| Esthetic Dentistry Smile Whitening
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If you are interested in teeth whitening in a single office vistit, please call for an appointment. We have the new Rembrant Virtuoso Sapphire "laser" system. The light beam used is the safe Plasma Arc wavelength. This is made by the company that makes all of the wonderful Rembrant oral health products.
This is similar to the Brite Smile system advertised by Paul Harvey. The only difference is that we own our "laser" and the Brite Smile doctors do not own their system. They lease it and pay the parent company a fee each time they use it on a patient. It is quite costly.
Our system is an enhancement in that we include the home bleaching trays and bleach to maintain the whitening done in the office.
You'll love it!
Dr. Chris |
| Patient Education
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Please see our home page for the Patient Education button to take you to the American Dental Association Patient Education site. If you have further questions about various procedures you may call or e-mail us at tahoesmiledocs@aol.com, and we'll accommodate you.
Best Regards, Dr. Chris |
| Lost and Missing Children
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PLease visit the bottom of our home page for an ever-changing group of photos of missing and exploited children. If you recognize any of them or the circumstances surrounding their situations, please link with the main office(next to the child's photo), or call us.
Dr. Chris |
| Basic Emergency Treatment for Cracked or Knocked Out Teeth On Kids
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PRIMARY TOOTH KNOCKED OUT 1)Rinse mouth, apply cold compress 2)Comfort the child 3)Find the tooth, if reasonable 4)Come to the office
PERMANENT TOOTH KNOCKED OUT 1)Find the tooth 2)Rinse gently(do not scrub)! 3)Replace in tooth socket, hold in with gauze, washcloth or handkerchief 4)If you cannot place it back in, put the tooth in cool milk or salt solution(do not allow the tooth to dry out!). 5)Come to the office immediately
CHIPPED OR BROKEN TEETH 1)Rinse the mouth and place a cool compress 2)Bring in the fragment, if you can locate it. 3)Come to the office
BITTEN TONGUE OR LIPS/ TORN TISSUE 1)Apply direct pressure 2)When bleeding stops, cold compress 3)Come to the office(if severe, go to the hospital emergency room). |
| DENTAL BOARD EVALUTATION OF OFFICE BASED SEDATION
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The California State Board of Dental Examiners has recently approved Dr. Cerceo, his staff and facility for another 6year permit to administer intravenous sedation. The safe administration of sedation, with the appropriate emergency precautions in place and the ability to prevent and manage medical emergencies, was the primary focus of the evaluation.
After several hundred in-office sedations performed, we have enjoyed no mortality or morbidity whatsoever!
Dr. Cerceo has recently been inducted into the American College of Conscious Sedation by the American Dental Society of Anesthesiology. Less than 1% of all general dentists hold this honor. |
| Guidelines on Oral and Dental Aspects of Child Abuse and Neglect
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A collaborative effort of the American Academy of Pediatric's Committee on Child Abuse and Neglect and the American Academy of Pediatric Dentistry recently defined dental neglect as a category of child abuse.
" The willful failure of parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection," is defined as dental neglect.
The point at which to consider a parent negligent and to begin intervention occurs after the parent has been properly alerted by a health care professional about the nature and extent of the child's condition and the specific treatment needed and the mechanism of accessing that treatment. |
| Guideline on Periodicity of Examination and Preventive Dental Care of Children
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Birth to 12 months
1)Oral exam 2)Hygiene evaluation and instruction 3)Remove stains 4)Assess fluoride intake, both systemic and topical. Provide fluoride supplements 5)Habit, hygiene and nutritional instruction
12 to 24 months
1)Repeat above at 6month intervals 2)Reevaluate the current protocol 3)Consult with MD regarding growth, development, health and related issues
2 to 6 Years
1) Continue the above schedule at 6 month intervals 2) Begin radiographic evaluations. 3)Assess growth and development issues 4) Propylaxis and topical fluoride applications at six month intervals. 5) Pit and fissure sealants applied to appropriate deciduous teeth.
6 to 12 Years
1)Repeat the above at six month intervals 2)Substance abuse counseling where applicable
12 to 18 Years
1) Repeat the above at six month intervals |
| Guidelines for Prescribing Dental Radiographs
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Children Prior to the Eruption of Permanent Teeth
Adopted by The Committee on Pedodontic Radiology under review by the Council on Clinical Affairs, The American Academy of Pediatric Dentistry.
1) Posterior bitewings if surfaces cannot been directly visualized 2) Additional periapical xrays of upper and lower front teeth and or panoramic series 3)For children with a history of decay or a predelection thereto, posterior bitewing radiographs to be repeated at six month intervals, until no carious lesions are further evident. 4) For children not exhibiting a history of decay or lacking corresponding risk factors, the posterior bitewings are to be repeated at 12 month intervals. 5) History of periodontal disease or treatment, the child should have radiographs of selected problem areas. 6) Growth and Development radiographs are not indicated at this age.
Transitional Dentition, following the eruption of at least one permanent tooth
1) Individualized radiographic recommendations, based upon the dentist's clinical judgment. 2) Posterior bitewing xrays every six months until no carious lesions are evident, on individuals with a clinical caries or a history of such. 3) Posterior bitewings evry 12 to 24 months if no history of decay and or not carious lesions present. 4) For individuals with a history of periodontal disease, individualized films of the affected areas. 5) Panoramic films to evaluate the growth an development
Adolescents Prior to the Eruption of the Third Molars
1) Individualized film series or a complete series on individuals with a history of dental decay or evident decay or periodontal disease 2)Posterior bitewings 6-12 month intervals or until no carious lesions present on individuals with a history of decay or visual caries 3)Posterior bitewings every 18 to 36 months for individuals with no clinical signs of decay or low risk thereto. 4) Individual films of affected areas in individuals with a history or current periodontal disease. 5) Panoramic examination of third molars
Dentulous After the Eruption of Third Molars
1)Same as above, except for the following: A) Individuals with decay or risks should have bitewing xrays at 12 to 18 month intervals. B) Individuals with a low risk of decay and no visible caries should have bitewings evry 24 to 36 months |
| TAHOE'S BEST DENTIST
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Dr. Cerceo was recently voted Best Dentist in Lake Tahoe by the Tahoe Daily Tribune readers. |
