Twin Palms Dental is a Sylmar based family dentist practice that treats patients of all ages. We are committed to delivering the highest quality dental care and do so using advanced dental equipment. We are a cosmetic dentist that offers services like checkups, teeth cleaning, crowns, veneers and more.

Dr. Nouneh has been serving the San Fernando Valley as a Family, Cosmetic and Implant dentist for the past 28 years. He is well known in the community for both his excellence in dentistry and for his many charitable roles. Dr. Nouneh graduated from the Demascus University School of Dentistry in 1985 and received his license to practice in California in 1991. He opened his first clinic in Pacoima, California in 1993 and has been treating patients in the Northeast Valley ever since.

Through the completion of many post-graduate courses, Dr. Nouneh has been able to provide for his patients the best of care with the newest technologies available. He has extensive training and experience from UCLA in Cosmetic Dentistry and Prosthetic Appliances. He has also completed The Art of Endodontics program in Santa Barbara at the Buchanan Dental Education Laboratory. A course that specializes in helping dental professionals upgrade their skills and gain experience with 'cutting edge' dental equipment.

Dr. Nouneh resides in the San Fernando Valley with his wife and three children. In his spare time he is devoted to charitable organizations and church activities. Dr. Nouneh is dedicated to providing the best available care to his patients, with a sense of compassion and devotion. He has served as an excellent role model for the community and his fellow dentists for the last 15 years, and will continue to do so.

Dental implants can be an ideal solution to replacing damaged or missing teeth. They can restore not only the functionality of teeth but can provide a great new look as well. Dental implants are a standard cosmetic dental option offered at Twin Palms Dental.

People tend to assume that the gap left behind after losing a permanent adult tooth can remain empty. The reality is that an exposed tooth socket faces the risk of infection, can cause teeth to shift out of alignment, and can cause other issues as well. With a dental implant, we can help patients avoid those oral health issues We have the tools and skills necessary to provide patients with a customized dental implant to meet their specific needs.

Dental implants can even help prevent facial structure from changing, providing the functionality needed to perform the same as before the original tooth was damaged. Supplementing them with a dental crown can also ensure that the dental implant looks perfectly natural along with your other teeth.

Once you are cleared for the procedure, the staff at Twin Palms Dental will take an impression of your mouth to create a new tooth in a dental lab. Each synthetic tooth will match the size and shape of the surrounding teeth, along with having a perfect color match. This way your smile will appear completely natural once we complete the procedure. Many patients are satisfied with the results since no one can tell the difference between which teeth are real and which ones are synthetic.

Teeth restored with implants will not get cavities. A replacement tooth, or crown, does not decay like a natural tooth. However, you still need to brush, floss and care for it and your surrounding natural teeth in the same manner as natural teeth. Regular professional cleanings and dental checkups are also essential.

The next step in the procedure is to implant a metal post under the gum line. This aspect of the procedure is what sets an implant apart from other forms of cosmetic dentistry. The metal post is secured to the jawbone in order to create a durable, synthetic root system that rivals the strength of natural roots; with one exception that the metal cannot face infection. Over the course of a couple of months, the metal post and jawbone will fuse together. This creates a level of durability that cannot be replicated in other types of procedures.

Afterward, we will secure the new synthetic tooth to the metal post at the surface of the gums. The new tooth is attached so securely, that patients can eat their favorite foods, maintain an active lifestyle, play sports, and more, without fear of their tooth becoming loose or falling out. Patients can enjoy the benefits that come from never having to worry about their tooth again.

The team at Twin Palms Dental provide dental implants in a way that is comfortable and functional. We take the time to make sure that every aspect of the procedure is completed correctly the first time.

Once implants have been installed, they are extremely easy to care for. We hear patients throughout Sylmar ask questions that range from 'Do implants come out' to 'How do I brush my teeth'. Fortunately, the answers are not as complex as some people might believe. Since we install dental implants by creating a synthetic root system, they are durable and secure. The dental implants will not fall out or become loose. This means you can go play basketball, run in a 10k marathon, and wrestle with your kids without worrying about your tooth coming out.

In order to care for your implants, we advise patients to brush and floss their teeth throughout the day like normal. Additionally, it is important to schedule dental exams and cleanings with Dr. Nouneh at least twice a year. The staff at Twin Palms Dental will help to clean your teeth and ensure that they stay healthy. While dental implants cannot become infected themselves, the teeth around them can. If, in the future, you suffer from a severe case of gum disease or a dental abscess, the infection can spread into your jawbone. This puts your implants in jeopardy because in order to stay secure, the jawbone must be in good health. If it becomes infected, your dental implants and all of your teeth will be in jeopardy.

A. Generally, this is not a good idea. We find that it is generally much better not to attach implants to teeth. We frequently attach implants to each other, which can improve strength and works well. So in a case like this, although it may be more expensive in the short term to place two implants instead of one, the long-term success is likely to be much better with the two implants.

Q. I lost my upper back teeth on one side and have gone for years without doing anything about it. My sinuses always seem to bother me more on that side than on the side that I have back teeth. Could these problems be related to one another?

A. In a large majority of people who are missing their upper back teeth for a long period of time, is the increasing downward growth of the maxillary sinus. At birth, it is the size of a pea and progressively grows as the skull matures. This growth is at the expense of the surrounding bone. If you are considering replacing those upper back teeth with fixed teeth that stay in all the time, it may be necessary to perform a sinus elevation procedure to allow room for placement of dental implants into this area to support those teeth. This involves placement of bone and/or bone substitutes into an area which was previously occupied by the lower part of the maxillary sinus. Most importantly, this procedure increases the available bone use to place implants and restore the missing back teeth.

A. In most cases, with the new options available today in the field of dental implants, some form of treatment is possible. We encourage people to get help as soon as possible if they are already having some problems with their current situation. These problems include excessive use of denture adhesives, chewing only soft food, unable to taste some foods, constant mouth sores, unhappy with the appearance of one's teeth and bite position (in some cases the nose and chin getting closer together). The sooner we correct the problems with dental implants, the more choices one has available for treatment. If you have any or all of the above symptoms, implants can very well be the answer for you.

A. It is not necessary to have an implant for every tooth that is being replaced. The number of implants necessary to provide support depends on the type of implants used and the type of teeth (removable vs. non- removable) that will be attached to the implants. A thorough oral exam and panoramic x-ray is all that is necessary in most cases, to determine which implant can be used and how many must be used. Sometimes additional X-rays or CT scans are used in more complicated cases.

Q. I consulted a dentist several years ago about using implants to replace my lower denture and he told me that I did not have adequate bone available to place enough in-the-bone implants without danger of fracturing my now fragile jawbone. Are there any alternatives?

A. Because of the advances in the field of implantology, there are now more choices and techniques. It is rare for a person to not be able to receive an implant or a combination of implants. Today we have available many types of implants designed to accommodate multiple problems.

A. Teeth that have root canals can fracture more easily than other teeth because they are weaker and somewhat dehydrated. They can sometimes be as brittle as glass. In the past, the best available treatment was to remove the tooth and file down the adjacent teeth to make a bridge - caps on the adjacent teeth with an attached 'dummy' tooth between. Sometimes this still is the only way. However, in many cases an implant can replace the fractured tooth and we will not need to grind down a tooth to at all.

Teeth whitening from a dentist is a great way to improve the appearance of your smile and remove stubborn stains. A common question that many patients ask relates to how long the results last, and this review offers insights into what you can expect when visiting a dentist for professional, in-office teeth whitening.Many cosmetic dentists

The All-on-4 procedure is a popular choice for those looking to undergo a hybrid method of tooth replacement. Implant-supported dentures combine dental implants and dentures into one restoration, which allows patients to smile confidently, speak comfortably and eat naturally. While the All-on-4 procedure is relatively popular, it is still rather new to dentistry, which is

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In addition to helping you avoid a nasty toothache and saving you time, preventative dental care can also save you money. At Twin Palms Dental, we can treat your tooth decay or infected tooth, regardless of how minor or severe the problem is. We prefer, however, to identify the problem quickly and before it has the chance to spread and cause you a great deal of discomfort. It is also important to note that if you have a small cavity, all that you will likely need is for the decayed portion to be removed. A filling can then restore the missing tooth structure. While the cost of every procedure depends on the extent of the work being done, a good rule of thumb is that a filling will cost around a third of what a crown will cost. If you are looking to save money, catching a cavity early, when all that's needed is a filling, will provide a significant savings. Unfortunately, those that do not receive regular dental care often wait until the discomfort is so severe that they can't stand it any longer. By this point, the decay or infection is likely to be so severe that a crown will be necessary. Given the higher cost, you could have three fillings for the price of one crown. Therefore, preventative dental care makes financial sense.

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