Video Blog on Teeth Veneers

Greetings, my name is Dr. Kari Ann Hong, and I have a family dentistry practice here in Thousand Oaks, California. Frequently, my patients will ask me if I do cosmetic dentistry. This is an interesting question, because cosmetic dentistry defines every treatment that I provide. In fact, cosmetics are intrinsic to the very nature of dental procedures. My ultimate goal is to provide you with long term dental solutions that are both functional AND beautiful.

The most common procedure associated with the term “cosmetic dentistry” is teeth veneers.  Veneers can be used to change the color, shape, and size of the teeth.  They are an excellent solution for teeth that have been chipped in the past or that have had extensive fillings.  Also, they can be used to fill in gaps or to correct the alignment of teeth.  The process of making a veneer involves lightly removing about 0.3-1.5mm of tooth structure. Then an impression is taken, temporaries are made, and the dental lab takes about two weeks to fabricate the veneer.  

Veneers are made out of either feldspathic porcelain or lithium disilicate.  Both materials are known for their translucency and life like appearance.  Patients are often concerned that their veneers will look fake.  I work very closely with my dental lab to ensure that the final result is both natural and esthetically pleasing.

If you are interested in teeth veneers, please fill out the contact us page at the bottom of this page.

Root Canals

Root Canal- Likely the most feared of all procedures. The name alone brings up visions of pain, discomfort and dental woes. But what is a root canal? Why would you need one? What does it do? In this article, we will shed some light on the world of endodontics, dental subspecialty that encompasses root canals. Contrary to popular belief, you will find that this procedure is both comfortable and provides near instant pain relief!

A Diagram of the different parts of the tooth. 

Before explaining how a root canal works, it is important to understand the different parts of the tooth and what they do. There are three basic layers to all teeth- the enamel, the dentin and the nerve/pulp. The enamel is mostly inorganic (nonliving) material and gives the tooth its strength and rigidity (it’s the hardest material in the human body!). Dentin provides support to the enamel and contains a mix of living and nonliving materials. The innermost layer is the pulp chamber and nerve canal. This space contains innervation that provides information on biting pressure, temperature and pain to the central nervous system. It is mostly organic material and has has it’s own blood supply.

Different teeth will have different numbers of canals. The number varies between tooth types, arch location and even person to person. In general, teeth typically have between one and four canals, with posterior teeth having more than anteriors. On top of this, a tooth can have any number of accessory canals.These can range in size from easily visible to microscopic.

With this information in mind, let’s discuss root canals. In the most basic terms, a root canal is performed by removing the root/nerve from the tooth, cleaning out the now-empty space and filling it with a stable material. Why would we remove the nerve from a tooth? This is typically done because:

A) Long term decay, stress or fracture has aggravated the nerve and it is causing constant pain. This is what happening when patients come in with a “hot tooth.”

B) The aggravated nerve has now “died,” leaving a perfect alcove of organic material for bacteria to feed on. Here, patients might have very little feeling in the tooth and may notice a change in color to a grayish hue.

C) Bacteria have found the dead tissue and there is an active infection. The bacterial abscess can be seen on an X-Ray and the patient will feel soreness, swelling or even draining from the gum tissue.

Condition A will eventually progress to condition B and usually to condition C. Since active infections are both difficult to treat and potentially life threatening, we will usually treat dying nerves early-on and aggressively. Waiting can often lead to more pain and higher long term costs to our patients.

The actual root canal procedure is based on a simple ideology: If you remove the dying/dead nerve, you remove the source of pain and bacterial “food.” We start by getting you numb using standard dental anesthesia.  You should not be able to feel any part of this procedure, from start to finish. The tooth is then isolated using a dental dam to keep your saliva and the inner tooth completely separated. We access the tooth canal and begin clean out the canal. We use a system of specialized files to shape and clean the canal, along with a number of sterilizing irrigants to eliminate any bacteria. Once the canal is the right size and shape (confirmed via X-Ray), we fill it with a material called gutta percha. Modern gutta percha is engineered in a lab, and is extremely resistant to deterioration, infection or absorption.

Tooth Second from left- Before and after root canal. The gutta percha shows up bright white in the X-Ray, highlighting the shape of the canal.

Once the canal is filled, it is topped of with a filling to give the tooth structure. This final step may be done the same day as the canal filling or may be delayed to allow the tooth time to adjust to the procedure. Most of the time, the tooth will require a crown to give it long term structural stability and strength. Removing the nerve from teeth can make them more brittle, and the capping effect of a crown can help counteract this.

After the nerve is removed from the tooth, it physically cannot feel any more pain. The surrounding tissues can still feel tender, but the specific tooth will no longer have a way to relate sensory information to the brain. This is what makes root canals great at ending tooth pain permanently and instantly.

Overall, root canals are about 80% successful long term. They are an excellent way of buying time with a tooth that would otherwise need to be extracted and replaced with an implant or dentures. At our office, we evaluate root canals on a patient-to-patient basis. If we feel your specific case could benefit from the perspective of a specialist, we will refer you to an endodontist. These tooth canal experts bring a number of technologies to handle complex or difficult cases, including microscopes, CT Scanners and cutting edge materials.

If you have further questions on root canals or why we place them, please contact our office. We understand that this procedure seems intimidating, and will try our best to make it more manageable. As with any procedure provided at our office, we want you to be happy, pain-free, and satisfied with the end result!

CariFree Rinse and MI Paste

    For the majority of our patients, standard home dental maintenance is sufficient to maintain strong, healthy teeth. Unfortunately, some individuals are always battling tooth decay and cavities, no matter how diligently they floss and brush. Modern dental research has given rise to a number of great products that can help these patients in a safe and predictable manner. At our office, we have two great solutions that can add extra power to your daily routine- Carifree CTx3 Rinse and MI Paste.

    Before we explain how these products work, let’s do a quick review of the anatomy of tooth decay:

      1) Your teeth are made of calcium and phosphate

      2) Acid erodes tooth structure, which releases the calcium and phosphate

      3) Acid can arise from food, bacteria eating food, medication or other body systems

      4) Your saliva can help remineralize tooth structure, but only if the mouth isn’t acidic AND there is enough saliva present (i.e. not dry mouth)

      5) Certain compounds, such as fluoride, can encourage and promote your teeth to take in more calcium and phosphate, above what your saliva does.

With all this in mind, lets take a look at how these wonderful products can help mitigate further degradation of tooth structure!

    Carifree CTx3 Rinse is a “mouthwash” type product that you use once a day before going to bed. While your mouth becomes dried out during the night, CTx3 rinse provides a whole spectrum of benefits to combat potential decay. Firstly, it’s pH neutral formula prevents extreme acidic events. Essentially, your mouth is protected from a low pH environment, which can soften tooth structure and erode enamel. Secondly, it contains a therapeutic dose of xylitol, a natural plant derived sugar. When your mouth bacteria metabolize xylitol, their acid production is limited or stopped. Additionally, xylitol can stimulate saliva flow, which is excellent for combatting almost every facet of decay. Finally, the CTx3 contains fluoride, a carrier ion that helps calcium phosphate integrate and remineralize existing tooth structure.

    MI Paste is a “toothpaste” like cream that is applied to the teeth right before bedtime. This product utilizes a patented form of bio-available calcium phosphate called Recaldent. It is purified from dairy products (but contains almost no lactose) and is identical to the calcium phosphate that makes up your teeth. The idea behind MI Paste is that by saturating the teeth in the building blocks for remineralization, enamel can repair itself faster and more efficiently. On top of preventing tooth decay, this paste is excellent at minimizing whitening sensitivity. By giving tooth enamel extra fortification, the microtubules within teeth are less susceptible to conduct sensitivity.

    Whether you prefer a rinse or paste, CTx3 and MI Paste are great products. Both are made in a number of flavors and are available at our office. Remember, length of exposure is key to both of these product’s success. Do not eat, drink or rinse after applying either; let them sit on your teeth overnight. If you have any questions on these products, how they are used, or who might benefit from them, do not hesitate to contact our office. We want your mouth to be happy and healthy, and have a number of great products to get you there!

Cosmetic Veneers

Today’s technological advances have afforded a great deal of flexibility in modern dentistry. We can now treat a wider range of concerns with more precision and less invasive techniques. Ultimately, this has lead to more “conservative” treatment options- solving the same problems with less collateral interference. One of the best examples of this new approach and ideology is the rise and popularity of dental veneers.

Although veneers have been around for many years, new technology has made them an excellent long-term treatment option for esthetic concerns. In it’s most basic form, a veneer is a thin piece of material that is used to replace the lip side of anterior (“smiling”) teeth. This material is made by a dental lab and used to correct the shape, color, length or spacing of the teeth.

1) an existing tooth has become discolored or misshapen. 2) a minimal amount of tooth structure is removed to accommodate the new veneer 3) The new veneer is tried on to ensure esthetics 4) the final product is adjusted and cemented

In the spectrum of cosmetic dentistry, veneers occupy the space between cosmetic bonding and full coverage crowns. Large deficits in size and shape cannot be reliably addressed with bonding composites. Since a veneer is a single piece of solid material, it offers more overall rigidity. Additionally, a veneer can be made to match adjacent teeth in ways bonding never can. Color gradients, shapes and artifacts can all be added to the veneer to make it blend in perfectly with the rest of your smile. Conversely, since veneers only address cosmetic concerns, they are less invasive than a full coverage crown. Less natural structure has to be removed as the underlying tooth is still structurally sound.

A number of recent technological developments have perfected veneer preparation and placement. We now make veneers out of an engineered lithium disilicate called Emax. Emax is a translucent, tooth colored material that combines unmatched esthetics and incredible strength. It is perfect for anterior teeth as it is both functional and beautiful. The labs we work with will schedule a shade-matching appointment to make sure your Emax unit is flawlessly matched to your surrounding teeth. They will help guarantee that the color, gradient, shape, length and width are in perfect harmony with the rest of your mouth.

In addition to developments in the veneer material, the bonding agents we use have made the process easier and more predictable than ever. Since Emax is extremely translucent, the color of the underlying “glue” can severely alter the appearance of the final product. With this in mind, we use a combination of clear cement and mock try-in material known as Cosmedent Insure/Prevue. The Prevue material has the same viscosity and value as the Insure cement, and allows us to confirm esthetics without actually cementing the veneer. Once we are satisfied with the esthetics of the restoration, Insure is used to create a strong, lasting bond.

If you have one, two or more defects or deficiencies in your anterior teeth, veneers could be an excellent option to restore your beautiful smile. At our office, we place veneers to fix everything from single teeth to entire anterior arches. However, we evaluate each case for its appropriateness to be solved with veneers. Often times a combination of cosmetic bonding, orthodontics and smoothing/disking can offer similar results, albeit with a different time frame. If you are considering veneers, we urge you to schedule a consultation with Dr. Kari to best evaluate your personal needs, desires and expectations from our treatment!

BruxZir Crowns

At our office, we want all of our dental work to be beautiful, functional and enduring. Many times, finding the intersection point of these three qualities requires us to turn to new technologies and developments in dental materials. In the case of dental crowns, we utilize BruxZir milled zirconia as a beautiful restorative solution that stands up to even the toughest conditions.

In the human mouth, the farther back a tooth is, the more relative force it will receive during a regular day. Teeth closest to the jaw joint are situated right next to the masseter, the muscle responsible for chewing, biting and closing the mouth. This muscle can generate incredible amounts of force, enough to crack or fracture your own teeth. Because of this, many types of crowns will chip, break or fail in the rear of the mouth.

A diagram highlighting the masseter muscle. 

In the past, porcelain fused to metal (PFM) crowns were the best tooth colored solution for posterior teeth, as their solid metal underpinnings are incredibly durable. However, the baked on porcelain can fracture and break during normal wear, requiring replacement or adjustment. Gold crowns were popular as well, so long as the patient was comfortable without a tooth colored restoration. Other materials, such as full porcelain crowns, are simply too fragile to be placed in such a functional position.

In contrast, Bruxzir crowns combine longevity, strength and natural beauty. They are milled out of a solid piece of engineered zirconia to match the color and shape of the original tooth. Since it is a single piece of material, it better matches the light characteristics of natural teeth. There is no metal backbone block out and less tooth structure has to be removed to accommodate the newly made crown.

While some materials (such as Emax) offer better translucency and color properties, nothing can stand up to BruxZir’s durability. They are essential chip, grind and crack proof. Even with heavy grinders and clenchers, the single piece zirconia will not fail or erode. No other material can offer this level of endurance in an esthetic, tooth colored package.

Even taking a hammer to a BruxZir crown will not ruin it's structural integrity. 

We typically only place BruxZir crowns on molars and more rearward teeth. While these units are esthetically superior to PFMs, they are not as cosmetically versatile as Emax crowns. In essence, their incredible strength comes with the price of poorer relative translucency. For front teeth experiencing less average force and wear, we will typically place this more esthetic material. Of course, we still place PFM and gold crowns, but most patients are eligible and more willing to be fitted with these state-of-the-art units.

If you have any further questions about BruxZir crowns, or any other crown materials at our office, please give us a call. We would love to talk you through your crown options, and which material would work best for you personally!

Crowns and Bridges

Hands down, dental crowns and bridges are the most versatile restorative tools at our office. Whether going on previously decayed teeth, root-canaled teeth or a dental implant, they offer convenience, beauty and excellent flexibility. Please take a moment and read why we love crowns and bridges at Thousand Oaks Family Dentistry!

In it’s simplest form, a dental crown is a hard, solid object that replaces the natural “crown” of the tooth. It can add structural rigidity, biting function or esthetic value to any damaged or decayed teeth. Similarly, bridges are three (or more) crowns made in tandem, were the outermost two units are attached to your natural teeth (or implants). The goal is to “bridge” the gap created by a tooth that was previously removed. Both crowns and bridges are prepared using the same techniques.

Crowns and Bridges are placed for a number of reasons. Crowns can be used to fix teeth that have too much decay to be rebuilt with a dental filling. They can also restore structure after a tooth becomes cracked (depending on the nature of the crack). Bridges are used to replace once-missing teeth in almost any area of the mouth. All that is required is that the gap is “surrounded” by viable teeth for the bridge to be mounted to. Likewise, implant crowns are the final restorative step in implant surgery and give the implant its beauty and functional ability.

The basics of how a tooth is prepared for a crown. (Read top left to lower right)

To prepare a tooth for a crown or bridge, we essentially remove a ~1.5mm gap from around all surfaces of the tooth, in addition to any defects or decay. The walls of the teeth are slightly tapered, so that the crown can be placed easily and has ample tooth structure to hold on to. At the gumline, a distinct ridge (called the “margin”) is created to give an explicit surface for the crown to be cemented against. In the case of bridges, this step is done on two separate teeth, with special care given to making both teeth completely parallel. For implant crowns, these steps and designs are built into the shape of the abutment, which is essentially a manufactured “undertooth” made at an off site dental lab.

1) A natural tooth is broken/decayed and cannot be repaired with a filling 2) The tooth is prepared for a crown, giving it clearance for the new unit and proper structure. 3) The final crown is cemented and delivered. 

Preparing and delivering bridges is done with much the same technique. However, a missing tooth is replaced in the process. 

After your tooth is prepared, we have a number of material options for making your crown or bridge. In nearly every case, we will use tooth colored materials and restorations. We can match almost any esthetic concerns, from color to matching staining patterns and the shape of adjacent teeth. For front teeth, we often use eMAX lithium disilicate crowns for their excellent esthetic properties and strength. In molars and back teeth, we typically place a material called Bruxzir. Bruxzir is an engineered zirconia that surpasses all other crown materials in terms of hardness and durability. We also have a number of more traditional crown materials at our disposal, ranging from gold to zirconia and porcelain fused to metal (PFM). Picking a crown material is a discussion between you and Dr. Kari that considers your whole-mouth condition and your specific wants and needs.

An example of an eMAX bridge/crown. 

At a crown preparation appointment, we start by getting you numb and taking an initial impression for our temporary crown. We then prepare the teeth, taking care to provide ample clearance for the new unit. Once the tooth is fully prepared, we take a final impression and make notes for the lab. Finally, we use our first impression to make an acrylic temporary. While this will not be as strong as your final crown, it will allow you to leave with a fully shaped tooth. This is important for esthetics, chewing function and for maintaining the space between the prepared tooth and the opposing tooth. After two weeks, the lab will deliver your crown, which will be adjusted, seated and cemented in a quick follow up appointment. The process for implant crowns is slightly different, but still requires appointments for initial impressions followed by the actual crown delivery.

If you have any further questions concerning dental crowns, please give our office a call. We place and deliver crowns almost every day and can walk you through your unique needs. There should be no confusion, fear or apprehension surrounding your crown or bridge treatment!

Dental Sealants

    One of the most common preventative dental treatments available to growing kids and teens is dental sealants. Between 10% and 50% of all students will have at least one sealant at any given grade school in the United States. While many parents are well educated on the benefits of sealants, the whole picture is slightly less clear. What are they made out of? What exactly are they “sealing?” Are they designed to last forever? In this blog post, we will shed some light on commonly asked questions on dental sealants and how they can be excellent preventative tools in young teeth.

Deep enamel pockets in the biting surfaces of molars can create difficult-to-clean teeth. 

    The principle behind dental sealants (also known as pit and fissure sealants) is very simple. In young children and teens, tooth anatomy can be deep and varied. In the molars, these “pits” (natural dips in the teeth) and “fissures” (natural troughs in the teeth) are prone to collect bacteria and acidic food particles. Unfortunately, these groves are often too big for toothbrush bristles to invade and clean. The result is a perfect pocket of food and bacteria that can sit unharmed even after a perfect brushing session.

    Sealants come into play by making these ridges and pockets shallower by using a specialized filling material. We typically place sealants on adult teeth once they are fully erupted and show signs of deep tooth anatomy. Baby teeth are usually shallow enough that sealing them is an unnecessary measure. The necessity and appropriateness of sealants are typically determined at a regular cleaning/exam appointment.

    In placing a sealant, we first use air abrasion technology to gently roughen the tooth surface around the pits and fissures. This process is extremely gentle; your normal saliva flow has strong enough remineralization powers to reverse the effects of air abrasion. After the tooth is prepared, we place a hard material called glass ionomer into the pits and grooves. We love glass ionomer because it is engineered to provide prolonged fluoride release, making it perfect for this application. Once the material is hardened and set, we perform a final adjustment to make sure the sealant isn’t interfering with normal biting and chewing. The entire appointment takes about 30 minutes for one tooth, with 15 extra minutes for each additional tooth.

A typical before (left) and after (right) of dental sealants. 

    Since we are only placing material in near-microscopic grooves (thinner than a toothbrush bristle!), the resulting “filling” is incredibly shallow and thin. Likewise, sealants can fall out or break after a number of years. This is a completely natural and expected part of the sealant life cycle. However, many of our patients have their sealants last for near lifetimes. When a sealant does fall out, we note it during a regular exam and consider the options. We can replace a sealant at any age, but changes in tooth structure often make this step unnecessary.

     For most people, extreme molar anatomy is exclusively a childhood problem. Children's teeth grow in at different paces and will often be in a position where they have nothing to hit against while chewing. This lack of constant contact makes these pockets of bacteria and food even harder to displace.  However, we can and will place sealants in adults, if necessary.

    Please note that sealants are not the same as fillings on the biting (“occlusal”) surfaces of your back teeth. If there is active decay in the pits and fissures, we must place a filling to reverse it’s progress. However, deep anatomy can usually be caught and adressed before actual decay sets in. If you have any further questions about dental sealants, how they work or why we place them, please feel free to call our office. We want all of our patients to be well educated on the best preventative services available to them and their children.

Zoom In Office Whitening

At Thousand Oaks Family Dentistry, we pride ourselves in staying at the forefront of dental technology. Every time a product is release, redesigned or improved, we take care to review its merits and how it can benefit our patients. Sometimes, products need further research and development before they are ready for our office. Others show great promise in improving results, comfort or efficiency.

    One of the most recent additions to our office is the latest Philips Zoom Whitening light and bleach system. While we have offered in-office whitening for many years, this update brings us to the forefront of bleaching speed and results. We are highly impressed with the research results and clinical data from this system and are proud to offer it to our patients.

    Almost every bleaching system works via some form of hydrogen peroxide, and Zoom whitening is no different. However, this system combines a specific concentration of peroxide with a highly specialized activation light. This light aids in the bleaching process by adding mild heat and energy to the peroxide oxidation reaction.

Our fantastic new Zoom light along with new bleach kits. 

Essentially, bleaching works by allowing peroxide penetrate deep into the tooth dentin and degrade the compounds that cause staining. The Zoom lamp enhances this process by making the peroxide more viscous and speeding up the oxidation reaction rate. The end result is whiter teeth in a shorter amount of time, versus bleaching sans light.

Zoom appointments typically take about 75 minutes from checking in to leaving our office. We start by seating you and getting you set up with TV/Netflix/music. Once you are comfortable, we use a special blocking material to shield your gums from any stray bleach solution. This step is crucial, as the ultra concentrated bleach can easily discolor and irritate soft tissue. After we have your teeth isolated, we start the actual Zoom treatment. Your teeth are “painted” with the bleach formula and the light is focused at your mouth. The actual bleaching time is split into three 15 minute sessions. After your third session, we take out the gum shielding, rinse the bleach, and send you out with your brand new smile!

Many patients are concerned about the potential sensitivity associated with in office bleaching. This pain arises from microtubules within the teeth opening, which allows the peroxide to penetrate deep into the tooth. Unfortunately, these open tubules also allow sensitivity to air, cold temperature and even the bleach solution itself. Without prior whitening experience, it is difficult to predict how you will personally respond to Zoom bleaching. However, we have great methods and procedures for minimizing any discomfort you may feel.

In short, Zoom whitening provides beautiful and long lasting results in a single office visit. If you are interested in this service, or any of our other cosmetic procedures, please schedule an appointment with our office.

Additionally, feel free to take a look at the Zoom webpage FAQs for more information:

www.zoomwhitening.com/en_us/teeth_whitening_faq 

Emax Lithium Disilicate Crowns

    When it comes to dental crown materials, there are many different options to suit a multitude of different scenarios. Some, like full porcelain crowns, provide excellent esthetic results. Others, such as full gold units, provide extreme durability along with desirable tooth-like physical properties. However, what options offer both beautiful cosmetic results along with enduring strength?

For many years, porcelain-fused-to-metal (or “PFM”) crowns were the cornerstone of “form meets function” in crown materials. These units are made by taking an alloy metal core and attaching a thin layer of porcelain over it, resulting in a durable tooth colored restoration. Unfortunately, this process is not without it’s downfalls. The porcelain has a tendency to crack and break between the opposing tooth and the hard metal sublayer. Additionally, the alloy substructure is extremely opaque, and prevents the overall crown from having the translucency of a natural tooth. This detracts from the overall esthetics of the final product.

While PFM crown still have a very useful place in dentistry (and are still regularly placed at our office for various reasons), modern technology has provided us with newer and more elegant solutions. Today, we can offer Emax as a means of creating a beautiful crown or bridge with long term durability.

An example of a finished Emax dental bridge (right) and crown (left)

Emax is a lithium disilicate material that combines the translucency of porcelain with incredible strength. On average, these restorations can withstand 360-400 megapascals of force before breaking. What does this mean? Essentially, you could hammer a crown made of Emax into a plywood board and pull it out without damaging the structure. This incredible resilience means that Emax can be placed in almost any location in the mouth with extreme confidence.

In terms of esthetics, Emax rivals porcelain in that it provides an incredibly toothlike translucency. One of the most obvious “tells” of a dental crown is poor transmittance of light. Crown that do not respond to ambient light like natural teeth are just as visually jarring as poor tooth shade matching. Emax offers this low opacity in conjunction with the ability to have natural artifacts “baked” into the crown’s surface. Surface lines, color gradients and staining can be added to the crown to blend it perfectly with the adjoining teeth. Overall, this step helps detract from the “chiclet gum” look that is imparted to certain crown.

Of course, Emax in only one of the excellent crown options offered at our office. While it has some great properties, it can be a poor choice of restoration depending on a number of factors. Your crown material should take into account mouth location, neighboring teeth and your personal expectations. We regularly work with a number of different materials because our patients regularly need a number of different materials. If you have any questions Emax, or any other materials we offer at our office, please let us know at your next appointment!

After Hours Phone Service

At Thousand Oaks Family Dentistry, we pledge to be committed and available to our patients. We understand that your dental emergencies and concerns may not coincide with our business hours. In fact, they typically seem to arise at the least convenient times possible. This is why we are proud to offer our after hours phone service.

Our promise to our patients is anytime you call our office number, one of our staff member’s phones will ring- any time, day or night. You will never be forwarded to a call service and any message you leave will typically be followed up in about two hours (a little longer for late night calls).

After hours callers will typically encounter our office manager, Michael. He brings years of experience in dental emergencies, insurance billing and scheduling to the convenience of your phone. Whether you have a filling fall out at 10am on a Saturday or an insurance question on an idle Thursday evening, he will be there to answer.

Our office manager, Michael. hard at work taking phone calls. 

Why do we provide this service? Simply put, our practice is a patient-centric environment. We know you have many options, and are honored that you choose to visit us at Thousand Oaks Family Dentistry. Dental care can be an intimidating endeavor, and thus we are here to make the process as easy, simple and convenient as possible.