El Cajon Cosmetic Dentist

General and Cosmetic Dentistry

San Diego Cosmetic Dentist

We are dedicated to making your visit relaxing and comfortable. Not only will your work be done well, but it will be done in a way that looks and feels great. Even simple dentistry needs to be done with the precision of an artist's eye. Paying attention to the finest bit of detail, Dr. Morello enjoys not only enhancing a natural smile but gently sculpting even the simplest of fillings.

Dr. Morello employs all of the latest in dental technology which include:

Digital dental radiographs (immediate results with 1/3 less radiation).
Intra-oral cameras
Intra-oral video
Laser caries detection
Laser therapies
Microscopic dentistry
Crown and bridge material options

Digital Radiography
Radiographs (x-rays) are an integral part of evaluation and treatment. The benefits of digital are instant high-quality images which allow for immediate viewing and necessary enhancements for more accurate diagnosis. There is a 70-90 percent reduction rate of exposure to radiation.

Restorative dentistry refers to the restoration of natural teeth that have been decayed, damaged or lost. There are many different treatment options to restore a tooth to ideal health.

Composite fillings are a mixture of resin and finely ground glasslike particles that produce a tooth- colored restoration. These fillings provide good durability and resistance to fracture. The advantage of composite fillings is less tooth structure needs to be removed when the tooth is prepared, which results in a smaller fillings. These restorations are also called bonded fillings.

Indirect restorative procedures are restorations that are made in a laboratory from an impression pored in stone. They include crowns, inlays or onlays. They are custom-made which can require two or more visits to the office. A crown covers the entire chewing surface and the sides of the tooth. An inlay is smaller and fits within the contours of the tooth. An onlay is similar to an inlay, but is larger and covers some or all of the weakened chewing surfaces of the tooth. These restorations can be done with materials of all porcelain, gold alloys or a combination of both. All of these procedures restore the tooth back to its original form and function.

Dental Laser
The dental laser is a way to treat hard and soft tissue. Dental lasers do not make whining sounds or other noises. You will be able to relax and be comfortable while the dental laser is in use. There are many applications of use with the dental laser. Some of the procedures that the laser performs are:

Fillings without the need for local anesthetic
Surgery (limited local anesthesia, bleeding is minimized; swelling is controlled, and little post operative discomfort.
Periodontal therapy
In office whitening (tooth bleaching)
Treatment for "canker sores" and herpes lesions (cold sores) which promote rapid healing.
Root canal therapy
Crown Lengthening and other bone recontouring procedures with minimal to no post-operative discomfort.

Use of the Intraoral Camera
Take a guided tour of your mouth. The intraoral camera is a remarkable diagnostic tool that allows us to show the patient what we see inside their mouth. The intraoral camera captures an image of the teeth or soft tissue and it appears on a computer screen. Patients can view the areas that may need care and better comprehend Dr. Morello's treatment goals.

Endodontics (Root Canal Therapy)
When the nerve of a tooth becomes infected or inflamed, either due to large decay, cracked tooth syndrome, or trauma, root canal therapy may need to be performed. A root canal involves removing the pulpal tissue of the tooth. The pulp of a tooth contains blood vessels, nerve tissue, lymphatic vessels, and connective tissue. Dr. Morello uses her microscope to assist her with this technique-sensitive procedure. She first removes the inflamed or infected pulp, carefully cleans and shapes the inside of the root canal, and then fills and seals the space. The laser can be used during the procedure.

San Diego Dental Implant

Dentures (Removable and Complete)
A denture is a removable appliance for missing teeth. Partial dentures replace one or several teeth and complete or full dentures replace all of your teeth in the upper and/or lower jaw. Dentures restore normal chewing, improve speech, and prevent weakening or sagging of the cheeks, and revitalize a youthful appearance.

TMJ and TMD therapy (Pain Management)
When you awaken do you have a dull headache or a sore jaw? Do you sometimes find yourself clenching your teeth? You may have a condition know as "bruxism," which is a habit of grinding or clenching your teeth. Many people are unaware that they grind their teeth. People who grind or clench their teeth may wake with a headache, earache or toothache. Facial muscles may be sore and the jaw joints may be tender. Besides causing discomfort, grinding can eventually damage dental restorations and may even loosen teeth. It can also cause damage to the joints on each side of the mouth. It can develop at any age. Some causes may cause bruxism which is stress, problems sleeping, abnormal bite and or crooked or missing teeth. Quite often bruxism and clenching is a sign of a restricted airway...the brain's way of saying to the tongue to move forward off the throat to open and allow the flow of air ie. Oxygen.

Temporomandibular disorders (TMD) are characterized by pain and tenderness in the muscles of mastication and/or the temperomandibular joint (TMJ). It is characterized by limitations of jaw opening and/or clicking and popping of the TMJ.

There are several treatment options based on your diagnosis. After a through evaluation with Dr. Morello these options will be discussed for you and may include but are not limited to a treatment splint, nightguard, balancing your bite, airway evaluation, yoga and other treatments to help with stress reduction.

Crown and Bridge Procedures
When a tooth is damaged, cracked, or decayed a crown may be recommended. Crowns or "caps" are natural-looking and fit over teeth to restore the tooth back to normal function. They can also be placed to realign a crooked tooth (or teeth).

A bridge is an appliance used to fill the space where a tooth has been lost or removed. It uses two teeth (crown abutments) on either side of the missing space to anchor the replacement of the missing tooth (pontic). A bridge can safeguard the stability of the existing teeth by preventing movement of the other teeth around the missing space.

Implant restoration
Dental implants provide great structural support for the replacement of missing teeth. Together with the oral surgeon specialist or periodontist, Dr. Morello will evaluate your situation to see if you are a good candidate for dental implants. Implants are usually constructed of titanium and mimic the root of a tooth. Then, an implant crown is screwed onto the implant to create a natural and esthetic result. Unlike dentures, implants and crowns are not removed. The implant procedure usually consists of three steps: implant insertion step (procedure performed at oral surgeon's office), osseointegration which is a period of healing of the bone, and attachment of the implant restoration. Implants modified with snap attachments can also be used to retain unstable dentures.

Tooth Whitening
Laser whitening (In-office procedure): A whitening gel is applied to the teeth and a laser is used to activate the crystals. This procedure allows for a whitening effect which creates a whiter and brighter smile and usually takes only one visit of approximately two hours for our office to achieve the desired result.

Take-home whitening: Custom-made whitening trays are fabricated to assist you in performing the whitening process in the comfort of your own home. The trays are worn 1 - 2 hours each day for two to four weeks to achieve the desired result.

While seldom painful and frequently free of any obvious signs or symptoms, periodontal disease can progress undetected to the point where supporting bone is destroyed. Periodontal disease is the number one cause of adult tooth loss. Periodontal disease can lead to some serious health issues including the progression of heart disease.
Periodontal disease refers to the loss of bone which supports your teeth and the deterioration of the gums or gingiva. Periodontitis starts with plaque and calculus (tartar build-up). These elements are loaded with bacteria and can build up below the gum level. This is why it is strongly recommended to have routine visits to get your teeth professionally cleaned. Other treatment includes non-surgical therapies. We offer many support therapies and protocols to assist you at home.

Warning Signs and Symptoms:

Gums that bleed during brushing or flossing
Changes in the way your teeth fit together when you bite
Teeth have shifted or loosened
Pus coming from between your teeth and gums
Red, puffy gums
Tenderness or pain
Teeth that look longer because your gums have receded
Gums that have separated from your teeth
Persistent bad breath or bad taste in your mouth

Family and Preventive Dentistry
Preventive dentistry for your child includes routine brushing and flossing, fluoride, sealants, proper diet, sports safety (mouthguards), and regular dental visits. Visiting the dentist at a young age is the key to your child's good oral health. It allows them to become familiar with the routine dental check-ups. We usually recommend their first dental check-up by two years of age. However, a child is never too young. Bring your babies along for a visit when you have your teeth cleaned and Dr. Morello will screen your child for airway and growth development problems. Preventive dentistry means less expensive and less extensive treatment for your child.

Veneers can quickly enhance your smile by hiding stains and discolored teeth and creating symmetry by correcting misalignment. The teeth must be altered or prepared for this procedure. Veneers are made of a thin porcelain covering and are customized to slide over the teeth and bonded into place. Veneers are a long-lasting and an esthetic enhancement to your smile.

Cosmetic Bonding
Bonding is a great way to bring back your dazzling smile and perfect your look. In this procedure, a thin coat of resin is painted over the teeth, giving them strength and making them blend in with natural teeth. Unlike veneers, it usually requires no preparation or alteration of the teeth. Ask us about the pros and cons of cosmetic bonding treatments.

Athletic Mouthguards
Teens and "adult weekend warriors" experience thousands of injuries a year due to trauma to the mouth which include teeth, lips cheeks and tongue. Mouthguards help protect your teeth from potential harm from any contact sport.

Experience dentistry like you have never experienced.

Laurel M Morello DDS
226 Avocado Ave.
El Cajon, CA 92020
(619) 444-4083
email us at

Cosmetic Dentist