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…]

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!

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.

Are Your Teeth Shrinking From Stress?


jaw clenching can shorten teeth over time

jaw clenching can shorten teeth over time

Daytime clenching and nighttime grinding will erode the height of your teeth over time. Most patients we see are not even aware of these habits. Typically, the grinding and clenching is caused by stress.

This article has some great tips to help relieve stress, however the first step is becoming aware of the habit.

Some additional reasons for clenching could include:

An unknown TMJ condition.

If you have clenching or grinding or even unexplained headaches, give us a call. Dr. Pete has treated such conditions for over 30 years.

Call 314-576-3000.







Even the Mona Lisa Was Transformed With a Good Cleaning

Even the Mona Lisa was transformed with a good cleaning. Your regular dental checkup will keep your smile sparkling!

Even the Mona Lisa was transformed with a good cleaning.
Your regular dental checkup will keep your smile sparkling!

Has the Luster of Your Smile Faded?

One Good Cleaning Can Make All the Difference
(See Offer Below)

This duplicate of the Mona Lisa (on the left) was discovered recently in Madrid. It was created by an apprentice who sat next to DaVinci and copied each stroke as he painted. When cleaned, it revealed details not distinguishable on the original.

Our dental cleanings are so THOROUGH that even if their as dingy as the original Mona Lisa, we can still restore the luster and a smooth feel to your teeth. Your gums will be happier and your teeth more sparkly, making you want to smile more!


If you haven’t had your teeth cleaned in over a year, call to schedule your CLEANING, 5-POINT DENTAL EXAM AND X-RAYS by July 31 and pay an Introductory Fee of Just $87. That’s a savings of nearly $200. Just call by July 31 to schedule an appt.

Call 314-576-3000. Mention the MONA LISA Rate when you call.




Wisdom Teeth Removal Procedure Explained

Different Ways Wisdom Teeth Can Be Positioned Under the Gum Line

Different Ways Wisdom Teeth Can Be Positioned Under the Gum Line

If you’ve been told you need your wisdom tooth removed or are having pain in that area and would like to be seen right away, give us a call at 314-576-3000.

Below is information that may be helpful in knowing what to expect during and after your procedure. You can also read about other patients’ experiences.

 Do Wisdom Teeth Always Have to Be Extracted?

Not always. If wisdom teeth are well aligned, they can be useful for chewing and may be left in place. However, in the majority of people, they do not completely erupt and remain “impacted” in the jaw. Dr. Pagano (Dr. Pete) will advise a wisdom tooth extraction when he sees any of the following:

1. The width of the jaws does not allow wisdom teeth to erupt in an alignment that is beneficial for chewing.

2. Wisdom teeth are partially erupted, which may allow bacteria to penetrate the gum, causing infection.

3. Wisdom teeth are not properly aligned causing crowding or damage to the second molars. This condition makes good oral hygiene difficult and increases the likelihood of cavities and gum disease.

4. Development of an operculum, Latin for “little lid,” which is essentially an extension of the gum. This can occur when wisdom teeth have not fully erupted. In many such cases, chewing on food can irritate this operculum causing infection. This condition, called pericoronitis, can result in redness, intense pain, a bad smell and a difficulty of opening the mouth.

What to Expect During the Procedure

Before having a wisdom tooth extraction done, Dr. Pete will administer appropriate pain prevention to numb the area where the tooth will be removed. Needle-phobes need not worry because his numbing procedure begins with a topical numbing agent the prevents the needle from being felt.

How soon after oral surgery can you resume your normal activity?

Dr. Pete recommends up to four to five days, but the time varies depending on how impacted the teeth are. Some patients return to work immediately after surgery while others need a few days for recovery.

See What Others Say About Their Wisdom Tooth Procedure With Dr Pagano:

After having 2 wisdom teeth pulled in one sitting, I am a happy camper. Dr. Pete was fast and efficient removing the two perpetrators. Afterward there was minimal discomfort in the affected areas, little swelling and complications that could only be attributed to the work done by a skilled professional. Thank you Dr. Pete and Staff.
Guy M.

Let me just first start off that I was freaking out about this dental procedure, especially because I was not going to be knocked out like everybody else I knew. I was shaking and crying before anything even happened but of course you heard all the horror stories and all I could think was the worst. Dr. Pete calmed me down and explained what he was going to do and why he wasn’t going to knock me out. His lovely assistant held my hand the whole time, poor girl, I thought for sure she would loose all circulation in it but she didn’t complain and smiled at me the whole time. After the 1st 4 shots, I really couldn’t feel much and the next million (I’m exaggerating, but I am very sensitive) nothing at all. Before I knew it, it was over. The very next day, I was walking over and running errands. My roommates couldn’t believe it. They said “you must have an awesome dentist”. I said, “I do, his name is Dr. Pete!”

EP posted on

When I first came to Dr. Pagano’s St Louis office, I was very apprehensive because he was a new dentist (to me). After my consultation and check-up Dr. Pagano informed me that I needed to pull my wisdom teeth, not 1, not 2 but all 3!! I was terrified because I had so many horrible experiences with dentists in the past. He assured me that everything would be fine. During the procedure he talked to me the whole time and kept letting me know what he was doing. This made me feel calm. He would ask me if I felt any pain and I did not. After my wisdom teeth were pulled I didn’t feel any pain nor did I need any pain medication! I’ve heard horror stories from people and their bad experiences with their wisdom teeth being pulled, but I had a good experience and that was due to Dr. Pagano’s skilled and talented hands. He knows what he’s doing and he’s the best! I recommend him to everyone I know and meet. Thank you Dr. Pagano.

Abby J.

Keeping Free From Cavities Is Old Time Common Sense

Look Ma' No Cavities!

Back in 1958 when this ad first came out, it was a lot simpler to stay healthy; food was more natural, people ate more fruits and vegetables and meats weren’t pumped up with chemicals. The environment was less toxic and couch potatos were unheard of.
Despite advances in science and technology, staying free from cavities and getting regular dental checkups still form the basis of good health. Just like this ad depicts. That’s probably why it was recently named one of the Top 100
Most Memorable Taglines.

If you do nothing else, keep your gums free of disease and your teeth free of cavities. Dr. Pete says: “There’s just no good argument for waiting to fill cavities. The earlier you get them filled, the more painless and less costly it is.”
Today’s nonmetallic white filling material is more attractive than the silver fillings of fifty years ago. It eliminates any risks connected with putting metal into your mouth. Dr Pete’s been using this material for over twenty years.
Did You Know the Best Time to Treat a Cavity Is When Its Not Hurting? Here’s why:

  1. Waiting until a cavity hurts can lead to more extensive work
  2. One of the best ways to prevent a root canal is to fill a cavity when it’s small
  3. Cavities usually don’t hurt until they grow and affect nerves or cause fracture
  4. Bad breath is one sign of tooth decay
  5. Pain when consuming sweet, hot or cold foods or drinks indicates tooth decay
  6. A cavity doesn’t get better on its own
  7. The most economical time to do fillings is when they’re small.


The Top 2 Reasons Dental Crowns Are a Lot Like Tires

Dental Crowns Are a Lot Like Replacing Flat Tires

I occasionally get a patient who wants to do one crown at
a time. There’s two reasons why this is not a good idea:
1. Your teeth and jaws function together like a finely
tuned machine. If you had four worn tires, you wouldn’t
replace them one at time. It would affect the way
your car rides and handles.
2. You wouldn’t replace your carpet one section at a time
because the shade doesn’t match from one batch of
carpet to another. Likewise, if you want your crown
shades to match, they need to be done at the same time.
My opinion is the best crowns, in my thirty-five years’
experience, are made by skilled lab technicians whose
workmanship is superior to crowns made in an office.
And the fees usually are similar regardless of where
they’re made.