Wednesday, May 9, 2018

Intraoral Cameras


The use of intraoral cameras in daily dental practice can serve numerous purposes, from patient education to attaching images with insurance claims. Rapid advancement in technology and ease of use have greatly improved over the years. Intraoral cameras are very slim and ergonomically designed handpieces with a single button for capturing images of difficult-to-reach areas in the mouth, and most are corded and can plug into the USB port on a computer.

What They See


Intraoral imaging and education complement each other in the dental practice. A dentist can show as well as tell the patient what they see. Many patients are able to grasp the condition and are often willing to complete the recommended treatment. With the use of intraoral imaging, the patient sees the broken filling or recurrent decay on the computer screen.

What Insurers Can See


Many individuals want only to do a treatment that dental insurance will help pay for. One way to aid in the preauthorization process is to provide an intraoral image to the insurance carrier. Submitting the intraoral image may help the approval process of needed treatments such as crowns and even periodontal therapy.

'Watching' Disease Progression


Dentists and hygienists see numerous patients every day and often find areas to "watch". These include soft-tissue lesions, incipient decay, or other concerns. One great way to monitor these areas is with an intraoral image to refer to at each following dental visit. Having the ability to compare photographs side by side and evaluate and monitor changes creates a standard of care that is valuable in any dental practice.

New patients


New-patient visits for preliminary records, radiographs, and periodontal charting can add in intraoral images for a more complete understanding of their dental health. It is very convenient to add pictures of suspicious areas that will need future treatment or monitoring, such as failing restorations, caries, and the general gingival condition.

Going over the intraoral images with the patient before the dentist comes in for an exam prepares the patient that there may be work to do at future visits. The images give the hygienist an opportunity to answer any questions they can before the dentist enters the room. In turn, the hygienist can communicate concerns to the dentist to help mainstream the exam and keep on schedule.

In dentistry, the saying "A picture is worth a thousand words" is so true, especially regarding the use of intraoral cameras. Using images to describe needed treatment helps patients visualize oral conditions as well as the options to improve their smiles. Intraoral imaging is not only used to identify fractured teeth or periodontal conditions, but it can also be used for areas of cosmetic improvement. Intraoral cameras are essential for daily use in clinical dental practice and have the potential to improve the standard of dental care.  Contac the dental office of Dr. Steven K. Okamoto for a complete evaluation today.

Wednesday, May 2, 2018

Smoking and Your Dental Health

Many people don't understand the damage that smoking does to their mouth, gums, and teeth. Smoking has many negative effects on the mouth that can lead to the weakening of gums and advancement of periodontal disease. Smoking significantly weakens your oral health, constricting the blood flow to your mouth and turning it into a breeding ground for bacteria. Smoking may also

  • Give you bad breath
  • Cause staining of the teeth
  • Increase needed recovery time from oral surgery
  •  Raise your risk of developing oral cancer

Smoking weakens our immune system and increases risks of developing periodontal (gum) disease significantly. The swelling and irritation connected with gum disease can distress the underlying bone and other supporting structures, eventually causing tooth loss if left untreated.

Gum disease is still the most common cause of tooth loss in adults, and people who smoke are more likely to have bacterial plaque, which leads to gum disease. Smoking causes a lack of oxygen in the bloodstream, and can also suppress your immune system, affecting your capacity to recuperate from common illnesses and heal from minor injuries. 

Any use of tobacco increases the risk of developing a compromised immune system, making it more difficult to treat other illnesses, like oral cancer. It can also increase your risk of developing cancer of the tongue, inflamed salivary glands and the chance of leukoplakia, or white patches inside the mouth.

Smoking and Your Smile


Tobacco use increases the risk of tooth decay and makes cosmetic and restorative treatments more complicated. It also leads to deep tooth discoloration, so professional teeth whitening treatment is less effective. When you stop smoking, and your oral health improves, you may still require veneers to brighten your smile.

Smoking creates more dental plaque and causes gum disease to get worse more quickly than for non-smokers. To combat the effects of smoking, your dentist may recommend you see a dental hygienist, for extra treatment. Thorough cleaning and keeping a closer eye on the health of your mouth can help prevent the negative side effects of smoking. Your dental hygienist will most likely advise you to visit your dentist every three to six months to keep ahead of any problems.

Call us today to schedule an appointment to keep your smile looking bright. 

Monday, April 23, 2018

Are X-Rays Safe?


At Steven K. Okamoto, DDS, your health and safety are extremely important to us. Dental x-rays are a common investigative technique that we considered to be safe. Moreover, the digital dental x-rays we use are even safer. They have very low doses of radiation, producing just a fraction of what you are exposed to in other imaging procedures.

If you’re worried about whether you need dental x-rays, it’s good to dig a little deeper into what dental x-rays involve.  

X-Rays and Radiation Exposure


There is very little cause for concern when x-rays are performed properly and with adequate safety precautions. A regular exam that includes four bitewing x-rays has about the same amount of radiation you would experience if you traveled on a plane for two hours.

It is important to remember that the effects of radiation are cumulative over your lifetime. For instance, if you travel a lot, then waiting two to three years between dental x-rays is a good idea. Even though the exposure to radiation is low during an x-ray, you still want to keep your overall lifestyle as free from radiation as you can.

Minimizing Your Risk


The most effective way to minimize radiation exposure from dental x-rays is only to have them done when necessary. Fortunately, it is up to you and your healthcare provider how often you have an x-ray done. There are certain factors to consider when deciding to have an x-ray done.

  • Oral health history
  • Current symptoms
  • Age and dental development stage
  • Personal risk factors


A careful evaluation by your dentist can reduce the need for x-rays. If you are concerned about how much exposure you have experienced, then ask your dentist to perform a visual examination before ordering any x-rays. Also, if you have your x-rays from a previous dentist, make sure to get them transferred to Dr. Okamoto to eliminate the need to repeat the procedure.

Contact Us for a Comprehensive Evaluation


At Okamoto, DDS, we do not take risks with products or treatments. Our dentist only provides services that preserve your overall well-being. Feel free to call us and discuss the need for dental x-rays to understand better how we can help improve your oral health.

“Ouch!” What are Desensitizing Medications

Desensitizing medications are used to seal the microscopic pores of unprotected root surfaces if a patient is experiencing more than a mild sensitivity to temperature extremes or sweets. Teeth whitening can also leave patients with sensitivity. Desensitizing medicines are applied by dentists and seal the dentin layer of the tooth that causes sensitivity.

First, your dentist will rule out inflamed tooth pulp, tooth decay, infection, or gum recession as a cause of sensitivity. Then, the desensitizing medication is applied from a small bottle and applied with a fine brush.

Desensitizing medications are also frequently used during restorative dental procedures like fillings or crowns. This application is done before the restoration is placed on the tooth to help prevent tooth sensitivity later. The procedure is usually painless because the patient’s tooth is typically numb. Sometimes, several applications of desensitizing medication are necessary to provide complete relief of symptoms.

Types of Desensitizing Medications

Desensitizing is a fast and easy procedure to have and it can bring permanent relief from some forms of dental pain. The process is completely non-invasive and can be done during restorative dental procedures to prevent the problem from occurring at all. For the most effective results, the use of desensitizing medications needs the affected tooth to be dry and isolated from the surrounding soft tissues.

Professional desensitizing agents must be applied under the supervision of a dentist. There are a variety of medications that can be used in the process, including:

  • Gluma® Desensitizer 
  • Potassium Nitrate
  • Fluoride Gel or Varnish

Fluoride also slows the progress of tooth decay by increasing the rate of enamel mineralization, a process where essential minerals that support a hardened, healthy enamel are resupplied to the tooth.

When the demineralization of teeth progresses without regular remineralization, the pores within the tooth enamel become bigger and more sensitive. They then allow more acids and bacteria to enter, which can result in decay. Fluoride helps stop this decay cycle by mineralization of the enamel. After the completion of your examination, Dr. Okamoto may suggest using a desensitizing toothpaste to maintain a healthy environment in your mouth.

Treatment for a Pain-Free Smile

Many people experience tooth sensitivity and there is no need to suffer with the problem. At Steven K. Okamoto DDS, Inc we can help you. Call our Torrance office today if you think desensitizing products may be something you need.

All-on-4 Dental Implants


Dr. Paulo Malo successfully treated the first patient with the All-on-4® treatment in 1998, and since then hundreds of thousands of patients have experienced the look and feel of natural teeth again. The All-on-4 treatment concept provides a permanent titanium bridge for the entire upper and lower set of teeth and can often be done in one visit. The procedure is best suited for patients in dentures or those with significant tooth loss or decay. It is also an option for those whose bone loss in the jaw area prevents them from getting traditional dental implants.

All-on-4 consists of establishing a fully customized bridge based on as few as four titanium implants. The standard method includes four dental implants and an acrylic denture that is built around a titanium frame instead of a full arch of implants. These implants are longer and placed at precise angles to integrate into areas of reduced bone density.

The procedure takes advantage of existing bone, even if it is a small amount. The implant allows patient to avoid having bone grafts and provides a more secure bridge that will last for many years.

Restoring Healthy Smiles


The All-on-4 treatments only needs four precisely placed implants on the top of your mouth, and four on the bottom. Because the implant is made of titanium, they fuse to living bone and function as part of it. Eventually, the dental implant becomes part of the jawbone and serves as a strong foundation for your new teeth.

The strengthening of the bone stops any shrinking and helps to maintain a more youthful facial structure and better oral health. This advanced implant treatment restores normal dental function so you can eat your favorite foods and smile with confidence.

Experienced All-On-4 Care in Torrance


With All-on-4 those who are missing all or most of their natural teeth have the best chance of full mouth restoration. Dr. Steven Okamoto and Dr. Michelle Okamoto have helped transform smiles for years and are passionate about helping others maintain healthy teeth and gums in Torrance. We are pleased to offer our patients the benefits of All-on-4 implants from one of the most reliable names in implant dentistry, Nobel Biocare®. Contact us or come in for a comprehensive evaluation and we will help you determine if the All-on-4 treatment is right for you.

Options for Missing Teeth


When you’re missing one or more teeth, there are many options for making your smile complete again. Whether you choose removable prosthetics or permanent replacement teeth, Dr. Okamoto ensures you are fully informed about which appliances are available to meet your needs. 

If you’re visiting our office for restorative treatment, consider the following benefits for the teeth replacement options available to you:

Removable Prosthetics


These appliances are not cemented in place and do not require surgical procedures. Removable teeth are usually a cost-effective treatment that is minimally invasive and popular among patients looking for the quickest solution available.

  • Partials – Patients with sporadic tooth loss or a single missing tooth can choose partial dentures. Replacement teeth are attached to a plastic or metal framework, which hooks around existing teeth. Partials typically should be removed before meals but they can effectively create the appearance of a full smile.
  • Full Dentures – When all teeth in one or both arches are gone, full dentures are the go-to treatment for many patients. Dentures are made of acrylic and tooth-colored materials to re-create a natural-looking smile. These dentures can be worn all day to aid in clear speech and improved biting and chewing.

Note: As these restorations are not permanent, and often rely on surrounding structures for support, patients may experience changes to facial aesthetic caused by bone loss. Removable appliances can also loosen through the day and require adjustment to ensure the best fit.

Fixed Teeth

If you’re looking for the most reliable forms of tooth replacement, prosthetics that are cemented or interact directly with bone are the longest-lasting treatments available. Your choice of bridges or implants will depend on budget and preferences, as well as how many teeth are missing.

  • Bridges – Among traditional dental restorations, bridges are some of the most durable teeth replacements.  A bridge typically consists of a fake tooth with two dental crowns on either side. The crowns are placed over pre-treated teeth surrounding the gap caused by loss or extraction. Bridges are then bonded in place and can be expected to last for decades.
  • Implant-Supported Restorations – When a permanent implant supports your dental restoration, you benefit from the best aesthetics, health, and comfort. Implant posts prevent jaw bone loss and naturally integrate with surrounding tissue, so your new tooth looks and feels real. Implants can last an entire lifetime with the proper care.


If you’re missing an entire arch of teeth, a dental bridge cannot restore your smile, unless it is supported by implant posts. Dental implants are the gold standard for tooth replacement but do require a longer healing period and initial surgical treatment to add posts.

Questions about Tooth Replacement? Ask our Dental Specialist!


As a prosthodontist, Dr. Steven Okamoto is skilled at helping patients find the teeth replacement option that meets their expectations and needs. With help from our general and cosmetic dentist, Dr. Michelle Okamoto, we ensure your procedure improves your appearance and is as comfortable as possible. Call or visit our office for details about choices for replacing teeth!

Friday, February 16, 2018

What is an Implant?

Dental implants are highly advertised dental treatments, which we also discuss at length on our website. But if you’re unfamiliar with this process, it pays to know the basics. To unpack the essential elements of this procedure, Dr. Okamoto has provided the following blog post.

In short, a dental implant is a complete replacement for a lost tooth – and that includes a substitute for the roots of a teeth. While crowns, bridges, and dentures (the prosthetics for replacing the visible parts of teeth) are important to overall treatment, a dental implant usually refers to the components listed below:

Post – This is a small appliance that looks like a screw and serves as the base of the implant. Dr. Okamoto places the post into the jaw bone so it can integrate with tissue and become a strong foundation for other pieces of the restoration. Implant posts are typically made of titanium, but advancements in implant technology have provided zirconia bases as well.

Abutment – This connecting piece serves as the coupling between the post and the visible prosthetic. The abutment can be made from metal or tooth-colored materials, depending on needs and preferences.

Established companies, such as Nobel or Zimmer, supply the post and abutment, while the implant restorations Dr. Okamoto adds to the abutment are usually created at an outside dental lab.
As much as a dental implant can replicate an entire natural tooth, implant posts can also be supports or anchors for larger restorations. One implant post, abutment, and crown can equal one whole tooth, but four dental implant posts, specialized attachments, and a bridge or denture can equal a complete arch of your smile.

Dental implants are flexible prosthetics that support dental health, function, and appearance. Their power comes from the post, which creates a replacement for missing tooth roots and stimulates bone over time. The definition of an implant can be complicated, but it may be best served by stating that an implant is a replacement tooth root and permanent base for aesthetic tooth replacement.

Ask Dr. Okamoto about Dental Implants!

If you’re looking for more information about implant procedures, we encourage you to read through our website or contact our office to speak to a member of our team. As a tooth replacement specialist, Dr. Okamoto has all the information necessary to help you make confident decisions about your treatment plan.