Follow Midtown Dental’s blog to get the latest in dental and health news. Our goal is to offer informative and interesting posts to help you better understand your dental and oral health in order to make the best possible decisions for you and your family.

Dental Implants in the Digital Dentistry Age

July 07, 2017

What is a Dental Implant?

A Dental Implant is a titanium post that is surgically placed into the jaw bone. It replaces the function of the tooth root and, once fused, can be used by your dentist to secure an Implant Crown (Dentistry). The dental implant, along with the abutment and crown, will replace a missing Crown (tooth). When multiple teeth are missing, your dentist can plan for an implant-supported fixed bridge or implant-supported denture, which will not slip or move with function. Your dentist can determine if you have adequate bone and gums to be a good candidate for implant treatment. Even if youve been told you are not a candidate in the past, it may be a good idea to check again since implant treatment has evolved significantly over the last decade.

Dental Implant Informational Links

Mouth Health: Implants
Colgate: What Are Dental Implants?

Why Replace a Missing Tooth?

When a tooth is missing and not replaced, the adjacent and opposing teeth will drift. As a result your bite may be altered causing malocclusion. Malocclusion, or a poor bite, can affect the health of the remaining teeth and jaw joint and can complicate your oral health care.   

What Makes Dental Implants a Better Option Than other Tooth Replacement Solutions?

According to the American Association of Oral and Maxillofacial Surgeons, statistics show that nearly 70% of adults aged 35 to 44 years in the United States have at least one missing tooth due to an accident, tooth decay, gum disease, or dental fractures. (Reference:  Oral-B: Dental Implants or Dentures)

Dental implants are the only tooth replacement option that actually maintain healthy jaw bone. When a tooth is extracted or is missing, over time the bone will shrink. This will effect bone supporting adjacent teeth and, when multiple teeth are missing, can change overall facial structure. Dental implants, as opposed to a dental bridge, do not require anchorage onto adjacent teeth, allowing for better cleaning ability and a more natural feeling tooth replacement option.  

Whenever adjacent teeth are cut down, there is a risk of sensitivity, increased risk of future dental cavities, and more frequent replacement of the bridge because it spans more than one tooth. While a dental implant may be more costly initially, it requires less frequent replacement than other tooth replacement options.  It is best to have a consultation to determine if dental implants are right for you.

3D Imaging: The GOLD Standard

The American Academy of Oral and Maxillofacial Radiology has recommended since 2012 that cross-sectional imaging, like the one that is used at Midtown Dental, be used for all assessments of implant sites. Yet many offices are still using dated 2-dimensional x-rays. There are many anatomical structures such as sinuses and nerve canals that, when violated, can cause serious complications. We minimize these risks by planning every implant to the exact specifications of your jawbone. 

3D Imaging Informational Link:

So, an Implant is an Implant... Right?

WRONG. At Midtown Dental we use one of the most researched and successful implant systems.  Astra implants have a 98% survival rate and are made in Germany. There are many implant systems out there and, unfortunately, many do not have the research to support their claims.   

The Midtown Dental Difference: Digital Implant Planning

After Cone Beam Computed Tomography (CBCT) is completed, which takes only minutes and is safe and very comfortable, Dr. Apekian will determine the proper size and diameter of implant to be placed.  An implant guide may be needed depending on proximity to other anatomical structures, such as the sinuses, nerves, or adjacent teeth.

If a guide is necessary, a CEREC scan of your teeth and gums would be taken.  Essentially, a CEREC scan is a 3D digital image that can be used to create a guide that would fit onto your teeth during surgery and ensure accurate placement of your implant both surgically and prosthetically. No more goopy impressions and it only takes a few minutes.  

Implant placement would follow in a rigorously sterile and safe environment. We will ensure you are totally comfortable during your procedure. Many patients say that implant placement is one of the easiest dental procedures they have experienced.  

3d Imaging Informational Link:

Following the implant placement, your own bone will then integrate around the implant. This integration will take between 3-6 months after which Dr. Apekian will scan the teeth again with CEREC technology to make a custom implant crown. While other offices send their cases to outside labs, Dr. Apekian, herself, designs and fabricates each crown, making them incredibly esthetic and designing them for better function than the average crown made in dental laboratories. 

You will return for one more visit to install the final crown and abutment. What could easily take 5-10 appointments at another office will typically take less than 4 short appointments at Midtown Dental.  We are committed to providing you the best in implant technology.  

If youre considering a Dental Implant, call (916) 441-5800 or use our Contact Form to schedule a consultation. You can have a look at our numerous Patient Reviews on Yelp to learn more about the high quality services we offer.

Importance of Mouthguards

September 23, 2015

An often overlooked, but important aspect to protecting your teeth and maintain good oral health is the use of athletic mouthguards. Whether you are an athlete or your kids play sports causally on the weekends, a good mouthguard is critical. Mouthguards provide valuable protection for the jaw, face, tongue, lips, and of course, the teeth.They can also help prevent more serious problems such as concussions and cerebral hemorrhages.

Unfortunately, over the counter mouthguards from your local sports store do not protect your teeth adequately and are of little benefit.  Sports medicine experts estimate that up to 80% of currently worn athletic mouthguards are not effective and can be more dangerous than not wearing one at all. These types of mouthguards do not fit around the teeth or arches. When a blow occurs, the tray is forced rearward and the forces are not distributed evenly to the oral tissues. 


At Midtown Dental in Sacramento, Dr. Jenny Apekian makes custom mouth guards from an exact model of the mouth, using the most accurate method known in dentistry today, the pressure lamination technique. This provides the most protective, comfortable and accurate fit available. The equipment that Dr. Apekian uses is the same as that used by professional sports team such as the Dallas Cowboys and many others. As an added benefit, custom, mouthgaurds can be made in any color combination and can even include names and team logos.


If you are interested in getting your own custom mouthguard to portect your teeth and mouth, please contact Dr. Jenny Apekian at Midtown Dental in Sacramento at (916) 441-5800.

Warning Signs of Impacted Wisdom Teeth

August 14, 2015

Third molars, often referred to as "wisdom teeth" erupt between 17-21 years of age.  However, most of us have limited space for their eruption, which is why they are commonly impacted.  Impaction of wisdom teeth may cause the following symptoms:


=         Red or swollen gums

=         Tender or bleeding gums

=         Jaw pain

=         Swelling around the jaw

=         Bad breath

=         An unpleasant taste in your mouth

=         Difficulty opening your mouth



At Midtown Dental in Sacramento, we take full panoramic x-rays at to evaluate wisdom teeth.  Clues as to their position and evaluation of the developing jaw can help Dr. Jenny Apekian predict whether or not there may be room.  


Removing the wisdom teeth before the roots are fully developed makes the surgery less invasive, thereby minimizing post-operative discomfort.  Impacted or partially erupted wisdom teeth may need to be removed to prevent future pain or damage to adjacent teeth.  If the wisdom teeth do have room to erupt, it is essential to keep those areas clean with proper brushing and flossing.  Oftentimes, these are areas that are more difficult to access, making hygiene less than ideal and causing you other problems.   


If you are concerned about your wisdom teeth, schedule a consultation with Jenny Apekian DDS in Sacramento at (916) 441-5800.  The sooner you can address any potential wisdom tooth issues, the happier you will be.

Sensitive Teeth - Causes and Solutions

July 20, 2015

When you eat ice cream or have a cup of coffee, do you experience any pain or discomfort?  Or maybe when you brush or floss?  If so, you may have sensitive teeth.   You get sensitive teeth when the surface beneath the teeth gets exposed.  When this happens, it allows hot, cold, or sweet food to reach the nerve in your tooth, which results in the pain you feel.

There are a number of possible causes for sensitive teeth including, tooth decay (cavities), broken or chipped teeth, old and worn fillings, gum disease, or teeth grinding. Thankfully, we have the ability to treat sensitive teeth. At Midtown Dental in Sacramento, California, Dr. Jenny Apekian can work with you to diagnose the cause of the sensitivity and suggest a solution.  Some of these treatments that can are:

  • Desensitizing toothpaste - This contains compounds that help block transmission of sensation from the tooth surface to the nerve. 
  • Fluoride gel - An in-office technique which strengthens tooth enamel and reduces the transmission of sensations.
  • A crown, inlay or bonding - These may be used to correct a flaw or decay that results in sensitivity.
  • Surgical gum graft - If gum tissue has been lost from the root, this will protect the root and reduce sensitivity.
  • Root canal - If sensitivity is severe and persistent and cannot be treated by other means, your dentist may recommend this treatment to eliminate the problem.


Ultimately, proper oral hygiene is the key to preventing sensitive-tooth pain. Please contact Midtown Dental in Sacramento, CA,  if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity.

Source: American Dental Association -

How To Avoid Tooth Fracture

July 01, 2015

A person's biting force can be as much as 300 pounds per square inch in the first molar region of our mouths. How much force is that? Our jaws are as powerful as a walnut cracker! At Midtown Dental in Sacramento, we don't recommend that you use your mouth to crack walnuts, but this gives you some idea of the biting force exerted upon our teeth!

How does all that biting force come into play when a person has old dental fillings? The straight answer is- old dental fillings really weaken our teeth and make them prone to three types of fracture.

1 - A tooth can fracture on the outside enamel (treatment with a filling or crown)

2 - A tooth can fracture into the nerve (treatment with a root canal and crown)

3 - A tooth can fracture into the jaw bone (treatment only with an extraction and replacement of the tooth with a denture, bridge, or implant)

Tooth Fracture Chart

The actual type of fracture that can occur from old dental fillings is completely unpredictable but totally preventable. Call Dr, Jenny Apekian at Midtown Dental in Sacramento for an examination. We can help you avoid a painful tooth fracture!

Avoiding and Treating Gum Disease in Sacramento

June 15, 2015

Many of our basic daily activities, such as speaking, smiling, chewing and even smelling are dependent on having good oral health, which can be ensured only through proper oral hygiene. Gum disease is a very serious condition, that over time, can progress until the gums detach themselves from the teeth, forming pockets and eventually leading to tooth and bone loss. 

At Midtown Dental in Sacramento, California, we advise our patients that proper oral hygiene, including brushing twice daily and flossing daily, visiting the dentist regularly, and avoiding tobacco products are the best way to help prevent gum disease. Additionally, a poor diet that is low in vitamin C, calcium, vitamin D or magnesium can compromise gum tissue's ability to heal and can speed up bone loss. It is crucial to understand that gum disease equals bone loss around affected teeth. Even with current technology, the bone loss around teeth that are affected by gum disease is irreversible.

Ifyou already have gum disease, you don't have to loose your teeth from bone loss! Your dentist in Sacramento can help you eliminate the causes and help you entirely stop the damaging progression and bone loss of gum disease before you do lose your teeth. You can keep and use your teeth that are affected by gum disease for as long as you are willing to team up with your dentist for regular and frequent professional gum care.


Teeth Whitening for Sacramento, CA

April 27, 2015

For our patients in Sacramento, teeth whitening is an important confidence-building treatment that always makes a person feel better and more attractive. A bright, beautiful smile conveys youth, good health, happiness, warmth, and confidence. In fact, research by the American Academy of Cosmetic Dentistry (AACD) found that more than 99 percent of adults believe their smile is one of their most important "social assets." Most people believe a great smile to be more appealing to the opposite sex, and as many as 75 percent believe that an unattractive smile can decrease their chances of career success. 

So, what is the most commonly desired cosmetic dental improvement? Whiter teeth. This is good news because teeth whitening treatments are easy and one of the most economical ways to acquire a more attractive smile.

Teeth Discoloration: As you age, your teeth become darker or yellower and normally accumulate stains. Your baby teeth were probably whiter than your adult teeth, so this may be why brighter, whiter teeth make people appear younger. The primary causes of external tooth discoloration are genetics, certain foods, tobacco use, and normal aging. Foods associated with tooth yellowing include tea, coffee, carrots, and oranges. Internal tooth discoloration may be caused by exposure to high levels of fluoride, tetracycline use, developmental disorders, root canals, tooth decay, dental restorations, and injuries. The most common teeth whitening techniques are over-the-counter whitening products and professional, in-office teeth bleaching whitening treatments:

OTC Teeth Whitening Products: Do-it-yourself treatment kits are available in retail stores (Over The Counter) and do not require a prescription. These typically include teeth whitening strips, gels, and other oral care products such as toothpastes and chewing gums. These products are generally very safe, but it's not a bad idea to talk with your dentist or hygienist before trying them. With their experience, they can give you a pretty good idea about which OTC products are best. 

Professional teeth whitening procedures are performed in a dental office and involve stronger and more effective whitening agents. These very effective treatments can often improve your smile in just one visit. The effects of an in-office treatment also last much longer than an over the counter solution.

In-Office Professional Teeth Whitening Treatment: There are several advantages to in-office treatments. Professional care makes the teeth whitening process safer and considerably more effective. Your dentist can ensure that your mouth trays are fitted properly to ensure that there is no leaking of the whitening product. If you've experienced sensitivity issues as a result of whitening agents, your dentist is best equipped to relieve your symptoms, and keep it from growing worse without ending the treatment. 

Talk to your dentist about teeth whitening options today, and give your smile new life. A bright, stunning smile can make a real change in your attitude, your confidence and your life.

 Image result for teeth whitening

Five Guidelines for Maintaining Good Dental Hygiene

February 18, 2015

Maintaining good dental hygiene is essential for more reasons than you might guess. The pain that comes from cavities and infection are reasons enough to maintain good dental health; but poor dental health affects not only your mouth, it actually affects the health of your entire body. At Midtown Dental in Sacramento, CA, we recommend the five following guidelines to ensure good dental hygiene.

#1) Brush. The first rule for good dental health is to brush your teeth - frequently. At the very least, you should brush twice a day, morning and night. Ideally, you should brush three times a day. Always choose a good toothbrush. Look for the ADA (American Dental Association) stamp on the toothbrush to ensure that you are buying a quality toothbrush.

When you brush your teeth, try to visualize the surfaces of your teeth, and see the nooks and crevices and your gums. Brush in a gentle, circular motion, moving slowly across all of the surfaces and crevices you visualize to ensure that your brushing motion is reaching and thoroughly cleaning all the surfaces and nooks and crannies in and around your teeth where bacteria exist. Remember to take your time and spend at least two minutes thoroughly brushing every surface and crevice in and around your teeth.

#2) Floss. After brushing your teeth thoroughly, it is important to take a couple of minutes to floss them. Flossing removes plaque and remaining bacteria that linger on your teeth, in between your teeth, and on your gums. Flossing also inhibits gum diseases, which, if unchecked, can lead to serious infections. Choose floss that has a waxed coating as this helps the floss move through your teeth more easily. Floss every day.

#3) Mouth Rinsing. The third rule for lasting dental health is to rinse out your mouth with water or mouthwash after meals when you cant brush. Swishing and gargling after meals helps to dislodge and remove food particles and bacteria that are likely to remain after the meal. The remaining food particles and bacteria cause an acid to form on your teeth that causes plaque and eats away at the protective enamel on your teeth. If the plaque is not removed, it can turn into tartar. Once plaque has turned into tartar only a dentist can get it off.

#4) Fluoride. The fourth rule for maintaining good dental hygiene is to rinse your mouth with mouthwash that contains fluoride. Fluoride strengthens the enamel on your teeth, and the harder the enamel on your teeth, the tougher it is for plaque to stick and for acid to eat through it.

#5) Dental Check-up. The fifth rule for great dental health is to see your dentist on a regular basis. We recommend that you come in every 6 months for a cleaning. Going to the dentist every six months is important for your dental health because. Your dentist will do a detailed check up of all your teeth, and clean off any tartar build-up that has occurred. Getting all of the tartar off of your teeth is crucial for avoiding gum disease.

If you haven't seen your dentist in over a year, we invite you to visit Dr. Jenny Apekian at Midtown Dental in Sacramento for an examination and cleaning.


CEREC One-Visit Crowns

January 24, 2015

There are few innovations that truly change and revolutionize the day-to-day practice of dentistry. However, by becoming a CEREC dentist in Sacramento, we have dramatically improved the dental crown experience for our patients in Sacramento, CA. At Midtown Dental, we recently acquired the CEREC 3D CAD/CAM technology, which makes "one-visit crowns" a reality for our patients. We are one of a very few select dentists who offer this technology in Sacramento.

CEREC- A procedure with a long tradition

Developed in Zurich University, CEREC technology has been successfully used in dental practices since 1985.  Only recently have dentists been able to use the exact same material as dental labs, which enables us to create the crown first hand and produce an even better looking and fitting restoration.

CEREC Procedure- what it means to you as the patient

  • No conventional impressions. The CEREC 3D camera scans the prepared tooth in just seconds and eliminates the need for unpleasant silicone impressions.

  • No temporaries. After I design your case, the CEREC restoration is milled out of a ceramic block in our office in only a few minutes.  They are ready to be placed that same day, eliminating the need for temporaries.

  • No long waiting period. You don't have to wait 2-3 weeks for your final restoration. You don't risk the possibility of your temporary cracking or coming off. And, you don't have to schedule a second dental visit. 

CEREC Procedure- what it means to me as your dentist

By becoming a CEREC dentist, Sacramento patients gain the benefits of this excellent new technology and my years of experience as an artist. Because we are taking a digital scan of the prepared tooth, we are cutting out two steps in the crown process, thereby eliminating possible errors in impressions and models.  The level of accuracy and the ability for me to control every nuance of your final crown, makes me more confident than ever that you are getting the best possible treatment that technology and dentistry have to offer.

In addition, being able to stain and glaze each crown to your specific tooth characteristics makes me feel like I am in my art studio every day!  Rather than having to explain how I would like the final outcome to look to a lab technician, I am able to customize it myself.  My years of painting and studying color theory make this part of the process come very naturally to me. 


I am so proud to be one of the very select few dentists who offer this type of technology in the Sacramento area.  I have been able to include patients in the design process and have been really overwhelmed by their interest.  The excitement is infectious!  When you need your next dental restoration, rest assured you are getting the best treatment available.    


Before and after image of a single Cerec Implant Crown, top right front tooth

Choosing the Best Dentist in Sacramento

November 03, 2014

By Guest Blogger, Richard Mikesell

When it comes to choosing the best dentist in Sacramento, there are many choices, and it can be difficult to understand what really sets one dentist above all the others. You can rest assured that if they hold the DDS or DMD designation, they have had ample education and training. In some instances you will see that a dentist has had additional training that extends his or her expertise for certain dental skills and this, too, can be valuable. You will also see membership designations with various local and national dental associations, but nearly all dentists in Sacramento are members of these organizations, so this isn't necessarily a distinctive characteristic. So how do you confidently discern which dentist is really the "best Sacramento dentist" for you and your family? 

As a consultant to the dental profession for nearly ten years and having worked closely with nearly a hundred different dentists, I have learned to identify the essential attributes of a truly outstanding dental professional. A few of them stand out in my mind for being exceptional by every criterion I would use to identify and choose a dentist for me and my family. Here are those characteristics that I would use to choose an outstanding dentist in Sacramento.

1. Personal Excellence. I am referring to demonstrated, or proven, academic and technical excellence. How well did a dentist perform in dental school? Did he or she achieve notable academic excellence or honors? Most of us know people who hold themselves to the highest personal expectations and they perform their job with excellence, consistency and integrity. A DDS or DMD after a person's name does not necessarily guarantee that he or she is a truly exceptional dental professional. If the dentist you are considering performed exceptionally well in dental school, it tells you a lot about that person's dedication and commitment to personal excellence.  
Dr. Apekian graduated at the top of her class at one of the most prestigious dental schools in the nation, University of California, San Francisco. She was one of ten students inducted into Omicron Kappa Upsilon, an honor society selected by faculty members of the dental school. She has been in practice for over 7 years. Dr. Apekian is personally committed to continuing education and routinely receives 2-3 times the number of course units as required by the dental board.
2. Professional Reputation. The internet now makes it quite easy to determine a dentist's professional reputation. By doing a search on that dentist's name or the name of their practice, you will typically see what former and current patients have to say about their experience with that dentist because his or her professional reputation is now in full view: the good, the bad and the ugly. You'll get a pretty clear impression about what other patients' experiences have been with that dentist's personality and pleasantness, expertise and skill, and care and sincerity. See what others are saying about a particular dentist on Google, Yelp and other online review sites, and you will have a pretty good idea about what your experience will be.  
Dr. Apekian wants to change the attitude people have towards dentistry one patient at a time. She believes there is truly no reason a dental visit should not be completely comfortable and a pleasant experience. With Dr. Apekian, numbing is painless, crowns can be completed in one visit, and routine x-rays can be taken without being gagged. See what others have to say about their experience at Midtown Dental:
2. Practical Advantages. Evaluate the other practical reasons to consider a dentist, such as their location. Local convenience is good, but remember that the additional travel time to see a truly great dental professional can easily be worth the extra time and effort. Also consider insurance and financial or credit offerings. You can usually find this information on their website or from a quick phone call. If you need a particular procedure performed, such as Invisalign® braces, dental implants, Cerec® crowns, sedation dentistry, porcelain veneers, etc., you will want to be sure that the dentist provides that particular service or procedure.  
Dr. Apekian can complete most dental procedures at the office without referring out to a specialist. You don't have to go to a different office for most root canals or extractions anymore. With a convenient location right off the freeway at 29th and J and parking on the street as well as in the building, Midtown Dental is well situated between East Sac and Midtown Sacramento. Midtown Dental can bill all PPO insurances. Dr. Apekian is an expert in invisalign, implants, and cosmetic dentistry. She puts her same enthusiasm to perfecting a crown with same-day Cerec® crowns, as she does in her art. Come see some of her paintings at Midtown Dental.  

While there are other factors one can consider when choosing a dentist, I have personally observed that the best dentists have a verifiable commitment to Personal Excellence, a sterling Professional Reputation built upon their patient's positive experiences, and they offer Practical Advantages that make your decision simple and logical. I'm convinced that you will find all of these essential attributes in abundance with Dr. Jenny Apekian of Midtown Dental. I am also convinced that she is easily one of the very best dental professionals you can choose for you and your family in Sacramento, California.

Author: Richard Mikesell, Marketing Consultant to Dental Professionals

Gum Disease: The Connection between your Gums and your Overall Health

October 06, 2014

Most of us can grasp the idea of tooth decay, but we often forget that the gums supporting the teeth can also get infected and be of equal importance to our dental health. Gum or periodontal disease is mainly the result of infections and inflammation of the gums and bone that surround and support the teeth. In its early stage, called gingivitis, the gums can become swollen and red, and they may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can irreversibly be lost, and the teeth may loosen or even fall out.

Gum disease, like a dental cavity, is caused by bacteria. Did you know significant associations between periodontal disease and cardiovascular disease, diabetes mellitus, preterm low birth weight, and osteoporosis have been discovered? The links among oral diseases and systemic diseases are serious and physicians and dentists are teaming up, more than ever, to treat the body as a whole.

As a dentist in Sacramento, I strongly encourage all of my patients to be aware of the health of their gums. The consequences of neglecting them can be devastating.

Gum Disease Risk Factors

Diabetes - People with diabetes are at higher risk for developing infections, including gum disease.
Other illnesses - Diseases like cancer or AIDS and their treatments can also negatively affect the health of gums.
Smoking - as if you needed another reason to quit smoking!
Hormonal Changes in girls/women including pregnancy
Medications - some medications can actually contribute to gum disease or cause dry mouth
Genetic Susceptibility - some people are more genetically susceptible to developing gum disease

Treatment Options


What is it?

Why is it used?

How is it used?

Prescription antimicrobial mouthrinse

A prescription mouthrinse containing an antimicrobial called chlorhexidine

To control bacteria when treating gingivitis and after gum surgery

Its used like a regular mouthwash.

Antibiotic microspheres

Tiny, round particles that contain the antibiotic minocycline

To control bacteria and reduce the size of periodontal pockets

The dentist or hygienist puts the microspheres into the pockets after scaling and root planing. The particles release minocycline slowly over time.

Oral antibiotics

Antibiotic tablets or capsules

For the short term treatment of an acute or locally persistent periodontal infection

These come as tablets or capsules and are taken by mouth.

Deep Cleaning (Scaling and Root Planing)

A cleaning that will get to the base of a deeper periodontal pocket.  Effectively treats 4-5 mm pockets.  Can be used to treat 6-7 mm pockets in some instances.

To reduce periodontal pocket depths to create a more healthy and cleansable environment.  

The hygienist will be performing this procedure with traditional anesthetic or topical anesthetics.  Routine follow up and home care is important for treatment success.

Laser-Assisted Periodontal Therapy

A diode laser that is used at a specific setting to target pigmented, anaerobic bacteria that cause gum disease.

Lasers can help significantly reduce bacteria in an unhealthy periodontal pocket. In addition, it can help reduce bleeding and discomfort following a deep cleaning.

The laser tip is placed under the gum line.  It can be combined with your deep cleaning appointment and subsequent cleaning appointments, only takes 10-20 minutes, and does not cause any additional discomfort.  

Gum Surgery

Surgery might be necessary if inflammation and deep pockets remain following other treatment methods.  This procedure would be reserved for pockets greater than 6mm and would require a referral to the periodontist who is a gum specialist.

After surgery the gums will heal and fit more tightly around the tooth. This sometimes results in the teeth appearing longer.  But ultimately, the teeth can be maintained and stop the progression of gum disease and tooth loss.

This surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again.

OK, OK, Dr. Apekian, we get it...GUMS are important, but now what?

Well, first thing is first. Make sure you are getting your annual exams and cleanings. Once a year at Midtown Dental, we check the health of your gums and give you you specific recommendations. Even healthy gums require maintenance at least every 6 months with a routine cleaning. I am personally very proactive with periodontal disease, because sadly, once you've lost bone, it's gone for good and very unlikely to be restored. PREVENTION is key, so schedule your appointment today. It's good for your smile AND your overall health! 


Dental Implants for Sacramento Patients

September 11, 2014

Dental implants are the best option for strong, natural looking replacements for single or multiple missing teeth. Dr. Jenny Apekian can help those patients in Sacramento, California who wish to replace a missing tooth with a more long-lasting and natural feeling option than dentures or bridges. Typically made from titanium, dental implants are utilized for the restoration of missing teeth. These implants are being placed within the jawbone and serve as a platform to retain the implant crown, thereby restoring the missing tooth. The procedure is performed with an incision in the gums, followed by inserting the dental implant inside the jaw bone where the original tooth root resided. After the dental implant has been inserted, gums will be sewn up while allowing time to enable the bone and gums to heal. The course of healing might take up to a few months, but it is vital that the bone and gums are adequately healed and strong enough to hold a prosthetic tooth in place.


Before a procedure starts, you will first have a thorough consultation and analysis with Dr. Apekian. In the preliminary consultation, Dr. Apekian will evaluate the teeth that require the implant(s). Upon the evaluation of the mouth, Dr. Apekian will make sure that there is strong and adequate bone for supporting the implant procedure. When there is inadequate bone, you do have the choice to receive a bone graft.

The Benefits of Dental Implant

Different from bridges or dentures, dental implants are virtually permanent. Bridges may also be permanent, but this will depend largely upon the stability and health of the adjacent teeth to be successful. All things considered, implants are the more favorable option for prosthetic teeth as they are the more reliable and natural replacement for an actual tooth. In addition, dental implants are the only replacement option that will actually maintain the structure of the jawbone throughout your lifetime. When a tooth is extracted, the area of the missing tooth and surrounding bone will continue to resorb over time, losing that youthful appearance. Dental implants help maintain the dimensions of the jawbone just like teeth.

As for aesthetics, dental implants feel and look exactly like a real teeth. Bridges change the surrounding teeth on which they are being anchored and may even cause damage to those teeth in the long run. Dental implants merely replace each individual tooth, so they don't have any side effects upon the natural gums or surrounding teeth. 

Aftercare Procedure

Dental implants should be cared for, just as real teeth. You need to brush them regularly along with all the proper care associated with good dental hygiene. Plaque may build up on implants and should be removed thoroughly, or it may reduce the prosthetic tooth's longevity. 

For individuals with missing teeth, dental implants often mean the difference between having the confidence to smile or hiding your mouth from the world. An attractive, healthy looking smile can truly affect your confidence at work and in your profession, which can have a positive impact upon your personal finances. In addition to your confidence, dental implants often make it easier to enjoy the foods you love!

There are many benefits and advantages you can have from dental implants. We invite you to contact Dr. Jenny Apekian at Midtown Dental in Sacramento, California; Call us at (916) 764-3430 for a consultation.

Sick of Your Crooked Teeth? Invisalign Can Help!

August 04, 2014

Getting straight teeth may be easier than you think. Gone are the days of metal wires and painful adjustment appointments. Now, Invisalign in Sacramento offers a nearly invisible, painless path to perfect teeth.

Invisalign® offers Sacramento a modern approach to straightening teeth, using a custom-made series of aligner trays created for you and only you. These aligner trays are made of smooth, comfortable and virtually invisible plastic that you wear over your teeth. Wearing the aligners will gradually and gently shift your teeth into place, based on the exact movements your dentist or orthodontist plans out for you. You just pop in a new set of aligners approximately every two weeks until your treatment is complete. You'll achieve a great smile with little interference in your daily life. The best part about the whole process is that most people won't even know you're straightening your teeth; and our convenient location in Midtown Sacramento makes Invisalign a convenient solution, too. 

Even if you have been told you are not a candidate in the past, you may be surprised to find out advancements in materials are treating a broader range of cases. Invisalign® has many advantages over traditional braces: 

- It allows you to eat whatever foods you enjoy.
- Lets you remove the device when you want.
- Lets you enjoy virtually invisible teeth-straightening.
- Allows you to brush and floss your teeth normally for better periodontal health.
- Consists of smooth, comfortable plastic instead of sharp metal that is more likely to irritate your cheeks and gums.
- Frees up your busy schedule, with office visits only every four to six weeks.

In addition, Invisalign® can help prevent tooth decay and gum disease caused by bacteria. Crowded or mal-aligned teeth are much more difficult to clean and are more likely to result in gum disease and tooth decay. Studies by the American Dental Association have shown that oral infections can also lead to other more serious ailments such as heart disease, stroke, pneumonia, and diabetes. Straighter teeth always make for healthier teeth and gums. 

Pricing is based on duration of treatment and can be determined at your consultation appointment, but it can be as short as only a few months. Schedule a complimentary consultation with me to discuss your options and see if you are an Invisalign® candidate!

Why Cosmetic Dentistry?

June 27, 2014

Why Cosmetic Dentistry?
There was a time, not too long ago, where whatever smile we were born with was the one we were destined to stay with, for better or worse. The lucky ones got white, straight teeth. Braces came on the scene and could correct crooked, misaligned teeth. However, many problems still remained. Perfectly nice teeth would become discolored due to the use of tetracycline during childhood. Accidents during play and in sports would chip and break teeth. Tooth decay and gum disease brought a plethora of problems with them, and aging had as little mercy on teeth as on the rest of the human body.
Dentists worked with what they had. Caps or crowns could be used in some cases, but those often resembled poorly crafted white Chiclets instead of actual teeth. Tetracycline teeth and other tooth discolorations had to be accepted with self-conscious smiles or tight-lipped grins...No more.

Cosmetic dentistry can now correct all of these less-than-perfect smiles. Improved materials and new techniques have made it possible for people to reclaim a smile lost to accident or age, or gain a smile they never knew they had in them.

Often the solutions can be as simple as whitening or bleaching, and these procedures can often be brought in line with most budgets. Some procedures require a custom-made mouthpiece. The dentist sends the patient home with whitening solution and instructions. Within a few weeks, teeth will have lightened significantly. Other procedures take place in the dentist's office. At one time, stains caused by tetracycline, aging, or trauma to the teeth were considered beyond the reach of whitening which usually dealt with stains that came from years of drinking tea or coffee, or smoking. However cosmetic dentists have experienced success with consistent, long-term treatment. 

In some cases, though, long-term exposure to tetracycline created significant discoloration to some patient's teeth making them a shade of brown or gray. Other problems such as spacing, crooked, misshapen teeth can require more advanced treatment. Bonding uses a tooth-colored material, and can fix gaps or change the shape and color of the tooth. While successful in improving appearance, bonding tends to chip and stain teeth more easily than other procedures. Veneers, made out of thin porcelain or plastic, are cemented onto the teeth, using a light beam to make the bond more durable. Caps or crowns remain an option typically used when the underlying tooth structure has been compromised due to decay or root canals. Contouring or reshaping can be used to change the shape of teeth, their length and alignment. Teeth need to be healthy, and the changes desired not very extreme, but small, subtle changes can be achieved with this relatively simple procedure.

Porcelain Veneers are a popular method for dramatically improving your smile as explained and illustrated below by one of Dr. Apekian's patients:

"I recently had new veneers for my front teeth. Two times in the chair and, Viola! Complete! The first session was the preparation and the second was the implementation."

"It couldn't have been any easier. I had no discomfort. No bruising. Just pure anticipation for my second visit!"

"I feel so much more confident with my new smile! People are amazed at the total real ness of my new veneers. I can't say enough good things about Dr. Apekian and her staff. All very caring and professional people. I feel like I am family and feel extremely lucky to have found Midtown Dental."

- Paul W.

As a cosmetic dentist in Sacramento, Dr. Jenny Apekian can be considered an artist who works seeming miracles in the mouth. A consultation will allow you and your dentist to find the right solution for the desired effects that can also work within your budget.