Happy Birthday Delilah!

Happy Birthday Delilah!

Our Rockstar Hygienist – for nearly 7 years!
Thanks for all you do!

Delilah on her birthday with Dr. Pagano

Summer Smile Brightening

Secure Your Summer Smile Brightening Appointment

Summer Smile Brightening*

  • Save 30%
  • Limited-Time Offer
  • Expires: August 30 2017
  • Limited Appointments Available – Call Now to Secure Yours!

Take-Home Custom Whitening Kit Includes:

  • Custom-Fitted Whitening Trays
  • 3 Syringes of Professional Strength Whitening Gel
  • $108 (Customary Fee: $155)

*Current Patients Only
Checkup and exam must fall within previous six months

Not a Patient of Artistic Dentistry?

Take advantage of this offer when you become a new patient. Get your first cleaning, exam and x-rays for just $97 when you schedule your first visit before August 30, 2017. Limited appointments available.

New Artistic Dentistry Dental Plan Page

Artistic Dentistry Dental Plan (ADDP)

We’ve added a new page to our website called Artistic Dentistry Dental Plan (ADDP). This new page provides information about our dental plan for patients who do not carry dental insurance!

To visit the new page, please click this link: Artistic Dentistry Dental Plan.

Dr. Pagano’s 42nd Anniv. Since UMKC Dental School

Today is Dr. Pagano’s 42nd anniversary since graduating from UMKC Dental School!

Here’s a photo of Dr. Pete from the year he graduated when he was 24 years old, immersing himself in the challenge of cases. Not much has changed!

Thanks for everything Dr. Pagano! Congratulations.

Get to Know Jaw Joints

Good dental function is significantly associated with better brain function, better vision, better hearing, better lung volume, better heart volume, better muscle strength, better bone mineral content, less heart attacks and longer life.
(SOURCE: British Medical Journal — 1989 & Community Dental Oral Epidemiology — 1990)

[Read more…]

Dental Implants and 3D Imaging in Dentistry

CT Scan of Skull image courtesy Waldir

CT Scan of Skull
image courtesy Waldir

Since its introduction in the 1970s, CT Scan technology has been used to provide three dimensional images in medicine. A valuable supplement to xray and ultrasound technologies, it is used for preventive measures as well as diagnosing disease in areas such as the abdomen, lungs and head.

Most dental patients, however, would not expect to receive a CT Scan in their dentist’s office. This is partly due to the cost of the equipment. Yet, for dentists providing complete dental implant systems, this technology is extremely helpful. In fact, the dental implant is considered by some as the catalyst for bringing CT Technology into the dental office. According to Radiology, a monthly journal published by the Radiological Society of North America:

“What then, was the catalyst or motivating factor for the development of these programs? The catalyst was the dental implant.”

The journal explains:

“Dentists and oral surgeons were experiencing difficulty with the use of conventional radiographs to determine whether there was sufficient bone in the jaw to accommodate these implants. They also found it difficult to determine the exact location of the mandibular nerve and other important structures. As a result, dentists soon began to work with their colleagues in radiology, and a dental CT reformatting program was developed to resolve these issues.”

“Not only was a new method of evaluating the jaw developed, but also a new partnership was created between dentists and radiologists.”

While Dr Pagano has been successfully placing complete dental implant systems since 1999 with two dimensional imaging, the recent introduction of 3D imaging technology came about for two reasons. One is that patients increasingly favor implants over other tooth replacement options, such as dental bridges. So there is a higher demand. Second, because Artistic Dentistry provides all treatments involved in dental implant systems, it made sense to utilize the most updated technology.

One of the most important factors in determining implant success is proper treatment planning

The three dimensional image allows your dentist to see your bone density.  Why is that important? The success of dental implants is dependent on the quality of the bone into which they are placed. The dental CT Scan will reveal if you will need a bone graft.

Even though the percentage of nerve injury from dental implants is low, the three dimensional image reveals nerve tissue, and thus allows your dentist to avoid the nerves and sinus.  Although oral surgeons and dentists using traditional imaging are well within the standard of care, periodontists have been using CT Scans for years to avoid nerve injury.

Precise placement of your dental implant is important to ensuring longevity of use. Remember that the implant will replace your natural tooth roots and you want it to be secure enough to withstand the force of chewing. Dr Pagano began placing his own implants in 1999 so that he could control the outcome for his patients.

Additional advantages of 3D imaging include:

  • Provides greater chance for diagnosing conditions that can be missed on conventional x-rays;
  • Improves avoidance of unnecessary treatment.
  • Better diagnosis of wisdom teeth positioning to nerves and blood vessels; and
  • Enhances our ability to see what needs to be done before treatment is started.

Compared with the “medical” CT Scan, the dental CT Scan costs less and exposes the patient to far less radiation.





Why a Missing Back Tooth Matters ….

Missing Tooth, Creve Coeur Family Dentist, Cosmetic Dentist Creve Coeur, MO

“Ssshhh … my back tooth is missing!”


The American College of Prosthodontists reports that 178 million people in the US are missing at least one tooth. Delta Dental Northeast reports that nearly half of Americans ages 65 and older have lost six or more teeth, and 20 percent have lost all of their teeth. In our Creve Coeur practice, we fortunately don’t see averages this high.

When the missing tooth is toward the front of the smile, most people will replace it with a dental implant or other tooth replacement option.

However, when the missing tooth is a molar or toward the back, it can seem less important to do anything. The logic goes: “if no one can see it, it’s not as important as a missing tooth closer to the front.” 

Missing back teeth are common because the molars are the first adult teeth to erupt and unfortunately, often the first to be lost due to decay or fracture. And, as this post hopes to convey, the impact of a missing back tooth on your smile is equally as important in the long run as a front tooth.

Any missing tooth initiates this cascading series of events:

• Wrinkles appear around the mouth. Upper and lower lips lose fullness and appear thinner.

• Lips droop at corners of the mouth. Collapse of upper lip due to underlying bone loss and loss of fullness will make the nose appear larger than if the upper lip had more support.

• Decrease in facial height as the distance between the tip of the nose and chin reduces.

• The chin moves forward.

These changes occur over time due to bone loss triggered by a missing tooth.

When a tooth is missing and isn’t replaced, the jawbone supporting that tooth has no purpose and will begin to shrink. What follows is:

  • the teeth begin to shift;
  • chewing is shifted to other teeth, causing them to wear faster;
  • 20% of adjacent teeth will be lost within 4-8 years; and
  • the bone shrinks, leading to the collapsing facial appearance described above.

If you’re looking for a cosmetic dentist in Creve Coeur, Artistic Dentistry has been providing all cosmetic services for over thirty years. With advanced technology, including 3D imaging, state-of-the-art sterilization, laser therapy and the most natural dental materials available that are effective, we’ve become the Go-To Center for Tooth Replacement. In that we offer all tooth replacement services, we’re not partial to one or the other. Our approach is simply to find out which option works best for our patient, based on his/her dental condition, needs and budget.

Contact us today to learn more!

8 Steps to Prevent Cavities ……

….Get Healthier and Lose Weight.



Copyright: subbotina / 123RF Stock Photo1. Read Your Labels!

1. Read Your Labels!

From frozen pizzas to yogurts, sugars in the form of high fructose corn syrups, corn solids, and the myriad other names are found in foods. Choose foods with no added sugars – or at least no high-fructose corn syrup or corn solids. Sweeten with Stevia herb powder. You can find it on Amazon.

2. Stop Sipping Sodas and Munching Snacks Throughout the Day.

Sugar and cavities go hand in hand.When you eat something sweet, it takes the bacteria about 20seconds to convert it to acid, which then lasts for about 30 minutes.

3. Brush and Floss After Every Meal. 

The bacteria living in your mouth mixes with your saliva and feeds on carbohydrates left on your teeth. This is what causes plaque. And plaque is acidic, meaning it begins to eat away at your tooth enamel unless removed.

Although debris from healthy foods can also turn into plaque, foods like candy, breath mints, raisins and cereals can get stuck in the crevices of your teeth. That’s why sipping on sodas (even diet sodas, which contain acid) and munching on chips or sugary foods throughout the day causes tooth decay faster than higher amounts of sugar consumed at one time. It’s the pattern in which you eat it and not the quantity that determines the speed at which cavities take hold.

4. Get a tongue scraper and use it.

This handy device clears the “shmutz” off your tongue that bacteria can use to create plaque.

5. Get your teeth cleaned professionally every six months.

Just like your shower tiles need the crevices cleaned periodically with a toothbrush, your teeth need those crevices cleared of plaque buildup before it gets into your tooth enamel or under your gumline. Your x-rays can detect small cavities so you can get them filled before they really start to cause trouble.

6. Simplify your food choices.

High quality eggs, plain yogurt, vegetables and salads and lean meats, preferably raised on grass are healthier than the majority of foods in most supermarkets — even “health” supermarkets. 

7. Cut out the sugary drinks.

Once you switch from sodas and juices to unsweetened teas and water you might be surprised at how much better you feel.

8. Make your “pick me up” a healthy tasty treat, such as the shake recipe below.

It provides not only a high quality unprocessed protein, but it’s low carbohydrate, low- calorie and delicious.

High-Protein, Low-Sugar Chocolate Shake (about 250 calories, 20 gms protein)

• Raw organic whey from grass-fed cows (www.raworganicwhey.com)
• Cacao powder (www.raworganicwhey.com)
• Unsweetened almond milk
• Truvia or stevia (optional — it’s sweet enough with just the banana)
• ½ Frozen banana



Alive Magazine Article With Dr Peter Pagano


Peter J Pagano DDS

Peter J Pagano DDS

Artistic Dentistry: Peter J. Pagano D.D.S.

Our Specialties: Artistic Dentistry provides most dental services under one roof. With a multidisciplinary approach, we’re able to diagnose and deliver a complete treatment plan. We have offered traditional orthodontics since 1977 and clear braces since they first became available. We’ve also offered dental implant systems since 1999, which are even more popular today. Since a great many of our clientele are busy professionals, being able to get everything done under one roof is very attractive.

What We’re Known For: We are known by our patients as a high-tech practice with a high-touch, neighborhood ambience. Our scheduling system is designed around the needs of busy professionals, so we always aim to keep wait times under 10 minutes.

Embracing Technology: With 3-D cone beam technology, also known as Computerized Tomography (a “CT Scan”) we’re able to view images in three dimensions, as opposed to just two. This takes the guesswork out of diagnosis, and in the case of dental implants, allows for more precise placement of the implant. We also have digital intra-oral imaging technology, which reduces patient exposure to radiation to just a fraction of traditional X-rays. And with laser technology, we can recontour gum tissues for our aesthetic cases.

Expert Advice: Dentistry is the starting point for overall health. If your gums are bleeding or you’re experiencing tooth or jaw pain, there’s something wrong. Those conditions need immediate attention in order to preserve oral health, which goes a long way in maintaining an attractive appearance and a healthy body.

Services: Single-tooth and full-arch dental implants, TMJ, crown and bridge, periodontics, traditional orthodontics as well as clear braces, root canal therapy, oral surgery, composite and porcelain restorations, porcelain veneers, bone grafting and sinus lifts.

12334 Olive Blvd. | Creve Coeur, MO 63141
314.576.3000 | artisticsmiledoc.com

5 Dangers of Sugar & Dental Cleaning Offer


The 5 dangers of sugar that don't just damage teeth; they compromise your health

Sugary treats don’t just damage teeth; they compromise your health

It’s common knowledge that sugar isn’t good for your teeth and can lead to cavities and tooth loss, but there’s many more reasons to overcome a sugar craving. 76 reasons, to be exact, are found in the book Lick the Sugar Habit, by Nancy Appleton, PhD.  If you’d like to end your relationship with sugar but need a little more incentive than knowing it’s not good for you, here’s 5 Dangers of Sugar from the list of 76:

5 Dangers of Sugar

1. Sugar can cause acidic saliva, tooth decay, and periodontal disease (which often leads to tooth loss).
2. Sugar causes food allergies (food allergies cause everything from skin rashes to indigestion to asthma).
3. Sugar can make your skin age by changing the structure of collagen.
4. Sugar can increase your body’s fluid retention (Hello?? Water weight anyone?).
5. Sugar is enemy #1 of your bowel movement.


If you’ve been consuming sugary foods or drinks and haven’t had a cleaning in over six months, call by December 30th to schedule your Cleaning, 5 Point Dental Exam & X-Rays for just $87. That’s over $200 in savings. CALL 314-576-3000.*

*This Limited Time Fee will be honored as long as you call by March 31, 2016 to reserve an appointment thru June 30, 2016.