Garden Grove Dental Arts : Marianna Ibrahim DDS


Should I have upper wisdom teeth removed at the same time as lower wisdom teeth?

Wisdom teeth are one of those topics that patients are always wondering about – especially young patients who know they’re quickly approaching the special time in their life when the decision to have them removed comes into play.

Many of the stories about wisdom teeth removal used to center on how painful and uncomfortable the process was – but times have changed. Today, with the advent of social media, our “viral video culture”, and the help of much more effective dental procedures and anesthesia, the most memorable part of wisdom teeth surgery is generally the silly things patients say after they’ve woken up from sedation.

The thing is, while some people are born without wisdom teeth entirely – others have extra wisdom teeth that eventually become apparent in X-rays in early adolescence (between the ages of 10 and 16). Fortunately though, even if your family dentist finds the wisdom teeth early – you generally have until the age of 17 or 18  (or even longer) before the wisdom teeth can start causing a problem.

Today, our dentists in Garden Grove will talk about one of the most common questions patients tend to have about wisdom teeth – remove all at the same time, or remove some?

What you need to understand about the relationship your wisdom teeth have with your mouth as a whole and the rest of your teeth is that a number of facgtors come into play when it comes to deciding whetehr to remove them all or not.

The position of the wisdom tooth

Generally, there are a few different rules of thumbt oc onsider when it comes to the actual position of your wisom teeth. In these cases, you can expect the following:

  • Wisdom teeth that have erupted (broken through the surface of your gums) are easier to remvoe than wisdom teeth that have not (known as being impacted).
  • The way your tooth/teeth are tilted can also impact how hard it is to remove, and whether or not all are remived at once. Wisdom teeth that are upright or leaning forwward are generally easier to remove when compared to wisdom teeth that are leaning back or oriented sideways.

Other factors your dentist will consider: Root Anatomy

In addition to the actual position of your wisdom teeth, your dentist will also take root anatomy into consideration. Your wisdom teeth have several roots – and the way they’re oriented can impact how they are removed. Sometimes, the roots will be separate and easy to separate. Other times, they can be bundled together.


  • Teeth with irregularly shaped roots are harde rto remove
  • Wisdom teeth with roots that aren’t completely formed generally make it easier to extract your teeth.
  • Teeth that have roots that are fused together are usually easier to remove completely

So, remove them all at once?

Generally, the most logical answer is “Yes” because it’s always better to minimize the number of treatments you’ll need. “Taking care of them all while we already have you ‘under'” is a very common, and cost-effective way of handling wisdom teeth. But there are some cases where it might not be necessary.

Have questions about wisdom teeth and live in Southern California? Our dentists and oral surgeons in Garden Grove can help. 

Braces for Adults: Worth It?


If you’re an adult that has healthy teeth but not perfect teeth – you might be wondering if braces (or Invisalign) are right for you. The thing you might not realize however is that braces for adults are about more than just cosmetics.

Even though you might not need braces to prevent a serious issue, braces can actually do much more than correct a cosmetic issue. This is because crooked teeth and other problems – like improper jaw positioning or an “off” bite can cause a number of problems further down the road. This makes braces a smart investment that goes far behind just a great confidence booster.

It’s no secret that braces can rather quickly improve your teeth by making them straighter and more even.  However, braces do more than just straigthen your teeth. And what many patients might not realize is that nearly 7 in 10 dental issues are an overbite! This means that many adults come to rely on braces to fix their bite as they do for correcting alignment.

While the cosmetic reasons for getting braces are often the most compelling for patients, the distinct benefits on the other end of the spectrum make just as big of a difference. Correcting underlying bite and alignment problems with braces can effectively help a variety of symptoms – including:

  • Earaches
  • GERD problems
  • Headaches
  • Difficulty chewing
  • Jaw pain and other jaw disorders like TMD
  • Accelerated enamel wear
  • Gum erosion
  • And more…

Are you an adult in Southern California wondering if braces are right for you? Our dentists in Garden Grove can most definitely help. For consultations, advice, and more – please don’t hesitate to get in touch with our friendly and professional team today.


What’s the best age for braces?

If there’s one “Category” of question our dentists in Garden Grove get asked about a lot – it has to come down to braces.  This is understandable, of course, because not only are braces a large source of question for the patients getting them (what will I look like? will people notice? what color will they be? will it hurt?).  They also pose a number of questions for the person paying for them – especially when the braces are for your kids.

Along these lines, one of the most common questions we receive about braces has to be “What is the best age to get braces?” and as usual – the answer will vary from patient to patient.

Think about it this way. When a newborn speaks a little early or walks ahead of the pack – it might seem notable, but there’s a great chance that that child isn’t any smarter or more capable than the baby who’s still crawling. The simple fact is that every body is different, and so is every mouth.

Early Intervention

When it comes to early preventative care in adolescent mouths – kids are generally evaluated for braces between the ages of 7 and 9. But that doesn’t mean that kids will be getting braces that early, it just means your family dentist wants to start keeping on eye on “how things are looking” around these pivotal ages to obtain a better gauge on what treatment might look like if it’s truly necessary.

This is because most baby teeth will have come out by the time a child is 7, and a family dentist can get good idea as to how things will look in the coming years.

“Are there any situations where a child would get braces early?”

A child under the age of 9 might get early braces if they’re having any sort of speech or diet problems because of the way their teeth are aligned.  They might also be a good candidate for early braces if they have a crossbite, excessive crowding, or protruding teeth. By catching and correcting these symptoms early on – it can drastically reduce the chance that the problems become worse when permanent teeth arrive. Which leads us to an even more important point.

DO NOT Think Permanent Teeth Will “Replace” The Problems of “Baby” Teeth

If your child is experiencing alignment issues with their baby teeth, they will experience problems with their permanent teeth as well.

Primetime for Braces

“Primetime” for treating adolescents with braces is typically between the ages of 10 and 14. By this point, all baby teeth have fallen out and the adolescent jaw is sufficiently strong and sturdy enough to handle orthodontic treatment.

By waiting until kids are a little older for braces, it also ensures they’re mature enough to understand how important their teeth are and how critical it is that they take the extra time necessary to take care of their teeth and their braces.

Have questions about braces near Garden Grove? Our experienced family dentists have the answers. Contact us today to learn more about our dental team, or to inquire about new patient specials

Can Kids Get Invisalign?


In our Garden Grove dental office, we treat hundreds (if not thousands) of children every year. Frequently, parents wonder if “grown up” solutions like root canal treatment and Invisalign apply to their kids as well. Granted, all the treatments out there can be confusing – so we use our blog to clear up some of these questions. Hopefully you find what you’re looking for!

When it comes to braces, many patients simply won’t even consider living for any amount of time with “metal” in their mouths. Of course, we shouldn’t forget the availability of clear braces that have a drastically reduced impact on the appearance of your teeth, but the question still comes up: “Can my child get Invisalign?”

The answer? Maybe. 

While Invisalign can cost more than traditional braces, it can be used to correct a variety of issues in younger patients. However, you do have to keep in mind that Invisalign is designed primarily to handle issues that are primarily cosmetic. While it is surely possible (with tabs, bands, and other addons) to get Invisalign to work for minor occlusion and bite problems, traditional braces tend to be the more effective, efficient, and quicker solution.

While many adults in the working world like Invisalign for its “low key” ability to perfect teeth – this sort of (understandable) vanity isn’t often a factor for kids and teens. For this reason, and the fact that many other kids also have traditional braces – it’s not hard to convince a child or teenager that they’ll be “just like the rest of the kids with braces”

On top of this, there is also the matter of responsibility and maturity. One of the greatest benefits of Invisalign can also be one of its greatest downfalls: it can be removed.

Adult patients love the ability to take their Invisalign retainers out for an important night or big meeting. For kids, these pressures don’t exactly exist. But immaturity is a factor.

In order for Invisalign to work, you need to keep the retainers in for at least 20 hours a day. That means taking them out for meals, the occasional meeting, a night out, and not a whole lot more. For kids, a lack of discipline can mean that treatment takes much longer than it should – which can increase the cost of treatment, or completely undermine it.

Remember Everyone’s Different

It’s always important to remember, however, that everyone is different. Some kids (who are often a bit more mature) are perfect candidates for Invisalign. It’s a case by case basis, and we’re happy to help advise on your case. Have questions? Our dentists in Garden Grove are some of Orange County’s best. Drop us a line today to get the answers you need!

The Ideal Age for Invisalign

As an experienced dentist in the Garden Grove, CA area – we are no strangers to a patient’s desire for a more perfect smile. From cosmetic dentistry options on the simple-end, like teeth whitening, to involved and all-encompassing options like dental veneers and dental implant surgery – we honestly do it all. However, with that said – one of the most commonly inquired about solutions remains Invisalign.

As a preferred provider of Invisalign in Orange County, our entire dental team recommends the system as a great solution for cosmetic adjustments for a straighter smile. While Invisalign generally can’t correct problems stemming from misalignment with your jaw, teeth that are rotated, crooked, or moderately out of place are great candidates for the system.

But what about age?

Many patients wonder how old you have to be to get Invisalign. For most adults, age isn’t a problem. But when it comes to patients who haven’t yet lost all of their “baby teeth” it begins to become a factor: here’s why.

It all comes down to discipline.

While Invisalign does offer a solution for teenagers, would you trust your 11 or 12 year old to commit to a daily exercise routine with absolute adherence? Do you have to remind them to keep their room clean? Do they constantly forget their homework on the bus?

When it comes to Invisalign, forgetfulness is the enemy. The system requires the patient to be completely mature about the treatment of their teeth, and fully aware of the fact that if the Invisalign retainers aren’t worn for the majority of the day, they will not work.

Invisalign is meant to be worn at least 22 hours a day, and only removed to eat, brush, and floss. Some patients mistakenly believe they do not need to be worn at night, this is not true. While it’s okay to remove your Invisalign retainers every once and a while for special occasions (think a special dinner or a formal event), the longer they stay out the longer it takes for the treatment to be rendered fully complete (if at all).

With a teenager, this can sometimes be a problem. On top of this, there generally isn’t a stigma in middle school or even high-school when it comes to traditional braces. In fact, some kids have been known to look forward to braces! Combine this with the fact that traditional braces are less expensive and more effective at treating more challenging irregularities, and the best solution becomes relatively clear.

Do you have questions about Invisalign? Our dental team in Garden Grove has the answers. As one of the area’s leading providers of Invisalign, we’ve treated patients with a wide variety of irregularities.

Does Invisalign Work? Yes, but…..

Invisalign is one of modern cosmetic dental technology’s greatest innovations. The funny part is how simple the system really is. Of course, a great deal of complicated precision goes into 3D molding  the trays that are actually used to align your teeth, and producing models to show you how much straighter your teeth will be. But the concept in itself is relatively simple: multiple sets of high-tech plastic aligners, gradually adjusted in size to methodically improve your smile.

But one of the most common questions we hear about Invisalign is, “Does it actually work?”

Our experience as a leading Invisalign dentist in Garden Grove  makes us uniquely suited to answering that question. But the answer isn’t as simple as a “yes”. It’s a little more complicated than that.

The first concern with Invisalign should be where you get it. Unlike your car or a shirt from the local mall, the first major factor that will ultimately dictate whether Invisalign will “work” or not is who’s providing it. Like any piece of precision equipment, the success of Invisalign treatment largely relies on the experience of the “operator”. In your case, this would mean your dentist.

Invisalign is available from an incredibly wide range of providers. The unfortunate reality is that not all of them know how to use it to the best of its ability. While the Invisalign system predicts the spacing of your teeth, it does little to account for how your bone and soft tissue will be impacted. With this in mind, it takes a dentist who truly knows what they are doing with the Invisalign system to apply their own expertise to modify each patient’s treatment plan to account for their unique situation, especially when that situation is a little more complicated or complex.

Many patients considering Invisalign who have done some “shopping around” begin to notice a few discrepancies when it comes to what dentists say is treatable with the clear plastic aligners. This, again, speaks to how important experience is with the Invisalign system. The range of conditions an experienced Invisalign provider can correct is much greater than those of a less experienced dentist or orthodontist.  With the proper experience, your Invisalign provider can use IPR, elastics, buttons, attachments, and other add-ons to use Invisalign to treat even severe crowding, spacing, rotations, open bites, and up to class 3 malocclusions.

At Primary Dental Care of Garden Grove, our dentist and orthodontists are deeply experienced when it comes to the effective application of Invisalign on a wide variety of patients. If you’ve been considering Invisalign and are a patient in Southern California, contact us today for a free consultation.

When to Choose Clear Braces over Invisalign

For many years, we’ve offered Invisalign for patients in Orange County, and consistently heard rave reviews about how worthwhile the process was. Most of all the patients were, naturally, excited about how “stealthily” they went about perfecting their smile. Needless to say, we think Invisalign is great.

But…Yes, there’s a but.

Invisalign isn’t always perfect, and sometimes it’s not the best solution for your teeth. The best part is that this doesn’t mean you have to resort to getting called “brace face” or “metal mouth”.

In fact, there are a couple great solutions that are virtually as (and sometimes more) incognito than Invisalign. Two popular choices include clear braces and braces that go on the back of your teeth.  While clear braces are fairly easy to explain, braces that go on the back of your teeth, otherwise known as lingual braces are more of a foreign concept.

(For more on lingual braces, check out our blog post “the Invisible Alternative to Traditional Braces”.)

When Invisalign Isn’t Right for Your Smile

 If Invisalign works so well, you might wonder why many dentists and orthodontics still use clear braces. While the difference in cost isn’t too drastic, that’s not the reason. The reason is simple: Invisalign can’t do everything! Like we said, it all comes down to  you and your dentist. That’s why the very first step is to determine what your teeth need.

There are a number of reasons why your teeth might do better with clear, traditional braces. Lets look at three of the most common ones.


Metal Can Work Harder and More Flexibly

The clear aligners used as part of the Invisalign program can accomplish a great deal, that’s for sure. However, they are still slightly inferior when compared to the power and force that can be consistently exerted by brackets and wires when it comes to vertical teeth movement, rotating the canines, or solving complicated issues with your back teeth.

Are You Afraid of Commitment and Prone to Losing Your Possessions? 

When you have braces, you should be seeing your dentist roughly every month. With Invisalign, you need to see your dentist every two weeks to swap out your plastic aligners.  If that isn’t enough commitment for you, it’s important to remember that the Invisalign program requires the aligners to be in for a majority of the day (and all night). The consequence? A much longer treatment time.  On top of this, replacing a lost retainer can get costly.   So, if you’re forgetful or a “commitment-phobe”, the semi-permanent alternative might be best for you.

Will Food and Drink Post a Problem?

When you have Invisalign, it’s very important to remove your retainers while eating or drinking. While this might sound easy at first, to some people the reality is very different. For instance, an athlete who frequently must drink water, or a professional brass-musician, who uses a mouthpiece, might find it impossible to “stay honest” with their Invisalign Retainers.

Have a question? We’re here to help. Contact the friendly team at Primary Care Dental for the answers to your orthodontic questions. 


What are Invisalign Attachments, and Why Would I Need Them?

Invisalign is a revolutionary teeth straightening system that has helped patients with varying degrees of misalignment get the straight teeth they’ve always wanted without having to resort to traditional braces. As a leading provider of Invisalign in Garden Grove, our patients frequently ask us about the range of  “problems” Invisalign can correct, and more often than not — the answer is a hopeful one.

What Invisalign can accomplish while hardly being seen is truly remarkable.  However, it’s important to remember that no two smiles are alike — and sometimes, Invisalign retainers require a little bit of help. This help comes in the form of buttons, attachments, and elastics.

It should come as no surprise that potential Invisalign patients have a lot of questions about these attachments, mainly because they worry they’ll make their Invisalign retainers more noticeable. If these concerns echo your own, remember: Invisalign is designed to make “stealthy” teeth straightening a reality. The same can be said for Invisalign attachments. While they might make your secret weapon just a bit more noticeable, these attachments allow the Invisalign system to correct much more than the plastic retainers would be capable of on their own. So, how do they work?


Invisalign Attachments

Invisalign attachments are just that, small naturally colored attachments that your dentist might add to your teeth to act as anchors so that your retainers will fit properly. This ensures that they provide the correct level of adjustment.

Invisalign Buttons and Elastics

Invisalign “buttons” are often added to the teeth to provide a small “post” for elastics. While not every patient requires buttons or elastics, they enable the treatment to accomplish far more than just the retainers alone. In fact, one of our most common inquiries relates to whether or not Invisalign can correct an improper bite. Fortunately, with buttons and elastics the answer is YES.


Have you decided if Invisalign is right for you?  Here at Primary Dental Care, providing unsurpassed Invisalign treatment for the Anaheim and Fountain Valley Area has become one of our specialties. If you have questions about the treatment and how it might help you achieve the smile you’ve always wanted — please don’t hesitate to contact us.

Finding the Right Family Dentist: the 9 Dental Specialties

When it comes to finding a great family dentist in  Garden Grove CA, we like to think we’re the experts! Why? Because we consider ourselves a great family dental practice for families of every kind. But even if you aren’t from the Anaheim area, one of the most things to remember know when you’re considering a new family dentist is that particular dentist’s specialty.

Naturally, the first thing you want to look for when you’re looking for a good family dentist is a wealth of training and experience. However, graduating dental school isn’t the end.

The American Dental Association recognized 9 Dental Specialties that span the entirety of dentistry. These specialties are focused on a wide variety of different disciplines to ensure that every patient with virtually any problem can be treated. Again, it’s important to remember that not every dentist specializes in all 9 area (otherwise, why call it a specialty?) However, the best family dental practices will either have relationships with dental specialists or employ a team of dentists with a variety of specialties (this is how it works at Primary Dental Care of Garden Grove)

Additional Training and Specializations

Some areas of dentistry you might want your dentist to be trained in (beyond regular dental school) include:

  • Orthodontics and Dentofacial Orthopedics: This was the first specialty to be introduced to the dentistry field. An orthodontist is a dentist who specializes in correcting teeth that are not positions properly. Most patients typically think of orthodontists as dentists who specialize in braces, and in most cases, they’re correct!
  • Periodontics: the treatment of gums and the supporting structures of your teeth
  • Oral and maxillofacial pathology: The study, diagnosis, and treatment of diseases and conditions that occur in the maxillofacial region. Maxillofacial, in general terms, means “around the face” — and can pertain to the head, face, neck, jaws, and — especially for dentists — the hard and soft tissues of your mouth.
  • Oral and maxillofacial radiology: Maxillofacial radiologists work in tandem with other oral and maxillofacial specialists (or often specialize in all three maxillofacial disciplines) to study and interpret oral and maxillofacial conditions using radiology.
  • Oral and Maxillofacial Surgery: Oral and maxillofacial dentists are primarily concerned with procedures that involve surgery of of the mouth and jaw. For example, if a patient requires removal of bone or an implant, the jaw often comes into play and requires the attention of a maxillofacial surgeon.
  • Endodontics: the treatment of the inside of your teeth,  and the diseases and conditions that can arise due to the dental pulp inside your teeth. Endodontic specialists take the lead when it comes to root canal therapy.
  • Pediatric Dentistry: the treatment of adolescent teeth
  • Prosthodontics:  Prosthodontic specialists are responsible for restoring your smile to its former glory and preventing future teeth loss by installing and maintaining dental prostheses like crowns, bridges, dentures, implants, and more.
  • Dental Public Health: the general study of cause and effect as it pertains to oral health, and the variety of conditions that can manifest in the mouth and because of your oral health.


Sedation Dentistry in Garden Grove or Anaheim California

There are few thidoctor-563429_640ngs more imperative to your overall well being than oral health. The mouth is responsible for breathing and all the nutrients that we ingest into our body. That is why it is so crucial to make sure that you see a dentist regularly. Whether it is just for a regular check up, or to install something like dental implants, visits to your dental office will save you years of pain and difficulty.

Many people know this, but still have a hard time making the trip. Often, it is because they are either afraid of the dentist, or feel uncomfortable having their mouth worked on. These fears can have disastrous effects if you allow them to dictate your oral hygiene and maintenance. Over time, small-and very treatable problems-will grow into large issues that often require extraction and replacement of teeth.



Thankfully, after years, there is finally an incredible solution.

Sedation Dentistry.


So what exactly is Sedation Dentistry?

Sedation dentistry is preformed by some dental offices to help patients who suffer from dental-based anxiety’s cope with the necessary cleanings and procedures. A top dentist will use one of a variety of methods to help safely put the patient in a very tranquil state, or to sleep. Some of the possible anesthetics include:  nitrous oxide,  lorazepam, diazepam, valium, sonata, etc.

The administration of these drugs will be done quickly, usually by a DDS dentist Some operations like Root Canals, or Dental Implants, will require different methodologies than a routine teeth cleaning.

If you, or somebody you love, refuses to go to the dentist, it is imperative you contact a Sedation Dentist immediately! It could mean the difference between a mouth full of healthy, happy teeth; or several years of painful cavities and gum disease!

If you are in the Garden Grove or Anaheim California area, there are some great options to choose from! Visit to get more information on how valuable successful sedation dentistry can be!