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Dentist - San Diego
3222 Governor Drive
San Diego, CA 92122
(858) 453-8520

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Cosmetic Dentistry

Cosmetic dentistry is a form of dentistry where the goal of the procedure is to improve the physical appearance of teeth.  Depending whether it is the color of the teeth, or the size and shape, or the alignment of the teeth, there are a variety of treatments and procedures that are available to patients.  At the office of Dr. Andrew Firtel and Dr. Ronald Rosenblatt, special attention is paid to listening to the patient, learning about their cosmetic wishes, and then determining a treatment that will deliver beautiful results.  There are many different treatments that are available to patients that are interested in cosmetic dentistry.  .

A very popular cosmetic dentistry choice is teeth whitening.  There are several teeth whitening options available, depending on the amount of whitening that needs to be done.  Drs. Firtel and Rosenblatt offer three different choices.  One form of whitening is Opalescence Go whitening trays.  These trays are pre-filled with whitening gel and will whiten teeth about two shades.  Customs made trays, worn 2-3 hours/day, are another option that will make teeth about 3-4 shades lighter.  Kor whitening is another option.  For this whitening system, trays are worn while you sleep and are capable of lightening your teeth approximately 6 shades.  Teeth whitening is a very simple way to give you a fresh, white, and bright smile.

Filling material called composite is commonly used in the office of Dr. Firtel and Rosenblatt.  Composite is a tooth colored resin material that bonds to the natural tooth structure.  Not only does composite provide additional strength to teeth, it is also superiorly more esthetic to other filling materials such as silver amalgam.  Composite resin is nearly undetectable from the surrounding tooth.

Another cosmetic dentistry option is porcelain veneers and crowns.  These types of restorations can be used to change the shape, color, alignment, and size of teeth.  The porcelain used for these types of restoration provides the perfect combination of strength and esthetics.  Dr. Firtel and Dr. Rosenblatt work very closely with the laboratory technicians to ensure a completely natural result and total patient satisfaction.

Regardless of your treatment, whether it ranges from teeth whitening to porcelain veneers, there is a cosmetic dentistry option for everyone.  Through a thorough exam and careful treatment planning, cosmetic dentistry can provide beautiful and meaningful results.  Cosmetic dentistry creates smiles that light up a room and induce a level of self-confidence that can be life changing. 

Sleep Matters!

After a long day at work, doing the carpool to soccer practice, helping with homework, and making school lunches, there is nothing more satisfying and healthy than a good night’s sleep. The problem is that many people don’t put themselves into a good position to be able to sleep well. When preparing to go to bed, it is important to have not only good dental hygiene, but to practice good “sleep hygiene”.

Starting about an hour before bed, it is important to dim the lights in the room. By dimming the lights, it tells your body that it is time to start getting ready to go to sleep. Bright light will inhibit the release of melatonin, an important neurotransmitter that helps a body fall asleep. Dim lighting also applies to the television and e-readers. It is best not to watch TV right before going to sleep and if using an e-reader, turn down the brightness of the screen.

Another important component to practicing good sleep hygiene is to keep the room at a moderate temperature, somewhere around 67 degrees. Part of the circadian rhythm is for the body temperature to mildly drop shortly before the body is ready to go to sleep. If the room is too hot or too cold, it is more difficult for the body to be able to achieve the core body temperature that is ideal for sleep. For that matter, exercising later in the evening is not the best sleep hygiene either. Physical exercise not only increases the heart rate, but also the core body temperature.

Unless you are living in the college dorms, creating a quite sleeping environment, one filled with relaxing smells, should be easy to establish as part of your sleep hygiene process. Some people like to sleep with a fan on in the background, or something that emits a soothing and constant noise. Soothing smells can be relaxing which will help the sleep process.

Sometimes, regardless of how well you practice good sleep hygiene, you are not able to get a good night’s sleep. In these cases, the person can wake up tired and/or irritable, complains of a headache, and becomes tired in the afternoon. This person might also state that their cognitive function or memory is affected.

A common problem that prevents a person from sleeping well at night is sleep apnea. Another sign that you possible have sleep apnea is that you snore. The good thing about sleep apnea is that it is treatable by wearing a custom made oral appliance.

If you think you might have sleep apnea, call the office of Dr. Andrew Firtel at 858-453-8520. Or for more information and to complete a sleep apnea consultation questionnaire, go to We can help you get started on the path towards a great night’s sleep.

Gum Disease Health Alert! - 10/6/2014

Did you know that fifty percent (50%) of adults in America have moderate to severe gum disease? This disease most often does not hurt or ache like a tooth ache. Therefore, many people affected by gum disease don’t even know that they have it. Some of the more apparent indications of gum disease are swollen gums, bleeding of the gums with brushing or flossing, and bad breath.

It's Not Just About Saving Teeth Anymore:

Recent studies have shown that the bacteria associated with gum disease get into the blood stream through bleeding gums. This has been linked to an increase in the person’s risk of heart attack, stroke, chronic inflammation, low birth weight babies, premature deliveries, or infection of joint replacements. If you know someone that has gum disease, has had heart surgery, is diabetic, has prosthetic joints, or is pregnant, please share this information with them.

Laser Assisted New Attachment Procedure (LANAP)

Lasers have moved into the field of gum treatment, providing a new option for people who have been diagnosed with gum disease, but have been shying away from the traditional cut and sew gum surgery.

The laser procedure is very patient friendly and in many cases replaces the traditional gum surgery of the past. Patients are experiencing no bleeding or swelling and absolutely minimal discomfort after treatment. This can mean less time away from work and because no cutting is involved, there are no annoying stitches. Because the laser only removes diseased tissue and leaves healthy tissue in place, the “long in the tooth” look than can result from other types of gum surgery is minimized.

The office of Dr. Andrew Firtel and Dr. Ronald Rosenblatt is one of the few practices in San Diego that perform Laser Periodontal Therapy, also known as LANAP or Laser Assisted New Attachment Procedure. Both Dr. Firtel and Dr. Rosenblatt have been using the Millenium Periolase Nd:YAG laser to treat gum disease for over 10 years.

A periodontal health screening is a regular part of a dental examination. We are available to consult with anyone who thinks that they might have gum disease and could benefit from laser periodontal therapy.

We are excited to education people about this no cut, no sew, no fear type of periodontal surgery and are proud of our 10 year history of treating patients with gum disease using the Millenium Periolase Nd:YAG laser.

For more imformation, please call our office at 858-453-8520, visit our website at, or visit the Millenium Dental Periolase laser website at