Our Second Free Dental Day

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June 25, 2014 was an exciting day for me: I was honored to get to serve my community members who had great need for oral health and could not afford it. As early as April 1, 2014, I made the following announcement on my Facebook:

“My dental office will see, free of charge, as many patients as possible starting at 9 a.m. on June 25. The event operates on a first come, first serve basis for oral cancer screenings, and a choice of an extraction, filling or cleaning. Please come to our dental office, located on 1548East St., across from Shasta Regional Hospital on June 25. Please share this to help someone who needs dental care and cannot afford it.”

On our second Free Dental Day there was huge line of more than thirty people waiting since 4:00 AM.

On the morning of June 25, at 9:00 AM my staff and I went out to greet people waiting in line. There was huge line of more than thirty people waiting. Some said they were in line since 4:00AM. My office parking lots, as well as parking lot next door, were fully

On our second Free Dental Day there was huge line of more than thirty people waiting since 4:00 AM.

On the morning of June 25, at 9:00 AM my staff and I went out to greet people waiting in line. There was huge line of more than thirty people waiting. Some said they were in line since 4:00AM. My office parking lots, as well as parking lot next door, were fully packed.

Extra Help

On our second Free Dental Day, I had employed extra help to be able to serve as many people as possible

I had hired extra help to be able to serve as many people as possible. Throughout the day, my staff and I were all running. We were trying to accommodate all the people who had waited patiently, some over 12 hours. There were young, old, teenagers, and children among them. They were badly in need of dental care, which was overdue for years.

extra help

Many people were badly in need of dental care, which was overdue for years.

Many people were badly in need of dental care, which was overdue for years.

You could not believe how many times my staff and I cried for the pain and suffering they had gone through. I was overwhelmed and embarrassed with their expression of gratitude.

We gave away $11,000 worth of free dental services.

 

 

Our Hygienist

At the end of the day we had given away $11000 worth of free dental services.

  Some people die from dental disease

Many people suffer greatly, as the result of unaffordable Healthcare costs.

According to Harvard Gazette, one person dies every 12 minutes (45,000 deaths annually) from un-affordable Healthcare costs. Healthcare is a huge topic – let’s just consider Dental care.

People don’t realize that dental disease can cause serious illness. The problems are not just cosmetic. Many people die from dental disease.

According to NBC affiliate WLWT, a 24 year old man, Kyle Willis, died because of his infected tooth. Kyle’s tooth started hurting two weeks before his death. When he went to dentist, dentists told him his tooth needed to be pulled; he decided to forgo the procedure, because he was unemployed and had no insurance. When his face started swelling and his head began to ache, Willis went to the emergency room, where he received prescriptions for antibiotics and pain medications. Willis couldn’t afford both, so he chose the pain medications. The tooth infection spread, causing his brain to swell. He died as a result.

 

Between 30 and 50 percent of the population have the most serious dental disease

When people are unemployed or don’t have insurance, where do they go? What do they do? People end up dying from the most treatable diseases in the world.

According to  PBS: “More than 100 million Americans don’t go to the dentist because they can’t afford it. Many end up in severe pain and sometimes they even die!”

According to Dr. Tom McGuire , Dental disease is an epidemic. Ninety percent of the population suffers from some form of this disease. Between 30 and 50 percent of the population have the most serious forms of dental

People want to believe there’s a safety net that catches all of these people, and there isn’t.

More than 2.1 million people, with tooth aches go to emergency rooms

Emergency room visits for dental health have doubled from about a decade ago.  Nationally, more than 2.1 million people, the vast majority of them adults, showed up in emergency rooms with dental pain in 2010 — that’s double the number from just a decade prior. The majority of dental emergency room visits, nearly 80 percent, were for preventable conditions such as abscesses and cavities.

All too often emergency departments become the go-to place for treatment even though many visits could be prevented with the right outpatient care at the right time,” said Joan Randell, deputy director of The Nicholson Foundation. “We hope that hospital systems and policymakers consider implementing the recommendations to strengthen the community-based dental safety net.”

Many ER dental visits involve the same patients seeking additional care. In Minnesota, nearly 20 percent of all dental-related ER visits are return trips, the report said. That’s because emergency rooms generally are not staffed by dentists. Doctors might offer pain relief and medicine for infected gums, but not much more for dental patients. And many patients are unable to find or afford follow-up treatment, so they end up back in the emergency room.

I think emergency departments should have a dental chair and a dentist on call.

Thousands of dentists across the country and I see patients who are struggling financially and have put off regular dental care. The result is that people are living with infection and pain, and it’s impacting their health and quality of life.

A Report of the Surgeon General indicates that people with low income and racial and ethnic minorities are particularly vulnerable.

 

Less than 1% of dental services are covered by Medicare

Neither Medicare nor the Affordable Care Act includes adult dental coverage, although some pediatric dental care is covered. Even the Medigap insurance that adults buy to expand their plans’ benefits still won’t cover dental procedures. Less than 1% of dental services are covered by Medicare.

Education is Key

Your teeth can last a lifetime if you practice basic dental care, which involves brushing and flossing regularly, eating a mouth-healthy diet, and visiting your dentist and/or dental hygienist for regular checkups and cleanings.

The problem is that most of us are not familiar with ‘mouth-healthy diet”

Changes begin in your mouth the minute you start to eat certain foods. After eating sugar-containing foods, carbohydrates, along with bacteria in your mouth, you begin to make acids. When you eat ferment-able carbohydrates – foods containing sugar — the bacteria in your mouth use the sugar for fuel and produce acids as a waste product.  Acidic media in your mouth can dissolve enamel in less than five minutes. Regular acid assaults on enamel can wear holes in teeth, commonly called

 

Eating foods containing sugar help fast multiplication of bacteria

In addition to cavity formation, eating foods containing sugar help fast multiplication of bacteria which use carbohydrate as fuel. These bacteria then colonize and attach themselves to the tooth’s smooth surface. This results to dental plaque formation. Dental plaque is a biofilm, usually a pale yellow filmthat develops on the teeth.

 

Dental plaque results to Calculus formation

Continual accumulation of minerals from saliva on plaque, results in calculus or tartar formation which is a form of hardened plaque. Levels of calculus and location of formation varies from one person to another, and are affected by oral hygiene habits, access to professional care, diet, age, ethnic origin, time since last dental cleaning, systemic disease, and the use of prescription medications.

 

Calculus formations results in periodontal diseases

A build-up of plaque and calculus can lead to inflamed and infected gums. Mild gum disease is called gingivitis and is not usually serious; however this condition is a predisposition to the start of periodontitis. More severe gum disease, called periodontitis, can lead to teeth falling out. This condition, simply put, is the loss of tooth supporting structures, (bone and gum support).

 

Periodontal diseases can result to heart attack and stroke

Because periodontal disease is a bacterial infection, periodontal bacteria can enter the blood stream and travel to major organs and begin new infections. Both the heart and the brain are some of the most susceptible organs.

“A lot of studies suggest that oral health, and gum disease in particular, are related to serious conditions like heart disease,” says periodontist Sally Cram, DDS, a spokeswoman for the American Dental Association.

According to the Academy of Periodontology, people with periodontal disease are almost twice as likely to have coronary artery disease (also called heart disease). And one study found that the presence of common problems in the mouth, including gum disease (gingivitis), cavities, and missing teeth, were as good at predicting heart disease as cholesterol levels . Periodontal disease has also been linked to stroke.   Latest studies showed possible link between Alzheimer disease and periodontal disease.

Bottom Line:

 

If you like to keep good oral health do the followings:

 

1)  Brush twice a day and floss at least once a day regularly.

 

2) See your dentist every six months for dental hygiene and checkup.

 

3) Eatmouth-healthy Food. Avoid sugary, starchy food and alcoholic drinks. These create a favorable environment for oral bacterial growth.  They also have a drying effect, which reduces saliva flow and allows foul-smelling bacteria to linger longer.

 

4) If you have to eat sugary food, coffee, starchy food, and alcoholic drinks make sure to rinse your mouth with a mouth wash or water immediately after. There is a product on the market that targets only the bad bacteria in the mouth. It’s called EvoraPlus and it works great.

 

There is a definite need to give assistance to those less fortunate. We look forward to another successful event next time and will keep the public up to date with what is to come in the future.

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In dentistry experience and Continuing Education are everything. Dr. Parvin Carter has over 30 years of experience in practicing General Dentistry and 25 years in Orthodontics. She has thousands of hours of advanced training. In 2000, Academy of General Dentistry awarded Dr. Carter a Certificate of Mastership (MAGD) in General Dentistry. According to the Journal of the Academy of General Dentistry, only 1% of US dentists achieve this high level of advancement. Dr. Carter is a Certified and Preferred Provider of Invisalign. She has successfully treated over 500 patients with Invisalign. For more information please visit www.drparvincarer.com

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Heart Disease and Mouth Connections

 

Dr. Parvin Carter

According to the Centers for Disease Control and Prevention (CDC), heart disease will claim an estimated 600,000 lives this year, making it America’s number one killer.This year more than 920,000 Americans will have a heart attack; nearly half of them will occur without prior symptoms or warning signs.

What is the link between Heart disease and oral health?

According to Harvard Medical School Health reports Oral bacteria could  harm blood vessels or cause blood clots by releasing toxins that resemble proteins found in artery walls or the bloodstream. The immune system’s response to these toxins could harm vessel walls or make blood clot more easily. It is also possible that inflammation in the mouth revs up inflammation throughout the body, including in the arteries, where it can lead to heart attack and stroke.

Inflammation in the mouth can cause inflammation in the arteries

Oral health can provide warning signs for other diseases , including heart disease:

Heart disease and oral health are linked. There are two different connections between heart disease and your oral health:

  1. Studies have shown that people with moderate or advanced gum (periodontal) disease are more likely to have heart disease than those with healthy gums.
  2. Oral health holds clues to overall health. Studies have shown that oral health can provide warning signs for other diseases or conditions, including heart disease.Oral manifestations of systemic diseases are potential indicators of an array of conditions.

Oral cavity is a mirror that reflects many of the human body’s internal secrets.

During my 30 years of practicing dentistry, I have developed the ability of looking at a patient’s dental health and tell, in general, whether the person is healthy overall. I have sent many of my patients, who had no idea about their general health, to a physician and in many cases they have come back and thanked me for saving their lives.

 Gum disease can cause heart disease, stroke and diabetes

Because the mouth is a pathway to the body, people who have chronic gum disease are at a higher risk for heart attack, according to the Academy of General Dentistry (AGD). Gum disease (called gingivitis in its early stages and periodontal disease in the late stages) is caused by plaque buildup.

Warning signs for gum disease:

Gum disease may progress painlessly, producing few obvious signs. However, the signs that you may have gum disease include:

  • Gums that bleed during and after tooth brushing
  • Red, swollen, or tender gums
  • Persistent bad breath or bad taste in the mouth
  • Receding gums
  • Formation of deep pockets between teeth and gums
  • Loose or shifting teeth
  • Changes in the way teeth fit together upon biting down, or in the fit of partial dentures.

How is gum disease treated?

  • Your dentist or dental hygienist will remove the plaque and tartar both above and below your gum line. This procedure, called root planing and scaling, makes it harder for plaque to stick to the teeth.
  • Your dentist may give you antibiotics to kill bacteria and stop the infection. They may be put directly on the gums, swallowed as pills or capsules, or inserted into the pockets in your gums.
  • You may need surgery if these treatments don’t control the infection or if you already have severe damage to your gums or teeth. Surgery options may include:
  • Gingivectomy, which removes and reshapes loose, diseased gum tissue to get rid of the pockets between the teeth and gums where plaque can build up.
  • A flap procedure, which cleans the roots of a tooth and repairs bone damage.
  • Extraction, to remove loose or severely damaged teeth.
  • After surgery, you may need to take antibiotics or other medicines to aid healing and prevent infection.

After treatment, you will need to keep your mouth disease-free by preventing plaque buildup. You will need to brush carefully and thoroughly after all meals and snacks and floss daily. Your dentist will probably prescribe an antibacterial mouthwash.

Your dentist will schedule follow-up appointments regularly for cleaning and to make sure that the disease has not returned

Risk factors for gum disease:

  • Smoking.  Need another reason to quit smoking? Smoking is one of the most significant risk factors associated with the development of gum disease. Additionally, smoking can lower the chances for successful treatment.
  • Hormonal changes in girls/women. These changes can make gums more sensitive and make it easier for gingivitis to develop.
  • Diabetes. People with diabetes are at higher risk for developing infections, including gum disease.
  • Other illnesses. Diseases like cancer or AIDS and their treatments can also negatively affect the health of gums.
  • Medications. There are hundreds of prescription and over the counter medications that can reduce the flow of saliva, which has a protective effect on the mouth. Without enough saliva, the mouth is vulnerable to infections such as gum disease. And some medicines can cause abnormal overgrowth of the gum tissue; this can make it difficult to keep teeth and gums clean.
Some people are more prone to severe gum disease than others, due to their genetic factor
  • Genetic susceptibility. Some people are more prone to severe gum disease than others.

While regular dental exams are necessary to remove tartar and detect early signs of gum disease, oral health begins by properly caring for your teeth and gums at home. Here are some measures you can take to prevent gum disease and keep your teeth for a lifetime:

An ounce of prevention is worth a pound of cure:

  • Brush for two to three minutes, at least twice a day, with fluoridated toothpaste. Be sure to brush along the gumline.
  • Floss twice a day  to remove plaque from places your toothbrush can’t reach. Don’t like to floss? Try a floss holder, which can make it easier to insert floss between teeth.
Floss twice a day, to remove plaque from places your toothbrush can’t reach
  • Although not a substitute for brushing and flossing, a mouth rinse can reduce plaque up to 20 percent.
  • Eat a healthy diet. Starchy and sugary foods increase plaque, and only a healthy diet provides the nutrients necessary (vitamins A and C, in particular) to prevent gum disease.
Eat a healthy diet. to avoid dental health problems.
  • Avoid cigarettes and smokeless tobacco, which may contribute to gum disease and oral cancer.
  • Be aware that certain medications can also aggravate gum disease, including oral contraceptives, antidepressants and heart medicines.
Exercise regularly for better overall health
  • Exercise preventive care and schedule regular checkups — the surest way to detect early signs of periodontal disease.
  • Have your dentist correct problems, such as faulty fillings, crowded teeth or teeth-grinding.

 

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In dentistry experience and Continuing Education are everything. Dr. Parvin Carter has over 30 years of experience in Practicing General Dentistry and 25 years in Orthodontics. She has thousands of hours of advanced training. In 2000, Academy of General Dentistry awarded Dr. Carter a Certificate of Mastership (MAGD) in General Dentistry. According to the Journal of the Academy of General Dentistry, only 1% of US dentists achieve this high level of advancement. Dr. Carter is a Certified and Preferred Provider of Invisalign. She has successfully treated over 380 patients with Invisalign.

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What Causes Cavities?

Dr. Parvin Carter

Dental cavities (caries) are holes in the two outer layers of a tooth called the enamel and the dentin. The enamel is the outermost white hard surface and the dentin is the yellow layer just beneath enamel. Both layers serve to protect the inner living tooth tissue called the pulp, where blood vessels and nerves reside. Dental cavities are common, affecting over 90% of the population. Small cavities may not cause pain, and may be unnoticed by the patient. The larger cavities can collect food, and the inner pulp of the affected tooth can become irritated by bacterial toxins, foods that are cold, hot, sour, or sweet-causing toothache. Toothache from these larger cavities is the number one reason for visits to dentists.

What are the causes of cavities?

Cavity-causing bacteria in the mouth consume simple sugars, converting them into acid plaque. Acid plaque is different from the periodontal plaque that causes “Gum Disease.” The acid plaque produced by these bacteria cause the hard inorganic layers of the enamel and dentin to soften. The softened layers are then dissolved by saliva, leaving a hole (cavity) in the tooth. Unless filled by a dentist, the cavity can continue to erode and damage the inner pulp of the tooth. Damage to the pulp can lead to pulp death, infection and tooth abscess. Therefore, pulp damage will necessitate either tooth extraction or a root canal procedure where the dying pulp is removed and replaced with an inert material.

The problem is that most of us are not familiar with ‘mouth-healthy diet”.

Changes begin in your mouth the minute you start to eat certain foods. After eating sugar containing foods, carbohydrates,  Bacteria in your mouth make acids. When you eat fermentable carbohydrates – foods containing sugar — the bacteria in your mouth use the sugar for fuel and produce acids as a waste product.  Acidic media in your mouth  can dissolve enamel in less than five minutes.Regular acid assaults on enamel can wear holes in teeth, commonly called cavities.

Schedule an appointment before end f the (4)

 

 

 

 

 

 

 

 

 

 

In dentistry experience and Continuing Education are everything. Dr. Parvin Carter has over 30 years of experience in Practicing General Dentistry and 25 years in Orthodontics. She has thousands of hours of advanced training. In 2000, Academy of General Dentistry awarded Dr. Carter a Certificate of Mastership (MAGD) in General Dentistry. According to the Journal of the Academy of General Dentistry, only 1% of US dentists achieve this high level of advancement. Dr. Carter is a Certified and Preferred Provider of Invisalign. She has successfully treated over 360 patients with Invisalign.

Did you enjoy this blog? if yes would you send it to a friend please?

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Gum Disease and Pancreatic Cancer

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Gum Disease and Pancreatic Cancer

This article, which is written Dr. Parvin Carter DDS, MAGD, a general dentist in Redding, CA, is dicussing the link between gum disease and pancreatic cancer

Gum disease, which affects more than half of all Americans, has been linked to stroke, diabetes and other ailments. According to recent research from the Harvard Medical School involving more than 51,000 men pancreatic cancer is also linked to gum disease.

Pancreatic cancera leading cause of cancer deaths, is elusive, with vague symptoms that often lead to late diagnosis. It is an extremely difficult cancer to treat and little is known about what causes it.

“Men who had reported periodontal disease had a 64 percent higher risk of pancreatic cancer compared to those who didn’t have gum disease,” said the study’s lead author, Dominique S. Michaud.

The study provides the first strong evidence that gum disease may increase pancreatic cancer risk, added Michaud, an assistant professor of epidemiology at the Harvard School of Public Health in Boston.

The pancreas, a gland behind the stomach, makes pancreatic juice, which helps break down fats and proteins in foods. The gland also produces the hormone insulin, which helps regulate blood sugar.
One possible explanation for the results is that inflammation from periodontal disease may promote cancer of the pancreas. “Individuals with periodontal disease have elevated serum biomarkers of systemic inflammation, such as C-reactive protein, and these may somehow contribute to the promotion of cancer cells,” she said.

Another explanation, according to Michaud, is that periodontal disease could lead to increased pancreatic carcinogenesis because individuals with periodontal disease have higher levels of oral bacteria and higher levels of nitrosamines, which are carcinogens, in their oral cavity. Prior studies have shown that nitrosamines and gastric acidity may play a role in pancreatic cancer.

In their 16-year study, Michaud and her colleagues followed 51,529 men who participated in the Health Professional Follow-Up Study, which began in 1986. The researchers controlled for the effects of smoking.

“Our study was a prospective study of health professionals,” Michaud said. “Not MDs, but dentists, podiatrists, veterinarians.”
“People with periodontal disease have higher blood levels of C-reactive protein, an inflammatory marker that has been associated with heart disease,” Michaud said. “Periodontal disease is also linked to heart disease in some studies.” The inflammation may somehow contribute to the promotion of cancer cells, she added.

“Pancreatic cancer is one of those diseases we don’t know much about,” she said. “Once you get it, the survival rate is very low.”
This research “confirms that inflammation may play an important role in pancreatic cancer,” she said.
According to Michaud, the findings should also “give consumers one more reason to really take care of their teeth and their oral health. I think that’s really the message.

Bottom Line:

Periodontitis is a silent disease. People with the disease rarely experience pain and may not be aware of the problem. Healthy habits and good oral hygiene are critical in preventing gum disease. A periodontal examination by a general dentist twice a year should reveal any incipient or progressive problems. A full mouth series of x-rays is advised. This will alert the dentist to early bone loss and other disorders of the oral cavity

 Click on the picture below to learn more about Dr. Parvin Carter and the office!

TESTIMONIAL VIDEO CLIP

 

In dentistry experience and Continuing Education are everything. Dr. Parvin Carter has over 30 years of experience in Practicing General Dentistry and 25 years in Orthodontics. She has thousands of hours of advanced training. In 2000, Academy of General Dentistry awarded Dr. Carter a Certificate of Mastership (MAGD) in General Dentistry. According to the Journal of the Academy of General Dentistry, only 1% of US dentists achieve this high level of advancement. Dr. Carter is a Certified and Preferred Provider of Invisalign. She has successfully treated over 380 patients with Invisalign.

Schedule an appointment before end f the (4)

Gum Disease May Lead to Pancreatic Cancer

Dr. Parvin Carter

Gum Disease and Pancreatic Cancer

This article, which is written Dr. Parvin Carter DDS, MAGD, a general dentist in Redding, CA, is dicussing the link between gum disease and pancreatic cancer

Gum disease, which affects more than half of all Americans, has been linked to stroke, diabetes and other ailments. According to recent research from the Harvard Medical School involving more than 51,000 men pancreatic cancer is also linked to gum disease.

Pancreatic cancera leading cause of cancer deaths, is elusive, with vague symptoms that often lead to late diagnosis. It is an extremely difficult cancer to treat and little is known about what causes it.

“Men who had reported periodontal disease had a 64 percent higher risk of pancreatic cancer compared to those who didn’t have gum disease,” said the study’s lead author, Dominique S. Michaud.

The study provides the first strong evidence that gum disease may increase pancreatic cancer risk, added Michaud, an assistant professor of epidemiology at the Harvard School of Public Health in Boston.

The pancreas, a gland behind the stomach, makes pancreatic juice, which helps break down fats and proteins in foods. The gland also produces the hormone insulin, which helps regulate blood sugar.
One possible explanation for the results is that inflammation from periodontal disease may promote cancer of the pancreas. “Individuals with periodontal disease have elevated serum biomarkers of systemic inflammation, such as C-reactive protein, and these may somehow contribute to the promotion of cancer cells,” she said.

Another explanation, according to Michaud, is that periodontal disease could lead to increased pancreatic carcinogenesis because individuals with periodontal disease have higher levels of oral bacteria and higher levels of nitrosamines, which are carcinogens, in their oral cavity. Prior studies have shown that nitrosamines and gastric acidity may play a role in pancreatic cancer.

In their 16-year study, Michaud and her colleagues followed 51,529 men who participated in the Health Professional Follow-Up Study, which began in 1986. The researchers controlled for the effects of smoking.

“Our study was a prospective study of health professionals,” Michaud said. “Not MDs, but dentists, podiatrists, veterinarians.”
“People with periodontal disease have higher blood levels of C-reactive protein, an inflammatory marker that has been associated with heart disease,” Michaud said. “Periodontal disease is also linked to heart disease in some studies.” The inflammation may somehow contribute to the promotion of cancer cells, she added.

“Pancreatic cancer is one of those diseases we don’t know much about,” she said. “Once you get it, the survival rate is very low.”
This research “confirms that inflammation may play an important role in pancreatic cancer,” she said.
According to Michaud, the findings should also “give consumers one more reason to really take care of their teeth and their oral health. I think that’s really the message.

Bottom Line:

Periodontitis is a silent disease. People with the disease rarely experience pain and may not be aware of the problem. Healthy habits and good oral hygiene are critical in preventing gum disease. A periodontal examination by a general dentist twice a year should reveal any incipient or progressive problems. A full mouth series of x-rays is advised. This will alert the dentist to early bone loss and other disorders of the oral cavity.
Dr. Parvin Carter has over 30 years of experience in Dentistry; she is a Preferred Provider of Invisalign and the director of A Redding Invisalign Center.

Click to find out more about Dr. Parvin Carter and the office!
TESTIMONIAL-VIDEO-CLIP1-300x168

She received her degree of Doctor of Dental Surgery, from Indiana University Dental School, in 1982, after which she immediately opened her private practice.
In July 1990 she received fellowship award from academy of General Dentistry. This award requires 600 hours of continuing education and passing required examination. In July 2000 Dr. Carter received Mastership award from Academy of General Dentistry. This is the highest award for continuing education. This award requires 800hours of participation in dentistry specialties. According to the Journal of the Academy of General Dentistry, only 1% of US dentists achieve this high level of advancement.
Dr. Carter’s expertises are:
Invisalign, orthodontics, advanced TMJ treatment, oral surgery, sleep Disorders, placement of implants, restorations of cosmetic dentistry, whole mouth rehabilitation, fixed and removable prosthodontic, periodontics (soft tissue management), tooth and implant supported over dentures, endodontics, molars and anterior.

Schedule an appointment before end f the (4)

 

 

 

 

 

 

 

 

 

 

Dr. Parvin Carter is Certified and Preferred Provider of Invisalign. She has successfully treated over 368 patients with Invisalign. To find out more please see http://drparvincarter.com.

Web Site The Doctor Invisalign Dental Services Testimonial Hours
Appointment Education Feed Back Refer Us Contact Us Mobile Web

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