exam consists of images of tooth, gum and bone health and a discussion about your expected results as they are important components to developing the best treatment plan.

If you are a current denture wearer or are looking for denture options, please contact our San Bernardo dentists to schedule a consultation. We will explore all denture options and find out if All On Four is right for you. Schedule a consultation today.





7/12/2016 10:46:00 AM | RB Family and Cosmetic Dentistry

Dental caries, or “cavities,” are created by sugar-feeding bacteria in the mouth. These bacteria emit acids which break down critical components of teeth such as enamel, dentin, and cementum. If untreated, dental caries can result in the loss of the tooth, infection, or severe pain.

The best approach to dealing with dental caries is to prevent them from occurring. There are a variety of effective tools and techniques that can be used for the purpose of preventing caries, all of which fall under one of three main categories, or stages, of dental carries prevention—primary prevention, secondary prevention and tertiary prevention.

Primary Prevention

Good primary prevention practices begin with daily personal dental care and dietary choices. Remember, the bacteria that cause dental caries feed off of sugars, the less sugar you have in your diet the more difficult it will be for the harmful bacteria to thrive. Studies have found that the frequency of sugar consumption is a more relevant factor than the total quantities of sugar consumed. If you’re snacking on a regular basis and providing the bacteria inside your mouth with a steady supply of its favorite food, then you’re more likely to see the formation and aggressive growth of dental caries. Other primary prevention measures would include the use of fluoridated toothpastes, regular brushing and flossing, and professional cleanings twice a year.

Secondary Prevention

Secondary prevention is all about getting a handle on the problem before it causes too much damage. Regular professional cleanings and exams are good examples of secondary prevention. Your dentist has a variety of diagnostic tools on-hand to readily identify emerging dental caries long before they begin to cause any significant discomfort or major damage. This process often begins with the use of x-rays (radiographs) to identify areas of the tooth that have become significantly demineralized. These techniques allow dentists to identify and treat caries before they threaten the life of the tooth.

Tertiary Prevention

The final stage of dental caries prevention is tertiary prevention, which refers to the minimizing of harm already done. Composite or metal amalgam fillings are usually the dentist’s measure of choice for tertiary prevention. The decayed portion of the tooth is drilled out and the filling is used to restore dental functionality.

Patients vs. Cavities

As a patient you have much more control over primary preventative measures than you do over secondary or tertiary measures. Limit your sugar intake, be diligent with your dental home care, and visit your dentist at least twice a year for screenings.

RB Family & Cosmetic Dentistry is a dental office in the San Bernardo region of San Diego, CA. Our office welcomes new patients into our dental family in the hopes to maintain good oral health for a lifetime. Contact our office to schedule an appointment today! We look forward to improving your smile!




6/27/2016 8:27:00 AM | RB Family and Cosmetic Dentistry

Periodontal maintenance is distinct from a standard dental cleaning. Whereas a standard cleaning (also known as “prophylaxis” is a preventative procedure used for patients with generally sound oral health, periodontal maintenance is a therapeutic treatment that incorporates a more comprehensive, detailed approach to gum care.  Patients in need of periodontal maintenance, as opposed to just a standard cleaning, often have experienced bone loss, deeper than normal gum pockets (sulci) and inflamed, bleeding or sore gums. Since the insurance companies categorize standard cleanings as “preventive” they will often pick up the whole tab. Periodontal maintenance is considered a “basic service” and may thus subject the patient to deductible, “out-of-pocket” expenses.

Stopping the Progression of Gum Disease

Periodontal disease (gum disease) is highly treatable. Most patients will find that, with regular periodontal maintenance, the gums will remain healthy enough to support teeth. Unlike standard cleanings, which can be conducted twice annually for good results, periodontal maintenance requires three to four appointments annually.

Periotherapy In Action 

Periodontal maintenance is sometimes referred to periodontal therapy or periotherapy. “Perio” simply refers to the supporting structures of the teeth—mainly the gums and jaw bone. Periotherapy begins with a discussion between the patient and dentist about any particular problems the patient is experiencing. The patient’s dental history is reviewed along with x-rays. A clinical examination follows and additional x-rays are taken as needed. Another critical component of periotherapy is the dentist’s measurement of the pockets of space (sulci) between the tooth and gums. If the gums have deteriorated to a point where sulci are four millimeters deep or deeper, then there is likely to be plaque and bacteria accumulations too deep to be reached by normal home care. If it’s determined that periotherapy is needed then the dentist (or periodontis) will incorporate any number of procedures into the therapy depending on the patient’s needs. Scaling is usually used during periotherapy to remove plaque and tartar that accumulates just above and below the gum line and root planning cleans the tooth’s roots. Antibacterial medicine is often used to eliminate infection.

Periotherapy Benefts

Good periotherapy can benefit patients on a multitude of dental fronts. Periodontal health means that teeth are more secure and the bite is stronger. Patients preparing for dental implant placement will fare much better when the gums and underlying bone structure are as healthy and strong as possible. Furthermore, good gum health lowers ones risk of developing heart disease, diabetes and other systemic diseases. This is because the bacteria that accumulate in diseased gums is prone to entering the blood stream and affecting the heart and other organs.

Talk to your Rancho Bernardo dentists about taking steps to maximize your periodontal health. The combination of diligent home care and professional cleanings can do much to ensure that your smile remains strong and healthy. Contact us today!



2/24/2016 11:44:00 AM | RB Family and Cosmetic Dentistry

Hello, and welcome! We're excited to announce the official launch of our RB Family & Cosmetic Dentistry 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. 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 Dr. Afzali and staff, simply click the RSS “Subscribe to feed” link located on our website and subscribe. Our subscribers will be updated when we make a new blog post.

Thank you for visiting our blog. Here's to your best oral health ever!