Garden Grove Dental Arts : Marianna Ibrahim DDS


Implants vs. Bridges: the Two Most Common Solutions for Replacing Teeth

"Bridge from dental porcelain" by Original uploader was Wagonerj at en.wikipedia - Transferred from en.wikipedia; transferred to Commons by User:Sevela.p using CommonsHelper.. Licensed under CC BY-SA 3.0 via Commons -

A typical dental bridge.

But which solution is better, Dental Bridges or Dental Implants?

In the New York Times article by Jane Brody, “A Dental Shift: Implants Instead of Bridges” Dr. Michael Zidile, a periodontist, remarks — after looking at the writer’s teeth — “This is not how we do restorations nowadays. A bridge is not a permanent solution and makes it too hard for most people to keep their gums and underlying bone healthy. Now we do implants and individual crowns where needed.”

After getting a second opinion (just to be certain), Brody discovered that this was by no means an isolated attitude. In fact, in many cases where a patient has to get a tooth replaced, the best and most long-term solution for both replacing the tooth and maintaining a healthy mouth for years to come is a dental implant. Not only are dental implants easier to clean and maintain — making better oral habits more likely, but dental implants also rarely need to be replaced, making them more economical than bridges.

As Dr. Lawrence J. Kessler explained further, “Bridges are not the standard of care anymore” and implants tend to be the treatment of choice over dental bridges. On top of this, they don’t require crowns to support them — making them simpler to install and easier to brush and floss. This helps ensure that surrounding gum tissue and bone are far more likely to remain healthy.

On the other hand, dental bridges use surrounding teeth to support the tooth being replaced. With this in mind, if one of the teeth supporting the replaced tooth is damaged, breaks, or develops decay (which is possible, due to the teeth being harder to clean with a bridge), the entire bridge and all of its supporting crowns need to be replaced.

The Big Difference

What many patients hone in on when it comes to the difference between dental implants and dental bridges is the fact that dental implants tend to cost more, and this is true. But there’s one important distinction to make:

While the cost of a dental implant tends to be more — the “life” of a dental bridge is about 10 years, meaning that the bridge will need to be replaced at some point while a dental implant could last a lifetime.


Do you have questions about replacing a decayed or broken tooth? Wondering what options might work best for you? We’re happy to help. Here in our Garden Grove, CA dental clinic we’ve installed hundreds (if not thousands) of dental implants. Contact us today with any questions.

Braces for Adults: The Top Options Recommended by Orthodontists


Braces. They’re the theme of the week, because we tend to get a lot of questions about them — because braces aren’t just a dental tool used to help straighten and align a child’s teeth. Plenty of adults take advantage of braces to correct their smile and give them greater confidence in their smile.

Many adults researching braces aren’t always aware of the options available to them. They assume that braces are either too inconvenient or too expensive. This doesn’t have to be true. Take a look at our post, How to Make Braces More Affordable for tips on how to save on your braces.

As for the type of braces many adults choose to perfect their smile, a clear top-choice (pun-intended) has emerged. Invisalign.

The Patient’s Top Choice for Adult Braces: Invisalign

Can you believe that the New York Times first wrote about the most popular invisible braces for adults (otherwise known as Invisalign) all the way back in 2000? The headline read: “The Stealth Substitute for Braces, Designed Only for Adults” and while the definition of “adult” might not include some older teenagers — Invisalign remains a flexible, powerful, and popular substitute for traditional braces.

Naturally, the most obvious benefit adults appreciate about Invisalign is the fact that the Invisalign retainers are, well, (almost) Invisible. 

How Invisalign Works

When you choose to get Invisalign, your care provider uses a computer to create a 3-dimensional model of the position your teeth are currently in and a model of the position that your teeth should be in.

Once the 3D model is complete, the Invisalign system creates up to 30 aligners — each slightly ifferent — to gradually move the teeth into their proper position. To accomplish this, each of the aligners is used for about 2 weeks before it’s replaced by the next aligner in the set, and the aligners are used for about 20 months. Many patients wonder, “Will I have to wear my Invisalign retainers all the time?” and the answer is “Almost”. However, Invisalign retainers are designed to be convenient and comfortable. Despite some initial discomfort, patients report adapting to the Invisalign process incredibly quickly.  Not only are they invisible, they are also incredibly easy to remove and clean. This eliminates the complaint many braces wearers have about braces making it difficult to keep your teeth clean and evenly colored.



How to Make Braces More Affordable

The New York Times said it best. “BRACES. Few words strike more fear into a parent’s heart.” But they shouldn’t. 

If you’ve decided that you might need braces – but you aren’t entirely sure yet, that’s understandable! Braces might seem like a massive undertaking, especially for an adult — but you might have more options than you realize, from how to afford braces to the right braces for your particular condition.

Whether you just noticed that your bite is “off” or you’re noticing that some of your teeth are misaligned, some people worry about the inconvenience, others worry about the “look”, while many still worry about the cost of braces.

Fortunately, modern orthodontics have come a long way and there are options to suit the needs (both in terms of budget and vanity)

How to afford braces

First, you should discuss your options with your family’s dentist or orthodontist. Many times, a number of payment plans are available that can help offset the cost of braces.

Consider Dental Insurance

If you have dental insurance through a job or any other arrangement, there is chance that it covers orthodontic treatment. However, many dental plans only cover a portion of orthodontic care. Many orthodontists will work with you  by combining your existing dental insurance discount with a payment plan, making ultimate cost of braces quite manageable.

Ask for a Payment Plan

Orthodontists and dentists, like Garden Grove Dental Arts understand that braces can get expensive. For that reason, many Orthodontists are willing to create a payment plan that extends the length of your payment while working with you to make affording braces easier.

Save by Paying Up Front

Many orthodontists are also willing to give you a discount when you pay for braces up front. This is just another way to offset the cost of affording braces. However, the most effective way of making braces more affordable is to budget wisely and take care of your teeth.











How to Prevent a Dental Emergency Before it Happens

Everyone understands that unexpected dental procedures are not fun. Not only can they be painful and even a little bit startling, but they can also get expensive.

If you’ve just had an accident, try to stay calm. The first thing to remember is that dental emergencies are not impossible to correct. Stay calm, and call your dentist. Many dentists (like Garden Grove Dental Arts) provide same day emergency dental services where the first focus is on restoring your healthy smile comfortably, safely, and with your budget in mind.

Prevention is Key

However, when it comes to dental emergencies. The most important thing is to remember how to prevent them.

According to TuftsNow, “Hospitalizations for untreated tooth root infections, which regular oral health care could have prevented, are on the rise.” Which is to say, a large amount of procedures like emergency root canals could be completely prevented if more patients paid closer attention to developing strong oral health habits.

According to the Tufts study, hospitalizations due to root infections that went untreated for too long increased over 42% between 200 and 2008.

Consider this, in the years examined during this study the number of patients admitted to the hospital due to periapical abscesses was well over 61,000.  To put this in perspective, a periapical abscess is a collection of fluid at the site of an infection that’s created by a surge in white blood cell activity to attempt and kill the infection. These are otherwise known as a “dental abscess” and are an indication of a serious dental emergency that warrants an immediate trip to urgent care.  Their cause? Poor dental care. All it takes is a simple cavity that leads to an infection, which spreads from one bad tooth to another bad tooth — or even somewhere else in your body. Needless to say, a dental infection can be a serious issue.

One of the primary reasons these symptoms become a problem is because many patients don’t have immediate access to quality dental care, which makes good oral hygiene even more important. In fact, the Tufts study went on to say that an astonishing 89% of patients who had dental infections  “were hospitalized after an emergency room visit.” Which — as dentists explain — is a telltale sign of lackluster home-care and professional preventative care.


What Other Patients Had to Say about Dental Bridges

Not the kind of bridge you were thinking about, a dental bridge can make your smile look like new.

Not the kind of bridge you were thinking about, a dental bridge can make your smile look like new.

While the technology behind dental bridges evolves every year, consider the question posted by one user on popular internet forum in 2009. Her plea started: “Please reassure me about dental bridges!”

At the time of the post,  the user went on to explain that her husband finally began scheduling regular dentist appointments after years of neglect. After undoing some damage that had been done (including some wisdom teeth that needed pulling), the patient needed to have them either replaced with dental bridges or implants — which tend to come with a larger price-tag for the uninsured.  The poster’s concern was that the bridges wouldn’t last, would cause too much damage to surrounding teeth, and wouldn’t function nearly as effectively as natural teeth.

The patient’s wife concluded her post with a final question “Are bridges a reasonable solution, or are we going to need to suck it up and go into debt for the implants?”


One patient replied:

When I first got the bridge I was very apprehensive about putting pressure on it and biting too hard. I was also worried about sensitivity. A year-and-a-half after the treatment I can say that it was a very good decision to get a bridge


And another chimed in:

One of my front top teeth is a bridge. . not only has it not been a problem, but it has made my mouth look better, in that the two teeth on either side are crowns now, resulting in more consistency.

One of the best things I have done, get this work done. He’ll be taught to floss under it, but that is also not a huge deal.

The Bottom Line: A Good Dentist and Proper Care Make a Successful Dental Bridge

When it comes to repairing your smile (and regaining your self confidence), dental bridges and dental implants can be very effective solutions. However, while it’s important to weigh the pro’s and con’s of both solutions — it’s also incredibly important to consult your family dentist on all the available options.

Here at our family dental practice in the Anaheim area, we install a number of dental bridges every week.

While many patients are well aware of the fact that a dental bridge can effectively restore the look of your teeth and maintain a proper shape in your face, they also do a great job of preventing your other healthy teeth from shifting out of place. On top of all this, patients are often surprised to discover that chewing isn’t as hard as they thought it would be. Many patients hesitate to chew with their bridges and eventually discover that — with just a little bit of care — they can chew almost like normal.

Do you have questions about dental bridges? We’re here to help. With thousands of dental bridges installed in our very office, our dentists are experts in the area when it comes to successfully restoring teeth with dental bridges.

Common Misconceptions about Root Canal Treatment

Root canals. They are one of the most infamous and feared dental procedures, even though many might be just a little misinformed about the common procedure. Here at our dental clinic in Garden Grove, CA — we perform quite a few root canals, so we’re well suited to dispel some of the most common myths that seem to get spread about them.

Root canal’s are painful.
It’s not surprising to hear “root canal” and “pain” mentioned in the same sentence. However, this doesn’t necessarily have to be true. When you learn you need a root canal, don’t immediately start to think about the pain. Why? Well, first because a root canal is performed to get rid of pain. The actual procedure is painless, due to the local anesthetic used by your dentist to eliminate the pain. On top of this, if you’re nervous or anxious about the procedure — your dentist can also use nitrous oxide (otherwise known as laughing gas) to calm the nerves.
“My Teeth Don’t Hurt,  I don’t really need a root canal do I?”
Many times, teeth that require a root canal will not be painful. Don’t take this to mean that your tooth doesn’t need a root canal. Dentists and orthodontists can easily determine to what extent the pulp of your tooth is infected or damaged. Depending on this diagnosis, you might need a root canal. The reason you’re not experiencing any pain could be because you have a fistula — or a “pimple” looking protrusion near a damaged tooth. This pimple-like bump is a pathway of tissue draining puss away from the infection in your tooth. This “pimple” might come sporadically, but it’s important to seek immediate treatment before infection spreads to nearby tissues.
“Is a root canal necessary? Won’t the Tooth by removed eventually anyhow?”
Another common misconception is that because the tooth is infected, it will eventually need to be removed anyways — making a root canal unnecessary. This is not true. A majority of root canal procedures successfully saved the tooth being treated.
“A Root canal removes the whole tooth.”
While many believe the root canal procedure removes the tooth, the actual point  of a root canal is to save an infected tooth so it doesn’t need to be removed. A root canal procedure removes nerve tissue and tooth pulp, along with a small portion of the root. This is done to ensure that all of the bacteria in the tooth is removed.
“After a root canal, I’ll be done with dentist appointments for a while…”
False! While a root canal definitely gets you “out of the woods” when it  comes to an infected tooth you will need to  schedule a few follow-up visits to remove the temporary filling that was placed on your tooth after the procedure, and replace it with a permanent crown or filling to seal the tooth and prevent further infection.


Can an Emergency Dentist Save A Broken Tooth?

Whether you’ve just broken a tooth or it’s simply an event you prefer to be prepared for, the first thing you should do is remember not to panic. People crack, chip, and break their teeth more often than you would think — and there are effective solutions for fixing even the biggest problems.

As an emergency dentist in Garden Grove, California – great weather and active patients seem to multiply the potential for broken teeth. Everything from a wrong step in a game of Tennis to an accident involving a skateboard and gravity can have implications for your smile. While products like mouth-guards are the best for protecting your teeth from an impact, they’re still not convenient or common in many activities. With this in mind, it’s not very surprising that one of the most common questions we receive is:

“Can an emergency dentist save a broken tooth?”

And the answer is typically yes. While handling a dental emergency can sometimes be a stressful situation, taking the appropriate steps can ensure that the affected tooth or teeth can be saved.

What to do for a knocked out tooth

If you’ve knocked out one or more of your tooth, be sure to hold the tooth by the crown (the top) and gently rinse it out with water. Under no circumstance should you scrub your tooth or remove any of the pieces of skin and tissue still attached to it. If possible, you may gently place the tooth back in its socket. As an alternative, you can also store the tooth in a glass of milk. Go to the dentist immediately, and don’t forget your tooth — because it can be reattached.

What to do for a broken tooth

A broken tooth can often be painful and very irritating. If you’ve broken a tooth, first you should rinse your mouth out with warm water to make sure the area is clean. Next, use a cold compress to reduce or prevent swelling that may occur on your face. You can also take an over-the-counter pain reliever to help with any pain. Be sure to visit your dentist as soon as possible to prevent infection that could hurt your teeth even more.

While small chips are usually repaired with a special filling, larger chips on front teeth can often be reattached to the tooth. This all depends on the specific case.

What to do for a loose tooth

A loose tooth might not even require any treatment at all. Still contact your dentist and ask for their expert opinion, because every case is different. In most cases, your dentist will want to inspect the tooth and schedule follow up visits to ensure proper health in the future.


Are you having a dental emergency in Garden Grove or  the Anaheim area? We’re here to help. Our emergency dental team thrives on providing helpful and reassuring care. If you have questions, please don’t hesitate to contact us today.

Should I get Braces or Invisalign?


Braces. Some patients get excited for them, some patients dread them — but everyone enjoys the end result, a smile that’s straight and healthy for years to come.

It’s true, braces can accomplish quite a lot — but the process involved (and the particular benefits) vary from option to option. When it comes to your available treatments, one of the most common questions remains, “should I get braces or invisalign?”

So we’ve decided to give you the answer you’ve been looking for!

The Answer: “Well, it depends. 

There are a number of pros and cons to both traditional braces and their transparent cousin, invisalign. Read on to learn about some of the benefits and downsides to the two most popular orthodontic solutions available.

Hygiene: Invisalign Wins

There’s really no debate here, the ability to remove Invisalign retainers for brushing and flossing makes hygiene much easier. However, many patients with traditional braces often brush and floss more effectively than Invisalign patients. For them, it all comes down to good habits — but removable retainers definitely make hygiene easier.

The Look: Invisalign Wins

When it comes to how your braces look, Invisalign has the clear advantage. After all, there’s a reason they’re called see-through braces or transparent braces. Unlike traditional braces, Invisalign uses clear plastic that has been molded to fit your teeth and promote straightness. On the other hand, traditional braces (while available clear) are considerably more noticeable, and cannot be removed.

Comfort: It’s a Tie

Straighter teeth aren’t always easy, but every patient says they’re worth it. While many patients assume that Invisalign retainers are more comfortable, this isn’t always the case. Both orthodontic solutions can cause a bit of soreness. However, it’s important to remember that the soreness isn’t caused by your braces or retainers — it’s from them doing their job and slowly closing the gaps between your teeth. While you will get used to your braces, there isn’t a major difference between the initial level of discomfort.

 What they Fix: Traditional Braces Win

While many patients enjoy Invisalign for its ability to unobtrusively correct minor cosmetic issues like misalignment — it won’t work with every case. Many more serious cases respond better to traditional braces.

Read our last article about Invisalign “Is Invisalign Right for Me” to learn about what makes a good invisalign candidate.

Ease of Use: Traditional Braces Win

While patients love Invisalign for the ability to remove the retainers, this feature can be a disadvantage for orthodontists because it involves a loss of control. Instead of having the braces fixed to the teeth, the ability to take the retainers in and out can delay the process. As we always say: they won’t work if you don’t wear them.

Treatment Length: It’s a Tie

When it comes to the length of your orthodontic treatment, the type of treatment doesn’t quite determine how long you’ll be waiting for your new smile. Different cases require different approaches, and your dentist or orthodontist will determine which solution is best for your particular condition. Before your treatment ever begins, you will always know approximately how long it will take.

Do you have questions or concerns about the types of braces available to you? We’re a local dentist office serving the Garden Grove Area and we’re here to help. 



Most Common Questions about Cosmetic Dentistry

Every day, patients enter our dental clinic with all sorts of questions. Whether they’re visiting for a scheduled appointment, or for emergency dental care — some of the most prominent questions tend to be about cosmetic dentistry.

A good cosmetic dentist can accomplish a lot with some of the most common cosmetic dentistry procedures, including whitening, crowns, bridges, veneers, Invisalign and more. However, the most common questions aren’t about the procedures themselves, but what they’re capable of fixing.

Without further ado: the top 5 questions patients have about cosmetic dentistry.

Can cosmetic dentistry fix crooked teeth?

Oftentimes, patients wonder if veneers are capable of correcting crooked teeth. The answer is, typically not. When teeth have a significant overlap, or are crowded — the most common solution is an orthodontic one, which could include classic braces, a retainer, Invisalign, or “behind the teeth” braces (otherwise known as lingual braces).

If your teeth are very overlapped or crowded, it is best to get orthodontics to correct this prior to veneers. This allows for less tooth structure to be removed and a much better esthetic result. It also allows for a healthier periodontal situation beacuse the teeth will be more easy to clean and trap less plaque

Can cosmetic dentistry fix underbite?

Fortunately for patients with an underbite, a cosmetic dentist can sometimes correct minor cases of underbite by using porcelain veneers. For more serious cases of underbite — like overbite — jaw surgery or braces might be a more appropriate solution.


Can cosmetic dentistry fix overbite?

Unfortunately not. While cosmetic dentistry can successfully correct some minor imperfections, overbites are a skeletal issue and are most frequently addressed outiisde the dental clinic by either an orthodontist or a maxillofacial surgeon.


Can cosmetic dentistry fix receding gums?

While porcelain veneers can be used to close the gaps between teeth, they can’t generally be used to fix receding gums. Actually repairing the gums (instead of simply concealing them) can sometimes require a simple grafting procedure. As always, the first and most important requirement for healthier gums is good oral hygiene and a soft bristle brush.

What are some other conditions that cosmetic dentistry will fix?

  • Gaps in teeth
  • Cracks or chips
  • Irregularly sized teeth
  • Weak teeth
  • Misalignment
  • Crowding
  • Crooked Teeth
  • Stains and discoloration

Do you have questions about cosmetic dentistry and how it can help you get your self confidence back? We can help! We’re a general practice and cosmetic dentistry clinic in Garden Grove, CA with years of experience answering questions just like yours.


What’s the Difference Between a Dental Bridge and a Partial?

Crown and Bridge

Any dental procedure that involves replacing a single tooth or group of teeth tends to raise a number of questions for patients.

Curiosity, anticipation, and the interest in finding the best solution for your budget drives a great deal of research into the most common solutions and their alternatives.

Today, we’ll be discussing the difference between dental partials and dental bridges.

What is a Partial?

 A partial is a prosthetic dental device used to create an artificial tooth (or teeth).  However, a partial can be taken out of the mouth — a lot like a retainer  or denture. The major difference between a partial and a bridge is that the bridge is a dental prosthetic that is permanently “cemented” in place.  

Sometimes, partials are even referred to as RPD’s or “Removable Partial Dentures”. They are often used as an inexpensive alternative to a dental implant or bridge when replacing broken teeth or teeth that have become rotten or infected.

Here in Garden Grove, dental bridges and partials are both common solutions — but the installation process for a partial is only slightly different from a bridge. With a partial, the artificial teeth are inserted into a molded base that has been fitted with a pair of metal clasps. Using these metal clasps, the artificial teeth are essentially latched in place, snugly and securely.

Do Partials Look Better than Dental Bridges?

The technology applied to coloring, tinting, and molding a dental partial grows every year. The base for a dental partial is tinted pink and matched to your gums to look like your real flesh and the materials used have been adapted to be comfortable.

When are Partials used over Dental Bridges?

A partial is often used as the most practical option when your dentist determines that future tooth loss is likely, as adding teeth to as partial is easier than extending a bridge. This is because the installation procedure for a dental bridge involves “shaving down” the teeth adjacent to the problem tooth. After this process, crowns are used for anchoring. The reason a bridge is called a bridge is because the adjacent teeth are used for the support necessary to fix the prosthetic in place. Because this is permanent, losing one of those neighboring teeth is problematic, and requires replacing the whole bridge.

Do you have specific questions about dental bridges and cosmetic dentistry in the Anaheim area? We’re here to help! Visit us or call today to learn about your options.