Happy patient since 2007 - Between 1999 to 2007 I have been seeing five different dentists in the San Diego area. Two of them did unacceptably bad jobs with crowns, one refused to charge his services to my insurance (even though he told me in the beginning that he would accept my dental PPO), one told me that I would need at least $20,000 worth in cosmetic dental work (didn't see this guy again), and in one other office the office staff neither spoke, nor understood English. In 2007, I finally found Dr. David and I have always been very happy with her services. Crowns and fillings are working great, temporary crowns fit perfectly, Dr. David is not trying to sell me stuff that I don't want, she works with my insurance, she always takes the time to explain procedures to me, and the office staff is very friendly and knowledgeable.– Susanne B.
Amazingly thorough dentist and friendly staff - I have had bad experiences with finding new dentists and them trying to upsell you on services. From making my appointment to initial arrival and up until I walked out the door, the staff was awesome. I was greeted with a happy birthday and flowers (keep in mind I had never been there before) . Dr. David and and her assistant Silvia took thorough images of my teeth on multiple levels, did a cleaning, and made good recommendations. I am very happy to find a wonderful dentist who is really on top of things. I know my teeth are in good hands now.–Tara S.
Excellent experience with Dr. David and her team! - It was my first time with Dr. David and despite it being a dentist appointment, which I have never enjoyed, to my surprise, I found myself having a good time getting to know the staff and Dr. David herself. Her office has a professional yet personal ambiance and I felt truly comfortable there and confident in Dr. David's talent as a dentist. She explained everything that she was going to be doing to me and it was clear that she really cares about her patients. I had been jumping around from dentist to dentist but after Dr. David's fine work and delightful character I plan on going back to her for all my dental needs.–Erica Paez
Dr. David is fantastic! - I have found Dr. David ethics unquestionable, she compassionate and wants the best for her patients.– Carole S.
This dentist is always most enjoyable experience with the personalization the staff provides - The friendly staff, the current technology for electronic reminders, and the personalization of the care provided has lead to my most enjoyable visits at this dental office. I will be with this dentist for a while. Thank you for the great care you provide. –Derrick F.
Wonderful, creative, painless dentist - Dr. David is a wonderful dentist. I was so lucky to find her. She is very thorough, gentle, and creative in her approach. I have referred her to many of my friends. Lovely, clean and nice offices and equipment. Staff is also very good and professional!–Karen S.
Love this dentist! - I loved seeing Dr. Isabel David. She is extremely kind along with the rest of the staff and she explained everything that she was doing to me. They have the newest technology (better than my last dentist) at her place and I actually had a good time!–Erica M.
Extremely happy with my first appointment - A family member recommended Dr. David and I couldn't of been more pleased with my entire experience there. Everyone was very polite and friendly. Dr. David knew exactly what she was doing.–Efren R.
Painless Experience - The best Dentist in San Diego County, period! –Patrick C.
Always an enjoyable visit - It's always a great experience visiting the office. I feel cared for and informed. Thank you! –Jeff W.
Thank so much for being so kind, you all are so genuine and thoughtful. You made me feel at home. I deeply appreciate it–Peter B.
SOPROLIFE easily switches from intraoral camera to caries-detection device
ACTEON’s SOPROLIFE is an intraoral camera and caries-detection device in 1. Using autofluorescence technology, lighting switches from 4 white LEDs to 4 blue LEDs at the touch of a button, enabling the clinician to see variations in the tooth’s state of dentin health.
New imaging fluorescence device aiding in the diagnosis and treatment of caries
The new auto fluorescence technology in allows Doctor Isabel David to detect occlusal or interproximal decay, even in its earliest stages, which can often be missed by the eyes or by x-rays.It allows to differentiate healthy from infected tissue in order to excavate only the tissue which is diseased.
- Cosmetic dentistry
What is cosmetic dentistry and how can it improve my smile?
Your dentist can perform a variety of cosmetic procedures to improve your smile—from subtle changes to major repairs. There are many techniques and options to treat teeth that are discolored, chipped, misshapen, or missing. Your dentist can reshape your teeth, close spaces,
restore worn teeth, or alter the length of your teeth. Common procedures include teeth whitening, bonding, caps, crowns, veneers, and reshaping and contouring.
What is teeth whitening?
Teeth whitening is a common and popular chemical process used to lighten teeth. Some people get their teeth whitened to make stains disappear, while others just want a brighter smile. Discoloration, which occurs in the enamel, can be caused by medication, coffee, tea, and cigarettes. Discoloration also can be due to your genetic make up or simply from aging. Teeth whitening can be performed by your dentist in the office or, under dental supervision, at home.
What is bonding?
Bonding is the use of tooth-colored material to fill in gaps or change the color of teeth. Bonding lasts several years and often requires only a single office visit. Bonding is more susceptible to staining or chipping than other forms of restoration. When teeth are chipped or slightly decayed, bonded composite resins may be the material of choice. Bonding also is used to fill small cavities, to close spaces between teeth, or to cover the entire outside surface of a tooth.
What are veneers?
Veneers are placed over the front teeth to change the color or shape of your teeth. Veneers are used on teeth with uneven surfaces; on teeth that are chipped, discolored, oddly shaped, unevenly spaced, or crooked; or on teeth that already have large fillings placed. Veneers are thin pieces of porcelain or plastic that are cemented over the front of your teeth. Veneers are used to treat some of the same problems that bonding is used to treat. Veneers also are an alternative to crowns.
What should I look for in a cosmetic dentist?
In order to make sure your dentist is skilled in cosmetic dentistry, the American Academy of Cosmetic Dentistry (AACD) recommends that you ask your dentist for the following items before undergoing treatment:
Before and after photos. These photos will allow you to examine the results of other patients being treated by the dentist to make sure his or her work fits your dental needs.
References. References allow you to get a sense of the quality of care the dentist provides.
Proof of continuing education. Be certain that your dentist has taken continuing education courses to keep him or her up-to-date with the latest techniques in clinical cosmetic dentistry. Your dentist can answer the questions you have about the techniques used to improve your smile.
What are implants?
Dental implants are artificial tooth roots that are surgically anchored to the jaw to hold a replacement tooth or bridge in place. One of the major benefits of implants is that they do not rely on neighboring teeth for support and they are permanent and stable. Implants are a good solution to tooth loss because they look and feel like natural teeth.
What are implants made of?
Implant material is made from different types of metallic and bone-like ceramic materials that are compatible with body tissues. Most implants are made of titanium, which bonds well with bone and is biocompatible, making it an ideal material for implants.
How are implants placed?
First, a general dentist, oral surgeon, or other specialist will perform surgery to place the implant’s anchor in the jaw. The surgery can last several hours, and it may take as long as six months for the jaw bone to grow around the anchor to hold it firmly in place. Once the implant is stable and the gums have healed, the dentist or specialist makes the artificial teeth and fits them to the post portion of the anchor. Your dentist will work with you to create an implant that fits well and is comfortable and attractive.
Who places the implants?
Depending upon their training, general dentists, oral surgeons, or other specialists can place implants.
Who should get implants?
Implants are not an option for everyone. Because implants require surgery, patients must be in good health, have healthy gums, and have adequate bone structure to support the implants. While lack of adequate bone support is a limitation, additional procedures may be available to create a good implant site. People who are unable to wear dentures also may be good candidates. The success rate for implants decreases dramatically among those who suffer from chronic problems, such as clenching or bruxism, or systemic diseases, such as diabetes. Additionally, people who smoke or drink alcohol may not be good candidates. For more information, talk to your dentist.
What is the difference between implants and dentures?
While implants are permanently fixed in the mouth, dentures are removable. A conventional removable full denture depends upon support from the bone and soft tissues rather than being solidly fixed in place; as a result, dentures may not offer as much stability as implants.
How do I care for implants?
Poor oral hygiene is a main reason why some implants fail. It is important to floss and brush around implants at least twice a day. Your dentist will give you specific instructions on how to care for your new implants. Additional dental cleanings (up to four times per year) may be necessary to ensure that you retain healthy gums.
How will I adjust to implants?
Most people adjust to implants immediately; however, some people feel slight discomfort and notice differences in chewing or speech for a short time. Patients will soon see a difference in their confidence level and enjoy their new smile.
What is a crown?
A crown is a restoration that covers (or “caps”) a tooth to restore it to its normal shape and size, which can strengthen and improve the appearance of the tooth. Crowns are necessary when a tooth has been damaged significantly and cannot be adequately restored with a filling. A crown can protect a weak tooth from fracturing; it also can prevent a cracked tooth from further damage. Crowns can cover discolored or misshapen teeth for more aesthetically pleasing smiles.
What is a post and core build-up?
The dentist may use a filling material to restore a more ideal shape for supporting a crown (core build-up) when a tooth is severely decayed or fractured and lacks sufficient tooth structure. In some cases, a dentist will first perform a root canal, a procedure in which pulp is cleared out of the tooth and the canal is sealed with a special material. After the root canal, the dentist may place a post in the open canal and secure it with dental filling to “build up” the structure of the tooth. Once the material has hardened, the tooth can be prepared for a crown.
Will a crown look natural?
It can, depending on the type of crown you elect to have made. A crown can be fabricated from porcelain, from gold, or from a combination of porcelain and metal. A crown can look just like a natural tooth when it is made with porcelain coverage. Numerous factors are considered when determining the crown material that is best for your particular tooth, including the color, bite, shape, space, and location of the tooth in your mouth.
How should I care for my teeth after I receive a crown?
To prevent damaging or fracturing the crown, avoid chewing extremely hard foods and ice. You also should avoid grinding or clenching your teeth. In addition to brushing twice a day and visiting your dentist regularly, cleaning between your teeth is essential if you have crowns. Use floss or interdental cleaners (specially shaped brushes and sticks) to remove plaque from the crown area where the gum meets the tooth. This process helps to prevent both dental decay and gum disease.
What do I do if I’m a still confused about these procedures?
If you are still unclear about the process of placing a crown or a post and core build-up, speak to your dentist. Your dentist can walk you through the steps of the procedures and address any questions or concerns you may have. It is important to have these types of conversations with your dentist so that your journey to an improved smile doesn’t start—or end—with a frown.
- Root canal therapy
What is a root canal?
Underneath your tooth’s outer enamel and within the dentin is an area of soft tissue called the pulp tissue. While a tooth’s pulp tissue does contain nerve fi bers, it is also composed of arteries, veins, lymph vessels, and connective tissue. Each tooth’s nerve enters the tooth at the very tip of its roots. From there, the nerve runs through the center of the root in small “root canals,” whichjoin up with the tooth’s pulp chamber.
Why do I feel pain?
When the pulp becomes infected or inflamed due to a deep cavity or fracture, the blood supply to the tooth may be lost and the tooth pulp may die. Damaged or dead pulp causes increased blood fl ow and activity in the tooth’s cells. Pressure may build within a tooth that cannot be relieved, causing pain that is commonly felt when biting down, chewing, or consuming hot or cold foods and drinks.
Why might I need treatment?
Without treatment, the infection will spread and bone around the tooth will begin to degenerate, possibly causing the tooth to fall out. Pain usually worsens until you are forced to seek dental attention.
What is root canal therapy?
Root canal therapy is a procedure that removes the damaged or dead pulp. The canal is reshaped and filled with gutta percha, a rubber-like material, to prevent recontamination of the tooth. The tooth is then permanently sealed.
What is involved in root canal therapy?
If your general dentist recommends a root canal, he or she will perform the treatment or refer you for treatment to an endodontist, which is a specialist who treats injuries, diseases, and infections of the tooth pulp. A space is created into the tooth’s pulp chamber, which, along with any infected root canal, is cleaned of all diseased pulp and reshaped. Medication may be inserted into the area to fight bacteria. Depending on the condition of the tooth, the crown may then be sealed temporarily to guard against recontamination or the dentist may immediately fill the canals. Temporary fi llings are usually removed and the pulp chamber and canals are filled on the next visit. If the tooth is still weak, a post may be inserted above the canal filling to help rebuild the tooth. Once filled, the area is permanently sealed. Finally, a gold or porcelain crown is normally placed over the tooth to strengthen its structure and improve its appearance.
How will I feel after treatment?
There may be some infl ammation around the gum tissues, which may cause discomfort for a few days. This can be controlled by an over-the-counter pain reliever. A follow-up visit to your dentist will help him or her review how the tissue is healing. From this point on, brush and fl oss regularly, avoid chewing hard foods on the treated tooth, and see your dentist on a regular basis for cleanings and examinations.
Are there options to root canal therapy?
The only alternative to root canal therapy is to extract the tooth; however, this alone can cause the surrounding teeth to move, resulting in a bad bite. Though a simple extraction may be perceived as less expensive, the empty space left behind will require an implant or a bridge, which ultimately can be more costly than root canal therapy.
- Mercury-free tooth-colored fillings
Advances in modern dental materials and techniques increasingly offer new ways to create more pleasing, natural looking smiles. Researchers are continuing their often decades-long work developing esthetically attractive materials, such as ceramic and plastic compounds that mimic the appearance of natural teeth.
Today, more patients ask their dentists about white fillings because they want their teeth to look natural when they laugh, talk and smile. White fillings, also called composite fillings, are made from tooth-colored materials that restore the natural appearance of a decayed or previously filled tooth. Because they blend well with tooth enamel and don’t look like fillings, your dentist may recommend them if the teeth to be restored are near the front of your mouth.
A composite filling usually requires only one visit, during which the tooth is prepared and restored. An advantage of composite fillings, as compared with other dental restorations, is that they require less of the healthy part of a tooth to be removed to hold the filling in place. This is due to composite materials’ ability to bond to teeth adhesively.
The procedure for a composite filling may take a little longer than those for other types of fillings, because after the decay is removed, the tooth must be kept totally isolated from saliva. The dentist carefully applies an adhesive followed by several thin layers of the tooth-colored composite. Once the filling is in place, it is chemically hardened, or cured, for less than a minute with a special light.
Composites are preferable for obvious cosmetic reasons, but if the decayed area is large or is subject to heavy chewing pressure, your dentist may recommend another type of material or restoration. Some people may experience some sensitivity to hot and cold temperatures in the newly filled tooth for a few days or as long as a week. If the sensitivity continues beyond that time, contact your dentist.
Other types of white fillings include composite inlays and porcelain inlays and onlays. Inlays and onlays are used to restore teeth that are badly
damaged by decay or wear. They may be applied to the chewing surfaces of the back teeth when esthetics are of concern. Some white fillings may be more expensive than other dental materials, but most patients find these natural-looking restorations well worth the additional cost. White fillings, like other dental materials, may require periodic replacement. If the edge of the filling eventually pulls away from the tooth, bacteria can get between the filling and the enamel and eventually may cause decay. Tooth decay over time may develop elsewhere on the tooth. Regular dental checkups are important because they allow the dentist to detect a problem in the early stage.
- Non-surgical preventive gum therapy
What is periodontal (gum) disease?
Periodontal means “around the tooth.” Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth. Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed. Gingivitis is the mildest form of the disease. In this stage, the gums redden, swell, and bleed easily. There is usually little or no discomfort.
What causes gum disease?
As mentioned, plaque is recognized as the primary cause of gum disease. If plaque isn’t removed each day by brushing and flossing, it hardens into a rough, porous substance called calculus (also known as tartar). Toxins produced and released by bacteria in plaque irritate the gums. These toxins cause the breakdown of the fibers that hold the gums tightly to the teeth, creating periodontal pockets that fill with even more toxins and bacteria. As the disease progresses, pockets become deeper, and the bacteria move down until the bone that holds the tooth in place is destroyed. Eventually, severe infection may develop with pain and swelling. The tooth may loosen and later require removal. There are other factors, too. Smokers and tobacco users are at a higher risk of developing gum disease. Changing hormone levels in pubescent teenagers and women who are pregnant also can increase the risk of gum disease. Stress, clenching or grinding your teeth, an unhealthy diet, and diabetes can increase your chances of developing gum disease as well. And, in some cases, it’s in your genes—nearly 30 percent of the human population is genetically predisposed to gum disease.
How is it treated?
In the early stages of gum disease, most treatment involves a special cleaning called scaling and root planing, which removes plaque and tartar around the tooth and smooths the root surfaces. Antibiotics or antimicrobials may be used to supplement the effects of scaling and root planing. In most cases of early gum disease, scaling and root planing and proper daily cleaning will definitely help. More advanced cases may require surgical treatment, which involves cutting the gums—sometimes with the assistance of a laser—to remove the hardened plaque build-up and then recontouring the damaged bone. The procedure also is designed to smooth root surfaces and reposition the gum tissue so it will be easier to keep clean. This procedure may be performed by your general dentist or by a specialist, like a periodontist.
How can I maintain treatment at home?
Sticking to a maintenance program is crucial for patients who want to sustain the results of periodontal therapy. You should visit the dentist every three to four months (or more frequently, depending on the patient) for spot scaling and root planing and an overall exam. Between visits, brush at least twice a day and floss daily. How can I prevent gum disease? Removing plaque through daily brushing and flossing and professional cleaning is the best way to minimize your risk. You also should try to reduce the activities mentioned above (smoking, eating an unhealthy diet, grinding your teeth, and so forth). Talk to your dentist and he or she can design a personalized program for home oral care to meet your needs.
- High-tech dental treatment
Air abrasion is a procedure used to remove small areas of decay or to prepare a tooth for the placement of restorations or sealants. This procedure uses an air compression device to deliver tiny particles of aluminum oxide onto the surface of a tooth structure, thus removing decay. With air abrasion, discomfort is minimized and anesthesia may not be needed. Children and adults who are fearful of needles or the noise or vibration of a regular dental hand piece may prefer this option if it is available; however, air abrasion cannot be used as an alternative for every procedure.
The intraoral camera is a wandlike device that projects a magnified picture of a patient’s mouth onto a screen. The image allows both the dentist and patient to see fractured teeth, receding gums, and broken restorations. After these pictures are taken, dentists are better able to diagnose and recommend treatment for their patients. The pictures also can provide documentation for insurance companies.
Similar to traditional X-ray systems, digital radiography allows dentists to detect decay and bone loss, and it provides visual assistance during root canals. To take a digital X-ray, the dentist places a sensor next to the patient’s tooth. Then an image is taken and uploaded to a computer. The dentist can adjust the contrast and brightness of the image to optimize diagnosis and find even the smallest areas of decay. In addition, the digital X-ray process is a little faster than a traditional X-ray system, thus decreasing the amount of time that the patient is exposed to radiation.
Lasers can be a good alternative to the traditional drill, as anesthesia is used less frequently. Lasers can reduce symptoms and healing times associated with traditional therapies. Currently, your dentist may use lasers for tooth whitening, periodontal (gum) disease therapy, and tooth decay removal. Laser therapy cannot be used as an alternative for every procedure.
- Zoom2! in-office teeth whitening in about one hour
What is Zoom2 Tooth Whitening?
If you’re looking for a fast way to dramatically whiten your teeth, Zoom2 Chair side Whitening System may be the answer for you.
In just 45 minutes, this safe and effective system can give you the instant results you’ve been wanting – an average of eight shades! A specially designed light activates the Zoom! Whitening Gel to gently break down stains on your teeth to put the sparkle back in your smile! Also with the new Zoom2 system, our patients experience up to 67% less sensitivity than with the previous Zoom! system.
It is one of the safest procedures in cosmetic dentistry. However, we do not recommend this procedure for pregnant women or children under age 13.
You will be given some post-whitening care instructions after your procedure. It is important to maintain a good oral hygiene regimen post-whitening to preserve your bright, white smile. We also recommend occasional touch-ups with the Zoom! Take-Home Gel. Your smile will always be brighter than it was before the procedure, but by following these simple instructions, you can retain your results for a long time!
Although the Zoom2 System can help almost anyone, it may not be as effective in every case. Dr. Isabel David can determine if tooth whitening is a possible option for your case.
What causes tooth discoloration?
There are many causes. The most common include aging and consumption of staining substances such as coffee, tea, colas, tobacco, red wine, etc. During tooth formation, consumption of tetracycline, certain antibiotics or excessive fluoride may also cause tooth discoloration.
Do many people whiten their teeth?
More people than you might imagine. A bright sparkling smile can make a big difference for everyone. The Zoom! Chair side Whitening System makes it easier and faster than ever before.
Is whitening safe?
Yes. Extensive research and clinical studies indicate that whitening under the supervision of a dentist is safe. In fact, many dentists consider whitening the safest cosmetic dental procedure available. As with any tooth whitening product, Zoom! is not recommended for children under 13 years of age and pregnant or lactating women.
How long do the results last?
By following some simple post-whitening care instructions, your teeth will always be lighter than they were before. To keep your teeth looking their best, we recommend flossing, brushing twice daily, regular dental cleanings and occasional touch-ups with Zoom! Take-Home gel. These are professional formula products designed specifically to keep your teeth their brightest. They are available only through your dental professional.
How does the Zoom! in-office system work?
The Zoom! light activated whitening gel’s active ingredient is Hydrogen Peroxide. As the Hydrogen Peroxide is broken down, oxygen enters the enamel and dentin, bleaching colored substances while the structure of the tooth is unchanged. The Zoom! light aids in activating the hydrogen peroxide and helps it penetrate the surface of the tooth. A study has shown that use of the Zoom! lamp increases the effectiveness of the Zoom! gel by 33% or more, giving an average improvement of eight shades.
- Dental hygiene and periodontal care
Why are healthy gums so important?
Without your gums to hold you teeth in place, your smile would literally fall to pieces! Healthy gums are the first step to complete oral health. Taking care of periodontal problems is how we begin dental treatment with our new patients.
All though filling cavities are very important, more people lose teeth due to periodontal disease. We want your restorations to last, so we make sure to keep your gums healthy.
What are the symptoms of periodontal disease?
There are often no symptoms. Gums can recede, leaving teeth vulnerable to decay, abscesses and lose â€“ all without any bleeding or tenderness. But many other people have at least minor symptoms, which can include the following.
Bleeding when brushing or flossing
Puffiness or tenderness of the gums
Halitosis (bad breath)
What can I do at home to help?
Good oral hygiene is important. You should brush at least two to three times a day with a soft-bristled toothbrush. Daily flossing, fluoride rinses and oral irrigator are also important. These preventative measures in combination with your in-office treatment should have your mouth restored to perfect health in no time.
- Diagnosis and preventive dental treatment
What is preventive dentistry?
A: Preventive dentistry means a healthy smile. Preventive dental care for children includes:
- Proper nutrition and dietary habits
- Brushing and flossing
- Regular dental check-ups
- Assessing risk for developing cavities
- Evaluating oral growth and development
- Oral health education
- Protection against injuries
- Management of oral habits
- Guidance of erupting teeth
Your pediatric dentist practices preventive dentistry. Preventive dentistry for children, in addition to regular dental visits, requires parental involvement with daily oral care at home.
Why is preventive dentistry important?
A: Children with a healthy mouths have a better chance of general health. Oral conditions can interfere with eating and adequate nutritional intake, speaking, self-esteem, and daily activities. Severe decay can affect growth and development. Children with dental pain may be unable to concentrate in school. A healthy mouth is more attractive, giving children confidence in their appearance. Finally, preventive dentistry can result in less extensive — and less expensive — treatment for your child.
When should preventive dentistry start?
A: Preventive dentistry begins with the first tooth. Daily cleaning of the teeth should begin as soon as the first tooth erupts. Visit your pediatric dentist at the eruption of the first tooth or no later than 12 months of age to establish a dental home. Early dental visits are the foundation for a lifetime of good oral health. The earlier the dental visit, the better the chance of preventing dental disease and helping your child build a cavity-free smile.
What role do parents play in prevention?
A: After completing a thorough oral examination and assessing your child’s risk for developing cavities, your pediatric dentist will design a personalized preventive program of home care for your child. This program will include brushing and flossing instructions, diet counseling and, if necessary, fluoride recommendations. By following these directions, you can help give your child a lifetime of healthy habits.
How do pediatric dentists help prevent dental problems?
A: Tooth cleaning and polishing and fluoride treatments are all part of your child’s prevention program. However, there is much more. For example, your pediatric dentist can apply sealants to protect your child from tooth decay, help you select a mouthguard to prevent sports injuries to the face and teeth, and provide early diagnosis and care of orthodontic problems. Your pediatric dentist is uniquely trained to develop a combination of office and home preventive care to insure your child a happy smile.
Patient information area