◈ Homepage — https://www.marganiandds.com/CALL (626) 577-5585 APPOINTMENT REQUEST CONTACT US WELCOME MEET THE DOCTOR OUR PRACTICE PROCEDURES MORE Dare to have the smile you've always wanted. OUR OFFICE 2684 East Colorado Boulevard, Pasadena, California 91107 (626) 577-5585 GIVE US A CALL MAKE AN APPOINTMENT OUR FRIENDLY DENTIST IN PASADENA Are you looking for a dentist who can provide care for your whole family? At the dental practice of Vicken Marganian, DDS, we offer the wide array of treatments you and your loved ones need to enjoy a lifetime of healthy, gorgeous smiles. We are passionate about providing quality dental care while maximizing your comfort throughout your visit. Our dental office is conveniently located on Colorado Boulevard, and we are proud to protect the smiles of the residents of Pasadena and the surrounding areas. You can trust that we will welcome you like family and treat you with respect. We combine years of experience with a compassionate chairside manner to help create a positive experience every time you visit us. Contact us today to schedule an appointment for skilled Pasadena family dentistry. OUR EFFECTIVE DENTAL TREATMENTS We believe that each smile is unique and deserves personalized dental care. That is why we craft custom treatment plans to meet your specific needs and lifestyle while boosting your oral health. Our team takes the time to get to know you, and we ask questions to fully understand your concerns and smile goals. Here are some of the dental services we offer: Cleanings and Exams Dental Implants Veneers Crowns and Bridges Invisalign® Clear Aligners All-on-4® We value your trust, which is why we only recommend treatments that you need to safeguard your oral health and smile. Our friendly team welcomes your entire family from age three and up to enjoy our quality dental care. A DENTAL OFFICE FOR YOUR FAMILY Every age and stage of life brings different oral health needs, and our gentle team is here to help you and your family smile through it all. We make it a point to get to know you and your loved ones and develop a professional and personal relationship you can rely on. Our team uses age-appropriate language to educate children and teens on the importance of oral health and proper brushing and flossing techniques. We welcome questions and are happy to provide the answers you need to make an informed decision regarding your treatment plan. STATE-OF-THE-ART TECHNOLOGY Our team is dedicated to providing the latest tools and techniques dental care has to offer. That is why our office is equipped with advanced technology and services to provide reliable dental treatments that promote your oral health and faster healing. We use intraoral scanners, CBCT, digital x-rays, and computer-guided surgery to provide precise and effective treatments. Our team also uses digital impressions, so you and your loved ones don't have to worry about goopy impressions. OUR GENTLE DENTIST IN PASADENA When your loved ones smile, you can't help but smile back. At the dental practice of Vicken Marganian, DDS, we provide the array of dental treatments your family needs to smile confidently. Whether your little one needs their biannual teeth cleaning or you want to straighten your smile with clear aligners, you can rely on our team to help. Contact us today to schedule your appointment at our Lamanda Park dental office. CALL US: (626) 577-5585 REQUEST APPOINTMENT CONNECT WITH US TESTIMONIALS "This is a great place to come because making appointments is easy, the front desk staff is always pleasant, and Dr, Marganian has provided me with solid advice on my dental health and--most importantly--numbs the hell out of ..." MATT M. "I moved down here from NorCal about 6 years ago. The first two years I was traveling back and forth to see my orthodontist and dentist because I liked them very much. After I finally graduated from school and got insured, I s ..." VICKY T. "We drive almost 2 hours for our visits. Him and his staff a truly the best. We will continue going to him as long as we live in California!" NURITSA T. "I love Dr. Marganian and his office staff! I look forward to my appointments and take pride in my healthy, beautiful teeth, and smile. He is passionate about his work and is very friendly and easy to talk to. All of his staff ..." DEM APPLE S. Exceptional dentistry, extraordinary services. COSMETIC DENTISTRY CLEANINGS & PREVENTION RESTORATIONS ORAL & MAXILLOFACIAL SURGERY PEDIATRIC DENTISTRY In the past decade there has been a dramatic interest in cosmetic dentistry.  We all realize that having a healthy, bright, beautiful smile enhances our appearance and allows us to smile with confidence.  Thanks to the advances in modern cosmetic dentistry, we are able to improve our teeth and smiles with quick, painless and surprisingly affordable treatments. Cosmetic dental treatments can: Change the size, shape, and alignment of certain teeth. Fill in unattractive spaces between teeth. Improve or correct bites. Lighten or brighten the... LEARN MORE ALL SERVICES CONTACT US We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below. Name* Phone* Email* Message Dedicated to providing you with expert dental care. WHAT SHOULD I DO IF I HAVE BAD BREATH? Bad breath (halitosis) can be an unpleasant and embarrassing condition.  Many of us may not realize that we have bad breath, but everyone has it from time to time, especially in the morning. There are various reasons one may have bad breath, but in healthy people, the major reason is due to... ...Read More HOW OFTEN SHOULD I BRUSH AND FLOSS? ARE AMALGAM (SILVER) FILLINGS SAFE? HOW OFTEN SHOULD I HAVE A DENTAL EXAM AND CLEANING? HOW CAN I TELL IF I HAVE GINGIVITIS OR PERIODONTITIS (GUM DISEASE)? WHY IS IT IMPORTANT TO USE DENTAL FLOSS? HOW CAN COSMETIC DENTISTRY HELP IMPROVE THE APPEARANCE OF MY SMILE? WHAT ARE PORCELAIN VENEERS AND HOW CAN THEY IMPROVE MY SMILE? WHAT CAN I DO ABOUT STAINED OR DISCOLORED TEETH? WHAT ARE MY OPTIONS IF I HAVE MISSING TEETH? READ MORE GET STARTED BLOG QUESTIONS TO ASK THE DENTIST ABOUT ALL-ON-4® VIEW ARTICLE HOW WELL DOES PROFESSIONAL TEETH WHITENING ACTUALLY WORK? VIEW ARTICLE FIVE TIPS FOR TEACHING KIDS GOOD ORAL HYGIENE VIEW ARTICLE VICKEN MARGANIAN DDS 2026 •SITE MAP ◈ Interior Pages — 149 pages crawledAppointment Request | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Appointment Request The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. Please do not use this form to cancel or change an existing appointment. Office Hours: Monday 9:00 AM - 5:00 PM Tuesday 9:00 AM - 3:00 PM Wednesday By Appointment Only Thursday 9:00 AM - 5:00 PM Friday 9:00 AM - 3:00 PM Saturday CLOSED Sunday CLOSED             Patient Information Name Email Phone Are you a current patient? Yes No How did you hear about us? Patient Availability Preferred day(s) of the week for an appointment? Any Day Monday Tuesday Wednesday Thursday Friday Preferred time(s) for an appointment? Any Time Morning Afternoon Reason For Visit Please describe the nature of your appointment? Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information. Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Blog | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Blog For Kids Five Tips for Teaching Kids Good Oral Hygiene Good oral hygiene is a crucial aspect of your child’s overall health and well-being. Teaching ... Aug 21 • 3 min read For Kids What to Expect at Your Child’s First Dental Visit Taking your child to the dentist for the first time is a crucial step in establishing good oral hygi... Jul 31 • 2 min read Categories Oral Surgery Cosmetic For Kids General Orthodontics Periodontics Restoration Archives September 2024 August 2024 July 2024 Newer Posts Older Posts Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Cracked Tooth | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Cracked Tooth Cracked Tooth --> Cracked and fractured teeth are common dental problems. As people retain their natural teeth longer (due to advances in dental technology), the likelihood of cracked teeth increases. There are many reasons why teeth may crack, for example, biting on hard objects, trauma, grinding and clenching of teeth. All of these behaviors place the teeth under extra strain and render them more susceptible to cracking. When tooth enamel is cracked, pain can become momentarily debilitating. In the absence of pressure on the crack, there may be no discomfort.  However, as the cracked tooth performs a biting action, the crack widens. The pulp and inner workings of the tooth then become exposed, and painful irritation occurs. As pressure is released again, the two parts of the crack fuse back together, and pain subsides. If left untreated, the pulp becomes irreversibly damaged and constantly painful. The resulting pulp infection can affect the bone and soft tissue surrounding the tooth. Symptoms of a cracked tooth may include: Unexplained pain when eating. Sensitivity to warm and cold foods. Pain with no obvious cause. Difficulty pinpointing the location of the pain. What kind of cracks can affect the teeth? There are many ways in which a tooth can be cracked. The specific type of crack will determine what type of treatment is viable. In cases where the crack is not too deep, root canal therapy can be performed, and the natural tooth can remain in the mouth.  In other situations, the tooth is too badly damaged and requires extraction. Here is a brief overview of some of the most common types of cracks: Crazes – These are generally tiny vertical cracks that do not place the teeth in danger. These scratches on the surface of the teeth are considered by most dentists to be a normal part of the tooth anatomy. A craze rarely requires treatment for health reasons, but a wide variety of cosmetic treatments can be performed to reduce the negative aesthetic impact. Oblique supragingival cracks – These cracks only affect the crown of the tooth and do not extend below the gum line. Usually, the affected part of the tooth will eventually break off. Little pain will result, because the tooth pulp (that contains the nerves and vessels) will remain unaffected. Oblique subgingival cracks – These cracks extend beyond the gum line and often beyond where the jawbone begins.  When a piece breaks off, it will usually remain attached until the dentist removes it. Oblique subgingival cracks are painful and may require a combination of periodontal surgery (to expose the crown) and endodontic treatment to place a crown or other restorative device. Vertical furcation cracks – These cracks occur when the roots of the tooth separate. This type of crack almost always affects the nerve of the tooth. Because the tooth will not generally separate completely, root canal therapy and a crown can usually save the tooth. Oblique root cracks – These cracks tend not to affect the surface of the tooth at all. In fact, the damage is only apparent below the gum line and usually below the jawbone. Root canal therapy may be possible, depending on how close the fracture is to the tooth surface.  However, extraction is almost always the only option after sustaining this classification of fracture. Vertical apical root cracks – These cracks occur at the apex (tip of the root). Though the tooth does not require extraction from a dental perspective, many patients request an extraction because of the high degree of pain. Root canal therapy alleviates the discomfort for a while, but most often, teeth affected by such cracks are eventually extracted. How are cracks in the teeth treated? There are many different types of cracked teeth. Some can only be exposed using X-ray machines, while others are clearly visible to the naked eye. In cases where the tooth root is affected, root canal therapy is the most viable treatment option. The pulp, nerves, and vessels of the tooth will be removed, and the resulting space will be filled with gutta-percha.  A crown or filling will be added to stabilize the tooth, and it will continue to function as normal. When the crack is too severe for the tooth to be saved, the dentist will perform an extraction. There are a number of restorative options in this case, such as bridges, dental implants and partial dentures. All of these structures can restore biting, chewing, and speaking functions. If you have any questions or concerns about cracked teeth, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) D Apicoectomy | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Apicoectomy Apicoectomy --> The teeth are held firmly in place by strong roots that extend into the jawbone. Molars and premolars tend to have several roots, whereas the front incisors only have a single root. The end or tip of each root is termed the apex. The apex is where the nerves and blood vessels enter the tooth and aids in the delivery of blood to the crown (the part of the tooth you can see in your mouth). A root canal treatment refers to the cleaning of the canals and the removal of infected and inflamed tissue within the root. When the inflammation or infection persists after the root canal treatment, an apicoectomy may be required. An apicoectomy is essentially the removal of the apex (or root tip), followed by a filling procedure to seal the root from further infection. When left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone. Reasons for an apicoectomy Infected and inflamed soft tissue around the root of a tooth can be exceptionally painful and debilitating. The purpose of an apicoectomy is to eliminate the infection in the tissue and to ultimately preserve the function of the tooth and save it from extraction. An apicoectomy will rarely be considered by the surgeon unless a prior root canal treatment has failed. There are several reasons why an apicoectomy may be necessary: Small Adjoining Root Branches – Roots are extremely complex and can contain many tiny branches. If these tiny branches cannot be cleaned and sealed when the root canal treatment is performed, inflammation can persist. Blocked Root Canal – In some cases, the surgeon is unable to effectively clean a root canal because it is blocked by a fractured file left behind from prior root canal treatment. Infection and debris can quickly affect adjacent teeth. Narrow or Curved Root Canals – When the root canal is poorly shaped, the endodontic files cannot reach the root tip. Continuing infection or re-infection can then occur. What does getting an apicoectomy involve? Prior to the surgery, the surgeon will generally prescribe an antibiotic or anti-inflammatory medication to treat the underlying infection. Panoramic X-rays will then be taken to enable the surgeon to plan the apicoectomy, which will be performed under local anesthesia. The surgeon will make a small incision in the gum and expose the root by lifting away the gum. In some cases, a tiny fraction of the jawbone may be removed to properly expose the root. The edge of the root tip and any infected connective tissue will be removed using ultrasonic instruments. The root will be sealed using a retrofill (filling material), and the surgeon will suture the gum with several stitches. This surgery does not require an overnight stay, and full aftercare instructions and pain medications will be provided as needed. After several days, the surgeon will remove the stitches, and the connective tissues will fully heal several months after the procedure. If you are experiencing any symptoms, such as pain or swelling associated with a tooth that has had a root canal, we encourage you to contact our office immediately. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Pocket Reduction Surgery | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Pocket Reduction Surgery Pocket Reduction Surgery --> Pocket reduction surgery (also known as gingivectomy, osseous surgery and flap surgery) is a collective term for a series of several different surgeries aimed at gaining access to the roots of the teeth in order to remove bacteria and tartar (calculus). The human mouth contains dozens of different bacteria at any given time.  The bacteria found in plaque (the sticky substance on teeth) produce acids that lead to demineralization of the tooth surface, and ultimately contribute to periodontal disease. Periodontal infections cause a chronic inflammatory response in the body that literally destroys bone and gum tissues once they invade the subgingival area (below the gum line).  Gum pockets form and deepen between the gums and teeth as the tissue continues to be destroyed. Periodontal disease is a progressive condition which, if left untreated, causes massive bacteria colonization in gum pockets and can eventually cause teeth to fall out.  Pocket reduction surgery is an attempt to alleviate this destructive cycle, and reduce the depth of the bacteria-harboring pockets. Reasons for the pocket reduction surgery Pocket reduction surgery is a common periodontal procedure which has been proven effective at eliminating bacteria, reducing inflammation and saving teeth.  The goals of pocket reduction surgery are: Reducing bacterial spread – Oral bacteria has been connected to many other serious conditions such as diabetes, heart disease and stroke.  Oral bacteria can travel to various parts of the body from inside the bloodstream and begin to colonize.  It is important to decrease bacteria in the mouth in order to reduce the risk of secondary infection. Halting bone loss – The chronic inflammatory response induced by oral bacteria leads the body to destroy bone tissue.  As the jawbone becomes affected by periodontal disease, the teeth lose their rigid anchor.  When the teeth become too loose, they may require extraction. Facilitate home care – As the gum pockets become progressively deeper, they become incredibly difficult for the patient to clean.  The toothbrush and dental floss cannot reach the bottom of the pockets, increasing the risk of further periodontal infections. Enhancing the smile – An oral cavity that is affected by periodontal disease is not attractive to the eye.  In fact, smiles may be marred by brown gums, rotting teeth and ridge indentations.  Pocket reduction surgery halts the progression of gum disease and improves the aesthetics of the smile. What does pocket reduction surgery involve? Before recommending treatment or performing any procedure, the dentist will perform thorough visual and X-ray examinations in order to assess the condition of the teeth, gums, and underlying bone. Pocket reduction surgery can be performed under local or general anesthetic depending on patient preferences. The gums will be gently pulled back from the teeth and bacteria and calculus (tartar) will be eliminated.  Scaling and root planing will generally be required to fully remove the ossification (tartar) from the surface of the tooth root.  If the root is not completely smooth, a planing procedure will be performed to ensure that when the gums do heal, they will not reattach to rough or uneven surfaces. The final part of the surgery is usually the administration of an antimicrobial liquid to eliminate any remaining bacteria and promote healing.  The gum is then sutured with tiny stitches that are left in place for 5-10 days. Though the gums will be more sensitive immediately following the procedure, there will be a significant reduction in pocket depth and a vast improvement in the condition of the teeth and gums. If you have any questions about pocket reduction surgery or treatment for periodontal disease, please contact our practice. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Dental Emergencies | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Dental Emergencies Dental Emergencies --> Although dental injuries and dental emergencies are often distressing for both children and parents, they are also extremely common.  Approximately one third of children have experienced some type of dental trauma, and more have experienced a dental emergency. There are two peak risk periods for dental trauma - the first being toddlerhood (18-40 months) when environmental exploration begins, and the second being the preadolescent/adolescent period, when sporting injuries become commonplace. Detailed below are some of the most common childhood dental emergencies, in addition to helpful advice on how to deal with them. Toothache Toothache is common in children of all ages and rarely occurs without cause.  Impacted food can cause discomfort in young children, and can be dislodged using a toothbrush, a clean finger, or dental floss.  If pain persists, contact the pediatric dentist.  Some common causes of toothache include: tooth fractures, tooth decay, tooth trauma, and wisdom teeth eruption (adolescence). How you can help: Cleanse the area using warm water.  Do not medicate or warm the affected tooth or adjacent gum area. Check for impacted food and remove it as necessary. Apply a cold compress to the affected area to reduce swelling. Contact the pediatric dentist to seek advice. Dental avulsion (knocked-out tooth) If a tooth has been knocked-out of the child’s mouth completely, it is important to contact the pediatric dentist immediately.  In general, pediatric dentists do not attempt to reimplant avulsed primary (baby) teeth, because the reimplantation procedure itself can cause damage to the tooth bud, and thereby damage the emerging permanent tooth. Pediatric dentists always attempt to reimplant avulsed permanent teeth, unless the trauma has caused irreparable damage.  The reimplantation procedure is almost always more successful if it is performed within one hour of the avulsion, so time is of the essence! How you can help: Recover the tooth.  Do not touch the tooth roots! Handle the crown only. Rinse off dirt and debris with water without scrubbing or scraping the tooth. For older children, insert the tooth into its original socket using gentle pressure, or encourage the child to place the tooth in the cheek pouch.  For younger children, submerge the tooth in a glass of milk or saliva (do not attempt to reinsert the tooth in case the child swallows it). Do not allow the tooth to dry during transportation.  Moisture is critically important for reimplantation success. Visit the pediatric dentist (where possible) or take the child to the Emergency Room immediately –time is critical in saving the tooth. Dental intrusion (tooth pushed into jawbone) Sometimes, dental trauma forces a tooth (or several teeth) upwards into the jawbone.  The prognosis is better for teeth that have been pushed up to a lesser extent (less than 3mm), but every situation is unique.  Oftentimes, the force of the trauma is great enough to injure the tooth’s ligament and fracture its socket. If dental intrusion of either the primary or permanent teeth is suspected, it is important to contact the pediatric dentist immediately.  Depending on the nature and depth of the intrusion, the pediatric dentist will either wait for the tooth to descend naturally, or perform root canal therapy to preserve the structure of the tooth. How you can help: Rinse the child’s mouth with cold water. Place ice packs around affected areas to reduce swelling. Offer Tylenol for pain relief. Contact the pediatric dentist where possible, or proceed to the Emergency Room. Tooth luxation/extrusion/lateral displacement (tooth displacement) Tooth displacement is generally classified as “luxation,” “extrusion,” or “lateral displacement,” depending on the orientation of the tooth following trauma.  A luxated tooth remains in the socket – with the pulp intact about half of the time.  However, the tooth protrudes at an unnatural angle and the underlying jawbone is oftentimes fractured. The term “extrusion” refers to a tooth that has become partly removed from its socket.  In young children, primary tooth extrusions tend to heal themselves without medical treatment.  However, dental treatment should be sought for permanent teeth that have been displaced in any manner in order to save the tooth and prevent infection.  It is important to contact the pediatric dentist if displacement is suspected. How you can help: Place a cold, moist compress on the affected area. Offer pain relief (for example, Children’s Tylenol). Contact the pediatric dentist immediately. Crown fracture The crown is the largest, most visible part of the tooth.  In most cases, the crown is the part of the tooth that sustains trauma.  There are several classifications of crown fracture, ranging from minor enamel cracks (not an emergency) to pulp exposure (requiring immediate treatment). The pediatric dentist can readily assess the severity of the fracture using dental X-rays, but any change in tooth color (for example, pinkish or yellowish tinges inside the tooth) is an emergency warning sign.  Minor crown fractures often warrant the application of dental sealant, whereas more severe crown fractures sometimes require pulp treatments.  In the case of crown fracture, the pediatric dentist should be contacted. Jagged enamel can irritate and inflame soft oral tissues, causing infection. How you can help: Rinse the child’s mouth with warm water. Place a cold, moist compress on the affected area. Offer strong pain relief (for example, Children’s Tylenol). Pack the tooth with a biocompatible material. Visit the pediatric dentist or Emergency Room depending on availability and the severity of the injury. Root fracture A root fracture is caused by direct trauma, and isn’t noticeable to the naked eye.  If a root fracture is suspected, dental x-rays need to be taken.  Depending on the exact positioning of the fracture and the child’s level of discomfort, the tooth can be monitored, treated, or extracted as a worse case scenario. How you can help: Place a cold, moist compress on the affected area. Offer pain relief (for example, Children’s Tylenol). Contact the pediatric dentist. Dental concussion A tooth that has not been dislodged from its socket or fractured, but has received a bang or knock, can be described as “concussed.”  Typically occurring in toddlers, dental concussion can cause the tooth to discolor permanently or temporarily.  Unless the tooth turns black or dark (indicating that the tooth is dying and may require root canal therapy), dental concussion does not require emergency treatment. Injured cheek, lip or tongue If the child’s cheek, lip or tongue is bleeding due to an accidental cut or bite, apply firm direct pressure to th Payment Options | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Payment Options At our dental office, we believe your overall oral health care is an invaluable investment that lasts a lifetime.  You shouldn't have to weigh insurance coverage or climb financial obstacles in order to obtain premium dental health care. It is to your advantage that you are able to reserve an appointment for service right away.  With all that said, below is a list of insurances that we accept, as well as the many types of payment options we offer to our patients. Dental Insurance Information Since we deal with dental insurances everyday, we understand first-hand that insurance plans can be a bit confusing to our patients. It is important to understand that on occasions your dental insurance may not cover certain dental treatments. If you have any questions, please contact our front office staff. We accept all PPO plans, however, we  do not  accept HMOs or Obamacare/Medical. Here is a list of Insurances we actively accept: Delta Dental MetLife Prudential Aetna Ameritas Anthem Blue Shield Guardian Humana United Health Care United Concordia Careington   Payment Options Our office currently accepts the following types of payments: Cash, Checks, American Express, Mastercard, Visa and Discover. Please contact our office if you have any questions regarding dental insurance, payments or financial options that are currently available.  We look forward to serving you!   Connect With Us Contact Us We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below. Name * Phone * Email * Message Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us When Should My Child Get An Orthodontic Evaluation? | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us When Should My Child Get An Orthodontic Evaluation? When Should My Child Get An Orthodontic Evaluation? --> Orthodontists aim to prevent and treat irregularities in the jaw and misalignment of the teeth that are the result of genetics, or develop in accordance with a child’s habits. The best way to achieve these goals is to have your child evaluated by an orthodontist as early as age seven; however, children with noticeable facial irregularities may benefit from preventive orthodontic treatment several years earlier. Orthodontists are highly trained to notice minute problems with emerging teeth and jaw growth – even if a mixture of baby teeth and permanent teeth are present. While the untrained eye might fail to spot these irregularities, an orthodontic check-up allows for early detection of problems and development of efficient treatment plans. Some of the key signs that an orthodontic problem is present are as follows: Difficulty chewing and biting Jaws that click, shift or make noise as they move Asymmetry in the face due to disproportionate jaws Finger and thumb sucking Bite misalignment (arches of teeth that do not meet properly) Common Orthodontic Problems for Children Children often experience overcrowding, jaw growth irregularities, protruding teeth and teeth that are too widely spaced. While some problems are inherited, main causes of acquired orthodontic irregularities are: Inadequate nutrition or dental hygiene problems Medical problems, such as birth defects Habits such as thumb or finger sucking Breathing through the mouth Earlier or later loss of baby teeth than is considered normal   How Can an Orthodontist Help my Child?       The orthodontist may take one of several approaches when dealing with children. In some cases, malocclusions or irregularities are carefully monitored and are addressed at a later date. The ideal time to initiate treatment varies with each individual child and is based on their unique diagnosis. Early orthodontic treatment is beneficial to reduce the amount and duration of later treatment, preventing more complex conditions from occurring. Through early intervention, the orthodontist is able to correct habits that lead to acquired irregularities, increase the confidence of the child, guide the growth of the jawbone, and decrease the risk of injury to protruding teeth. If you have any further questions about when your child should visit the orthodontist, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Periodontics | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Periodontics Periodontics --> The term “periodontics” refers to the dental specialty that pertains to the prevention, diagnosis and treatment of periodontal disease that affects the gums and jawbone.  The gum tissues serve to surround and support the teeth and the underlying jawbone anchors teeth firmly in place.  Periodontists have completed several years of extra dental training and are concerned with maintaining the function, health and aesthetics of the jawbone and tissues. Reasons for periodontal treatment Periodontal disease is a progressive condition which begins with mild gum inflammation called gingivitis.  It is the leading cause of tooth loss in adults living in the developed world, and should be taken very seriously.  Periodontal disease (often called gum disease) is typically signified by red, swollen, painful, or bleeding gums, but in some cases has no noticeable symptoms. Periodontal disease generally begins when the bacteria living in plaque cause an infection in the surrounding tissues of the teeth, causing them to become irritated and painful.  Eventually, this infection will cause the jawbone to recede and the tooth to become loose. There are several reasons why periodontal treatment may be necessary: Moderate/advanced gum disease – This occurs when the gums are bleeding, swollen or red around most teeth and the jawbone has begun to recede. Localized gum recession – The infection which propagates moderate or advanced gum disease often begins in one area.  Gum recession may also be caused due to over brushing with a hard bristle brush, or due to a tooth that is not positioned properly.  Immediate treatment is required to prevent further spreading. Before crown lengthening – The periodontist may lengthen the crown of the tooth by removing surrounding soft tissue to provide more tooth exposure. Ridge augmentation – This procedure, often called “recontouring” may be required to correct an uneven gum line.  Before embarking on treatment, a periodontist needs to treat any bacterial infections and periodontitis. In the case of mild/moderate periodontal problems, the focus of the periodontist will be on curing the underlying bacterial infection and then providing advice on the most appropriate home cleaning methods. Sometimes a deep scaling is needed to remove the bacterial plaque and calculus (tartar) from the teeth and tissues.  Where periodontal disease is advanced and the jawbone has regressed significantly, more intensive cleaning may be recommended and loose teeth that cannot be saved will be removed. The periodontist is trained in all aspects of dental implant procedures, which can restore functionality to the mouth when teeth have been affected by periodontitis. Because periodontal disease is progressive, it is essential to remove the bacteria and calculus build up to halt the spread of the infection.  Your dentist will be happy to advise you on effective cleaning methods and treatment options. Related Procedures What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Mouth Guards | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Mouth Guards Mouth Guards --> Mouth guards, also known as sports guards or athletic mouth protectors, are crucial pieces of equipment for any child participating in potentially injurious recreational or sporting activities.  Fitting snugly over the upper teeth, mouth guards protect the entire oral region from traumatic injury, preserving both the esthetic appearance and the health of the smile.  In addition, mouth guards are sometimes used to prevent tooth damage in children who grind (brux) their teeth at night. The American Academy of Pediatric Dentistry (AAPD) in particular, advocates for the use of dental mouth guards during any sporting or recreational activity.  Most store-bought mouth guards cost fewer than ten dollars, making them a perfect investment for every parent. How can mouth guards protect my child? The majority of sporting organizations now require participants to routinely wear mouth guards.   Though mouth guards are primarily designed to protect the teeth, they can also vastly reduce the degree of force transmitted from a trauma impact point (jaw) to the central nervous system (base of the brain).  In this way, mouth guards help minimize the risk of traumatic brain injury, which is especially important for younger children. Mouth guards also reduce the prevalence of the following injuries: Cheek lesions Concussions Gum and soft tissue injuries Jawbone fractures Lip lesions Neck injuries Tongue lesions Tooth fractures What type of mouth guard should I purchase for my child? Though there are literally thousands of mouth guard brands, most brands fall into three major categories: stock mouth guards, boil and bite mouth guards, and customized mouth guards. Some points to consider when choosing a mouth guard include: How much money is available to spend? How often does the child play sports? What kind of sport does the child play? (Basketball and baseball tend to cause the most oral injuries). In light of these points, here is an overview of the advantages and disadvantages of each type of mouth guard: Stock mouth guards – These mouth guards can be bought directly off the shelf and immediately fitted into the child’s mouth.  The fit is universal (one-size-fits-all), meaning that that the mouth guard doesn’t adjust.  Stock mouth guards are very cheap, easy to fit, and quick to locate at sporting goods stores.  Pediatric dentists favor this type of mouth guard least, as it provides minimal protection, obstructs proper breathing and speaking, and tends to be uncomfortable. Boil and bite mouth guards – These mouth guards are usually made from thermoplastic and are easily located at most sporting goods stores.  First, the thermoplastic must be immersed in hot water to make it pliable, and then it must be pressed on the child’s teeth to create a custom mold.  Boil and bite mouth guards are slightly more expensive than stock mouth guards, but tend to offer more protection, feel more comfortable in the mouth, and allow for easy speech production and breathing. Customized mouth guards – These mouth guards offer the greatest degree of protection, and are custom-made by the dentist.  First, the dentist makes an impression of the child’s teeth using special material, and then the mouth guard is constructed over the mold.  Customized mouth guards are more expensive and take longer to fit, but are more comfortable, orthodontically correct, and fully approved by the dentist. If you have questions or concerns about choosing a mouth guard for your child, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blo Xylitol – Reducing Cavities | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Xylitol – Reducing Cavities Xylitol – Reducing Cavities --> Tooth decay is a common, yet preventable childhood problem.  Left untreated, cavities in primary (baby) and permanent (adult) teeth become painful and negatively impact the esthetics and functionality of the teeth. Some children are particularly susceptible to tooth decay, even after receiving regular dental examinations and oral care at home.  The American Academy of Pediatric Dentistry (AAPD) has recently recognized the benefits of a substance called Xylitol for reducing childhood tooth decay. What is Xylitol? Xylitol is a natural substance that can be found in a variety of fruits and vegetables.  Some of the most common Xylitol- rich foods include: berries, mushrooms, corns, and lettuces.  Study results indicate that 4-20 grams of Xylitol each day, divided into three or more helpings, can reduce tooth decay and cavities by as much as 70%.  As a point of reference, a single cup of berries contains a little less than one gram of Xylitol. It can be difficult to encourage children (especially toddlers) to consistently eat four or more cups of fruit or vegetables each day.  For this reason, Xylitol is also available as a sugar substitute, a gum, and as a concentrate in numerous health foods. No other sugar substitute has been shown to benefit young teeth in the same way. It should be noted that excessive Xylitol consumption does not provide “more” tooth protection.  Sticking to the recommended daily amount is enough to enhance other cavity-reduction efforts, and the effects will last well into the future. How does Xylitol work? The combination of many factors increases susceptibility to childhood tooth decay and cavities.  These factors include: oral care habits, diet, carbohydrate consumption, sucrose consumption, salivary flow rate, and tooth resistance to plaque. More specifically, harmful oral bacteria feed on sugars and carbohydrates, producing acids.  When sugary foods are consumed, these acids attack and destroy vulnerable tooth enamel. Xylitol works to neutralize the acids, reducing enamel destruction, and minimizing the threat of cavities in the process.  Xylitol also stimulates saliva production, meaning that food particles, plaque and bacteria are continually removed from the teeth.  When used in combination with fluoride, Xylitol works to remineralize teeth, protecting tooth enamel and minimizing new cavity formation. When should my child start using Xylitol? Although Xylitol gum is not suitable for very young children, infants actually benefit from maternal chewing!  Mothers of children between three months and two years old who used Xylitol gum several times each day, protected their child from tooth decay until the age of five years old.  In this case, Xylitol reduced the amount of microorganisms transmitted from mother to child. Once the child reaches toddlerhood, Xylitol can be consumed as a sugar substitute, or as a natural byproduct of eating fruit and vegetables.  Older children can reduce the threat of new cavities by chewing Xylitol gum. If you have questions or concerns about Xylitol or tooth decay, please contact our practice. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Does Your Child Grind His or Her Teeth at Night? | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Does Your Child Grind His or Her Teeth at Night? Does Your Child Grind His or Her Teeth at Night? --> Bruxism, or the grinding of teeth, is remarkably common in children and adults.  For some children, this tooth grinding is limited to daytime hours, but nighttime grinding (during sleep) is most prevalent.  Bruxism can lead to a wide range of dental problems, depending on the frequency of the behavior, the intensity of the grinding, and the underlying causes of the grinding. A wide range of psychological, physiological, and physical factors may lead children to brux.  In particular, jaw misalignment (bad bite), stress, and traumatic brain injury are all thought to contribute to bruxism, although grinding can also occur as a side effect of certain medications. What are some symptoms of bruxism? In general, parents can usually hear intense grinding – especially when it occurs at nighttime.  Subtle daytime jaw clenching and grinding, however, can be difficult to pinpoint.  Oftentimes, general symptoms provide clues as to whether or not the child is bruxing, including: Frequent complaints of headache. Injured teeth and gums. Loud grinding or clicking sounds. Rhythmic tightening or clenching of the jaw muscles. Unusual complaints about painful jaw muscles – especially in the morning. Unusual tooth sensitivity to hot and cold foods. How can bruxism damage my child’s teeth? Bruxism is characterized by the grinding of the upper jaw against the lower jaw.  Especially in cases where there is vigorous grinding, the child may experience moderate to severe jaw discomfort, headaches, and ear pain.  Even if the child is completely unaware of nighttime bruxing (and parents are unable to hear it), the condition of the teeth provides your pediatric dentist with important clues. First, chronic grinders usually show an excessive wear pattern on the teeth.  If jaw misalignment is the cause, tooth enamel may be worn down in specific areas.  In addition, children who brux are more susceptible to chipped teeth, facial pain, gum injury, and temperature sensitivity.  In extreme cases, frequent, harsh grinding can lead to the early onset of temporomandibular joint disorder (TMJ). What causes bruxism? Bruxism can be caused by several different factors. Most commonly, “bad bite” or jaw misalignment promotes grinding.  Pediatric dentists also notice that children tend to brux more frequently in response to life stressors.  If the child is going through a particularly stressful exam period or is relocating to a new school for example, nighttime bruxing may either begin or intensify. Children with certain developmental disorders and brain injuries may be at particular risk for grinding.  In such cases, your pediatric dentist may suggest botulism injections to calm the facial muscles, or provide a protective nighttime mouthpiece.  If the onset of bruxing is sudden, current medications need to be evaluated.  Though bruxing is a rare side effect of specific medications, the medication itself may need to be switched for an alternate brand. How is bruxism treated? Bruxing spontaneously ceases by the age of thirteen in the majority of children.  In the meantime however, your pediatric dentist will continually monitor its effect on the child’s teeth and may provide an interventional strategy. In general, the cause of the grinding dictates the treatment approach.  If the child’s teeth are badly misaligned, your pediatric dentist may take steps to correct this.  Some of the available options include: altering the biting surface of teeth with crowns, and beginning occlusal treatment. If bruxing seems to be exacerbated by stress, your pediatric dentist may recommend relaxation classes, professional therapy, or special exercises.  The child’s pediatrician may also provide muscle relaxants to alleviate jaw clenching and reduce jaw spasms. In cases where young teeth are sustaining significant damage, your pediatric dentist may suggest a specialized nighttime dental appliance such as a nighttime mouth guard.  Mouth guards stop tooth surfaces from grinding against each other, and look similar to a mouthpiece a person might wear during sports.  Bite splints or bite plates fulfill the same function and are almost universally successful in preventing grinding damage. If you have questions or concerns about bruxism or grinding teeth, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosth What Does Orthodontic Treatment Involve? | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us What Does Orthodontic Treatment Involve? What Does Orthodontic Treatment Involve? --> Orthodontics is a highly-specialized branch of dentistry that deals with facial and jaw irregularities. As proper alignment of the teeth and jaw arches affects coherent speech, chewing and biting abilities, orthodontic treatment is vital for health and comfort. What Problems Do Orthodontic Treatments Solve? There is a wide range of orthodontic treatments available to successfully and expediently alter the alignment of teeth. The type of treatment provided depends on the exact nature of the malocclusion or teeth misalignment. Here is a brief overview of the main classifications of bite and teeth positioning problems: Overcrowding – The non-eruption of adult teeth and the overcrowding of arch space can lead to misalignment. Additionally, overcrowding may cause twisting and complete displacement of teeth. Negative Underjet – An underbite is characterized by a pronounced lower jaw, which protrudes further than the upper jaw. This malocclusion causes the chin to look large or pointed. Overbite – Overbite is a result of a protruding maxilla (upper jaw) in relation to the mandible (lower jaw). This type of malocclusion makes the chin look like it has receded. What Does Orthodontic Treatment Involve? The first step in developing a treatment plan is completion of a thorough visual examination of a patient’s smile. After completing this, your care provider creates diagnostic records which include panoramic x-rays, bite impressions and additional imaging of the jaw joints in some cases. If treatment is needed to realign the teeth, this is discussed extensively. Examining diagnostic records allows for the development of a predictable treatment plan. Your dental professional can also work with an oral surgeon if the symmetry of the face needs to be altered. In the case of an overcrowded mouth, one or several teeth may need to be extracted to prepare for the realignment process. Once the diagnosis and preparation phases are complete, a fixed or removable orthodontic appliance is used to move the teeth and jaw arches into ideal alignment. Fixed Appliances There are several types of fixed orthodontic appliances, of which traditional metal braces are the most common. Ceramic, clear or metal brackets are fixed onto each individual tooth for the duration of the treatment, and an archwire is threaded through each one to connect them. The wire is tightened slightly every few weeks until the desired results are achieved. Typically the fixed brackets are removed after 18-30 months. Removable Devices Removable devices come in many shapes and sizes and are popular because of their convenience and versatility. Removable devices include headgear, which corrects malocclusions due to developmental problems; retainers, which maintain the correct alignment of the teeth after orthodontic treatment; and Invisalign® trays, which are used for several weeks at a time to correct common teeth alignment problems. It is important to note that a dental professional creates a custom treatment plan or each individual case. The time-span for corrections with removable devices can greatly vary in accordance with the severity of the original malocclusion. If you have questions about orthodontic care and procedures, please be sure to ask your dental office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Sealing Out Tooth Decay | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Sealing Out Tooth Decay Sealing Out Tooth Decay --> Tooth decay has become increasingly prevalent in preschoolers.  Not only is tooth decay unpleasant and painful, it can also lead to more serious problems like premature tooth loss and childhood periodontal disease. Dental sealants are an important tool in preventing childhood caries (cavities) and tooth decay.  Especially when used in combination with other preventative measures, like biannual checkups and an excellent daily home care routine, sealants can bolster the mouth’s natural defenses, and keep smiles healthy. How do sealants protect children’s teeth? In general, dental sealants are used to protect molars from oral bacteria and harmful oral acids.  These larger, flatter teeth reside toward the back of the mouth and can be difficult to clean.  Molars mark the site of four out of five instances of tooth decay.  Decay-causing bacteria often inhabit the nooks and crannies (pits and fissures) found on the chewing surfaces of the molars.  These areas are extremely difficult to access with a regular toothbrush. If the pediatric dentist evaluates a child to be at high risk for tooth decay, he or she may choose to coat additional teeth (for example, bicuspid teeth).  The sealant acts as a barrier, ensuring that food particles and oral bacteria cannot access vulnerable tooth enamel. Dental sealants do not enhance the health of the teeth directly, and should not be used as a substitute for fluoride supplements (if the dentist has recommended them) or general oral care.  In general however, sealants are less costly, less uncomfortable, and more aesthetically pleasing than dental fillings. How are sealants applied? Though there are many different types of dental sealant, most are comprised of liquid plastic.  Initially, the pediatric dentist must thoroughly clean and prepare the molars, before painting sealant on the targeted teeth.  Some sealants are bright pink when wet and clear when dry.  This bright pink coloring enables the dentist to see that all pits and fissures have been thoroughly coated. When every targeted tooth is coated to the dentist’s satisfaction, the sealant is either left to self-harden or exposed to blue spectrum natural light for several seconds (depending on the chemical composition of the specific brand).  This specialized light works to harden the sealant and cure the plastic.  The final result is a clear (or whitish) layer of thin, hard, durable sealant. It should be noted that the “sealing” procedure is easily completed in one office visit, and is entirely painless. When should sealants be applied? Sealants are usually applied when the primary (baby) molars first emerge.  Depending on the oral habits of the child, the sealants may last for the life of the primary tooth, or need replacing several times.  Essentially, sealant durability depends on the oral habits of the individual child. Pediatric dentists recommend that permanent molars be sealed as soon as they emerge.  In some cases, sealant can be applied before the permanent molar is full grown. The health of the sealant must be monitored at biannual appointments.  If the seal begins to lift off, food particles may become trapped against the tooth enamel, actually causing tooth decay. If you have questions or concerns about dental sealants, please contact your pediatric dentist. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Meet The Doctor | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Meet The Doctor Dr. Vicken Marganian, DDS Dr. Vicken Marganian, DDS, is a highly accomplished and respected dentist with a rich educational background and a remarkable career in the field of dentistry. After earning his business degree from California State University, Los Angeles, he discovered his passion for dental healthcare and embarked on a transformative journey in the dental profession.   His dedication to dental excellence led him to the renowned University of the Pacific Dental School in San Francisco, where he obtained his dental degree in 1996. Armed with a comprehensive education and a commitment to patient care, Dr. Marganian was well-prepared to make a positive impact on the oral health of his patients.   Driven by a thirst for knowledge and a desire to provide the best possible care, Dr. Marganian pursued advanced training in implant dentistry at UCLA and orthodontics at USC. These specialized certifications allowed him to expand his expertise and offer a wide range of comprehensive dental services to his patients.   A true advocate for professional development, Dr. Marganian is an active member of several dental organizations, including the American Dental Association (ADA), California Dental Association (CDA), Armenian Dental Society, and the International Congress of Oral Implantologists. By being actively involved in these associations, he stays updated on the latest advancements and best practices in the dental field, ensuring his patients receive state-of-the-art treatments.   In 1998, Dr. Marganian fulfilled a lifelong dream by opening his dental office in Pasadena. Over the past 29 years, his practice has become a pillar of the community, offering compassionate and personalized dental care to patients of all ages. His unwavering commitment to excellence and patient satisfaction has earned him the trust and loyalty of numerous individuals and families in the region.   Beyond his thriving practice, Dr. Vicken Marganian is admired for his generosity and involvement in philanthropic endeavors, both locally and globally, supporting initiatives that promote oral health and overall well-being.   With his exceptional skills, dedication to continuing education, and genuine passion for dentistry, Dr. Marganian continues to leave a lasting impact on the dental community and the lives of his patients, ensuring their smiles shine brightly for years to come.   Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Do Braces Hurt? | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Do Braces Hurt? Do Braces Hurt? --> One of the most commonly asked questions about dental braces is whether placing them causes any pain or discomfort.  The honest answer is that braces do not hurt at all when they are applied to the teeth, so there is no reason to be anxious.  In most cases, there is mild soreness or discomfort after the orthodontic wire is engaged into the brackets, which may last for a few days. There are two common types of fixed dental braces used to realign the teeth: ceramic fixed braces and metal fixed braces.  Both types of fixed appliances include brackets which are affixed to each individual tooth and an archwire the orthodontist fits into the bracket slot to gently move the teeth into proper alignment.  Elastic or wire ties will be applied to hold the wire in place.  Some orthodontists may use self-ligating brackets which do not require a rubber or wire tie to secure the wire. Fixed dental braces are used to treat a wide variety of malocclusions, including overbite, underbite, crossbite, and overcrowding.  If the orthodontist has determined that the malocclusion has been caused by overcrowding, it is possible that teeth may need to be extracted to increase the amount of available space to properly align the teeth. What to expect when getting braces Here is an overview of what you can expect when getting braces: Placement day – The placement of braces will not be painful in the slightest.  It may take longer to eat meals, but this is largely because it takes some time to adjust to wearing the braces.  In some cases, the teeth may feel more sensitive than usual.  Hard, difficult to chew foods should be avoided in favor of a softer, more liquid-based diet for the first few days after placement of braces. Two days after placement – The first several days after placement of braces can be slightly uncomfortable.  This is because the teeth are beginning the realignment process and are not used to the pressure of the archwire and orthodontic elastic bands.  The orthodontist will provide relief wax to apply over the braces as necessary.  Wax helps provide a smooth surface and alleviates irritation on the inner cheeks and lips.  Additionally, over-the-counter pain medication (e.g., Motrin ® and Advil ® ) may be taken as directed to relieve mild soreness. Five days after placement – After five days, any initial discomfort associated with the braces should be completely gone.  The teeth will have gradually acclimated to the braces, and eating should be much easier.  Certain hard foods may still pose a challenge to the wearer, but normal eating may be resumed at this point. Orthodontic appointments – Regular orthodontic appointments are necessary to allow the orthodontist to change the archwire, change the rubber or metal ties, and make adjustments to the braces.  Fixed braces work by gradually moving the teeth into a new and proper alignment, so gentle pressure needs to be applied constantly.  The first several days after an orthodontic adjustment may be slightly uncomfortable, but remember that this discomfort will quickly fade. Dealing with discomfort – Over-the-counter pain medication and orthodontic relief wax will help alleviate any mild soreness and discomfort following placement of braces and orthodontic adjustments.  Another effective remedy is to chew sugar-free gum, as this increases blood flow which helps reduces discomfort and can also encourage the teeth to align quicker. If you have any questions or concerns about orthodontic treatment, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info In Orthodontic Dictionary | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Orthodontic Dictionary Orthodontic Dictionary --> The following are the most commonly used terms in orthodontics.  If you have any questions about orthodontics or would like to schedule an appointment, please contact our office. Anterior Teeth: The upper and lower six front teeth on each arch. Appliance: Any orthodontic device which moves or retains teeth.  Appliances may also alter the positioning of the jaw. Arch: The entire upper or lower jaw. Archwire: The metal wire that connects orthodontic brackets.  This wire guides the teeth into their new alignment. Band with bracket: Metal bands (rings) that are generally cemented around the back teeth. Braces: Fixed orthodontic appliances designed to align teeth. Brackets: The tiny metal, ceramic or clear brackets that are affixed to each individual tooth on the arch. Brushing: This is a crucial part of home dental care.  Orthodontists recommend those wearing braces to brush after every meal and snack to eliminate bacteria and plaque. Buccal: The outer (cheek) side of posterior teeth in the lower and upper arches. Cephalometric Radiograph:  A side X-ray of the face and head used to show growth and development. Chain: Elastics connected together and placed around the brackets to stabilize the archwire and gently close spaces. Class I Malocclusion: Molars are correctly aligned, but there is an anterior/posterior crossbite, an openbite or overcrowding on the arches. Class II Malocclusion: Also known as an overbite.  The upper front teeth are positioned further forward than the lower teeth. Class III Malocclusion: Also known as an underbite.  The lower front teeth are positioned further forward than the upper front teeth. Closed Bite: The upper front teeth completely overlap the bottom teeth causing a deep overbite. Congenitally Missing Teeth: Some permanent teeth fail to develop and erupt due to genetic factors. Crossbite: A malocclusion in which the upper back teeth bite inside or outside the lower back teeth, or the lower front teeth bite in front of the upper front teeth. De-banding: The removal of orthodontic bands from the teeth. De-bonding: The removal of affixed orthodontic brackets from the teeth. Diagnostic Records: Records used to assess, plan and implement treatments.  These records usually include medical and dental history, radiographs, panoramic radiographs, bite molds and intraoral/extraoral photographs. Digital Radiograph:  Digital X-rays of the teeth which can be viewed, stored, and transmitted via computer. Elastics: Some braces may require that elastic rubber bands be attached to exert additional pressure to an individual tooth or a group of teeth. Eruption: The way in which teeth surface through the gums inside the mouth. Fixed Orthodontic Appliances: Orthodontic appliances which are affixed to the teeth by the orthodontist and cannot be removed by the patient. Flossing: An essential part of home care that removes debris and plaque from above and below the gumline. Functional Appliances: Orthodontic appliances that use the muscle movement created by swallowing, eating and speaking to gently move and align the teeth and jaws. Gingiva: The gums and soft tissue around the teeth. Headgear: A removable appliance comprised of a brace and external archwire.  This device modifies growth and promotes tooth movement. Impressions: Teeth impressions are taken to allow the orthodontist to see exactly how a patient’s teeth fit together. Interceptive Treatment: Treatment performed on children who have a mixture of adult and baby teeth.  Early treatment can help reduce the need for major orthodontic treatment in the future. Invisalign ® : A newer, removable type of dental aligner that is completely transparent and doesn’t interfere with eating because it’s removable.  Not all patients are candidates for Invisalign ® . Ligating Modules: An elastic donut-shaped ring which helps secure the archwire to the bracket. Ligation: Securing the archwire to the brackets. Lingual Side: The side of the teeth (in both arches) that is closest to the tongue. Malocclusion: Literally means “bad bite” in Latin, and refers to teeth that do not fit together correctly. Mandible: The lower jaw. Maxilla: The upper jaw. Mouthguard: A removable plastic or rubber device that protects teeth and braces from sporting injuries. Open Bite: Upper and lower teeth fail to make contact with each other.  This malocclusion is generally classified as anterior or posterior. Orthodontics: The unique branch of dentistry concerned with diagnosing, preventing and correcting malocclusions and jaw irregularities. Orthodontist: A dental specialist who prevents, diagnoses and treats jaw irregularities and malocclusions.  Orthodontists must complete two or three additional years of college after dental school and complete a residency program. Palatal Expander: A removable or fixed device designed to expand the palate in order create room on either the upper or lower arch. Panoramic Radiograph:  An extraoral (external) X-ray that shows the teeth and jaws. Plaque: The sticky film of saliva, food particles and bacteria that contributes to gum disease and tooth decay. Posterior Teeth: Back teeth. Removable Appliance: An orthodontic brace or device that can be removed at will by the patient.  It must be worn for the designated amount of time each day to be effective. Separators: A wire loop or elastic ring placed between the teeth to create room for the subsequent placement of bands or orthodontic appliance. Space Maintainer: A fixed appliance used to hold space for permanent (adult) tooth.  This is usually used when a baby tooth has been lost earlier than anticipated. Wax: Orthodontic relief wax is a home care remedy used to alleviate irritations caused by braces. Wires: Attached to the brackets to gently move the teeth into proper alignment.   Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign& Meet Our Team | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Meet Our Team About Our Staff   At the core of our dental practice is a friendly team of professionals that are dedicated to your utmost comfort and optimal oral health.  We view each patient as a unique individual, and tailor each treatment to your specific needs.  As part of our commitment to providing close, personalized attention to every patient, we want to encourage patient communication.  Please know that we are here to provide outstanding patient care, and that we value the trust you have placed in us. As your dental health professionals, we want you to be confident knowing that we are a team of highly trained and skilled clinicians. We pride ourselves in providing the care you need to keep your smile healthy. To give you the best possible service and results, we are committed to continual education and learning. We attend dental lectures, meetings, and dental conventions to stay informed of new techniques, the latest products, and the newest equipment that a modern dental office can utilize to provide state-of-the-art dental care. Also, being members of various professional dental associations helps us to stay abreast of the changes and recommendations for our profession. Staff Photos and Biographies Coming Soon...   Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Botox® as an Alternative Treatment for TMJ | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Botox® as an Alternative Treatment for TMJ Botox® as an Alternative Treatment for TMJ --> Temporomandibular joint disorders (TMJD or TMJ), are notoriously difficult to diagnose and treat.  Many of the related symptoms, such as headaches and earaches, often lead doctors to diagnose a sinus condition, as opposed to a problem with the jaw joint.  TMJ symptoms often change in severity, depending on how much stress the sufferer is experiencing.  During an intensely stressful period, grinding teeth, debilitating earaches, and lockjaw may occur.  Botox® injections are sometimes an effective and painless way to alleviate tension in the temporomandibular joint, reducing jaw pain, headaches, and suffering. Botox® is commonly associated with cosmetic practices, including eliminating glabellar lines and facial wrinkles.  Recently however, Botox® has become an increasingly popular TMJ treatment.  Although some TMJ symptoms may improve without any specific treatment, Botox® offers fast and long-lasting relief for those that do not. Here are several of the major benefits Botox® offers TMJ sufferers: Elimination of headaches caused by nighttime grinding. Minimization of lockjaw. Reduced discomfort when using the jaw. Reduced shoulder and neck pain. Substantially reduced jaw tension. How does Botox® work? The temporomandibular joint is located on both sides of the head where the skull adjoins the jawbone.  This joint is constantly being used for a variety of daily activities, such as chewing, biting, speaking, and swallowing.  The most prominent causes of TMJ are jaw displacement and stress-related involuntary jaw movements.  Botox® expediently alleviates temporomandibular tension by relaxing the jaw muscles, thus preventing unconscious jaw movement and ending grinding-related headaches. One of the major advantages of Botox® is that normal functions such as speaking, swallowing, and biting are left unaffected.  The only major change is the reduction in pain and discomfort.  In addition, controlling TMJ can also prevent serious dental problems from occurring later. TMJ, if left untreated, can contribute to tooth decay, gum disease, and the loosening of teeth. What’s involved when getting Botox® injections? Prior to administering Botox® injections, the dentist needs to check the patient’s suitability for treatment.  When used in conjunction with certain medications and substances, Botox® may not produce the desired results.  It is exceptionally important therefore, to be honest about prior medical history.  Botox® is not recommended for pregnant or lactating women. The Botox® injections take 10-20 minutes to administer, depending on the amount required.  Because it is non-surgical, the Botox® procedure will be performed at the dental office.  Driving ability will not be impaired by the treatment, so there is no need for a designated driver.  The injections are no more painful than a bug bite or pinprick, but nitrous oxide (laughing gas) can be used to reduce anxiety if necessary. Normal activity can be resumed immediately after the Botox® treatment, but strenuous activity should be avoided for 24 hours after treatment.  It may take several days to feel the full benefits of the treatment, but Botox® will continue to work for up to 3 months. If you have any questions or concerns about TMJ or Botox® treatment, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us After Dental Implant Surgery | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us After Dental Implant Surgery After Dental Implant Surgery --> Following dental implant surgery, patients must take detailed care of the area surrounding their new implant.  For the first month the dental implant is still integrating with the bone and tissues so the patient’s care routine will be slightly more involved during this initial period.  Above all, do not disturb the wound in the initial days that follow surgery.  Avoid rinsing, spitting, and touching the mouth for 24 hours after surgery to avoid contaminating or irritating the surgical site.  After dental implant surgery it’s important to follow these care instructions: Antibiotics – Patients should take all prescribed antibiotics to prevent infection at the surgical site.  Twenty-four hours after the surgery, patients should begin using the prescribed oral rinse twice daily alongside a warm saltwater rinse 4-5 times daily (preferably after every meal/snack). Bleeding - Blood in the patients’ saliva is normal during the first 24 hours following surgery.  We suggest biting on gauze pads to help control and lessen blood flow.  Gently bite down on the gauze pad and try to maintain constant pressure, repeating as often as needed, or until bleeding lessens. Dealing with pain – Shortly after your dental implant surgery the anesthetic will wear off.  You should begin taking pain medication before this happens. Any over-the-counter pain medication can be taken (e.g., Tylenol ® , Aleve ® , ibuprofen, etc.). Diet - We recommend an initial diet of soft foods, but patients can resume a normal diet as soon as they feel capable of doing so. Stay hydrated. It is critical that you are drinking plenty of fluids. Hygiene – In order for the dental implants to heal properly, the surgical site must be kept clean. Continue to brush your teeth as you normally would, but avoid any sutures and do not brush the implant. The antibiotic and saltwater rinses will disinfect the implant itself. Swelling – After dental implant surgery some amount of swelling is to be expected. To help minimize swelling, try to keep your head elevated and lower your activity level as much as possible. Use ice packs for the first 48 hours and apply continuously, or as frequently as possible to minimize facial swelling. Wearing your prosthesis or night guard – Partial dentures, flippers, full dentures, retainers, or night guards should not be used for at least 10 days following surgery. If there are any special circumstances, our practice will discuss those with you during your pre-operative consultation. Smoking – Smoking after dental implant surgery has an increased risk of infection which also increases the risk of dental implants failing to integrate. We recommend that patients do not smoke for a minimum of 2 weeks after dental implant surgery. What does recovery involve? While each patient’s case is different, recovery after dental implant surgery happens in a series of phases. With your new dental implants, maintaining proper oral hygiene should be your primary focus. In order for the implant to properly fuse with the jawbone, it must remain clean. Also keep in mind that when properly cared for, a dental implant can serve its owner for life. When maintaining proper hygiene, oral discomfort should gradually lessen. Swelling, bruising, and minor bleeding may still occur. If any pain does continue, feel free to continue using the pain medications. Healing time differs depending on whether a patient receives immediate crown placement, or waits for the implant to fuse with the jawbone. Your recovery timeframe will depend on your individual case and treatment plan; follow-up appointments will be scheduled accordingly. If you have any questions, please feel free to contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Tee First Visit | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us First Visit First Visit --> According to AAPD (American Academy of Pediatric Dentistry) guidelines, infants should initially visit the pediatric dentist around the time of their first birthday.  First visits can be stressful for parents, especially for parents who have dental phobias themselves. It is imperative for parents to continually communicate positive messages about dental visits (especially the first one), and to help the child feel as happy as possible about visiting the dentist. How can I prepare for my child’s first dental visit? Pediatric dentists are required to undergo extensive training in child psychology.  Their dental offices are generally colorful, child-friendly, and boast a selection of games, toys, and educational tools.  Pediatric dentists (and all dental staff) aim to make the child feel as welcome as possible during all visits. There are several things parents can do to make the first visit enjoyable.  Some helpful tips are listed below: Take another adult along for the visit – Sometimes infants become fussy when having their mouths examined.  Having another adult along to soothe the infant allows the parent to ask questions and to attend to any advice the dentist may have. Leave other children at home – Other children can distract the parent and cause the infant to fuss.  Leaving other children at home (when possible) makes the first visit less stressful for all concerned. Avoid threatening language – Pediatric dentists and staff are trained to avoid the use of threatening language like “drills,” “needles,” “injections,” and “bleeding.”  It is imperative for parents to use positive language when speaking about dental treatment with their child. Provide positive explanations – It is important to explain the purposes of the dental visit in a positive way.  Explaining that the dentist “helps keep teeth healthy” is far better than explaining that the dentist “is checking for tooth decay and might have to drill the tooth if decay is found.” Explain what will happen – Anxiety can be vastly reduced if the child knows what to expect.  Age-appropriate books about visiting the dentist can be very helpful in making the visit seem fun. Here is a list of parent and dentist-approved books: The Berenstain Bears Visit the Dentist – by Stan and Jan Berenstain. Show Me Your Smile: A Visit to the Dentist – Part of the “Dora the Explorer” Series. Going to the Dentist – by Anne Civardi. Elmo Visits the Dentist – Part of the “Sesame Street” Series. What will happen during the first visit? There are several goals for the first dental visit.  First, the pediatric dentist and the child need to get properly acquainted.  Second, the dentist needs to monitor tooth and jaw development to get an idea of the child’s overall health history.  Third, the dentist needs to evaluate the health of the existing teeth and gums.  Finally, the dentist aims to answer questions and advise parents on how to implement a good oral care regimen. The following sequence of events is typical of an initial “well baby checkup”: Dental staff will greet the child and parents. The infant/family health history will be reviewed (this may include questionnaires). The pediatric dentist will address parental questions and concerns. More questions will be asked, generally pertaining to the child’s oral habits, pacifier use, general development, tooth alignment, tooth development, and diet. The dentist will provide advice on good oral care, how to prevent oral injury, fluoride intake, and sippy cup use. The infant’s teeth will be examined. Generally, the dentist and parent sit facing each other.  The infant is positioned so that his or her head is cradled in the dentist’s lap.  This position allows the infant to look at the parent during the examination. Good brushing and flossing demonstrations will be provided. The state of the child’s oral health will be described in detail, and specific recommendations will be made.  Recommendations usually relate to oral habits, appropriate toothpastes and toothbrushes for the child, orthodontically correct pacifiers, and diet. The dentist will detail which teeth may appear in the following months. The dentist will outline an appointment schedule and describe what will happen during the next appointment. If you have questions or concerns about your child’s first dental visit, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Porcelain Onlays | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Porcelain Onlays Porcelain Onlays --> An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain.  Porcelain onlays are popular because they resemble your natural tooth.  An onlay is sometimes also referred to as a partial crown .  Porcelain onlays are made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist. Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays.  Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration. As with most dental restorations, onlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long lasting smile. Reasons for onlay restorations: Broken or fractured teeth. Cosmetic enhancement. Decayed teeth. Fractured fillings. Large fillings. What does getting an onlay involve? An onlay procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration. While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration.  A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory. At your second appointment, your new onlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable. You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentist? Xylitol – Reducing Cavities Surgical Instructions After Dental Implant Surgery After Tooth Extractions Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Mini Dental Implants | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Mini Dental Implants Mini Dental Implants --> Mini Dental Implants (MDIs) have changed the face of implant placement.  Unlike full implant placement where multiple dental visits are required, MDIs eliminate the need for surgery.  The development of long term MDIs now allows the dentist to place anchors in the jaw during one non-invasive treatment.  The most common use for MDIs is the stabilization of dentures and overdentures.  MDIs firmly anchor the dental prosthesis, which means there is no longer any need to suffer with ill-fitting, loose dentures. MDIs are designed to eliminate bone grafting and expedite treatment.  Full implants require significant bone grafting and a recovery period.  The latent period allowed the anchor of the implant to properly embed itself into the jawbone.  The smaller size of MDIs means that no recovery period is necessary, and the denture can be fitted the same day. What is the configuration of mini dental implants? An MDI is a tiny dental implant (similar to a screw) that is designed to act in place of a natural tooth root.  MDIs are generally constructed from titanium and are either sprayed with calcium phosphate, or contain it along the length of the screw portion.  The design and structure of MDIs promotes quick healing and long lasting results.  The head portion of the implant looks very much like a ball.  This ball fits firmly into the retaining mechanism and together these structures hold the dentures at a designated level.  The dentures sit comfortably on the gum tissue and are able to withstand significant amounts of pressure and natural force. What are the advantages of MDI placement? MDIs are a true innovation for people who are reluctant to have invasive dental surgery and for denture wearers.  One significant advantage MDIs have over full implants is that they offer a viable treatment choice for patients who have experienced extensive bone loss.  Depending on the quality and density of jawbone available at the implant site, four of these mini implants may be implanted at one time.  Unlike full implants, MDIs don’t require invasive surgery, which makes MDIs a gentler option.  MDIs also minimize cost. Full-sized implants can be expensive to place, especially if many visits are required.  The most common use for MDIs is to stabilize a lower denture, however they can be placed anywhere in the mouth. Here are some of the other advantages associated with MDIs: Better smelling breath. Clearer speech. Easier chewing and biting. Easier cleaning. Firmer denture fit. High success rate. Less discomfort. No cutting or sutures. No need for adhesives or messy bonding agents. No rotting food beneath the denture. No slipping, wobbling or discomfort. Permanent results. Quick treatment time. Reduced costs. How are mini dental implants placed? The whole mini dental implant placement procedure takes approximately one hour.  Generally, in the case of lower jaw implants, four MDIs will be placed about 5mm apart.  Prior to inserting MDIs, the dentist will use many diagnostic and planning tools to find the optimal place to implant them. Here is a brief overview of the MDI placement procedure: A mild anesthetic is administered. A small hole is drilled in the jawbone to situate each MDI. Each implant is screwed into place and tightened with a winged wrench. Finally, a ratchet wrench is used to fully stabilize the MDIs. The denture is measured against the mini implants and marks are made to indicate where the MDIs will fit. The denture is sent to the laboratory to have holes drilled to accommodate the MDIs. Once the denture has been fully modified, it can be affixed to the MDIs.  The rubber O-ring on each MDI snaps into the designated spot on the denture, and the denture then rests snugly on the gum tissue.  MDIs hold the denture comfortably in a tight-fitting way for a lifetime. In almost all cases, no stitching is required and no real discomfort is felt after the procedure.  After the denture placement procedure is complete, light eating can be resumed.  The denture can be removed and cleaned at will. MDIs enhance the natural beauty of the smile and restore full functionality to the teeth. If you have any questions or concerns about mini dental implants, please ask your dentist. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs Good Diet | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Good Diet Good Diet --> A child’s general level of health often dictates his or her oral health, and vice versa.  Therefore, supplying children with a well-balanced diet is more likely to produce healthier teeth and gums. A good diet provides the child with the many different nutrients he or she needs to grow. These nutrients are necessary for gum tissue development, strong bones, and protection against certain illnesses. According to the food pyramid, children need vegetables, fruits, meat, grains, beans, and dairy products to grow properly.  These different food groups should be eaten in balance for optimal results. How does my child’s diet affect his or her teeth? Almost every snack contains at least one type of sugar.  Most often, parents are tempted to throw away candy and chocolate snacks – without realizing that many fruit snacks contain one (if not several) types of sugar or carbohydrate.  When sugar-rich snacks are eaten, the sugar content attracts oral bacteria. The bacteria feast on food remnants left on or around the teeth.  Eventually, feasting bacteria produce enamel-attacking acids. When tooth enamel is constantly exposed to acid, it begins to erode – the result is childhood tooth decay.  If tooth decay is left untreated for prolonged periods, acids begin to attack the soft tissue (gums) and even the underlying jawbone.  Eventually, the teeth become prematurely loose or fall out, causing problems for emerging adult teeth – a condition known as childhood periodontal disease. Regular checkups and cleanings at the pediatric dentist’s office are an important line of defense against tooth decay.  However, implementing good dietary habits and minimizing sugary food and drink intake as part of the “home care routine” are equally important. How can I alter my child’s diet? The pediatric dentist is able to offer advice and dietary counseling for children and parents.  Most often, parents are advised to opt for healthier snacks, for example, carrot sticks, reduced fat yoghurt, and cottage cheese.  In addition, pediatric dentists may recommend a fluoride supplement to protect tooth enamel – especially if the child lives in an area where fluoride is not routinely added to community water. Parents should also ensure that children are not continuously snacking – even in a healthy manner.  Lots of snacking means that sugars are constantly attaching themselves to teeth, and tooth enamel is constantly under attack.  It is also impractical to try to clean the teeth after every snack, if “every snack” means every ten minutes! Finally, parents are advised to opt for faster snacks.  Mints and hard candies remain in the mouth for a long period of time - meaning that sugar is coating the teeth for longer.  If candy is necessary, opt for a sugar-free variety or a variety that can be eaten expediently. Should my child eat starch-rich foods? It is important for the child to eat a balanced diet, so some carbohydrates and starches are necessary.  Starch-rich foods generally include pretzels, chips, and peanut butter and jelly sandwiches.  Since starches and carbohydrates break down to form sugar, it is best that they are eaten as part of a meal (when saliva production is higher), than as a standalone snack.  Provide plenty of water at mealtimes (rather than soda) to help the child rinse sugary food particles off the teeth. As a final dietary note, avoid feeding your child sticky foods if possible.  It is incredibly difficult to remove stickiness from the teeth - especially in younger children who tend not to be as patient during brushing. If you have questions or concerns about your child’s general or oral health, please contact our office. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Your Child’s Teeth Dental Emergencies Dental Radiographs (X-Rays) Does Your Child Grind His or Her Teeth at Night? Early Orthodontic Treatment Eruption of Your Child’s Teeth First Visit Fluoride Good Diet How Often Should Children Have Dental Checkups? How to Prevent Cavities Mouth Guards Pacifiers and Thumb Sucking Pediatric Dental Appliances Perinatal and Infant Oral Health Sealing Out Tooth Decay Sedation Dentistry for Children Sippy Cups Tobacco Use Tongue Piercing What is Pulp Therapy? What’s the Best Toothpaste for My Child? When Should Children Have Their First Dental Visit? When Will My Baby Start Getting Teeth? Why Are Primary Teeth Important? Why See a Pediatric Dentis When Will My Baby Start Getting Teeth? | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us When Will My Baby Start Getting Teeth? When Will My Baby Start Getting Teeth? --> The initial growth period for primary (baby) teeth begins in the second trimester of pregnancy (around 16-20 weeks).  During this time, it is especially important for expectant mothers to eat a healthy, nutritious diet, since nutrients are needed for bone and soft tissue development. Though there are some individual differences in the timing of tooth eruption, primary teeth usually begin to emerge when the infant is between six and eight months old.  Altogether, a set of twenty primary teeth will emerge by the age of three. The American Academy of Pediatric Dentistry (AAPD) recommends a first “well-baby” dental visit around the age of twelve months (or six months after the first tooth emerges).  This visit acquaints the infant with the dental office, allows the pediatric dentist to monitor development, and provides a great opportunity for parents to ask questions. Which teeth emerge first? In general, teeth emerge in pairs, starting at the front of the infant’s mouth.  Between the ages of six and ten months, the two lower central incisors break through.  Remember that cavities may develop between two adjacent teeth, so flossing should begin at this point. Next (and sometimes simultaneously), the two upper central incisors emerge – usually between the ages of eight and twelve months.  Teething can be quite an uncomfortable process for the infant.  Clean teething rings and cold damp cloths can help ease the irritation and discomfort. Between the ages of nine and sixteen months the upper lateral incisors emerge – one on either side of the central incisors.  Around the same time, the lower lateral incisors emerge, meaning that the infant has four adjacent teeth on the lower and upper arches.  Pediatric dentists suggest that sippy cup usage should end when the toddler reaches the age of fourteen months. This minimizes the risk of “baby bottle tooth decay.” Eight more teeth break through between the ages of thirteen and twenty three months.  On each arch, a cuspid or canine tooth will appear immediately adjacent to each lateral incisor.  Immediately behind (looking towards the back of the child’s mouth), first molars will emerge on either side of the canine teeth on both jaws. Finally, a second set of molars emerges on each arch – usually beginning on the lower arch.  Most children have a complete set of twenty primary teeth before the age of thirty-three months.  The pediatric dentist generally applies dental sealant to the molars, to lock out food particles, bacteria, and enamel-attacking acids. How can I reduce the risk of early caries (cavities)? Primary teeth preserve space for permanent teeth and guide their later alignment.  In addition, primary teeth help with speech production, prevent the tongue from posturing abnormally, and play an important role in the chewing of food.  For these reasons, it is critically important to learn how to care for the child’s emerging teeth. Here are some helpful tips: Brush twice each day – The AAPD recommends a pea-sized amount of ADA approved (non-fluoridated) toothpaste for children under two years old, and the same amount of an ADA approved (fluoridated) toothpaste for children over this age.  The toothbrush should be soft-bristled and appropriate for infants. Start flossing – Flossing an infant’s teeth can be difficult but the process should begin when two adjacent teeth emerge.  The pediatric dentist will happily demonstrate good flossing techniques. Provide a balanced diet – Sugars and starches feed oral bacteria, which produce harmful acids and attack tooth enamel.  Ensure that the child is eating a balanced diet and work to reduce sugary and starchy snacks. Set a good example – Children who see parents brushing and flossing are often more likely to follow suit.  Explain the importance of good oral care to the child; age-appropriate books often help with this. Visit the dentist – The pediatric dentist monitors oral development, provides professional cleanings, applies topical fluoride to the teeth, and coats molars with sealants.  Biannual trips to the dental office can help to prevent a wide range of painful conditions later. If you have questions or concerns about the emergence of your child’s teeth, please contact your pediatric dentist. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An Introduction to Braces What is Orthodontics? What is a Malocclusion? Who Can Benefit From Orthodontics? Orthodontic Treatment (Braces) Orthodontic Treatment Phases Braces for Children Braces for Adults Do Braces Hurt? Care Following Orthodontics – Retainers Why Straighten Teeth? Orthodontic Dictionary Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy Bone Grafting Mini Dental Implants Platelet Rich Plasma (PRP) Sleep Apnea Sleep Apnea Appliances TMJ (Temporomandibular Joint Dysfunction) Botox® as an Alternative Treatment for TMJ Wisdom Teeth Extractions Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment Bruxism Crown Lengthening Gum & Jawbone Corrective Treatments Gum Recession Oral Cancer Exam Periodontal Scaling & Root Planing Pocket Irrigation Pocket Reduction Surgery Prophylaxis (Teeth Cleaning) Dental Anxiety and Fear Dental Emergencies Prosthodontics Pediatric Dentistry Baby Bottle Tooth Decay Care for Y Porcelain Inlays | Pasadena, California | Vicken Marganian DDS Accessibility Call (626) 577-5585 Accessibility Appointment Request Contact Us Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings More (9) Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening More (5) Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures More (2) Endodontics Cracked Tooth Root Amputation Root Canal Retreatment More (1) Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? More (25) Oral & Maxillofacial Surgery Tooth Extractions Simple Tooth Extractions Apicoectomy More (8) Periodontics What is a Periodontist? When to See a Periodontist Antibiotic Treatment More (9) Dental Anxiety and Fear More from Procedures (4) More Patient Info Insurances Accepted FAQs Patient Forms Dental Videos Blog Payment Options Appointment Request Contact Us Porcelain Inlays Porcelain Inlays --> An inlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain.  Porcelain inlays are popular because they resemble your natural tooth.  A porcelain inlay is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist. Inlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Inlays are an ideal alternative to conventional silver and composite fillings.  Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays. As with most dental restorations, inlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long lasting smile. Reasons for inlay restorations: Broken or fractured teeth. Cosmetic enhancement. Decayed teeth. Fractured fillings. Large fillings. What does getting an inlay involve? An inlay procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom inlay and a temporary restoration. While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an inlay restoration.  A temporary filling will be applied to protect the tooth while your inlay is made by a dental laboratory. At your second appointment your new inlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable. You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new inlay. Back Connect With Us Ready to come in for an appointment? Contact us today! Contact Us Vicken Marganian DDS Cosmetic Dentistry Implants and Orthodontics 2026 • Site Map • Accessibility Viewer • Welcome Meet The Doctor Our Practice Meet Our Team Testimonials Procedures Cleanings & Prevention Digital Radiographs Intraoral Cameras Dental Exams & Cleanings Dental X-Rays Diagnodent® Digital X-Rays Fluoride Treatment Home Care How to Properly Brush & Floss Oral Hygiene Aids Panoramic X-rays Sealants Cosmetic Dentistry Bonding Composite Fillings Teeth Whitening Porcelain Veneers Porcelain Inlays Porcelain Onlays Zoom!® Opalescence® Teeth Whitening Restorations Crowns (Caps) Dental Implants Dentures & Partial Dentures Empress® Restorations Fixed Bridges Endodontics Cracked Tooth Root Amputation Root Canal Retreatment Root Canal Therapy Periodontal Disease Diagnosis Treatment Maintenance Orthodontics Invisalign® Care During Orthodontic Treatment When Should My Child Get An Orthodontic Evaluation? What Does Orthodontic Treatment Involve? Types of Braces Orthodontic Treatment Phases Orthodontic Exams Orthodontic Conditions Orthodontic Appliances Is It Ever Too Late To Get Braces? Repositioning Teeth with Orthodontic Appliances Does My Child Need Early Orthodontics? Brushing and Flossing with Braces At-Home Care for Orthodontic Soreness Eating While Wearing Braces Orthodontic Emergencies An