Garden Grove Dental Arts : Marianna Ibrahim DDS


How Finding a Dentist NOW Can Save You Money


When it comes to any sort of problem with your teeth, one of the most important factors to keep in mind is time. A crack here or a chip there might seem insignificant now, or you may even be able to tolerate that stinging pain when you bite down in just the right way. But remember, when it comes to damage or pain, the first sign of trouble is never the end. As a dentist in Garden Grove, California – we know well, it’s always easier and cheaper to treat the earliest symptoms and prevent long term consequences rather than waiting for them to become bigger problems. Word to the wise: find a dentist sooner rather than later.

Problems have a way of multiplying themselves. While a little decay may seem minor, it’s an incredible opening for bacteria and infection. If you’re not careful, what may seem like a minor problem can balloon into something greater when bacteria and decay reach down into your teeth, killing their insides and spreading infection deeper and deeper into your body. In the same way, problems with misalignment or tooth movement can cause you to put pressure on other, healthy teeth – which can damage them and continue to worsen alignment and bite problems over time.

How to know when a trip to the dentist could save you in the long run


If you’re experiencing sharp pain when biting down or chewing, it could be a couple different things. As is so often the case, early preventative care is always the best course of action. In many cases, sharp pain is due to dentin that’s become exposed -opening you up to sensitivity. This can come from receding gums or damage  – such as a chip or a crack. In some cases, sharp pain could be due to inflamed dental pulp – a common sign of infection and early indicator that you may need to see a root canal doctor.

Throbbing pain is generally not much better. A constantly throbbing tooth is a sure sign of excess blood flow to that tooth, which could happen for a few reasons ranging from general damage to cavities and infection.


If you or a partner notice you’re grinding in your sleep, it could lead to sensitivity or deeper damage over time. Sometimes, it’s more effective (and inexpensive) to get a night-guard designed to protect your teeth and prevent future discomfort.

7 Ways You Could Be Getting Cavities

Steer clear of painful cavities by knowing more about their hidden causes

Steer clear of painful cavities by knowing more about their hidden causes

Whenever it comes down to talking about teeth, the conversation frequently turns to cavities. How many have you had? Everyone’s got a number, some higher than others, and there are even  some patients  who seem to have a natural resistance to cavities (which isn’t entirely unheard of).

Cavities are one of the earliest and most obvious signs of trouble in your teeth. Fortunately, when caught early enough there’s no need to find a dentist for emergency dental work or a dental bridge. In most cases some drilling and a filling is all that’s needed.

While everyone knows that cavities will come from general lack of care and poor hygiene, they’re often surprised by some of the more unexpected sources of cavities. Read more about them to know what to avoid…

You’re over-brushing: Many times, when patients learn that the reason they got a cavity was because they’d been brushing too hard they simply can’t believe it. In fact, brushing too much can sometimes be nearly as bad as not brushing enough. However, instead of allowing plaque to build up, over-brushing destroys your enamel and makes your teeth more vulnerable to decay.

Your gums are receding: If you haven’t taken care of your gums or an over-brushing habit has caused them to recede, your teeth could be more vulnerable to decay due to their being a lack of enamel at the root of your tooth.

You’re eating too many acidic foods: If you’ve recently changed your diet or have started eating more acidic foods (particularly citrus juices), you should understand that acid can make it easier for bacteria and decay to work their way through the tooth’s enamel, leading to cavities.

You’ve increased your sugar intake: When you eat sugary foods, the bacteria in your mouth go wild. In doing so, they produce acids that damage your teeth, cause plaque, and contribute to decay.

You’re too stressed-out: Stress can have quite the impact on your body as a whole, especially your teeth. First, stress chips away at your immune system, then, it causes you start slacking on your normal good habits like brushing and flossing. Finally, you’re eating more sugar to get some satisfaction. Don’t be surprised if you end up with a cavity! Keep your stress in check and your whole body will feel better.

You’ve recently started exercising:  believe it or not, while exercising will undoubtedly have many positive affects on your body – it can also cause dry mouth. Unfortunately, dry mouth can lead to tooth decay – since your saliva’s job is to help keep your teeth clean.


You’re sick: When you’re sick and taking medication, it’s not uncommon for dry mouth to be a side effect which, again, can help make the conditions ripe for cavities. When you’re taking medication, it’s especially important to drink plenty of water. Not only will it help you get well, but it will also help protect your teeth.


Why Teeth Become Loose and What You Can Do to Prevent It

Have you ever gotten the feeling that one of your teeth was loose? It’s not uncommon to wiggle a tooth and let paranoia convince you it’s loose because of the way your jaw moves. But sometimes, the tooth actually is loose – which can most certainly be a cause for concern.

While a loose baby tooth is certainly common and completely normal, a permanent tooth that’s become loose is not normal and can happen for a number of different reasons.

Primary Occlusal Trauma: a primary occlusal trauma occurs when you bite particularly hard on something, or something impacts your teeth, and your teeth are damaged by the forces that were exerted on them. On the other hand, a secondary occlusal trauma is slightly different. A secondary occlusal trauma occurs when teeth under normal biting forces are damaged due to periodontal damage, gum detachment, and deteriorated bone support.

If you’ve read this far, you’re a patient in Orange County, and one of your permanent teeth feels loose – it’s time to find a dentist.

As periodontal specialist and general dentist in Garden Grove, CA we’ve been able to prevent the need for a dental bridge or implant by discovering gum disease and infection early, so that the damage doesn’t reach so far as to make your teeth weak, brittle, or prone to falling-out.  Even if a patient discovers a loose tooth, it still isn’t too late to treat the individual situation and – in many cases- save the tooth (and prevent the need for any more aggressive treatments).

What You Can Do At Home

The first step in ensuring your teeth remain firmly in your mouth for years to come is simple: keep your mouth healthy. A good oral hygiene routine today can very well mean your teeth “tomorrow” have a much greater chance of sticking around. This means, brushing after meals (and at least twice a day), flossing daily, and rinsing regularly. On top of this, if you don’t have fluoridated water, consider supplementing your diet.  Even if your teeth are and have always been incredibly healthy, it’s also important to visit your dentist – as they are the only ones who can tell whether or not there’s a problem lurking beneath the surface that would be much easier (and inexpensive) to prevent rather than treat.  Some dentists have even given patients with perfect dental records the “ok” to cut it down to once-a-year visits. But, chances are those patients aren’t searching for information about “loose teeth”!.

Need a hand?

If you’re worried or unsure about your teeth, know this: taking care of a problem early is the easiest, most convenient, most comfortable, and most inexpensive way to handle virtually any dental issue. For patients in Orange County and Garden Grove – Primary Dental Care is here to help.

Why It Might Be Time to Find a Dentist to Look at Your Gums….



It’s easy to take your gums for granted when most of the focus seems to be put on your teeth. However, it isn’t wrong to look at your gums as what they really are – the foundation for your teeth.

If you don’t take proper care of your gums, they will eventually begin to become irritated over time. Before long, this irritation can lead to a gradual weakening of the gums and the bone beneath them. In fact, this is exactly how gum disease progresses in your mouth. It starts as minor inflammation and discomfort and gradually becomes worse, slowly weakening your gums and jaw to the point where losing teeth is a near certainty.

How Gum Disease Starts

Gum disease starts with gingivitis. As the earliest stage of gum disease, it’s important to remember that gingivitis is very treatable. If caught on time, your dentist can help you eliminate it rather quickly. This is part of the reason why your periodic visits to the dentist are so important — because it’s often too hard for a patient to remove all the plaque on their teeth alone, and gingivitis is most frequently caused by plaque buildup at your gumline. When this plaque isn’t taken care of, it produces bacteria and other toxins that begin to irritate your gum tissue. The earliest signs of this are usually bleeding. In our dental practice in Garden Grove, we’ve helped countless patients reverse their gum disease and continue to live happy lives with healthy mouths.

If gingivitis isn’t properly taken care of, it gets worse and eventually becomes periodontitis. When you have periodontitis, the supporting bone underneath your gums as well as your gums themselves become severely damage. This causes a pocket to typically form between your gumline and your teeth, which continues to trap plaque and food debris. If this happens, quick dental care can reverse the damage. Find a dentist in the area immediately. If not, that problem can progress to advanced periodontitis. 

Advanced periodontitis is gum disease at its highest level. In this state, it will have nearly destroyed the bone that supports your teeth while all-but completely undermining your gums. This will inevitably cause your teeth to loosen or shift. In most cases, advanced periodontitis requires aggressive gum treatment to prevent teeth from having to be remove.

Are your gums sore or inflamed? Get them taken care of now before it becomes a bigger problem! 

Prolonging the Life of Your Dental Bridge

Missing a tooth here or there is far from uncommon. After all, there’s a reason so many dental patients around the world have come to rely on dental bridges and dental implants to replace a lost tooth here or there.

While the problem of missing teeth can be influenced by both genetics and your oral hygiene, it’s no secret that patients generally want to find the best (and sometimes fastest) way to fill the gap when – no matter what the reason is.

In many cases, patients will choose a dental bridge. Sometimes, it’s because a dental bridge is a easier investment when compared to a dental implant. Other times, a patient chooses a dental bridge “for now” with the plans to maybe replace the bridge with an implant in the future.

Of course, there are some cases where a dental bridge actually isn’t recommended. This usually occurs when the teeth adjacent to the gap can’t sufficiently support the bridge. But for many patients this isn’t a problem – and in just a couple short dentist appointments a dental bridge can be prepared and installed. Once this is the case, most patients wonder: “How do I maintain my dental bridge?” 

When most people ask how long a dental bridge “lasts” the most common answer falls somewhere between 7 and 10, or even 12 years. However, some people have been known to keep their dental bridge for decades. It all comes down to how you treat it. If you’re careful to brush and floss every available surface, and keep the dental bridge’s supporting teeth healthy,there’s no reason why your dental bridge should need replacing, and it surely won’t suddenly begin to crumble after it’s “average lifespan” runs out.

  1. Brush Regularly: Brushing regularly (at least twice a day), cleans the plaque off your teeth to prevent decay and keep them free from damage that could potentially undermine the entire bridge.
  2. Use a bridge-flossing tool on every tooth, with careful attention paid to your bridge and each supporting tooth: Gently thread the floss between your gum and the dental bridge with an easy, back and forth movement.  Once this is complete, wrap the floss around either tooth supporting the bridge and carefully clean both sides. This ensures that the teeth supporting the dental bridge remain free of plaque and decay.
  3. Avoid troublesome foods:  Stay away from hard foods that might put unnecessary pressure on your bridge, and avoid habits like chewing ice or biting your nails.

Questions about your dental bridge? Our dentists in Garden Grove are the local experts when it comes to replacing teeth with unbeatable cosmetic dentistry. Schedule a consultation to learn mroe today. 

Tips for Slipping Dentures

Adjusting to dentures isn’t always easy. However, if you’re finding that you’re having a hard time adjusting to your new dentures – don’t worry! This is perfectly normal. Extracting some (if not all) of your teeth isn’t exactly a small-matter,  and your mouth needs time to gradually adjust to the change. Because of this, your dentist will often recommend waiting to fit and install your “permanent dentures” until your jaw and mouth have had sufficient time to heal. This generally takes about 8 weeks.

In the meantime, many patients opt for an immediate denture placed on the day of extraction. This prevents you from having to go without teeth while you wait for your mouth to adjust, ultimately ensuring that your permanent dentures fit better. But once your permanent dentures are in, when all the precautions have been made – what happens if your dentures seem to slip or feel loose? Start here with a few simple tips.

Adjusting to Dentures: 4 Simple Tips

  1. Confidence is Key: The first step in making a smooth transition into wearing dentures is to not let them eliminate your confidence. Your dentures aren’t just designed to help you eat and smile like you used to, but to maintain the youthful shape of your face. Own it! Get excited about getting past the adjustment period and you’ll get there in no time.
  2. Keep Your Gums Healthy: When you wear dentures, healthy gums are incredibly important both to keep your mouth healthy in general and to ensure that your dentures still have a strong foundation. Make sure you get them checked at least once a year.
  3. Keep Dentures Clean by Brushing: Many patients wonder, “How soft should my toothbrush be for dentures?” The answer is soft or ultra-soft. Every night, you should remove your dentures and brush them softly. This ensures that excess food and particles are cleaned off your dentures so they can’t contribute to bacteria in your mouth. After your dentures are brushed and rinsed, keep them in a damp container. For a little extra cleanliness – rinse your mouth with mouthwash to ensure that your gums are as clean as possible.
  4. Use (the proper amount) of Denture Adhesive:  The first thing you should know about denture adhesive is that, while it can help give you an added bit of confidence, it shouldn’t be used to make up for a denture that doesn’t fit well. With that said, using a small application of denture adhesive can greatly help secure your dentures – which can greatly help with confidence, and encourage newer denture wearers to actually use them. This can be especially helpful with the lower denture, which can pose more of a challenge than the top denture for many patients.

Do you have questions about dentures? We can help! Our denture dentists in Garden Grove, California have helped countless patients win their confidence back with dentures that make smiling, eating, and enjoying life a daily possibility.


“Is There a Problem With My Dental Bridge?”

For most patients a new dental bridge means the difference between the embarrassing reality of a missing tooth and the much more comfortable reality of being able to chew, speak, and smile like you used to.

For patients everywhere, any sort of tooth pain is a problem. However, for patients that have a dental bridge – it can be even more troubling.

If you have a dental bridge, you already know that the appliance gets its rather straightforward name for the (pretty straightforward) way it bridges the gap between a missing tooth and your healthy teeth. The bridge uses what’s called a pontic to replace the missing tooth, and is then secured to the adjacent healthy teeth with a special dental cement.

So, What Causes Pain with a Dental Bridge? 

Dental pain isn’t entirely uncommon, but it’s definitely a cause for concern. There are actually a few different sources that can cause it.

A problem with your bite: If the bridge isn’t correctly set, causing you bite to be “off” – it could cause pain and discomfort.

Stuck food: If food becomes lodged under the bridge or between nearby teeth, this could be another source of discomfort.

The bridge is loose: a loose bridge means an unstable bridge. Instability on any part of your body is likely to lead to discomfort and this is no different for your dental bridge.

Decay and cavities: If there’s decay under either of the crowns supporting the dental bridge, there’s a great chance it can lead to pain and discomfort.

The supporting teeth are weakened by gum disease or damage: if you have gum disease or any other sort of damage impacting the supporting teeth, it can be yet another source of pain. In many cases, your dentist will first recommend treating the underlying problem. More often than not, this happens to be gum disease.

It might not be your bridge at all: In some cases, pain you think might be from your dental bridge may not be from the dental bridge at all. It could be pain from a different issue nearby. It’s still important to follow up with your dentist to find the underlying cause.

How to Avoid Pain With a Dental Bridge

The first and most important part of avoiding pain under a dental bridge is avoiding plaque, decay, and gum disease by maintaining a diligent cleaning routine. Anything “artificial” in your mouth is a prime target for attracting plaque and decay — this can lead to irritation and cavities. Be sure to pay careful attention to your dentists’ instructions for cleaning – it could definitely prevent any pain and expense in the future.

Need help? Here at Primary Dental Care we’ve installed a countless number of dental bridges in Garden Grove. Are you experiencing pain or discomfort from your bridge? We can help. Contact us today to set up a see a dentist and get your pain taken care of.




Exciting New Advancements in the World of Emergency Root Canal Treatment


A new technology being developed could mean that a simple filling can repair your tooth from the inside – diminishing the need for root canal treatment.

If you’ve had a root canal in the last 10 or even 15 years, you probably know that they really aren’t all that bad. In fact, by most accounts – emergency root canal treatment isn’t much worse than getting a simple filling on a tooth that had a small cavity.  On the other hand, many patients who are fortunate enough to never require emergency root canal treatment tend to think that the often-feared procedure is on-par with medieval torture. Fortunately for them, this isn’t true. And it’s all because of the amazing advancements we’ve seen in dental technology.

While better anesthesia and high-precision dental drills are what make root canals the simple, straightforward, and virtually painless procedures they are today – continued advancements in dental technology may drastically cut down on the need for them further down the road.

The Dental Filling that Can Eliminate the Need for Root Canal Treatment

Scientists at Harvard and the University of Nottingham have recently been featured in Gizmodo – a popular technology blog – for the technology they’ve pioneered that actually stimulates the growth of stem-cells in the dentin of your teeth.

This is important, because it’s the dentin that lies beneath the white enamel of your teeth, existing  as a last line of defense between the outside world and the delicate “inner sanctum” of your tooth. When this delicate inside section of your tooth becomes infected and dies, the infection can spread to your jaw and other parts of your body.


When bacteria and infection works its way into your tooth, your dentist must perform root canal treatment to carefully clean out the infected and dead nerve cells and dental pulp. The tooth is then filled with a rubber-like material to seal it, and often capped with a dental crown to provide it with structural support that prevents breakage or cracks. Many times, teeth become infected when dental fillings fail. In fact, studies have shown that between 10% and 15% of fillings do fail.

Fortunately for dental patients, the “synthetic biomaterial” being developed by these innovative scientists can quite possibly eliminate the failure of fillings by enabling teeth to – in essence – heal themselves.  By stimulating the growth of stem cells in the pulp and dentin of your teeth, these high-tech fillings would continuously protect your tooth from infection and greatly reduce the occurrence of filling-failure and the sort of infection that leads to root canal treatment.

“What if I have a toothache now”

Of course, if you’re currently experiencing the symptoms of tooth infection that would normally lead to root canal therapy, this technology isn’t quite ready yet. While you can still take heart knowing our Garden Grove root canal dentists can provide comfortable and effective root canal treatment, it may be years before this particular dental innovation is available to the public.

For now though, it serves as a great reminder that dental technology continues to make treatment simpler, faster, and more effective.