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invisalign

Typical braces are not the most appealing option for adults uncomfortable with their teeth. The thought of chunky, metal brackets and wires may seem daunting to those who have professional and family lives. Thankfully, you can now feel confident about your smile not only after your teeth are straight, but during! Invisalign invisible braces provide straightening treatment while looking your best!

Invisalign works by using a series of custom-made, nearly undetectable aligners. Whether your teeth are crowded, too far apart or have shifted, Invisalign may be right for you. Upon an initial examination, the dentists of Norman Dental will decide if Invisalign is right for you.

He will then write a treatment plan and take an impression of your teeth. Thanks to the latest advances in 3-D computer technology, Invisalign carefully translates the doctors instructions into a series of precisely customized aligners. The aligners will move your teeth gradually week by week until you achieve the smile you have always desired.

Also, it’s important to remember that even though you may want to straighten your teeth for cosmetic dentistry reasons, straighter teeth and a proper bite are beneficial to periodontal health.

Don’t wait another day! Get the braces you’ve always needed without compromising on your confidence with Invisalign! Make an appointment with Norman Dental today at 336-282-2120.

multiple smiles

Out with the old and in with the new! You no longer have to deal with the look and feel of metal crowns because advancements in dentistry can give you tooth-colored crowns that give you a completely enhanced and natural look. Tooth-colored crowns are made to look and function just like a real tooth, complete with crevices along the chewing surfaces.

Tooth-colored crowns are to repair the following:

Broken Teeth
Severely Decayed Teeth
Large Fillings
Fractured Teeth
Root Canals

Whether you are living or suffering from broken or decayed teeth, and haven’t done anything about it, now is the time! Get your oral health back in top shape and look natural while doing it!

It’s time to call Norman Dental and ask about how tooth-colored crowns can rejuvenate your smile. Call today at 336-282-2120 and learn more about restorative dentistry.

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October is Dental Hygiene Month and everyone knows that brushing your teeth regularly is the key to maintaining healthy teeth and gums. With that comes choosing the right toothbrush for your teeth. Here are some tips on how to pick out the right toothbrush for you!

ADA Seal of Approval

Make sure the toothbrush that you choose is ADA approved to ensure that the bristles are not too hard for your teeth. You’ll use it more effectively if it is better suited for your own personal set of teeth.

Size Matters

The size of your toothbrush should depend on how comfortably it will fit in your mouth. If you have a small mouth, pick a smaller toothbrush.

Now that you have your toothbrush picked out, make sure you pick out a toothpaste that is well suited to your teeth type. If you want a whiter smile, try picking out a whitening toothpaste. If you want a protectant toothpaste, go for ones that have baking soda in them.

Picking out your products is only half the battle. Using your toothbrush effectively is incredibly important as well.

Be sure to brush your teeth at least twice a day, preferably after each meal.
Take at least 2-3 minutes to brush your teeth.
Don’t brush too roughly, use a gentle motion so you don’t damage your gums.
Focus on cleaning every tooth surface.

Follow this guide and you should be on your way to a cleaner, healthier smile! To make sure your teeth and gums are as healthy as they should be, make an appointment today with Norman Dental at 336-282-2120.

 

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According to a new study appearing in ACS’ Journal of Agricultural and Food Chemistry, red wine as well as grape seed extract could potentially help fight off cavities.

Cavities are a widespread problem that affects about 60-90 percent of the global population. As it affects the large majority of the global population, researchers and medical practitioners around the world are looking for any type of technique to help stop the growing problem. As the linkage between oral health and systematic health grows closer and closer, researchers believe we are moments away from a poor health outbreak in almost every country of the world. News that should shock a majority.

As health issues rise, researchers turned to an unlikely source for help. A study was conducted in which scientists dipped certain biofilms responsible for dental diseases in a couple of different liquids. Red wine with and without alcohol both being included in the study, the data suggested that red wines with or without the alcohol and liquids containing grape seed extract were the most effective in getting rid of that bacteria.

Red wine among other alcohols have raised concerns in the past pertaining to and individual’s health, however red wine has also been linked to raising a healthy heart. Oddly enough, this links to oral health, as those who have a healthier mouth have less risk of any type of cardiovascular disease.

Be sure to keep your teeth and gums healthy to avoid tooth decay, periodontal disease and heart issues. Make an appointment today for a check up with Norman Dental at 336-282-2120.

It’s that time of year! We have so many delicious treats to indulge in and festivities to attend. Sweets and other goodies are one of the things people look forward to during the holiday season. You may have a family favorite recipe or enjoy the special holiday store baked goods. (See below for a Norman Dental favorite recipe.) Indulging on sugary foods can lead to cavities if you don’t take proper care of your teeth. Be merry this holiday season and enjoy your favorite sweets! Just be sure to take proper care of your teeth. Here are some tips to help you do that.

Use Straws

You can minimize the damage that sugary beverages do to your teeth by using a straw. Straws help reduce the amount of the beverage that comes in contact with your teeth. They also help prevent staining.

Chew Sugar Free Gum

Sugar free gum can actually protect your teeth from cavities. Chewing sugar-free gum can stimulate the production of saliva. Saliva naturally cleans your teeth and mouth. Chewing sugar-free gum can also help prevent the plaque in the mouth from creating extra acid. Furthermore, sugar-free gum can help balance the PH in the mouth.

Eat Your Snacks with a Meal

It is better to eat sugary foods as a part of a meal instead of eating them alone. More saliva is produced when you eat large meals, and this helps prevent food from sticking to your teeth. The saliva also helps neutralize acid. These acids can cause cavities.

Rinse Your Mouth Out

You can protect your teeth by rinsing your mouth out for 15 to 20 seconds after eating something acidic. This helps prevent the acid from attacking your teeth. It also helps stimulate saliva production. Rinsing your mouth out after eating something acidic will help protect your enamel.

Brush Your Teeth

Brushing your teeth is one of the most important things you can do to protect your teeth and prevent cavities. We recommend you brush at least twice a day for two minutes each time. Consider taking a travel toothbrush with you to holiday events so you can brush your teeth shortly after your meal. To give the saliva a chance to neutralize the acid in your mouth, we recommend you wait about 30 minutes after eating before you brush.

Norman Dental Favorite Holiday Recipe

Try this and tag us in your Facebook post when you upload a photo!

Recipe submitted by Vickie

12 oz. macaroni

¼ c. margarine

¼ c. flour

1 tsp. salt

½ tsp. pepper

¾ tsp. dry mustard

3 ½ c. milk

5 c. cheese, grated

Cook macaroni and drain well. Melt butter, stir in flour, salt, mustard and pepper. Stir until smooth; stir in milk and 4 cups cheese. Mix well. Add macaroni. Mix well. Pour in large casserole dish. Bake at 350 degrees for 45 minutes. Sprinkle with remaining cheese and let sit for 5 minutes before serving.

Prophy vs Perio Maintenance

Dr. Matthew Norman and Michelle Phillips, RDH

One of the most common questions that we are asked by our patients is, “what’s the difference between a prophy and a periodontal maintenance”?  We want to address that question in this edition of our blog.

Gingivitis

When you have your comprehensive or new patient exam at Norman Dental, the doctor and your hygienist will perform a thorough evaluation of your gums to determine which type of cleaning best suits you.  The doctor or hygienist will measure a space between your gum and the tooth, which is known as a “pocket”.  A healthy pocket depth is 1-3 millimeters.  Areas that are observed to have pocket depths deeper than 3 millimeters may need to be cleaned more thoroughly than healthy areas.  Your dental team will also be looking for areas that bleed while taking these measurements, as a healthy pocket does not bleed.  Bleeding indicates the presence of inflammation, which is usually caused by bacteria located within the pocket.  Inflammation in the gum tissue can cause bone loss around the teeth.  This information is how your dental team determines whether a prophy or periodontal maintenance procedure best suits you.  We will discuss each procedure in more detail below.
A prophylaxis, or prophy, is a dental cleaning on a healthy mouth.  healthy tissueThe insurance code specifies this procedure to involve the scaling and polishing of all coronal surfaces (the crown of the tooth).  Therefore, no scaling or cleaning occurs below the gum tissue.  Scaling is followed up with polishing to remove the fine debris and stain from the teeth. A typical “prophy” patient comes every 6 months for their professional hygiene appointment.

 

A periodontal maintenance consists of a more involved “cleaning”.  The hygienist starts by using a Cavitron or ultrasonic scaler.  The ultrasonic scaler is designed to clean below the gums and to break away heavy calculus/tartar that accumulates on the root surface of the tooth.  Microscopic vibrations from the scaler loosen the hard deposits away from the tooth and the water flushes the debris away.  This process also forces oxygen into deeper pockets.  This is heunhealthy mouthlpful because much of the bacteria that causes periodontal disease is anaerobic, meaning it needs an environment without oxygen to survive and grow.  When the ultrasonic scaler introduces oxygen into the gum pockets, it kills the bacteria present.  Next, the teeth are hand scaled and polished to remove fine deposits below and above the gum line.  Finally, the hygienist will irrigate the deeper pockets with an antibiotic rinse to kill any residual bacteria present.  Typically, when you have been classified as a patient needing a periodontal maintenance procedure, your status usually never changes.  This is because bone loss around the teeth is irreversible, and the presence of bone loss causes the periodontal health to be compromised.  A typical “periodontal” patient comes every 3 or 4 months for their professional hygiene appointment.

 

periodontitis

Whether it is a standard prophy or a periodontal maintenance procedure that best suits your individual need, your Norman Dental team will work with you to endure your teeth and gums stay healthy for a long time to come!

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In the US alone, there are currently around 30 million people living with diabetes and another 86 million with pre-diabetes.  Diabetes is a metabolic disease that causes a person to have high blood sugar, for a long period of time.  People that have diabetes can suffer from a wide variety of health issues and we are learning more and more about the relationship between diabetes and having a healthy mouth.

 

As diabetes progresses, so does the likelihood of an individual developing chronic periodontitis or disease of the gum tissues.  If a patient that has diabetes develops periodontitis or gum disease, it’s likely the both conditions will worsen if both are not treated and kept under control.  There is huge amount research currently being done regarding uncontrolled diabetes and its interference with glucose (sugar) regulation in the body.  Interference with glucose regulation makes the diabetic condition worse; leading to other medical conditions.  Diabetic patients commonly have swollen and inflamed gums and can notice a bad taste in their mouth. When our gums become inflamed, our inflammatory response sends mediators into the blood stream which cause a negative effect on glucose regulation, therefore worsening the diabetic condition.

 

By properly treating periodontal disease, sugar levels have a much better chance of returning to a more normal state and improving overall health. Home care for a diabetic should be strict and consist of brushing twice a day, flossing once a day and seeing a dentist twice a year. In some cases, diabetics may need to see a dentist more often.  Please contact your dental team at Norman Dental if you have any questions or concerns about how diabetes can affect your overall health.

Eyelid surgery, called blepharoplasty, is a type of cosmetic surgery that removes excess fat from the upper and lower eyelids. Age, illness, and even heredity can result in puffy or drooping eyelids that cause individuals to look tired and worn out. In extreme cases, sagging eyelids may even interfere with vision. Eyelid surgery can correct this by removing extraneous fat and trimming sagging skin and muscle tissue. Once the incisions have healed and the swelling has gone down, eyes look rejuvenated, more alert, and youthful.

Selecting a reputable plastic surgeon is critical to a successful surgery. The surgeon you select should be Board Certified and have considerable experience with blepharoplasty. Once you have selected a surgeon, the initial consultation is very important. Make sure to bring detailed copies of your medical records, since the doctor will need to complete a medical history. The doctor will perform a close examination of your eyes and eyelids, including a vision exam, as well as discuss your goals for the surgery. Your surgeon will also use the initial consultation to go over the details of the procedure, the expected results, the risks, and the costs involved.

If you are considering eyelid surgery, it is important to thoroughly research the procedure, even if this just means talking over the details with your surgeon. Blepharoplasty is a relatively safe procedure, although like all other surgeries, you do run the risk of complications. When performed by a qualified surgeon, complications resulting from blepharoplasty are infrequent and typically minor. Minor complications may include temporary swelling of the eyelids, excess tearing, temporary blurred or double vision, tissue tenderness, sensitivity to light, and scarring at the site of the incision. More serious complications include infections and a reaction to the anesthesia used in the procedure. Occasionally patients find that they have difficulty closing their eyes after blepharoplasty. Most often this is a temporary side effect, although there have been reports of the condition becoming permanent. In rare cases, patients may experience a pulling down of their lower eyelids, called ectropion, which requires additional surgical procedures.

Most eyelid surgeries are performed under a local anesthesia which is used to numb the tissue and muscles around your eyes. Your surgeon may also give you a sedative, either orally or intravenously, to help relax you since patients are kept awake during the procedure. Under local anesthesia, you will not feel any pain but may experience some tugging or pressure during the surgery. In certain circumstances, some surgeons opt to perform blepharoplasty under a general anesthetic, in which case the patient is asleep throughout the entire procedure.

Eyelid Surgery For  Asians

The surgeries typically last from 90 minutes to 3 hours, depending on how many eyelids are to be corrected. During the procedure, the surgeon makes small incisions along the natural lines of the eyelids – just under the eyelashes on the lower lids and in the deep creases of your upper eyelids. Excess fat is removed through the incision, and sagging muscle and skin are trimmed to neaten your appearance. Once the trimming is completed, your surgeon will use tiny sutures to stitch up the incision.

Once the surgery is complete, your surgeon will advise you on how to care for the incision. You will likely to be told to keep your eyes lubricated with an antibiotic ointment and take pain medication to control any discomfort you feel during the healing process. Cold compresses can be used to minimize swelling and bruising although patients will find that even with the compresses the swelling, tenderness, and bruising will be present for several days and may even last up to a month. Your eyes may tingle and feel gummy or dry for several days as well. Expect to return for a follow-up visit to your surgeon a few days after the procedure for a checkup and removal of your stitches.

Remember that the healing process takes time and it may be several weeks before you are completely recovered. In time the incisions will become less and less noticeable, fading into a thin white line that will be barely noticeable. The end result of the surgery though, should be brighter more alert eyes that make you look well-rested and youthful.

If you are considering Asian Eyelid Surgery schedule a consultation with Kimberly Lee MD by calling 310-882-5656

You probably already understand that Rhinoplasty (or nose jobs), are occasionally necessary for medical reasons. However, many individuals today pursue nose jobs as a means of balancing their features and creating a more even or flattering profile. Nose jobs are a relatively simple and common procedure that can be performed easily by most cosmetic surgeons. Here is some more information for you to consider when you are pondering the possibility of a nose job.
rhinoplasty before and after
What exactly can nose jobs fix?
It can alter the size of your nose in relation to your face to create a more balanced profile.
It can change the width of your nose and even the position of your nostrils.
It can sculpt any visible bumps or indentations on your nose.
It can adjust a nasal tip that is enlarged or bulbous, drooping, upturned or hooked.
It can even out asymmetrical nostrils.

What should I expect from my surgeon?
As with any medical procedure, it is important you find a surgeon that is not only qualified, but also willing to answer your questions. Your consultation should be extremely comprehensive. Your surgeon will discuss your desired outcome and anything that may be considered a complication in achieving it.

How is the procedure performed?
Typically, Rhinoplasty is performed as an outpatient procedure under general anesthesia and
occasionally local anesthesia when it is preferred or appropriate for your situation. Depending on what is being repaired, the surgeon will create a small incision through your nostrils typically (more complicated surgeries may involve incisions across the bridge of your nose), then the surgeon will carefully reshape the bone and cartilage to create your desired appearance.

What should I expect from recovery?
After a nose job, you will typically wear a nose splint for a minimum of one week post-operatively. It is normal to experience some bruising, swelling and even minor bleeding for the first few days. After your splint is removed, the swelling may still remain for up to six months, though it will like only be apparent to you and your surgeon. After you have surgery, you will want to wait six to eight weeks before you return to any strenuous activities.

In conclusion, rhinoplasty is an incredibly common procedure that many surgeons are well qualified to perform. If you are unhappy with the shape or size of your nose, getting a nose job is not only a quick solution, but also a permanent one!

Considering liposuction? Are you a candidate?

In the battle of the bulge, many people are interested in exploring the option of liposuction as a way to get rid of unwanted fat. Liposuction is not a quick fix substitute for exercise or eating a healthy diet. Although the concept of suctioning excess fat may seem simple, liposuction is actually a complex medical procedure. The main challenge is to remove the right amount of fat without upsetting surrounding blood vessels and tissue. Also the surgeon must make sure to maintain the patient’s fluid balance.

Different Liposuction Procedures

In order to suction fat, the tissue must be broken up before it is suctioned through a straw-like tool called a cannula. Liposuction procedures differ in the way they accomplish this. Here are some examples:

1. Suction Assisted Liposuction

In Suction Assisted Liposuction, the physician manually breaks up the fat tissue by moving the cannula back and forth prior to removing it with a vacuum apparatus.

2. Power Assisted Liposuction

Power Assisted Liposuction uses a motor which enables the surgeon to break up the fat mechanically as opposed to moving the cannula back and forth.

3. Ultrasound Assisted Liposuction

With Ultrasound Assisted Liposuction, sound waves are used to emulsify the fat

4. Thermal Lipolysis

Thermal Lipolysis applies laser energy to break up the fat tissue. Although laser is a form of light, it converts into heat energy within the body.

5. Water Assisted Liposuction

Water Assisted liposuction applies a fan shaped water beam to loosen the fat tissue

For more information about liposuction surgery procedures contact Reza Nabavian MD, a board certified plastic surgeon in Santa Monica Ca.

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While some women can regain their pre-pregnancy figure after child birth, some cannot and may desire a professional makeover. Known as a “Mommy Makeover”, this post-pregnancy surgical procedure entails a number of plastic surgery options. These options include targeted restructuring of areas of the body which, due to expansion during pregnancy and general weight gain, lost both the skin’s elasticity as well as muscle tone and have left women with fatty deposits unresponsive to diet.
tummy-tuck
While exercise and diet may help to decrease some of the after effects of pregnancy, not all bodily changes respond to these conventional efforts making the option of a mommy makeover a desirable choice for many women today.

During and after pregnancy, breast tissue may expand and contract due to general weight gain as well as breast feeding. While weight loss may be achieved, often the breasts can lose their pre-pregnancy firmness and shape causing them to look disproportionate to the mid-abdominal region. A mommy makeover using breast augmentation procedures can help to alleviate this disparity giving the breasts a more uniform look by either employing a breast lift, implants or a combination of both.

The abdomen, often the most troublesome to regain after child birth, can be reformed in a mommy makeover using abdominal restructuring. An abdominoplasty or “Tummy Tuck”, is often suggested when the post-pregnancy abdomen has lost skin elasticity and muscle definition. For some women, the abdominal expansion can cause separation of the stomach muscles which makes rebuilding of this area using conventional methods a challenge. With this procedure, the separated muscle layers are tightened and any excess skin is removed bringing a flatter and more toned appearance to the entire midsection.

Liposuction may be recommended for areas where excess fat deposits fail to respond to general diet and exercise methods. These areas such as the thighs, buttocks and hips, can be refined, toned and tightened by simple liposuction techniques.

The buttocks can be particularly problematic after pregnancy. Fatty deposits which cause a less than uniform appearance to the hips and back areas can be removed and the areas sculpted using liposuction and removal of any excess skin.

Women who were overweight prior to their pregnancies who have suffered with the added weight issues after delivery and women who have gained weight disproportionate to their natural frame may be ideal candidates and therefore benefit from a mommy makeover.

Rhinoplasty is one of the most commonly performed forms of plastic surgery in the world. As with most other plastic surgeries though there is no real ‘fixed’ cost to the procedure. You could pay a wildly different price depending on where you are located in the country. In this blog post we are going to take a little look at a few of the factors which could influence the cost of the Rhinoplasty.

• Perhaps the biggest contributor to the cost of Rhinoplasty is the amount of experience that the doctor has. The more experience your selected doctor has, the more they are likely to charge for the procedure. Now; this should not mean that you should go out there and grab a cheap practitioner. You should pay extra for the experience. Not only will the procedure be a tad safer, but the experience means that you may be a lot more likely to achieve your desired results.
• Many of the top rated plastic surgeons out there will have their own surgery. However new surgeons on the block may need to use the operating facilities of a nearby hospital. If this is the case then you need to be aware that the cost will go up. After all; not only will the doctor need to be paid but the hospital will need to be paid too. That being said; the higher cost may be worth it. Hospitals are incredibly safe places to have procedures carried out, and it is likely that the comfort being in a hospital will be significantly higher.
• Geographic location will also be a factor. If you are located in a large city then you should expect to pay more for your Rhinoplasty than any other place. The most expensive places in the United States to have a Rhinoplasty carried out will be in either New York or LA, both for rather obvious reasons.
• The type of anesthesia that is used during the procedure will also be a factor. You will need to be ‘put to sleep’ for the procedure. You will either be given general anesthesia or IV sedation. In some cases the doctor may need to hire a specialist to administer the anesthesia (if they do not have one on their staff already), and the cost of that will be rather high. Sadly this is a cost which is going to be very difficult to control.
• The extent of the reshaping will also be a huge factor in the Rhinoplasty cost. After all; some people may require a lot of work which will involve hours upon hours under the knife, others may be done in a far quicker amount of time. The only way in which you can control this particular cost is if you opt for something a little less extravagant.
• Some people may require greater after-care than other people. You will tend to need a lot more in the way of after-care if you undergo a larger procedure. For more information visit http://www.rodeodriveplasticsurgery.com/

rhinoplasty-patient

Dr. D would like to celebrate summer, along with two big recent accomplishments.

Our Operating Room is now officially certified by the Institute for Medical Quality, based in California. We received a three year approval, the longest available. Now you can have safeaffordable surgery without going to the hospital.

Dr. D has also been re-certified by the American Board of Plastic Surgery. This is his second
re-certification, and we believe he is the first and only Hawaii plastic surgeon to achieve this accomplishment. Many older plastic surgeons, those certified prior to 1995, are not required to complete this rigorous ten-year process. Therefore, they are not forced to keep up with the latest techniques and may be practicing the same way they did over 20 years ago!

To celebrate these announcements we would like to offer you 10% off any office cosmetic procedures, with up to $1000 in savings. We are also offering 10-20% off all non-surgical treatments including Botox, Injectable fillers, and skin care products/treatments.

Call now because these special prices expires after Labor Day.

Reminder: Dr. D can now also see you at our Queens-West office.

Call our office for more details @ 808-678-1955
Or visit our website:
www.plasticsurgeryoahu.com

Butt Augmentation or a Brazilian butt lift improves the butt shape, by increasing the size of the butt, balancing the proportion, enhancing its contour, or enhancing firmness. This surgery is carried out by the process of liposuction in which the surgeon removes fat from one part of the body and transfers that fat into the buttock.

The butt lift procedure usually takes 1 to 4 hours, but is based on body type of body. Liposuction extracts fat from one part of the body and then the fat cells are purified or cleaned, to re-inject into the buttock. Healthy fat cells are required to complete this operation. The process is designed to improve the upper part of the buttocks

For more information about a Brazilian Butt Lift  talk to Melek Kayser MD at 586-776-3223