Your mouth...

... gateway to the body.

< Breathing - Eating - Talking

It's where most
bacteria come in!

Keep it healthy!




Stay Healthy


What sets us apart? Our Top-Down Approach! Science shows that the condition of your mouth, teeth and gums have a significant impact on your overall health. When harmful bacteria from your mouth enters your blood stream, it can cause more problems than you might think. We can help you to create or maintain that essential state of oral health you need to stay healthy and live longer.

Feel Confident


Are you hiding your teeth when you smile? Don’t feel confident when you talk? Conscious about your breath? Top Down Dental can help. We can fix your stained, cracked or broken teeth, repair gaps, replace metal fillings or provide you with a true smile makeover. Invest in something good… you. For cosmetic dentistry in San Jose / Los Gatos, think Top Down Dental.

Relieve Pain


Did you know that migraines, headaches, jaw, ear, facial, neck and shoulder pain often have a ‘dental’ cause? When your bite is misaligned because of worn teeth, gaps or gum issues, your TMJ (Temporo Mandibular • Jaw • Joint) can cause severe muscle strain. TMJ disorders are often misdiagnosed. With TMJ treatment, your pain can be a thing of the past.

Relieve Pain


Nighttime breathing problems, snoring and sleep apnea, can affect the quantity and quality of of your sleep. If they keep you or your partner awake at night, they can result in major relationship problems. Top Down Dental can create a personalized sleeping device that aligns your jaw in a comfortable forward position to keep your airways open helping you to sleep soundly and quietly.

Flossing is the new fountain of youth. The better your oral health, the longer you live. No kidding, it’s true!

Dr. Nancy Nehawandian