pediatric dentistry

Pediatric dentists take an additional two to three years of special training after finishing their dental requirements. These doctors treat infants and children through adolescence. It is important to seek out a pediatric dentist for your child by the age of one, or when their first teeth erupt. Visiting the dentist at a young age sets the stage for the future, and teaches your child how to practice good oral hygiene habits.

At Boutique for Cosmetic Dentistry, we welcome all of our pediatric patients to visit our office beforehand and take a tour. We want all of our patients to feel comfortable and relaxed when they visit the dentist for the first time. Our staff is trained to work with children, and we always strive to provide exceptional care.

Pediatric Services

Boutique for Cosmetic Dentistry offers many pediatric services to keep your child’s teeth looking great. Visiting our office can help get in front of any issues, and allow us to track their development each time they visit.

Diagnosis and Exams

When your child visits our office, we will complete a thorough exam of their teeth and mouth. We look for things like overbites, underbites, or teeth grinding. Correcting these issues early on is important.

Oral Education

Our team is trained to help teach our pediatric patients how to take care of their teeth, and practice good oral hygiene habits at home. We work with the parents and give them tips on what products to use, as well as diet recommendations to keep their teeth healthy.

Dental Treatments

Preventative treatments are offered such as fluoride or sealants. We watch primary teeth closely, and make sure they do not become misaligned. We offer pulp therapy if your child has had any injury or oral trauma.

Other Services

Other services done in our office include fillings and teeth extraction. Pediatric dentists can fix a chipped or broken tooth, and can treat teeth for sensitivity. As your child grows, we will watch their teeth to see if any orthodontics are needed, and ensure their jaw is developing normally. If necessary, we can refer you to our preferred orthodontist.

What Can I Expect During My Child’s First Visit?

Visiting the dentist for the first time can be stressful, and we want your child’s first appointment to go well. When you contact our office for the first time, we always welcome our new patients, and offer you to tour the office prior to your first appointment. This helps the child feel comfortable when they return that day for their appointment.

During your child’s appointment we examine their teeth and take any x-rays needed. Our doctors will check for any developing cavities and recommend treatment if necessary. Our team provides a thorough exam of their teeth and jaws to check their development and to make sure we do not see any concerns.

Talking with the parents during the visit is important, and we always ask if there are any ongoing health issues with your child. This also gives the parents the ability to ask any questions or discuss any concerns they have about their child’s oral health. Our staff will also review oral hygiene habits at home to ensure your child is taking good care of their teeth. Positive reinforcement and encouragement are important at Boutique for Cosmetic Dentistry. When your child is finished with their appointment, our staff will provide a prize at the end of their visit as an incentive for good behavior.

Ready to Schedule Your Appointment?

If you are interested in a pediatric dentist, and are ready to schedule your child’s appointment, please contact Boutique for Cosmetic Dentistry, and our friendly staff will assist you. We look forward to your visit, and are excited to have you join our dental family.


Oral health is extremely important for many reasons. If patients suffer from gum disease, cavities, or bad breath this can cause issues with your teeth and mouth. Our mouths are a pathway for bacteria to enter the body. The bacteria are able to enter the blood stream, and this can also cause infection or inflammation in other parts of our body.

Taking good care of your teeth and mouth can keep your body healthy, and can also help avoid serious issues in the future. At Boutique for Cosmetic Dentistry in Sandy Springs, GA, we encourage our patients to practice good oral hygiene habits at home. We also promote overall health and wellness. Our team cares about each patient, and keeping up with your oral health not only can keep your teeth and mouth feeling great, but your body feeling great also.

What Problems Can Occur From Poor Oral Health?

Respiratory Infections

If you have infected or inflamed gums that bacteria can transfer into the lungs. This can lead to respiratory infections, pneumonia, or even bronchitis.


Inflamed gums can release substances that are harmful to our brain cells. This can lead to memory loss that is a result of bacteria spreading to the nerves.

Cardiovascular Disease

If you have poor oral health you are at risk for cardiovascular disease. The bacteria from the infected gums enters the bloodstream, and can cause the arteries to build up plaque. This can put you at risk for a heart attack.

Prostate Problems

If men suffer from periodontal disease they may have prostatitis. This condition causes irritation and other prostate related problems.


Diabetics are more likely to have infected gums over those that do not have diabetes. This can make diabetes difficult to control due to unregulated blood sugar levels. Gum disease can lead to higher blood sugar levels and this can put a person at risk for developing diabetes.


Poor oral health and infertility in women are linked. If a woman suffers from gum disease this can lead to issues with infertility, and may make it difficult for a woman to conceive or have a healthy pregnancy.


Poor oral health can put patients at risk for kidney cancer, pancreatic cancer, or blood cancer. In addition if patients smoke or use tobacco products this can lead to oral or throat cancers.

Rheumatoid Arthritis

People who have gum disease are more likely to have Rheumatoid Arthritis. The bacteria in our mouths can increase inflammation in the body, and this increases the risk for developing Rheumatoid Arthritis.

Kidney Disease

Kidney disease is a health problem that affects the kidneys, heart, bones, and blood pressure. Periodontal disease can lead to kidney disease. Patients with gum disease typically have weaker immune systems, and this can make them susceptible to infection. Many patients that have poor oral health also have kidney disease, and this can lead to kidney failure if not treated.

How Can I Prevent These Health Issues?

In order to prevent serious health issues caused by bad oral health habits you must take care of your oral health. Scheduling regular dental exams in our office can help keep your teeth and gums clean, and get in front of any issues before they arise. Dr. Azy Esfandiari’s friendly Sandy Springs dental team always put our patients first, and complete a thorough exam of your teeth and mouth to ensure everything is looking and feeling great. If we do have concerns, we will discuss those with you and develop a customized treatment plan to take care of any issues right away.

Tips for Good Oral Hygiene

  • Brush and floss your teeth daily
  • Avoid smoking or using any tobacco products
  • Use mouthwash that contains fluoride
  • Try and stay away from food and drinks that contain lots of sugar
  • Eat a well-balanced diet
  • Exercise and take care of your overall health

If you take care of your oral health, you take care of your body. Good oral hygiene can help prevent problems such as gingivitis or periodontal disease, as well as prevent more serious health issues in your body.

Looking for a Family Dentist Near You?

At Galligan Dental, we provide the highest level of dental care for patients of all ages. We welcome all new patients, and use state of the art technology to ensure our patients have an exceptional experience when visiting our office.

If you are looking for a dentist in Sandy Springs, GA, contact Boutique for Cosmetic Dentistry to schedule your next dental exam and our friendly staff will be happy to assist you!

Feature Image 3 Dental Implants

When deciding on a restorative solution it is important to look at all of your options to help you decide on the best option that works for you. A common question patients face is if they should choose a dental bridge or dental implants when they are looking for a tooth replacement solution. Both are restorative solutions for missing teeth, and it is helpful to understand the differences. At Boutique for Cosmetic Dentistry in Sandy Springs, GA, we provide our patients with a thorough consultation to examine their teeth & mouth and will discuss the differences between all of the restorative options available. Our staff works closely with our patients to help choose the best solution.

What Is a Dental Bridge?

A dental bridge is a fixed restoration that fills the gap created by one or more missing teeth. Bridges are anchored to one or more neighboring teeth also known as abutment teeth. Bridges can be supported by natural teeth or by dental implants. The false teeth are in-between and are called pontics.

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How Do Dental Bridges Work?

During your first appointment at our dental office in Sandy Springs we prepare the neighboring teeth. The preparation for a bridge involves removing part of the enamel to allow room for the crown. The crowns are placed over the neighboring teeth. Impressions of your teeth are taken to make the bridge in the lab, and temporary bridges are used while you wait for your permanent bridge.

Patients return to the office, and we remove the temporary bridge to prepare for the permanent bridge. The new bridge is installed, and we check to make sure the bridge is comfortable, and the perfect fit. Patients may have to return to our office again to ensure the bridge is working well with your bite. Once we know the bridge fits properly we will cement the bridge in place.

How Long Will Dental Bridges Last?

Dental bridges last around 10-15 years. Bridges do involve using some of your natural teeth, and this can cause your bridge to fail over time. The teeth around the bridge are still vulnerable to decay and disease which can attribute to the life of the bridge. Patients must practice good oral hygiene habits at home to keep the bridge and surrounding teeth clean. Dr. Azy Esfandiari, our dentist in Sandy Springs, Georgia recommend brushing twice a day and flossing to ensure you carefully clean around both the false and natural teeth. Visiting our office regularly can help to keep your teeth clean, and your bridge looking and feeling great.

What Are the Benefits of Dental Bridges?

  • Surgery is not required
  • Dental bridges tend to be less costly compared to implants
  • Jawbone density is not an issue with bridges
  • Overall the bridge procedure is less invasive compared to dental implants

What Are Dental Implants?

Implants are a permanent solution for patients that have missing, broken, or damaged teeth. They are durable, and act similar to a screw that is placed into the jawbone. The screw acts like an artificial tooth root, and provides a strong base for one or more artificial teeth. Implants require a healing period to give the implant time to fuse to the jawbone. This process allows the implant to function just like a natural tooth.

Are dental implants permanent?  Find out by watching this video!

How Do Dental Implants Work?

Dental implants require multiple appointments in our dental clinic in Sandy Springs, GA, and the process takes a few months. The first step involves placing the implant into the patient’s jawbone. Once this is done there is a healing period where we must give the implant time to fuse to the jawbone. This process is known as osseointegration.

Part of our implant evaluation process is to determine if the patient has adequate bone in the jaw to support the implants. If needed, bone grafting can be done to give patients the bone required to provide the necessary support. Once the healing process is complete the patient returns to our office, and an abutment or connector is placed on top of the implants. This allows the crown to be secured to the implant. Custom crowns are made to match the size, shape, and color of your natural teeth. Temporary crowns may be used while patients wait for the permanent crowns to be installed.

How Long Will Dental Implants Last?

Dental implants are durable and last upwards of 25 years, or a lifetime if they are cared for properly. Implants are built out of titanium, and provide patients with a permanent solution for missing teeth. Caring for dental implants is like caring for natural teeth, and Dr. Esfandiari recommend practicing good oral hygiene habits at home to keep your implants looking and feeling great.

What Are the Benefits of Dental Implants?

  • Dental implants are long lasting, and are a permanent restorative solution
  • Easy to care for
  • Implants function like natural teeth
  • Chewing power is restored with dental implants
  • Speech and overall appearance are improved
  • Patients can eat all the foods they normally would with implants
  • Dental Implants tend to cost more, but are a good investment because they are built to last
Our dental practice in Sandy Springs, GA looks forward to helping you!

Looking for a Dentist to Provide Dental Implants or Dental Bridges Near You?

Choosing the best restorative option is a big decision, and our team is here to help. Our consultation process will answer all of your questions, and we will discuss what option may work best for you. We want our patients to be proud of their smile, and our team works to give patients the highest level of care. At [insert practice name], we welcome our patients in a comfortable and relaxing environment using state of the art technology. Creating beautiful smiles is what we do, and we take pride in giving patients a smile they can be proud of.
If you are interested in finding out more about your restorative options such as dental implants or dental bridges, please contact Dr. Azy Esfandairi today to schedule your consultation.


When patients have cavities the surface of the tooth is permanently damaged, and tiny holes develop. They can be caused by bacteria, the food you eat or drink, and poor oral hygiene. The severity of the decay, and the condition of the tooth will determine what course of treatment is best. At Boutique for Cosmetic Dentistry, we provide many services for our patients, and your health is our first priority.

Our friendly team will always try and save your tooth, and clear away any infection. Many patients enter our dental office in Sandy Springs, GA with symptoms that something is wrong, but in some cases cavities are found during our normal dental exams.

If you have extensive decay, and the infection has reached the pulp area of the tooth, a root canal may be needed. Both fillings and root canals are great ways to save teeth, and prevent further decay or infection. We always choose the best treatment option depending on the condition of the tooth.

When is a Tooth Filling Needed?

Tooth fillings are used for smaller cavities that have not reached the pulp of the tooth. Fractured teeth that are not infected can also be saved using a filling. The area of decay is cleaned out, and then filled with a tooth-colored composite material. This material keeps the tooth intact, and helps to prevent further issues with the tooth in the future.

What Are Some Symptoms That Indicate I May Need a Dental Filling?

Here are some symptoms and signs that may indicate that you may need to get a dental filling in Sandy Springs, GA:

  • Sharp or throbbing pain in or around a tooth

  • Your tooth is changing color, or spots can be seen on the surface of the tooth

  • You experience pain while chewing or biting

  • Your tooth is cracked or injured

  • You have a cracked or missing filling

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When is a Root Canal Needed?

Root canals may be needed if they area of decay is severe, and the infection has reached the pulp area of the tooth. If a tooth is injured or cracked, and has been left untreated, the tooth may have an infection and need root canal therapy. With root canal therapy the infected pulp area is cleaned out and sealed to restore the tooth. If needed, a dental crown may be used to fully restore the tooth’s functionality.

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When is a Root Canal Needed?

Root canals may be needed if they area of decay is severe, and the infection has reached the pulp area of the tooth. If a tooth is injured or cracked, and has been left untreated, the tooth may have an infection and need root canal therapy. With root canal therapy the infected pulp area is cleaned out and sealed to restore the tooth. If needed, a dental crown may be used to fully restore the tooth’s functionality.

What Are Some Symptoms That Indicate I May Need a Root Canal?

Here are some symptoms and signs that may indicate that you may need to get a root canal in Sandy Springs, GA:

  • You experience severe tooth pain
  • Gums are tender and swollen around the tooth
  • Extreme sensitivity to hot and cold
  • Chewing or putting pressure on the tooth causes severe pain
  • The tooth has changed color
  • A bump has appeared on the gum area around the tooth
Ready to get started? Contact Dr. Azy Esfandiari, our dentist in Sandy Springs, GA!

Looking for Root Canals and Dental Fillings Near You?

Choosing the best option is important, and our team at Boutique for Cosmetic Dentistry here to help give you all of the options available to achieve that bright white smile. We welcome all patients, and strive to always provide quality service our patients can count on.

If you are interested in finding out more about root canals or dental implants, please contact Dr. Azy Esfandiari’s friendly dental team to schedule your next consultation! 


Switching dentists can be a hard decision, but patients need to make a change if they notice things aren’t working out with the current practice. Knowing when to make the move can be hard, but there are some tips you can follow to help you find your new dental office or dental clinic in the Sandy Springs area.

There are signs you can look out for that indicate it may be time to start your search to find your next dental practice. At Boutique for Cosmetic Dentistry, we welcome new patients to our practice, and strive to provide exceptional service to patients of all ages. We know how important finding the right dentist is, and we go above and beyond to provide the highest level of service and care for our patients!

What Are Some Signs That Indicate it May Be Time to Switch Dental Practices?

  • Your dentist has retired or moved
  • You have decided to move away from the area
  • Appointments tend to be at inconvenient times
  • Getting to your dentist is difficult, and the practice may be in an inconvenient location
  • The practice does not offer the dental procedures you need
  • Your friends or family have recommended another practice that sounds like it may be a better fit
  • You have had to call the billing department and dispute charges multiple times
  • Your dental insurance has changed
  • You do not feel comfortable with the recommended treatment plan at your current dentist
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How Should I Go About Switching Dentists?

Once you have made the decision to switch dentists you can focus on finding your new practice. Making sure the new dentist is a good fit is important, and there are many things to consider. Think about what type of dental practice you would like for you and your family. Would a family practice work better and if so, make sure the new practice can provide all of the necessary services for your entire family. Research if the practice offers orthodontics if you have teenagers, should you need that type of treatment. This will help to eliminate the need for switching dentists again in the future.

Do your research and check out some online reviews to read about the dentist’s certifications or background. Read about the mission statement to understand the practice values, and how the practice is run. Make sure the facility is updated, and has the latest technology and advanced procedures available.

Once you have done your research and have found a dentist you think may be a good fit, schedule a visit to check out the practice. This way you can see firsthand if you are comfortable, and if your family would benefit from joining the practice. 

When visiting the office take mental notes of important things such as how you are treated during your visit, and how long it takes you to get to and from the practice. Ask the staff if you can have a tour of the office to ensure the practice meets your expectations.


Looking for a quality Dentist in Sandy Springs for your next Dental Exam?

If you are looking for a family friendly dentist in Sandy Springs, GA, contact Dr. Azy Esfandiari for your next dental cleaning. Our goal is to provide exceptional service in a family friendly environment. Our staff is available to answer any questions you may have, and we welcome all new patients to our office.

If you are interested in scheduling your next dental cleaning with us, please contact Dr. Esfandiari, and one of our staff members will be happy to assist you.


At Boutique we offer two different types of cleanings-a prophylaxis and a scaling and root planing cleaning (SRP). It is really important for you as a patient to understand the difference in these two types of cleanings because it will help you have a better understanding of your overall oral health.

Our most frequently completed type of cleaning is called a “prophy” or a prophylaxis cleaning. This type of cleaning is performed on patients who have healthy gums. Healthy gums are described as salmon pink in color, flat in appearance and do not bleed when probed, brushed or flossed. Prophys are usually completed two times per year and are considered preventive because they help prevent gum disease.

If you are in need of a deep cleaning, Mckenzie will preform a cleaning called a scaling and root planning (SRP). These patients will have bleeding and swollen gums, red gum tissue and probing depths that are greater than 5 millimeters and radiographic bone loss.

In order to determine which type of cleaning you will need, schedule an appointment with McKenzie and she will access your overall oral health.

Hi, guys. McKenzie here, the hygienist at the Boutique. The most frequently completed dental cleanings are regular cleanings or what we as hygienists call prophies or a deep cleaning or what we call scaling, root planing or SRP. It’s really important for you, the patient, to understand the difference in these two cleanings because that will help you have a better understanding of your overall oral health.

Regular cleanings are usually completed on patients who have healthy gums. So, healthy gums are usually described as salmon pink in color, flat in appearance, and do not bleed when probed, brushed or flossed. And these patients usually have probing depths or gum measurements between one and three millimeters. Prophies or regular cleanings are usually completed two times per year and are considered preventive in nature because they help prevent periodontal or gum disease. Additionally, a regular cleaning cleans all of the tissues above the gums and only about three millimeters below the gums.

However, when gum disease or periodontal disease is present, a prophy is no longer needed. After a diagnosis of periodontal disease, a scaling and root planing or a deep cleaning is now needed to control the disease rather than prevent it. Some common signs of periodontal disease include bleeding and swollen gums, bright red gum tissue, probing depths that are greater than five millimeters, and radiographic bone loss, which we can see on X-rays. X-rays also give us some insight into what type of deposits are underneath the gums. If calculus or tartar deposits are evident on X-rays, it is likely that a deep cleaning will be needed. For this reason, X-rays and a periodontal exam by a hygienist are necessary to determine what type of cleaning a patient will need.

If you’ve been experiencing bleeding gums, painful gums when brushing or flossing, or if it’s been longer than six months since your last dental cleaning, give our office a call and we’ll be happy to get you on the schedule.

Adult Female Vaping With An E Cigarette

The Effects of Vaping on Your Oral Health

Recently, vaping has grown increasingly popular with patients of all ages, but especially among young adults and teenagers. Vaping companies advertise a healthier option than smoking cigarettes. However, there has not been much research into the true safety of vaping over cigarettes.

Vaping liquids contain nicotine, which is one of the harmful ingredients in cigarettes.Nicotine impairs the function of the immune system – the main fighter against bacteria in the mouth that cause periodontal disease. Nicotine use has been consistently linked to moderate and advanced stages of periodontal disease. Contrary to popular belief or advertisement,nicotine is present in higher percentage levels in vape liquids than in cigarettes. Consistent vaping of these high nicotine levels could cause the development of gingivitis and periodontal disease. Symptoms of gum disease are bad breath, bleeding gums, and gingival inflammation.

In addition to immune system surpresence, nicotine consumption can also increase bacteria counts in the mouth. Studies show that teeth that had been exposed to e-cigarette aerosol had more bacteria present on their surface than those that had not. This is likely caused by a reduction in blood flow and circulation due to nicotine ingestion. Bacteria is the main irritant or cause of gingivitis and periodontal disease. When the number of bad bacteria grow to excessive levels, it becomes difficult for the patient to return the mouth to a low bacteria level.

There are multiple negative effects of vaping on your teeth and oral tissues. In addition to predisposing patients to gum disease or periodontitis, vaping can also play a major causation role in xerostomia (dry mouth). Propylene glycol (PG), which is found in almost all e-cigarette liquids, is a cause of dry mouth. PG is a hygroscopic compound, meaning it draws or absorbs moisture from its surroundings. Chronic xerostomia can be associated with bad breath, mouth sores, and tooth decay.

There are also multiple oral lesions that may be caused as a result of smoking or vaping nicotine containing products. One of the most common lesions is nicotine stomatitis, which is characterized by red pinpoint type lesions in the roof of the mouth and back of the throat.

Additionally, vaping places patients at similar risk of developing oral cancer as smoking traditional cigarettes because it causes chronic changes in the oral tissues. When tissues are constantly altered from their natural state, it can cause irreversible cell damage which may transform healthy cells into cancerous cells. Not all abnormal lesions are cancer, but it is important to know the signs of abnormal changes in the oral tissues. Common signs of abnormal cell changes are the development of ulcers, red and white patches, and lumps or bumps that are not a part of the normal anatomy.

There are over 3,500 new cases of oral cancer per year, and 4 out of 5 people who are diagnosed are not aware of the signs and symptoms. If vaping is a part of your everyday life,seeing your dentist and hygienist twice yearly for an oral cancer screening is paramount! However, in between your visits, about once per month, you should complete an at home screening on yourself. The main areas of examination include the roof of the mouth, the throat region, the floor of the mouth, the sides of the tongue, and the cheeks and gums.If you notice any ulcers or lesions, monitor the area for 2 weeks. After two weeks, if the lesion is still present and is not healing, call your dentist immediately.

Electric And Classic Toothbrush On A Blue Background

During your twice yearly dental cleaning appointment, your hygienist will customize a daily homecare routine for you and suggest products that he or she believes will most benefit you. Daily oral hygiene always includes brushing and flossing; the use of an oral rinse or mouthwash could also be encouraged if necessary. Personal daily oral hygiene requires the following sequence of procedures at least twice daily: Use dental floss first to remove plaque (bacteria) from in between the teeth, toothbrushing following flossing to remove adhering plaque from tooth surfaces. Brushing and flossing are essential in the removal of the harmful bacteria that cause dental decay and periodontal disease (gum disease).

Toothbrushes fall into two main categories– manual or electric. Manual toothbrushes are hand activated. All motion and power are created by the movement of the brush with your hand. While manual brushes are an acceptable way to remove plaque, bacteria, and debris from the oral cavity, they are not the most efficient. Without proper technique and adequate time, patients struggle to remove all bacteria and debris from their oral cavity. Electric toothbrushes take the guesswork out of toothbrushing. Electric or power toothbrushes move at speeds and motions that cannot be duplicated by manual brushes.

Electric toothbrushes operate at varying speeds (10,000-40,000 RPMs) depending on the manufacturer and type of brush. Brushes also come with a variety of brush head movements. “Rotating oscillating action toothbrushes have been shown to be the most effective powered toothbrushes for reducing plaque and gingivitis” (Wilkins). Electric toothbrushes have enough power to do all the work of brushing themselves. When using an electric brush, it is important to follow your hygienist’s recommendations for brushing methods. Improper use of an electric brush does have some adverse effects. Using too much pressure or movement can contribute to gum recession. Fortunately, most electric brushes have built-in sensors to let you know when you are brushing too hard. Just like manual brushing, electric brushing should be performed for a minimum of two minutes, two times per day. Most electric brushes come pre-programmed with a timer!

How to properly use an electric toothbrush–

  • Place brush on tooth with a 45 degree angle TOWARDS the gum tissue
  • Gently and slowly move brush along tooth surface
  • Repeat this method for all tooth surfaces (cheek side, tongue side, and chewing surface)
  • Allow brush to complete timed cycle before stopping

Boutique for Cosmetic Dentistry is Now Open Select Saturdays!

Our practice will be open from 8:00AM to 3:00PM on select Saturdays. Contact one of our friendly team members to learn more and book your appointment today!