Hello Friends! I Hope All is Well

2017-10-27 00:09:59 admin

These are trying times lately. As a distraction, my wife and I have taken to writing some new blog posts.

Something I have been doing more of lately is using dental implants with fixed bridges instead of dentures. I like this option because it is more “stuck on” to the implants. With daily removal of a implant attached denture, there can always be some loosening of the connector parts and pieces. With a fixed denture, the denture is screwed into the implants and bonded on so there is no slipping or loosening.

Conventional Dentures may be removable or fixed. Removable dentures are taken out of the mouth at night for cleaning and disinfecting, then inserted and held in place using denture adhesives.  Fixed dentures are only removed by your dentist.  They are supported by a series of dental implants to which the denture is attached.

The convenience of not having to remove dentures for daily cleaning has led to the increased popularity of implant supported dentures.  However, implant-supported denture alternatives with acrylic gums and porcelain teeth are much harder to maintain over time.

Fixed replacement dentures require a higher level of daily attention because they are not removed and made from materials that attract plaque, stains, and odors.  Also, the older these dentures become, the more prone they are to chipping, breaking, and overall failure.

For patients seeking a truly permanent solution, there are no “better dentures” made from acrylic and porcelain.  The material is the problem.

Some Dental Implant Centers offer their patients a good, better, best option for dentures. Ultimately it comes down to the quality of the materials and craftmanship that can influence final look and wear. An inexpensive denture can be thin and be prone to easy breakage and wearing of teeth and smelliness. A higher quality denture will last longer over time. One such option is Zirconia.

Zirconia is both highly durable (to eliminate wear from biting, chewing and talking) and just flexible enough to be sculpted and shaped to your specific requirements. It is non-porous and has a high-density and produces a bridge with a smoother finish than those made from other materials. Your finished bridge resists stains and doesn’t absorb odors or attract plaque and bacteria.

We always like to get to know our patients and their lifestyle when selelcting the best option for dental implant restoration. I know that it is not cookie cutter what will work for each person. If you have a friend or loved one considering dental implants or a denture, please share this information with them.

There are many things to consider when investing into your dental health. What worked for Jimmy may not work for John. Let’s talk about options so you have a solution you are comfortable with. As always we offer a no cost Dental Implant consultation.

Take the first step toward changing your life – Enjoy eating the foods you love – Stop worrying about denture mishaps.

-Be Well!

Dr. Lieu

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Implants vs. Bridges

2017-05-31 20:31:31 admin

Dental Implants and bridges are two common solutions used to replace missing teeth. Dental Implants are strong, long lasting, artificial teeth placed into the jawbone during oral surgery. Bridges join a fake tooth with adjacent permanent teeth. Lets do a quick comparison.


Bridges can last about 10 years or more.

Treatment Time

A permanent bridge replaces the temporary bridge two weeks after the initial procedure.

Bone Preservation

Bone loss can occur with bone loss or missing teeth and with bridges.


Dental Implants can last a lifetime if properly cared for.

Treatment Time

Implants are made of a titanium metal that fuses with the jawbone. This process takes a few months for compete healing.

Bone Preservation

Implants are the only type of treatment that can prevent jawbone deterioration

Dental implants are a successful form of treatment for patients, yet according to a study published in 2005, five to 10 per cent of all dental implants fail.

The reasons for this failure are several-fold — mechanical problems, poor connection to the bones in which they are implanted, infection or rejection. When failure occurs the dental implant must be removed.

The main reason for dental implant failure is peri-implantitis. This is the destructive inflammatory process affecting the soft and hard tissues surrounding dental implants. This occurs when pathogenic microbes in the mouth and oral cavity develop into biofilms, which protects them and encourages growth. Peri-implantitis is caused when the biofilms develop on dental implants.

My urging to those with implants is PLEASE USE A WATERPIK & GET CLEANINGS EVERY 3 MONTHS!

After investing time and money into making your mouth functional, it is necessary to maintain healthy gums around the implants and all of the teeth.

Have a great summer everyone!

Be well. 😉

Family dental care and cosmetic dentistry and dental implants.

Blue Apple Dental Group
6230 State Farm Drive, Rohnert Park, CA 94928
(707) 795-4523

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Are Cold Sores and Canker Sores the Same?

2017-01-25 18:08:09 orianablieu

There’s hardly anything more irritating than a canker sore.

These tiny ulcers only last a few days…but wow! When you’ve got one, just about every word spoken and every bite taken hurts like heck! You know that feeling, right? Now, imagine how they feel in your child’s mouth! What exactly are those little buggers, and how in the world can you ease the pain fast? We’ll fill you in, and share our “canker-sore-be-gone” grocery list that’ll help save the day.

What Exactly is a Canker Sore?

To know the medically proper name for a canker sore is to understand why it hurts so much. A canker sore is actually an ulcer. An “Aphthous Ulcer” to be exact. These ulcers come in two forms, minor and major, and are surprisingly experienced by only about 20% of the U.S. population. Aren’t we lucky?!

Minor cankers (common in people between the ages of 10 and 20), are the smaller of the two, as the name would suggest, and last about 7-10 days. Major cankers can last from two to six weeks, have noticeable depth, and often have irregular borders. This type of sore is more common after the age of 20, and is essentially a recurrent canker, returning to a site previously impacted by a minor canker.


Who Gets Cankers?

While cankers affect both genders, girls tend to get them more often, likely because of hormonal fluctuations. Aside from that, the vast majority of people in general are believed to get cankers due to genetic tendencies – and the condition is triggered by spicy, salty or abrasive foods.
If your kids are among those unlucky people gifted with canker sore genetics, there is hope!

What’s the difference between a canker sore and a cold sore?

Cold sores, also called feverblisters or herpes. Herpes simplex type 1, are groups of painful, fluid-filled blisters.

Unlike canker sores, cold sores are caused by a virus and are extremely contagious.

Arrest the pain and speed up the healing process for canker sores with this short shopping list:

Rinses (use one of the below rinses four times a day)–

  • Hydrogen Peroxide – Equal parts peroxide and water
  • Salt and baking soda – Add a half teaspoon of both to 4oz. of water

Numbing Agents

  • Brands like Orajel® and Kank-A® can provide relief

Protective Pastes

  • Milk of Magnesia – dab on a cotton swab and use four times daily after the hydrogen peroxide rinse.
  • Baking Soda and Water Paste

Antimicrobial Mouthwashes

  • OraCare mouth rinse is great at keeping ulcers clean and plaque free, which reduces pain and makes them go away faster

Soft Tissue Dental Laser tretment

Dental lasers heal the sore with a single, painless visit to your dentist. After a brief feeling of warmth, the canker sore will no longer feel tender, and you can leave our office knowing that your mouth will be cleared up in just a day or two.

  1. It’s the only method proven to actually heal a canker sore, while simultaneously removing the pain. Many canker sores are caused by viruses. The biostimulation of the laser helps to kill the virus and cauterizes the open wound so that no new infection takes over. Cauterization using a laser doesn’t hurt like other treatments, such as freezing, but it does effectively remove the pain immediately. You can leave the dentist not just relieved, but actually well on your way to being all better.
  2. Your canker sore will heal in just 2 days rather than 2 weeks. A canker sore lasts an average of two weeks. This drops down to just two days when you seal off the sore and promote healing using a dental laser.
  3. You’ll be less likely to get canker sores in the future. Many people repeatedly get canker sores in the same place, especially in places where there is a persistent irritant, such as braces or dentures rubbing. This almost always means that a virus is active at a specified nerve ending or a stressor is located in that area of your mouth. The dental laser helps permanently reverse canker sore formation by “burning out” the virus from the nerve ending, eliminating repeat sore formation. Even canker sores caused not by a virus, but rather by rubbing can be eliminated in the same way. The laser seals off the nerve ending, which means that your brain no longer registers the irritant. The trigger goes unnoticed, which means that the ulcers don’t form.

If you or your children have a sore lasting beyond the two-week mark, make an appointment to see your doctor to evaluate their case. Prescription medications might be necessary to bring them much-needed relief or a laser treatment may do the trick. Why suffer when there are options out there to make it better?

Be Well!

Family dental care and cosmetic dentistry and dental implants.

Blue Apple Dental Group
6230 State Farm Drive, Rohnert Park, CA 94928
(707) 795-4523


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Born Without a Tooth? Lost One Along the Way?

2016-12-09 21:14:29 orianablieu

Sometimes in life, the tooth fairy leaves us with the short end of the stick. If you’re missing a tooth due to trauma, or decay, medication or hypodontia (meaning, one or two of your permanent teeth never arrived), then you’ll know exactly what we mean. And, while the imaginary tooth fairy might have left you hanging without a replacement tooth, your real life dentist can help provide an affordable and cosmetically appropriate solution in the form of a dental bridge. Usually I prefer implants, but not in every situation.

Why You Might Need a Bridge

With 69% of adults experiencing the loss of a tooth between the ages of 35-44, if you’re in the missing tooth camp, you’re certainly not alone. Watch this film explaining dental-bridge-vs-implant. A “bridge,” then, is a form of dental prosthetic that allows for the placement of an artificial tooth in an area where a healthy tooth used to exist.

When an entire tooth is lost, a bridge acts as a unifying device that supports the artificial tooth. It eliminates the gap between adjacent teeth. To accomplish this, the artificial tooth (known as a pontic), needs to be joined to these adjacent teeth in order to stay in place.

A dental implant is an option over a bridge when there is enough bone present. However there are situations where there is not enough bone or to add bone would not be ideal and dental implant success would be unpredictable.

How Do They Work?

This can be done by using a crown as a connecting anchor for the artificial tooth, or a type of tooth colored filling known as an “inlay” or “onlay,” can be used in the same fashion. An onlay is used when support is needed along a “cusp” (the raised points on the biting surface), and an inlay is used when support is required between these cusps. To visualize how this type of filling functions, it might help to think of them as the raised pins on upside-down version of a Lego® block. Essentially, like a Lego block, they help to keep the bridge secure once cemented to your healthy teeth.

We have the CEREC technology for in-office bridges to be made same day. With the CEREC scanning and milling machines, we can create CEREC_MCXLbeautiful and custom fitting bridges and crowns while you wait in the office.

How Are They Installed?

To prepare for a two-surface bridge onlay, a dentist will first remove the portion of your healthy tooth that will act as the anchor (or, abutment). Then, depending on the process used by your dentist, either a physical impression of the tooth will be made, or 3D imaging  with CEREC will be used to render a digital impression. Next, your dentist will likely fit you with a temporary bridge until your custom bridge has been completed.

In total, you should expect to visit your dentist once to sort out all of the diagnostics and abutment tooth preparation, and then again to sort out all of the customization details. Once your custom bridge has returned from the lab, it would be laid into the excavated areas of your abutment teeth, and then either bonded or cemented into place.

How To Take Care of Them?

We always recommend a Waterpik water flosser and electric toothbrush such as the Sonicare for caring for bridges, implants, veneers and other more waterpik

precision and custom dental work. These dental cleaning tools get a clean that is much more thorough. People are always amazed at the amount of “yuck and food” that comes out even after flossing and brushing when using the Waterpik.

And, that’s it! With the kind of care you already provide to your other teeth, your bridge should last anywhere from 10-15 years. So, if you’re concerned about what you look like without a tooth, or several teeth, check with your dentist or hygienist. A bridge may be a great option for you.





Family dental care and cosmetic dentistry and dental implants.

Blue Apple Dental Group
6230 State Farm Drive, Rohnert Park, CA 94928
(707) 795-4523

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Teeth Whitening Can Make All the Difference

2016-09-12 22:22:34 orianablieu

By Anthony Lieu DMD

dental_implants-144x144I often get patients asking me about teeth whitening. It is sort of funny to me that people often overlook huge dental problems and think whitening will make it all better. However the eye of a dentist is different that that of the patient. I am looking to improve teeth….fix cavities to prevent future pain and decay or replace missing teeth to keep all the other teeth in place and prevent a shifting bite. Unfortunately the average person is looking for a quick fix or has just gotten used to the pain or appearance of broken down dentition.

Anyway, for those that are looking to whiten, it does do a great job at brightening up a face and making people look healthier and younger.

Here are a few tips.

Brush your teeth for at least 2 minutes, holding the head at a 45-degree angle away from your gums. Go with medium or soft bristles—stiff brushes will scrape your gums raw. The electric toothbrushes are the best —they clean better and they are gentler on gums, and they make you commit to the entire 2 minutes. You should change your toothbrush or toothbrush head every 60 days or when the bristles become bent, whichever comes first. Click here for a video about proper brushing technique.

First-time users of tooth whiteners often experience sensitive teeth. A study in the Journal of Clinical Dentistry reports that people who brush with potassium nitrate toothpaste for 2 weeks before starting an at-home whitening are less likely to feel increased sensitivity. Our favorite: Sensodyne or Clin Pro toothpaste.

Just as important is knowing when to stop your whitening routine—like if your chompers start to turn blue around the edges. This signals a breakdown of dentin which is the substance beneath the tooth enamel that’s being whitened.

Opalescence-treswhiteWhen picking an at-home whitener, use common sense. Stronger bleach concentrations work faster but are likely to cause a little more tooth sensitivity. If you want a complete overhaul from a take home kit, look for a carbamide peroxide concentration of at least 10 percent. In-office trays whiten teeth six shades but can require multiple sessions, and the at-home custom trays require up to seven or ten uses to get desired results (with more gentle results).

You can’t just stick a strip and forget it. Use a whitening toothpaste to keep the shine from fading and a thick floss like Dental Tape. Plaque-heavy areas between your teeth soak up colors. Also go easy on the coffee, dark juice, and wine. All the tasty foods cause staining! No soy sayce, curry, wine, tea or coffee on your teeth right after you have done whitening.

Banish Dragon Breath

If brushing and flossing aren’t doing the trick, it might be your tongue. Your tongue is like a shag carpet from the 1960s—bacteria are hanging out, clinking champagne glasses.  The answer: a tongue scraper. Look for one with a rigid edge. Reach as far back as you can, then pull forward, scraping your tongue. Follow with a peroxide mouthwash or Oracare and be sure not to overscrape, tongue-scraper

Check our website for our current offer for teeth whitening.  We love to see people brighten their smiles and love to be able to help them do it. Opalescence offers great products for whitening with predictable results, and is our go to brand. Some of the drugstore whiteners available at Target or on Amazon work well too, but usually those products have weaker bleaching solutions.

Be Well!

Dr Lieu

Family dental care and cosmetic dentistry and dental implants.

Blue Apple Dental Group
6230 State Farm Drive, Rohnert Park, CA 94928
(707) 795-4523


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