Monthly Archives: April 2016

Can Stress Affect Oral Health ?

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Can Stress Affect Oral Health ?

Many people suffer from stress in our lives, and little do we know that, the stress we carry can affect our dental health. We all know the effect that stress causes on our bodies, to some it causes the lack of sleep, and to others it can cause anxiety and even panic attacks at times. Not only can that but these also lead up to irritability and grogginess when the lack of sleep is present. Knowing that stress can affect your body is one thing but knowing it affects your oral health is another serious matter. Not only does stress contribute to bring  several conditions such as: bruxism, canker sores, dry mouth, TMJ/TMD disorder, gum disease and others such as lichen planus, and burning mouth syndrome.

Stress - business person stressed at office. Business woman holding coffee cup with STRESS written. Overworked and over caffeinated female businesswoman.

Gum disease is a serious condition which shows up when a long term stress has been happening. This condition shows up such as periodontal disease an infection in which it affects out immune system. Another factor of this would be lichen planus this occurs when viral infections caused by stress and this are characterized by white lines in the mouth, also sores, and ulcers in the oral cavity. Bruxism is also caused by stress when we are stressed we tend to grind our teeth more often during night and also day which leads to teeth damage. For some of these conditions there is a solution for example for bruxism a night guard is recommended to protect your jaw. A night guard can also be recommended for another condition such as TMJ/ TMD. Not only are all of the conditions will seem to be as noticeable as others. Having a dry mouth is another condition of stress related problem, you can experience chronic dryness as your mouth won’t be producing enough saliva. This is a common condition for stress. Not only is a dry mouth q common side effect if stress but is also a common side effect of used of drugs or medication to treat depression. Furthermore, not only will stress be a big part to trigger these conditions but also out ability to tolerate pain will be compromised as our bodies start to adapt to stressful situation; and as a result of this when tooth pain can become more extreme at time when stress is present.

If you are feeling stressed take time to focus on your oral hygiene and yourself. Don’t forget to take proper care of your eating habits other measures to help reduce stress in your life. Eating well, exercising and getting plenty of sleep will definitely help lower stress levels. If you suffer or think someone is suffering from extreme anxiety or depression doesn’t hesitate and seek professional help. If you are worried that stress might be affecting your gums and teeth visit our dentist. If you have any questions feel free to contact our Santa Ana Smiles on Bristol Dentist Dr. Danial Kalantari at our office. Contact Us



Autoclave is a very important equipment in the dental field. An autoclave is used to sterilize re-usable instruments. An autoclave can sterilize solids, liquids, hollows and different types of instruments. Before instruments are placed in the autoclave they have to go through a rinse cycle through an ultrasonic cleaner. The ultrasonic cleaner will remove any debris and then instruments are pouched in sterilization bags, ready to go in the autoclave.  The autoclave works similar to a pressure cooker, they both use steam to kill bacteria, spores, and germs resistant to boiling water. MedicalDentalAutoclave
Tabletop autoclaves are the most common types of autoclaves in the dental field. They are about the size of a microwave oven. The autoclaves sterilizes instruments by heating them above boiling point. The most common types of instruments that are used in the autoclave are metal instruments, such as hand pieces, syringes, and metal basic instruments.  There are some plastics that can be autoclave, but check your manufacture instructions to see the types of plastics that can be autoclave.
The autoclave main objective is to eliminate all microorganisms. The way to eliminate these microorganism is by setting the autoclave at 270 degrees for 30 minutes. For rubber items set autoclave to 250 degrees for 20 minutes.  For chemical 28-30 pounds of pressure for 20 minutes. These are all general instructions, check with your owners manual for specific instructions.
At Santa Ana Smiles on Bristol Dentistry we use a Tuttnauer autoclave. The machine goes through spore testing weekly to check that the machine is sterilizing the instruments. It also goes through it’s routine maintenance, such as cleaning the machine, and changing gasket to keep the pressure sealed correctly. Our staff are trained on how to operate and maintain the machine.  If you have any questions please contact our Santa Ana Dentist Dr. Danial Kalantari or your friendly staff of Smiles on Bristol Dentistry. contact us

Dental Anxiety

Dental Anxiety


We all get a little nervous when have to go to a dental visit, however there are people who in fact have dental anxiety or dental phobia, this phobia makes their dental visit a terrifying.  Even if most dental procedures aren’t painful the thought of just having an exam done gets patients with dental anxiety stressed out that people with this phobia will do anything to skip a dental appointment.  An estimated has been shown that 9% to 15% of Americans avoid seeing the dentist this is about 30 million to 40 million people due to the anxiety and fear that attacks them.  Survey shows that many of these people don’t visit the dentist regularly main reason being fear.

What is dental anxiety you may ask?  Anxiety is the feeling of worry nervousness and at times also unease, this typically happens when you think about an event with an uncertain outcome.  That is why dental anxiety takes over many people who often put a dental visit up for years. These people who have this condition will put up with gum infections, tooth pain, gum disease and even broken/ chipped teeth. People with dental anxiety or phobia are not only candidates for gum disease but are also at a higher risk of early tooth loss. Not only are they candidates for gum disease and tooth loss but also for damaged and decolorized teeth which can lead to consciousness and insecurity. Not only that but also loss of self- esteem is another outcome of this condition.extreme-dental-anxiety

Some of causes of dental anxiety are pain, embarrassment, the feeling of being helpless, and negative past experiences. The fear of pain has shown to be very common this may be because of early dental visits before there was any of the pain free dentistry, this is accompanied by the negative experiences that they have had in the past. Anyone who has had experienced a painful or uncomfortable experience is more likely to be anxious. Also, another very common problem for people with dental anxiety is the embarrassment; this embarrassment is caused because they might feel ashamed of having a stranger look into their mouth which makes them feel self-conscious about themselves. Lastly, the feeling of being helpless, many people adhere this from the thought of being sat on chair still and not knowing what is going to happen, not being able to be in control is a main trigger to anxiety.

There are several symptoms to this dental anxiety or phobia, some might be being tense or not being able to sleep the night before the dental visit, when the thought of a dental visit makes you want to cry or makes you physically ill, another symptom is being increasingly nervous when being in the waiting room. Not only are these the symptoms but there are more in case you panic or have trouble breathing even placing objects in your mouth at the time of your dental visit. If you feel like any of the symptoms describe you let your dentist know about your feelings and thoughts or concerns, this will help us, help you overcome them. If you have any questions or concerns please let your friendly Santa Ana Dentist Dr. Danial Kalantari at our office Smiles on Bristol Dentistry./contact-us/

Working with Children

Working with Children

Taking a trip to the dental office should be fun and easy and not stressful. Here at Smiles on Bristol Dentistry we take into a great responsibility to make the young ones feel like they are in a safe environment and allow them to feel comfortable. A dental assistant has the duty from beginning to end. From the primary responsibility to help assist during a dental procedure to sterilizing the instruments. Not only that but also applying dental sealants, varnish, and fluoride to our kids. As an assistant the responsibility doesn’t stop there, we are also responsible in educating the little ones and their parents about their proper oral hygiene; how to brush and floss their teeth on their own. child_teeth

When children arrive at a dental office it is visible when they are anxious. However, starting a bond with the children from the beginning allows them to feel comfortable and minimizes the stress level they are carrying. By having them do relaxation techniques such as; deep- breathing exercises, counting their fingers this and other methods can be helpful. When young patients see the exam chair their stress level rises despite that there is a way to bring that stressful moment down, by having them seat on the chair and letting them know what the instruments in the room are. For example, when you show them a mouth a mirror and allow them to see how harmless it is they will feel the informed and allow building a trust. When sitting on exam chair another way to help manage stress is by chatting with the young patient and or simply playing a movie for them this will help to distract them and lower their stress level.

The trust in the dental office should be given from the beginning to the end to allow a more peaceful environment for the patient. By using methods that can lower the stress levels both young patients and parents can achieve a successful trip to the dental office. At Smiles on Bristol is it our goal to take care of our you patients allow them to feel comfortable and minimize their stress level by building a trust bond between us and the patient. All these methods such as counting fingers, deep- breathing, watching videos or movies, chatting with them and keeping them informed will allow stress free environment for your little ones. If you have any questions feel free to contact our friendly Santa Ana Dentist Dr. Danial Kalantari at our office Smiles on Bristol Dentistry. /contact-us/




Tooth Sensitivity

Tooth Sensitivity

Tooth sensitivity is a condition that affects many people. Tooth sensitivity can occur when the inner part of the tooth becomes expose causing sharp discomfort. The sharp pain or discomfort can come when your drink something hot or cold,eating sweets, or air that passes through teeth. The exposure can be caused by teeth recession, teeth erosion, the loss of tooth structure or consuming acidic foods.

What can cause tooth sensitivity?
Brushing your teeth and gum using a hard bristle toothbrush can cause the enamel to wear off creating tooth abrasion. Bruxism or grinding of the teeth can create tooth sensitivity, the constant pressure begin to wear the enamel causing the dentin to be exposed. Acidic foods also create the enamel to wear. Cavities or large fillings can also create sensitivity, when a caries is affecting the enamel and dentin part of the teeth. Teeth whitening or bleaching can cause temporary sensitivity but tends to go away with time.Popsicle-Sensitive

How can you prevent tooth sensitivity?
A excellent way to prevent tooth sensitivity is to change your toothbrush to a medium or soft bristle. This will create less pressure on the enamel and have less chance of abrasion. You can also switch toothpaste to one that helps with sensitivity, our Santa Ana Dentist Dr. Kalantari recommends his patients sensodyne. There are many alternatives in the market, just choose what works best for you. A night guard is another preventative measure this will stop the teeth from wearing out. Completing any dental treatment that was recommended by your dentist is another great way to prevent tooth sensitivity.

If you are still experiencing teeth sensitivity it’s a great idea to talk to your dentist. There might different procedures he can recommend, like fillings to cover the abrasion areas, fluoride or dentin sealer. You can also contact our dentist Dr. Danial Kalantari of Smiles on Bristol Dentistry. /contact-us/






Dental Bone Graft

Dental Bone Graft

Bone graft is a procedure done to build bone on the socket to keep the gums, soft tissues, or bone from resorbing . Bone graft is usually done when a patient is trying to replace a missing tooth , and wants an implant with a crown placed. Some patients do not have enough bone to Screen-Shot-2011-10-19-at-3.47.43-PM-238x300support an implant. There are many factors that affect the bone loss or resorbing such as gum disease, injury or trauma, spaces left empty after tooth extraction, and wearing dentures for a long time. If you want an implant placed and do not have enough bone nor it’s wide enough you will need a dental bone graft procedure with other treatments like sinus lift, or ridge expansion. If the bone graft procedure isn’t completed there is a higher chance for the implant to fail, or in some cases the dentist will not place an implant without the dental bone graft procedure. The most common types of dental bone graft that can be placed are autogenous bone (your own bone), and synthetic bone. The type of bone graft that will be used depends on the location and severity on the bone loss. Autogenous grafts are usually take from the patients chin, hip or other areas of the body. The healing for autogenous graft material is much faster than the other type because there is live bone and contains elements that enhance bone growth. This type of bone graft procedure is also more expensive than the others. Synthetic bone works as good as autogenous grafts materials. Synthetic bone is much easier to place since it comes packaged and is ready to place. The procedure is done with local anesthesia and you find the best results after a tooth extraction. After the tooth extraction the socket is cleaned and the graft is placed along with a membrane that keeps the graft in place. After the bone graft procedure is completed it usually takes 6 to 9 months for an implant to be placed. This time will give enough time for the bone to adhere and tissues to grow back. After the procedure your dentist will usually prescribe some antibiotics, and pain medication if needed. If you have any questions regarding dental bone graft please contact our Santa Ana dentist Dr. Kalantari or your friendly staff of Smiles on Bristol Dentistry. /contact-us/

Tooth Erosion

Tooth Erosion

Acid erosion is caused when acidic drinks that are consumed on a daily basis. These acidic drinks cause the wear out of the surface of the tooth enamel. Acidic foods/drinks such as, soda, orange juice, wine, sport drinks and other fruity drinks will soften the tooth surface and wear it out making physical damage to the tooth. The practice of good oral hygiene and your daily eating habits will make a difference when tooth enamel starts to wears out. Having poor diet will cause the tooth’s outer surface to wear out as substances are breaking down the outer layer of the tooth which in time leads to exposing dentin. If dentin is exposed and ongoing poor nutrition or bad eating habits continue this will also lead up to decay on those weak teeth that have been “eroding” with time.tooth_erosion


When vomiting your stomach releases acid into your mouth if this happens frequently the exposure to tooth erosion is higher. Furthermore, not only will the consumption of acidic foods and drinks lead up to erosion, but also eating disorders such as acid reflux disease and bulimia. Our mouths have a very important job to provide nutrients to the rest of our body. Our health begins from our mouth and teeth that is why we should take care of our oral hygiene.


In consideration that many food such as fruit contain a portion of acid in them, our mouths are able to take in acids due to our saliva neutralizing small amounts of acid which also help to demineralize and strengthen the tooth. However, too many acidic drinks such as soda, wine, or other sweet beverages if they are drank in an ongoing daily basis it will cause tooth erosion. If any of these acidic beverages are taken it should be with moderation and not on a daily basis. After consuming any of these acidic food or drink do not forget to brush and floss teeth immediately.

Some signs for tooth erosion are: sensitive teeth, tooth discoloration, teeth appearance rounded or transparent. In more advanced stages of tooth erosion you might see dents within the tooth and tooth gum line and also cracks on tooth surface. If not taken care of tooth will disintegrate and also surrounding teeth.2838475843_8f0f3134b4

There are many ways too taking care of your health and your teeth. Don’t forget a healthy you starts by your mouth, have a good daily eating habit and brush and floss after your meals. If you think you might have any of the symptoms above make sure to contact our office Smiles on Bristol. Tooth erosion can be prevented by a proper diet and a good oral hygiene and don’t forget to get your twice a year dental checkup. If you have any questions feel free to contact our friendly Santa Ana Dentist Dr. Danial Kalantari at our office Smiles on Bristol./contact-us/

Intraoral Camera / Smiles on Bristol Dentistry

What is an intraoral camera? An intraoral camera is a small pen looking video camera that serves the purpose to obtain an image of the outside of the tooth or gum. Everyone has had dental x-rays taken at a point in their life’s therefore we all know what that looks like. Those dental x-rays help Dentist see what the inside of our tooth looks like and to diagnose from any pain we are having. However, what do these intraoral images help for? Well these intraoral images help to show patients a real life time picture of what is going on with their teeth.

Clinical 090


Many patients have misgivings when it comes to dental diagnoses that have not been accompanied by any pain. With the use of the intraoral camera you can easily be shown an image of tooth decay or cracked teeth. Most people believe in the saying, “a picture is worth a thousand words.” Which is true once we see something that we had not been able to see before, we tend to take action on what is going on in our body and our teeth. For patients it is great to be able to see what is going on it makes them feel informed taken into consideration once they see it with their own eyes. This allows patients to commit to treatments which they had thought of unimportant before.


This diagnostic tool has been around since the early 1990’s, it has been a great tool and it will continue to be by the use of your dentist to give you the answers to all your questions and any other concerns the intraoral camera is also a fantastic educational aid for all types of patients from adults to children. It will educate them about their own health within the oral cavity and allow them to feel more comfortable about any treatment/procedure being done to them. Technological advances are happening all around the world and they are happening here too at your Smiles On Bristol Dental office. Don’t hesitate and find out what technology our friendly Santa Ana dentist Dr. Danial Kalantari has at our office of Smiles on Bristol Dentistry./contact-us/

Scaling & Root Planning/ Deep Cleaning Post Op

Scaling & Root Planning/ Deep Cleaning Post Op
Scaling & Root Planning is a dental procedure that treats periodontal disease, it cleans between the gums and roots of your teeth. This type of cleaning removes any plaque or build up that has accumulated over time below the gum level. If the build up  is left there for a long period of time it  attacks soft tissue and bone causing it to recede and exposing the root of the tooth, causing sensitivity or discomfort for the patient. So if you just recently got  your scaling & root planning (deep cleaning ) we will give you some tips on how to care and what to expect after the treatment. scaling
What to expect after treatment:
In most cases local anesthesia is administer so that the patients doesn’t feel discomfort when the scaling & root planning is being performed. We recommend our patients not to eat anything until the anesthesia wears off. This way you minimize and prevent any  chance of biting your lip, cheek, or tongue. The anesthesia will begin to wear off in approximately 1 to 3 hours after the procedure.
After the anesthesia wears off it is normal to  experience sensitivity from your teeth and gum. This is usually related from the cleaning and removal of the plaque and build up.
It is also normal for your gums to feel slightly sore, the soreness and sensitivity tend to go away in the next couple days after the treatment is completed.
Bleeding may occur in the first 48 hours after scaling & root planning. If heavy bleeding occurs you can apply light pressure with a moistened gauze to the area that is bleeding,
keep it in place for at least 20-30 minutes, this should control the bleeding. If the bleeding increases or doesn’t control after 12 hours please call our office as soon as possible to notify the doctor.
You may also feel your gums tender and red, this will usually go away once the gums begin to heal and you maintain a good oral hygiene.
What to do at home after the appointment:
Rinse daily 2 -3 times a day with warm salt water or your mouthwash for the next week, to help the healing and reduce inflammation of your gums.
Avoid hard or sticky food such as popcorn, nuts, and chips, avoid spicy food and cold drinks. Hard sticky food may get stuck in the gum. Spicy food may cause your gums to burn or itch, and cold drinks will cause sensitivity. Soups, pastas, and scrambled eggs are highly recommended.
Avoid smoking for the next 7 days, smoking or using tobacco products will cause a delay in the healing process.
If arrestin was applied, avoid touching the treated areas. Wait 12 hours after your treatment to begin brushing. Wait 10 days before flossing and using other devices to clean in
between the teeth. Don’t chew gum or eat sticky foods. Arrestin  works as an antibiotic to help fight gum disease.
If your dentist prescribe medication, please take it as indicated by your dentist.
Scaling & Root Planning with regular home-care will help and combat periodontal disease. After completing your deep cleaning regular cleaning are no longer completely effective, your dentist will recommend a periodontal maintenance every 3 months. They recommend every 3 months to monitor your gum disease. If you have question please feel free to contact our Santa Ana Dentist Dr. Danial Kalantari or your friendly staff of Smiles on Bristol Dentistry. /contact-us/

Dental Retainers /Smiles on Bristol Dentistry

Dental retainers are custom made appliances that hold your teeth in position and prevents your teeth from shifting. Retainers are often required after an orthodontic treatment has been completed, there are some cases where the dentist will recommend a dental retainer to stop any future shifting. The most common  type of retainers are clear retainers, hawley retainer ( wire retainer), and a fixed retainer. Here we will talk about the pros and cons of the different type of retainers. types-of-orthodontic-retainers

Clear retainers are becoming the most popular type of retainer. Clear retainers are not very noticeable and patients feel more comfortable wearing this type of retainer all day. It is custom made specifically to your teeth which prevents   any shifting to happen in your mouth. Cleaning your teeth is much easier, you just removed your retainer and brush  and floss normally, improving your oral hygiene. The clear retainer also works as a night guard which prevents grinding your teeth.The cons of the clear retainer are the first retainer have to be switched during 6 to 7 months,and then depending on the condition of retainer.If the retainer is not cleaned correctly it will begin turn into a dark yellow color. The material is a plastic material that covers your teeth and some people have trouble biting down the the clear material.

Hawley retainer or wire retainer are made of a combination of acrylic and a wire that is bendable. The wire is stretched along the front of your teeth. to prevent any shifting. Cleaning of your teeth and of the retainer is very easy, it is removable so you can brush and floss regularly. This retainer can last a lifetime if taken care of correctly, the orthodontist just have to adjust
the retainer during your check ups. The cons of having hawley retainer it is very noticeable, it’s a wire running through the front of your teeth. Some people don’t feel comfortable with having metal in their mouth. The hawley retainer also covers the roof of your mouth causing people to talk with a lisp until they get use to the retainer.

A fixed retainer is a permanent retainer that is attached to the lingual side of your teeth. They are bonded on the anterior part of the lower and upper teeth, and they can’t be removed by the patient. There in no chance in you losing this type of retainer since it’s bonded to your teeth. Fixed retainers are recommended when there’s a high chance of reversal of the orthodontic treatment. They are usually left a year after your wisdom teeth are out, but some cases are left for a lifetime. The cons are it leads to build up because it is very difficult to clean between the teeth. This also causes your gums to swell and caries in between the teeth.

At Smiles on Bristol Dentistry the type of retainer we recommend to our patients are the clear retainers. They’re called Vivera retainers and are not like the regular clear retainers. Vivera retainers are 30% stronger than regular clear retainers, this helps your teeth stay in the desired position. Vivera retainer because of the thickness helps reduce cracking or breaking of the retainer making it minimal the amount of times you have to switch the retainer. They come in sets of 4 retainers per order and it’s enough sets of retainers to prevent any movement of your teeth.

Retainers should be worn as your dentist recommends you to wear. Our Santa Ana Dentist Dr. Kalantari recommends to his patients to wear their retainer for at least 22 hours a day for the first six months. After the six months depending on the recall exam he can give the same instructions or switch to just night time use. If you have any questions regarding dental retainers you can contact your friendly office of Smiles on Bristol Dentistry./contact-us/