Dr. Al Fallah provides several gum recession treatment options for a healthier smile in Carlsbad, CA

06/05/19 | by Johnny Admin | Categories: Uncategorized

Gum Recession Treatment in Carlsbad CA area

Receding gums can be painful and embarrassing, and can be caused by a number of conditions that you have no control over, such as your genetics, traumatic injury, or grinding your teeth while you sleep. Sometimes, adopting some simple oral hygiene habits can help return your gums to their proper place, but in other cases, more aggressive treatment is needed. Fortunately, patients in the area of Carlsbad, CA have several gum recession treatment options at the dental practice of Dr. Al Fallah.


What is gum recession and what causes it?

Receding gums are exactly what they sound like: gum tissue that has pulled back in your mouth, revealing more of your tooth than should be exposed. Sometimes gums recede so far that they expose the roots of your teeth, which can cause pain and sensitivity and even dental damage.


Gum recession can occur due to several issues, including:

  • Poor oral hygiene habits: Gum disease due to insufficient flossing and brushing can result in receding gums
  • Genetics: If one or both of your parents have receding gums, then you are more likely to get them too
  • Brushing or flossing too aggressively: If you are brushing too hard or pull too much on floss while you are cleaning your teeth, it can cause your gums to recede
  • Misaligned teeth: When one or more teeth are not positioned correctly in your mouth, they can cause receding gums in that area
  • Bruxism: Some people clench their jaw or grind their teeth while they sleep, which can cause a number of dental health issues in addition to gum recession
  • Traumatic injury: Your gums can become injured just like the rest of your body if they are hit or cut


Treatment options for all types of gum recession

Treatment options for all types of gum recession in Carlsbad, CA area

The good news about gum recession is that no matter what is causing your receding gums, there are treatment options available to help correct the issue before it causes further pain or damage to your teeth.

For mildly receding gums, dental procedures are usually unnecessary to treat the issue. Instead, Dr. Al Fallah can talk with you about changing your habits or using an appliance to help your body naturally heal the gum tissue and prevent it from receding further. The changes you need to make will depend on what is causing your receding gums. For example, if poor oral hygiene habits are the reason your gums are peeking up higher than they should be, then the dentist can work with you to develop a healthy home care routine that involves brushing multiple times per day and flossing at least once per day, in addition to other possible solutions such as antibacterial mouthwashes. If brushing and flossing too vigorously are the cause of your receding gums, then the dentist can show you the proper techniques for brushing and flossing and suggest the right kind of toothbrush to use to prevent further damage and help your gums heal.


If grinding your teeth and clenching your jaw are the root cause for your periodontal issues, then Dr. Al Fallah will typically recommend the use of a mouth guard that you wear while you sleep to help prevent you from putting as much force on your teeth and gums. Clenching and grinding can cause several other serious dental issues, so it is important to follow your dentist’s advice to help avoid costly dental repairs in the future.


For more advanced cases of gum recession, then dental intervention may be needed. One type of treatment that Dr. Al Fallah may recommend if your receding gums are caused by periodontal disease is called scaling and root planing. In this procedure, the hygienist or the dentist thoroughly cleans all of the plaque, tartar, and bacteria from your teeth below the gum line and then gently resurfaces a portion of the teeth so that your gums can more easily re-adhere to them and bacteria cannot as easily grow there.


Call Our Office For More Information
New Patients call at (760) 576-2779,
Current Patients call at (760) 576-2269 or
Schedule an Appointment today.

Gum grafting is a treatment that can be done when you have lost a significant amount of gum tissue. In this procedure, the dentist takes tissue from another location in your mouth and then attaches it to the area where your gums have receded. Platelet-rich plasma, which contains regenerative growth proteins harvested from a small blood sample taken from your body, may also be used in this process to help your body heal and renew the tissue faster.


Dr. Al Fallah has the treatment options you need

No matter what is causing your receding gums, Dr. Al Fallah can work with you to develop a comprehensive treatment plan so you can get your pain-free, beautiful smile back. Call his office in Phoenix, AZ at (760) 576-2779 to schedule your appointment today!




Minimally-invasive gum recession treatment in Carlsbad, CA

05/16/19 | by Johnny Admin | Categories: Uncategorized

Gum Recession Treatment in Carlsbad CA area

Does it look like your teeth have gotten longer? Do you have dark triangles between teeth, at the gum line? Does flossing feel different than it used to? You could have a dental condition called gum recession. Dr. Al A. Fallah is trained in an innovative treatment. Men and women in Carlsbad, CA and across the region are taking advantage of this non-surgical technique that provides immediate results.


Why gums recede

Although genetics plays some role in the shade, healthy gums are generally light coral pink. They seal firmly, creating a smooth scalloped shape above each tooth. Gum disease causes these tissues to look red, blotchy, or purplish. Gums may appear puffy and have ragged edges, as they pull away from teeth.


While gum recession is a common symptom of periodontal disease, other factors can also cause gums to retreat:

  • Aggressive brushing – You may be trying to get teeth extra clean, but a stiff toothbrush and a lot of pressure can be counterproductive. Heavy-handed brushing (especially when combined with improper technique) repeatedly pushes gums back, damaging the delicate tissues.
  • Eventually, gums are no longer able to rebound, and shrink further.
  • Insufficient hygiene – Oral bacteria create a sticky biofilm for protection and to trap bits of food debris. It is not easy to remove every bit of this plaque with a brush and floss. Without regular professional cleanings, it hardens into tartar or calculus at the gum line. This rough edge irritates gums and contributes to recession.
  • Tobacco – Chemicals from smoking and smokeless tobacco are irritants to gum tissue and make plaque extra sticky and hard to remove.
  • Bruxing – Clenching and grinding places teeth under tremendous pressure. While bruxing can be extremely damaging to teeth and trigger TMJ problems, it also aggravates tooth roots and connective tissues, which makes gums vulnerable to recession.
  • Misalignment – Teeth that do not come together properly also create undue force on teeth, roots, and ligaments, affecting gums.
  • Hormonal changes – Fluctuations at puberty, pregnancy, and menopause make women’s gums sensitive and prone to recession.
  • Oral piercings – Lip or tongue jewelry can be the culprit of gum recession in a defined area.


rtant to note that gum tissue can be healthy (not diseased), and still pull back from teeth.

Call Our Office For More Information
New Patients call at (760) 576-2779,
Current Patients call at (760) 576-2269 or

Schedule an Appointment today

Far-reaching impact

Aesthetics are usually the initial concern of a person with gum recession. However, it can also pose real threats to oral health, and by extension, overall wellness.


As gums contract, they expose root surfaces of teeth. Since roots do not have a protective layer of enamel, teeth become sensitive to heat, cold, and sweet. These areas are more likely to develop decay, and root cavities – especially in anterior teeth – are quite noticeable. As bacteria settle into the rough texture of exposed root surfaces, gum disease takes hold. Without proper treatment, gum disease can lead to serious health impairment.


Carlsbad, CA dentist offers advanced gum recession treatment

Dentist checking patient's mouth

The conventional treatment for gum recession consists of surgical grafting. A flap is created at the site of recession, and healthy tissue harvested from another area of the mouth is stitched into place. While gum grafting can be very successful, it creates multiple surgical wounds and requires a healing period before results are visible. During this period, special dietary restrictions and hygiene protocols may be necessary.


Dr. Fallah offers an alternative approach as well. With the pinhole technique, only a tiny opening is needed at each site. With precision instruments, Dr. Fallah manipulates gum tissue internally, nudging it into proper position. Then, using the same pinholes, collagen strips are inserted. They shore up gums and stimulate increased production of natural collagen to encourage plump tissues that seal well to teeth.


The pinhole gum rejuvenation procedure is minimally-invasive and minimally-traumatic. It is virtually painless and requires much less time in the chair than traditional grafting. Best of all, improvement can be seen immediately, and is long-lasting with healthy lifestyle habits.


In addition, Dr. Fallah may suggest platelet-rich fibrin therapy for gingival recession. This healing matrix comes from growth factors in your own stem cells, increasing keratinized mucosa to improve root coverage.


You don’t have to live with a “long in the tooth” look, and today treatment for gum recession does not have to mean having oral surgery. Call Al A. Fallah, DDS, MICCMO, AIAOMT in Carlsbad, CA at 760-576-2779 to learn more about keeping your smile attractive and healthy.


Patients in Carlsbad, CA benefit from comfortable, aesthetic partial dentures

05/16/19 | by Johnny Admin | Categories: Uncategorized

Partial Dentures in Carlsbad CA area

Have missing teeth affected your enjoyment of eating? Do you hide your smile, or lisp when you speak? Maybe you are not a good candidate for (Zirconia)dental implants or you do not want implants. Partial dentures could be a good solution, and you have aesthetic, metal-free options at Al A. Fallah, DDS, MICCMO, AIAOMT in Carlsbad, CA.


The role of partial dentures in a holistic strategy

A full set of functioning teeth is an essential element in a biological approach to overall wellness. Teeth are vital to:

  • Nutrition – Your body performs best when it is fueled by fresh produce, and good food that is chewed well. That can be a difficult task without all your teeth. Without realizing it, you may begin to gravitate toward softer processed foods, with an unfavorable impact on your digestive tract and your health. This type of diet is typically higher in calories and less satisfying, too, so gaps in your smile may cause you to add pounds.
  • Health – Gum disease greatly increases the risk of heart attack, stroke, and developing type 2 diabetes. It is also linked to other serious conditions related to systemic inflammation. When even one tooth is missing, the body tries to adapt. It allows other teeth in the arch to shift out of position. As teeth become crooked with spaces and overlaps, it is more challenging to keep them clean. Although you may practice conscientious brushing and flossing, you are more likely to get gum disease (and decay) in this arch. Teeth in the opposing arch are also affected by the misalignment, possibly subject to usual wear or fractures.
  • Respiration – Top-notch athletes are trained in nasal breathing, but they still need an open airway to the lungs, and most of us breathe through our mouths some of the time. Missing teeth allow resorption to take place, diminishing bone mass around the mouth. The face takes on a sunken, aged appearance, and the space for soft tissue at the back of the throat compresses. Many people with unaddressed missing teeth snore or have sleep apnea.
  • Effective human interaction – Missing teeth can make it difficult to communicate clearly. Plus, if you are embarrassed about the situation, social and business relations may suffer.
  • Sense of wellbeing – Holistic dentistry considers all aspects of the patient – oral, physical, and emotional. A comfortable mouth and liking what you see in the mirror have a powerfully positive influence on these aspects of your wellbeing.


Call Our Office For More Information
New Patients call at (760) 576-2779,
Current Patients call at (760) 576-2269 or

Schedule an Appointment today

A partial denture is a framework that fits around your arch of existing teeth. It holds artificial teeth in the spots where some are missing. A single tooth may be replaced with this technique, or many in the arch, so long as there are a few existing anchor teeth.


While dental implants have become a popular tooth replacement choice for their natural feel and longevity, they are not right for every patient. Partial dentures are a non-surgical alternative that still makes good sense in many cases. Plus, some patients choose to wear a partial denture to preserve appearance while implant healing takes place.


Why some people are dissatisfied with their partial dentures

Adult woman smilling with showing her brighter teeth

As with any removable prosthetic, you must get accustomed to the feel of a partial denture, how to insert and remove it, and how to keep it clean. Most people adapt quickly. Historically, though, partial dentures have had metal frames. They have the potential to add additional challenges such as discomfort from a heavy denture, metallic taste in the mouth, and metal sensitivity or allergy. The metal clasps that hold the denture in place are visible in your smile and must be tightened periodically. They may irritate delicate cheek tissues or damage anchor teeth.


A partial denture of non-metal construction that is designed for optimal fit resolves these issues


Metal-free partial dentures available in Carlsbad, CA

Dr. Al A. Fallah offers the option of metal-free partial dentures. They are fabricated of high-performance polymers that provide the strength and stability necessary for good oral function. Yet this type of partial denture looks extremely natural. The material is lightweight, for a comfortable denture that is non-corrosive and biocompatible (not likely to irritate soft tissues).


Educating others so they may make informed dental healthcare decisions is a cornerstone philosophy at Dr. Fallah’s Carlsbad, CA practice. Call 760-576-2779 to schedule a consultation for more information on partial dentures.



Tips from Carlsbad, CA dentist on caring for porcelain veneers

03/26/19 | by Johnny Admin | Categories: Uncategorized

provides Porcelain Veneers in Carlsbad CA area

Have you dreamt of flashing a radiant smile with even, white teeth? Maybe you already know that porcelain veneers could give you that confidence in the office, on the sales floor, or on the dating scene, but you are concerned about how to protect this investment. Carlsbad, CA dentist, Dr. Al A. Fallah, shares helpful information on caring for veneers, for many years of appealing smiles.


How porcelain veneers beautify Carlsbad, CA smiles

For many women, TMD is a daily struggle faced silently and unaided. Maybe you have had obvious symptoms such as jaw pain, locked jaw, and joint noises (grinding, clicks, and pops) for such a long time that you take them for granted. Possibly you have undergone all sorts of inconclusive tests for generalized facial pain, earaches, and tinnitus. Perhaps doctors have treated your chronic headaches or migraines with pain medications that dull your senses. Other health problems could be related to TMJ disorder and you do not realize it.


The golden ratio is a mathematical formula that creates proportions which are extremely pleasing to the human eye and brain. You can find the golden ratio throughout art, architecture, design, and music. It also shows up repeatedly in nature, including smiles. The golden ratio determines the most aesthetic length and width of each tooth in relation to others in the arch. That congruence may be disrupted, genetically, or due to dental damage or wear


As an experienced cosmetic dentist, Dr. Fallah is adept at restoring visual harmony of the smile with porcelain veneers.


A dental veneer is a thin shell of restorative material that mimics the color and light-reflecting qualities of enamel. It is placed over the outside surface of a tooth, to enhance its appearance. While one tooth may be veneered, usually anterior teeth that show most readily when you speak, or smile are treated together, for optimal uniformity.


Here are some of the cosmetic conditions that can be improved with veneers:


  • Deep discoloration – Professional teeth whitening removes surface stains and bleaches the deeper layer of dentin. However, some internal staining, such as from childhood medications or trauma, can be quite stubborn. Veneers mask discoloration, reinstating natural brilliance. Some people are genetically predisposed to yellowish or gray enamel, though teeth are healthy. Veneers are a long-lasting solution.
  • Unusual shape or size – Carefully-designed veneers make teeth look longer (or shorter, by increasing width), and balance the visual proportion of white tooth to pink gum tissue. If your teeth are worn down from bruxing (nighttime clenching and grinding), veneers may be an option.
  • Uneven alignment and gaps – Veneers disguise minor misalignment by covering crooked, twisted, and overlapped teeth with straight, even facades. Veneers can also be shaped to fill spaces between teeth.
  • Flawed enamel – Some surface imperfections may not compromise structural stability of teeth, but certainly affect appearance. Plus, chips, cracks, pits, and grooves tend to trap stains. Veneers give these teeth a smooth, glossy finish.


Preserving porcelain veneers

Veneers (like any other dental restoration) cannot reasonably be expected to last a lifetime. However, the longevity of veneers is greatly influenced by the skill and experience of the dentist and the materials used for the restorations and bonding. With good care, veneers can provide many years of trouble-free, beautiful aesthetics. Research indicates that 95 percent of properly-prepared veneers are in place and looking great after five years, 94 percent at the ten-year mark, and 83 percent at 20 years.


These tips from Dr. Fallah can help your veneers exceed performance expectations.

provides Porcelain Veneers in Carlsbad CA area

Good home hygiene is essential. Though porcelain veneers cannot form cavities, natural tooth structure underneath may develop decay. About six percent of veneer failures are due to this situation. Brush teeth gently but thoroughly, at least in the morning and before bedtime (after all meals is better). Use a soft toothbrush and mild toothpaste. A stiff brush, abrasive paste, or heavy hand may scratch veneers, dulling their luster and allowing stains to embed.


Floss every day by pulling the strand toward gums, then working it in a V-shape to clean sides of teeth, before sliding it out at the gum line. Avoid yanking floss out, which could dislodge veneers.


When brushing, be sure to give extra attention to the margin, where veneers meet gum tissue. This daily regimen will help your mouth stay free of gum recession and periodontal disease – complications which are responsible for about 13 percent of veneer failures.


Avoid excessive force that may damage or displace a veneer. This includes chewing fingernails, chomping ice, or biting directly into hard foods. If you are a bruxer – you grind and clench teeth during sleep – Dr. Fallah will provide a night guard. Wear this comfortable, custom-fitted appliance at night to protect veneers and teeth, and to relieve jaw strain.


Are you ready to show your best smile to the world? Porcelain veneers could be an excellent choice. Call 760-576-2779 to schedule a cosmetic consultation at Al A. Fallah, DDS, MICCMO, AIAOMT in Carlsbad, CA.




Why patients in Carlsbad, CA like the look of zirconia implants

10/18/18 | by Johnny Admin | Categories: Uncategorized

Patients of Dr. Al A. Fallah love the beauty and biocompatibility of metal-free zirconia dental implants. In Carlsbad,

Are you tired of a silvery flash when you smile, or teeth that look gray and dull? If you grew up prior to 1980, there’s a good chance you have metal in your mouth – silver-colored amalgam fillings, a metal core crown, or in a bridge or partial denture. If you had a dental implant in the 80s or 90s, it is also likely to be made of metal. Dr. Al A. Fallah brings attractive alternatives including zirconia implants to patients in the Carlsbad, CA area.


Dental implant placement

It is a common misperception that a dental implant is the artificial tooth you see when you smile. In truth, an implant is a man-made tooth root that takes the place of one that is missing – congenitally or due to trauma, periodontal disease, or extraction. Ideally, the implant should be no more visible in your smile than a natural tooth root.


The implant is a small screw-shaped post. In a well-planned and computer-guided oral surgery, it is precisely positioned in the jawbone. Over time, the implant becomes integrated into bone. This creates a solid foundation for a restoration. Most commonly, dental implants are used to replace individual missing teeth. In this scenario, the implant is topped with a crown. Again, ideally it should be indistinguishable from a natural tooth.


When implantology became part of mainstream dentistry in this country in the early 1980s, dental implants were made of titanium alloys. Titanium is a strong, lightweight metal. Its value in orthopedic surgeries was well documented. About 5% of the population has allergy to Titanium. Less than half of 1% of the population has allergy to Zirconia. Also,, titanium has a gray metallic color and aesthetics is much more of a concern with you smile. Furthermore, unlike Titanium, Zirconia is electrically inert to the meridian points with superior health of its surrounding gum tissue and esthetics.


What is zirconia?

An oxide is any chemical compound that contains at least one atom of oxygen. Through a meticulous laboratory process, zirconium dioxide (with two atoms of oxygen) is transformed into a pure crystalline structure, hard enough substitute for a diamond! Zirconia has many engineering properties that make it desirable in several high-tech industries. However, its biocompatibility, strength, and aesthetics make zirconia ideal for dental ceramics.


Call Our Office For More Information
New Patients call at (760) 576-2779,
Current Patients call at (760) 576-2269 or

Schedule an Appointment today.


Zirconia implants are an attractive option in Carlsbad, CA

Image of a mother & daughter smilling with showing their brighter teeth

Back to our earlier discussion, in the 1980s dental implants were made of gray titanium, and they were usually restored with porcelain-fused-to-metal crowns. This usually resulted in a functional replacement tooth, but the crown lacked the translucency and light reflecting qualities of a natural tooth. In addition, the implant could often be seen as gray discoloration at the gum line.


A zirconia dental implant topped with a CEREC or lab-made solid porcelain crown is a beautiful alternative.


A zirconia implant is, by its very chemical composition, white like tooth structure. If you have thin gum tissue (a hereditary trait) a zirconia implant will not give a gray cast. In addition, if gums recede with age, the implant continues to look natural. With an all ceramic crown, this is the most realistic looking tooth replacement option available today.


A metal-free mouth is more than a pretty smile

As a holistic, biological dentist, Dr. Fallah offers a range of non-metal treatment options. In addition to aesthetics, here are some of the reasons his patients choose metal-free smiles:

  • No mercury – Silver-colored amalgam has a significant (about 50 percent) mercury component. Use and handling of inorganic mercury is highly-regulated by the Environmental Protection Agency, the Food and Drug Administration, the Occupational Safety and Health Administration, and other state and federal authorities. Why? It is a potent neurotoxin. Many health-conscious individuals simply do not want mercury a few inches from their brains. Composite resin and porcelain dental restorations contain no mercury.
  • Non-reactive – Metal-free dental materials will not discolor or pit from acids in beverages and foods.
  • Non-corrosive – Corrosion is an electrochemical reaction that breaks down an otherwise stable material. Metals corrode – ceramics and resins do not.
  • No galvanism – When multiple metals are present in the moist environment of the mouth, they create electrical currents that may contribute to a variety of health issues.
  • Minimal risk of allergy – Most metals used in dentistry are alloys, some containing nickel. An estimated 30 percent of our population has metal allergies.
  • Non-conductive – Metal restorations quickly conduct heat and cold to delicate nerves in the mouth. Porcelain and composites, however, insulate sensitive teeth.


Can zirconia implants make a healthy, attractive difference in your smile? Schedule a consultation with Dr. Fallah to find out. The number in Carlsbad, CA is 760-576-2779.



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