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Nitrous oxide (otherwise known as N2O) is a gas most commonly used by dentists to relax patients during dental procedures. It was first used in an attempt to manage pain during a dental procedure in the year 1844. A dentist by the name of Horace Wells attempted to prove the suspected pain-relieving properties of nitrous oxide by inhaling the gas while having his own tooth removed. This experiment made Wells realize that nitrous oxide was not a strong pain-killer, yet it was very effective at inducing relaxation during dental procedures. After nitrous oxide was proven to relax patients, it became a popular tool for use in both dentistry and general anesthesia practices.
Nitrous oxide gas has no color, although it is said to have both a sweet smell and taste. When the gas is inhaled, it produces feelings of euphoria. The exact reasoning behind the euphoric feelings produced by nitrous oxide are not completely understood, as it appears that several different factors are in play to create the effect. Nitrous oxide, however, does temporarily decrease one’s ability to feel nearly all sensations, which plays a large part in the production of an elated mental state. The most common sensations numbed by N2O are sensations of emotional and physical pain, hearing, and even the sensation of touch. When these sensations are taken away, most individuals slip into relaxation. Nitrous oxide also has the ability to allow those under its influence to feel completely uninhibited. Because of these effects of the gas, it is most commonly referred to as “laughing gas” or “happy gas.”
Dentists are equipped with tanks full of nitrous oxide and tanks full of oxygen. When they begin to administer nitrous oxide to relax a patient, pure oxygen is first given through a mask-like apparatus, and the nitrous oxide is then mixed in with the oxygen until the proper amount of gas is breathed in by the patient. Upon first inhaling nitrous oxide, the patient quickly begins to feel the effects of the gas. It generally takes anywhere from 20 seconds to five minutes for nitrous oxide to reach the brain. When the gas reaches the brain, the patient begins to enter a relaxed state. Although the mental state of the patient is altered, they are still completely conscious and able to interact and cooperate with the dentist’s requests.
After inhaling a small amount of nitrous oxide, patients most often experience the following side effects:
- Feelings of euphoria
- Feelings of amusement
- A generally “happy” disposition
- A deep sense of relaxation
- Feeling warm or overheated
- Numbness in the mouth or extremities
- Tingling limbs
- Muffled noises
- Nausea
- Sleepiness
In the event of uncomfortable side effects, the patient is capable of alerting the dentist of these effects. Upon alerting the dentist, the dentist will then adjust the level of nitrous oxide accordingly or provide the patient with pure oxygen until the side effects lessen or disappear. It generally takes about five minutes of breathing pure oxygen for the nitrous oxide to be eliminated from the bloodstream. After five minutes of oxygen, the patient should be back to a normal mental state, although motor skills can be affected for up to 15 minutes after nitrous oxide. For this reason, it is best for the patient to remain in the dental office for at least 15 minutes after receiving nitrous oxide if they are driving afterward.
Nitrous oxide, or laughing gas, is a safe way to manage anxiety during dental procedures for both adults and children when the gas is administered by a professional. Adult patients should discuss any concerns they may have about nitrous oxide with their dentist and inform their dentist of any medical conditions or daily medications before the dentist administers laughing gas to prevent any complications. Children are candidates for receiving nitrous oxide as well; however, they may be unable to keep a mask on their faces to receive the gas. Parents of children receiving nitrous oxide should discuss concerns and any medical conditions before treatment occurs with both the dentist and their child’s pediatrician to avoid potential complications.
Certain conditions may require further consultation between a dentist and a patient’s medical doctor to ensure the safety of the patient before administering nitrous oxide. These conditions include:
- Pregnancy: A dentist must speak to a pregnant patient’s obstetrician before administering nitrous oxide to ensure that it is safe for both the mother and the fetus.
- Psychiatric conditions: If medication for a psychiatric condition is taken by a patient, it is important that they speak with their psychiatrist before receiving nitrous oxide to ensure that there are no drug interactions that will affect the patient’s mental state.
- Prior substance abuse problems: Recovering alcoholics and those recovering from other forms of substance abuse should consult their drug counselor or psychiatrist before receiving any type of mind-altering substance. Chemicals that alter the mind, such as nitrous oxide, could lead to a relapse.
- Ear infection
- Sickle cell anemia
- Heart failure
- COPD (Chronic Obstructive Pulmonary Disease): Treatment with nitrous oxide requires that the patient inhale nitrous oxide through the nose. Those with breathing problems such as COPD, emphysema, or bronchitis should consult their physicians before receiving nitrous oxide.
- Emphysema
- Bronchitis
- Recent surgeries or severe injuries: Patients who have had recent surgeries on the eyes or ears or patients who have recently suffered severe injuries, particularly head injuries, should consult their physician before scheduling a treatment with nitrous oxide.
- Allergic reaction to any medication
Reporting daily medications (including herbal supplements) as well as any underlying medical conditions to a dentist before nitrous oxide is administered is the best way prevent complications. It is also very important that patients discuss any concerns or questions they may have with their dentists before receiving nitrous oxide. Patients should also not hesitate to speak up and allow their dentist to know if they are uncomfortable or experiencing side effects while receiving nitrous oxide. Dentists strive to keep their patients relaxed and comfortable, and if they are aware of discomfort, they are able to quickly remedy the situation.
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I became a patient almost 5 years ago when I got my All-on-4. Best decision I’ve ever made. Dr Barrantes and Magaly are absolutely wonderful. They always make me feel like I’m their most important patient. The staff is great and very professional no matter what your issue is they will accommodate you to resolve it. I was in the office this week and after all this time Dr Ziegler knew me by my…
Nora B.
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5 Star service all the way. Dr Barrantes is certainly one of the cutting edge implant dentists in the country. It shows how he cares deeply about his patients and takes great pride in his work. I would Recommend the entire staff of Miami Center for Cosmetic and Implant Dentistry to anyone who has had bad experience with dentistry work in the past. Thank You for rebuilding my smile!
William H.
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I absolutely love the fun & friendly atmosphere! The doctors are very professional & the staff is great. My children, ages 16,13,11,9 LOVE it there!!
Tiffany W.
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I did a lot of shopping around for the “all on four” implant surgery and Dr. Ziegler put my mind to rest that I had come to the right place. Dr. Barrantes, who actually performed the surgury, is very skilled and professional. His assistant Magaly is also very talented and professional. I get a hello and smiles from everyone I come in contact with. A very friendly and professional team.…
Paul K.
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Excellent service and all the staff was great. Drs were all very kind and always made sure I was comfortable with little to no pain. Very little wait time upon arrival. Would highly reccomend.
Dusenka E.
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I recommend this group as the best at what they do
Ge S.
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Recomiendo a todos que vengan a ver a Magaly y el Dr. Barrantes y la oficina. Todos son muy amables y buena gente y muy profesionales. Catrgoria #1 en todo que hacen.
Claudio V.
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Everyone in this office is so nice and accommodating! They will work with you in case of emergencies.
Stephanie J.
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Después de haber tenido una mala experiencia en otro lugar. Encontré el lugar perfecto y doctor perfecto. El Dr Barrantes y Magaly son muy buenos. Me devolvieron la confianza en sonreír.
Yomeri N.
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The best service of any dentists….The best team
Nadege C.
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I recently visited the Miami Center for Cosmetic and Implant Dentistry and had a wonderful experience there. The ladies in reception and dismissal area were friendly and very professional. I really like how modern this office is. The highlight of my visit was meeting with Dr. Jan Ziegler. I really felt that he cares about my dental health and wants me to feel like a part of the office family. Than…
Natalie V.
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I called for an emergency where a crown had fallen out. I had just landed in Miami for vacation and had never been here. The staff were very helpful and got me into a chair a half hour after I called. Dr. Ryan listened to my concerns and went the extra mile to correct the problem. He gave very sound advice and I couldn’t have picked a better office to call in my emergency.
Tom A.
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Girls are all pleasant, professional and most important of this place… ALWAYS on time
Silvia Z.
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It was a wonderful experience
Carmen M.
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Love Maria! She’s been doing my cleaning for years and wouldn’t change her for the world!
Jenlajud
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Words can’t describe how happy I am with the service. The staff was friendly and the doctor was caring and funny! I went in because I saw an offer for $20 which included a cleaning and a consultation. $20 was DIRT CHEAP and I got lucky and did the cleaning the same day! They didn’t try to oversell me on unnecessary things and spoke to me like if I was family instead of a paying customer. They…
Lucia S.
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I have been a patient of Miami Center for Cosmetic and Implant Dentistry for over 15 years and couldn’t be happier with their service and professionalism. Very courteous and knowledgeable staff and doctors, and my hygienist Jeanine is the best! they are very reliable and experienced, wouldn’t go anywhere else.
Mayra V.
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I love this dentist office. They are top notch and make you feel your important to them and are very accommodating in all respects, from the time you make your appointment ro the end of whatever service you are receiving. If you are afraid of injections be sure to ask for Dr. Ryan, he has rhe magic touch since you won’t feel a thing.
Bibiana R.
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Everyone from the receptionist to appointment to the dentist were extremely attentive and knowledgeable. Overall a very good experience.
Rosie M.
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Best dental experience ever. From the friendly staff to the knowledgeable dentist’s. From the time you walk in they make you feel special. I genuinely hate going to the dentist as do many but they made me feel right at home. They make you feel like family and make you at ease knowing they are going to take care of you. Very informative, caring, passionate, and knowledgeable throughout the wh…
Ramon P.
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Great service with my children thanks to Iyovis!
Kymberlyn H.
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Muy profesional la doctora ortiz y su equipo de asistentes.
Kevin L.
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Great Dr. Ryan and Dr. Barrantes and they’re staff very professional very friendly e everyone was great and the office staff was great experience
Henry V.
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escelencia y calidad se brinda en los tratamientos de cirugia e implante dentales despues de realizarme un tratamiento de implante dond Recib unbuen servicio
Nancy B.
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Over all experience care professionalism of the staff
Lorena H.
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Excelente, muy profesional.
Lissette V.
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Jeanine is the best!! Everyone is kind. Thanks
Peggy G.
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Great staff. Very friendly and caring! I recommend it to everyone! Very professional as well!!
Eduardo C.
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I love my hygienist, Janine. She is sweet, kind, personable, and more importantly, very skilled at her profession. She makes it as enjoyable an experience as if canbe to get your teeth cleaned. I trust Dr. Ryan. He never suggests getting work done that isn’t necessary.
Wendy S.
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Simply beautiful everything about my visit was great.
Barbie H.
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Dr. Barrentes, is the real thing, he is always optimistic, with a smile wanting to take care of you, any issue whatsoever he goes right at it, his right hand lady Magaly is always there to assist, takeover, and follow thru. The staff is very friendly, great place to feel like at home. Thanks everyone for allowing me to be a part, see you soon. I give them FIVE stars, always took care of my teeth,…
Andres H.
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Over all experience excellent start to the ending
Lorena H.
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Super friendly staff & they were very nice with my five year old daughter
Gillian A.
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The beautiful caring staff. They make the clients feel like family. They deserve a big raise.
Christopher B.
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Good service
Ariana D.
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Treatment and service is excellent and environment is always clean
Nilaicy D.
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Staff was friendly, wait time was short and the appointment was quick and to the point.
Heather V.
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Great staff, very helpful and friendly
Lucas C.
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My daughter has been a patient of The office since she was small and is Now in orthodontic treatment.Everyone is wonderful and they all make you feel like family.
Clari A.
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I am very happy with their service. Dr. Ziegler explained everything and had me meet the Oral Surgeon prior to implants. The office staff is super nice and Dr Barrantes the Surgeon is excellent as well as caring about his patients. His Assistants the girls are wonderful and Magali is a gem. I also like that their hours are very convenient. They are really caring and professional.
Gloria S.
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I have been attending this office for well over 13 years. I needed extensive work that included orthodontics, crowns, and an implant. Today I have a healthy smile. Janine is the most caring, gentle, professional, and knowledgeable hygienist I know. Thank you guys!
Lu S.
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He recibido SIEMPRE un trato MUY amable y respetuoso…adoro este lugar.
Xiomara S.
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Las doctoras y las asistentes son excelentes.Son amables y responden a todas nuestras preguntas.Estamos muy felices y las recomendamos 100%.
Ana Q.
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The staff is great and the doctor takes his time and explains every step of th process
Yoelsy T.
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Very happy with Doctors, my daughters go to the dentist without fear.
Axel M.
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Dr. Ziegler is Great. Very patient. Explains procedure. Amiable, wonderful, & caring staff
Sandra W.
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Excellent, amazing professionals, all of them + they treat you as a Family
Jesus R.
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Excellent general dentistry care in one office. Staff is amazing and caring. Pediatric dentist is amazing and the staff has the best patience and attention with kids a parent can ask for. Over all excellent hands down.
Carla M.
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People are very friendly – Janine is the best !!! I have been doing cleanings with her for the past 15 years, and will not change her for anybody else.
Guille G.
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Maria, the dentist hygienist is friendly and takes pride on her work. She always does an excellent job.
Myrna M.
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so happy with this office love the staff and Doctor have told all my friends about it!!!!!!!!
Ivanna P.
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I absolutely love this dentist! The staff is great and so is the service. I’ve been coming here for over a year already and I highly recommend it!
Nichole G.
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Everyone in the office is wonderful DR.ORTIZ AND Dr.rothman are excellent great care and lots of love from the staff
Aurora M.
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I’ve been with them since I was young, I’ve always had a good experience. I love them so much!
SorryItsSel
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The office staff is very efficient and courteous in the pediatric side as well as in the adult side. The Dentist and Dental staff are also great! My daughter has braces and has to go every month and I never feel burdened by making the trip because I am in and out quickly and the office staff are very accommodating.
Celia M.
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Una excelente atencion y muy profesionales se los recomiendo son los mejores en Miami
Tania P.
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My kids have been patient of the office since they were old enough to walk Dr Ortiz is amazing very patient and attentive with the children strongly recommend her to everyone.The staff is also very friendly.
JMR S.
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I’ve been coming here for about 2 years already and they have amazing service & doctors. I would recommend anyone to come to this office, but above all I think this is one of the best places to go to!
Alyah R.
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Just had my braces put on this place is amazing the staff here is wonderful so very helpful and careful a buddy of mine recommended me and I love it highly recommend it
Karel R.
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So happy with my daughters treatment Dr.Rothman and Dr.Ortiz is the best in what they do strongly recommend to family and friends
Sandra C.
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I AM very happy With this office. Especially with Janine. Because she does a Great job at keeping my hygiene and oral health on track. My husband is very fearful and after seeing their wonderful team, he will not go elsewhere ever again. You must Go see them for the BEST quality dental care.
Maria F.
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very professional informative and caring with patient, is my experience . They made me feel at ease from the beginning of my implant surgery to end , thank you for that and God bless every member of the staff!!!
Francisco M.
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Have been going there for over 10 years, excellent service.
Tacey K.
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Customer Service
Caden C.
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Because every time I have an appointment starting with the receptionist, the doctor, Magaly, Claudia and other members of the staff are nice, courteous, friendly and always receive you with a smile.
Rita L.
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Always the service is the best.
Osvaldo G.
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Muy profesional la doctora ortiz y su equipo de asistentes.
Kevin L.
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Clean, and amazing stafff!! They were friendly nice made you feel at ease conversed with you. Very considerate and nice and understanding let you ask questions always gave answers never belittled you or made you feel like you can’t ask questions and just awesome !
Makenzee R.
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Nothing but great things to say about this place, I’ve been attending this dentistry for over 15 years they’re amazing, caring and know what they are doing. Best Dentists in Miami!!
Cielo F.
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Really great service
Jorge O.
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Excellent service. The doctor is experienced and personable. The hygienist is on time, painless, and friendly.
Kimet P.
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Attention and results
Lionel M.
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They treat patients like family
Georgia O.
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Front desk girls worked me in last minute. Doctor was great! The whole staff was friendly and my son enjoyed the visit.
Roman M.
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Very professional staff, excellent doctors! First time in my entire life that I feel so comfortable with the dentists and the persons touching my mouth.
Ibrahim D.
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Amazing staff and excellent, professional service. Janine is outstanding and very caring about her patients. Recommend highly !
Pablo V.
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Everything was great overall friendly people great service
Suzette K.
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Janine is the best, most awesome dental hygienist. Been with her for years!! Make sure you call a few weeks ahead of time for an appointment because she’s always booked…. that’s how great she is!!!
SlurmP P.
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From top to bottom a first class office. Staff super friendly, courteous, warming, knowledgeable, and caring. Best experience at a dentist office I’ve ever experienced. Highly recommended.
Ramon P.
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Great customer service
Anthony B.
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I have been coming to this center for the last 18 years. I only trust this center with my dental care.
Liza M.
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Professional and friendly staff. Happy with prophy service.
Diana S.
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I have been coming to this dentist office for years and I love it! My hygienist is Janine and she is the best. Always great patient care! I’m moving out of state and will definitely miss coming here. Great doctors, staff, and location!!
Vanessa R.
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I’ve been going to this dental office for several years now, and it is well worth the drive. Everyone is super nice and professional. Wait times are not that long. Dr. Ryan truly cares, and did a great job putting in a crown. My hygenist Maria is gentle, thorough, and friendly, and I actually enjoy my visits with her. If you need financing, they can set you up with Care Credit.
Marian W.
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Reliability, friendliness, service and quality
Emilio L.
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100 % excellent customer service in all areas, like the office staff the dental assistants, hygienist, the doctor , everyone is very professional and kind.
Elizabeth M.
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Experience over all is excellent in this office dentis
Lorena H.
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The staff is very proffesional, nice and specially very patient with the kids! Love them!!!
Nathan R.
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Staff and Dentist were phenomenal. My daughter went in for her two bottom baby teeth removal. Everyone made her feel very comfortable and relaxed for the procedure. She did not feel anything and came out happy . I would recommend them to anyone . Very child friendly and very professional.
Lynda A.
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U guys trrat me very carefully. And i you guys answer all my questions. Thank you for beign so nice to me.
Sophia S.
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Wonderful place. Dr. Ryan is amazing!
Cristina K.
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Great customer care, comfort of their care and knowledge, ability to make you feel like a friend, not a patient
George P.
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Great professional team of doctors and their amazing staff. Certainly would recommend to my friends and family.
Jose C.
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Great staff, feels like home. Happy to be a patient from them
Francisco Q.
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My son just got his braces here about 2 months ago and what I can say is their prices are affordable and the staff is super friendly and always with great attitudes. I would definetly recommend this office for those looking for orthodontic needs.
Jessica A.
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I started coming here when I was a teenager for braces and once I had my daughter she started going too. I love this place. It feels like home. And they make sure my 6 yr old always has a pleasant time!
ELIZABETH A.
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Excellent service, I have a toddler and they handled him extremely well, the assistant and the doctor were both amazing. I recommend 100%
Kavyta R.
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I have been a patient of Miami Center for Cosmetic and Implant Dentistry for over 15 years and couldn’t be happier with their service and professionalism. Very courteous and knowledgeable staff and doctors, and my hygienist Jeanine is the best! they are very reliable and experienced, wouldn’t go anywhere else.
Mayra V.
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The best service ever! They have great prices and are always willing to help you. They also have late hours for those of us that can’t afford to miss work! I’ve been a patient for over 7 years. Thank you!
Maria M.
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Ryan Ziegler is an exceptional and heart warming dentist. The service he provides is from his heart and treats you with such awesome care that you feel comfortable knowing he will be seeing you. His honesty and integrity are above and beyond reproach. I highly recommend Dr. Ryan for your dental needs.
Cheri H.
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I have been taking My daughter to Dr.Ortiz and Dr.Rothman they are amazing,the staff is very friendly and we feel at home.
Yoan S.
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Great work done by Maria
Jorge F.
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I love coming to this office everyone is wonderful and very accomodating. Janine is a wonderful hygenist!!!
Jova L.
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Janine is amazing and the entire staff as well! I drive from south miami just to get my dental work here.
Juan M.
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Friendly and professional atmosphere
Francisco M.
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Janine is the best hygienist in Miami! Very highly recommended.
Leo F.
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The staff was curtious ,efficient, professional.
Chris C.
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My wife an I have been coming here years, now my youngest son has use the orthodontist services…..very professional office staff and dentists……
Bruce R.
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Had a wonderful experience the doctor and staff are amazing. Will recommend to everyone I know
Javier J.
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It is a nice place with a very gentle and professional staff.
Mario F.
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Everyone is great in the office. I have already recommended and will do so in the future.
Vanessa V.
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Excellent result with my dental implant and composites. Will continue to come here for treatments.
Sheryl D.
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Excellent service provided by father and son practice.
Daniel C.
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The office vibe, the care afforded to patients, the cleanliness, the staff, the dentists, all of the above.
Denise R.
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The staff was very friendly and polite, and the doctor explained everything to us in a good maner.
Lucas A.
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They treat you like family.
Sylas H.
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The whole staff is truly are the best in the business. Thank you from the Capote Family
Jose C.
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They were nice and friendly
Alejandro M.
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Professional! Treated like family, great results from all work done. Short treatment completion time. Constantly getting compliments on my smile!!!!!
Zuen B.
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Very courteous, respectful staff.
Myrtle K.
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It is a pleasure to come to this practice.Everybody is so nice and professional. I moved out of Miami , but I still come to them and I recommended friends to come too.
Carmen G.
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I am very content with how they operate within there facility. the staff and doctors are very professional, attentive and work wonderful. I always have a great experience when i’m there. What i admire the most is that they are all very honest and they try to work with you. They certainly earned my trust and a returning customer. Thank you all.
Sharbel M.
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Jannine is the best!
Laura C.
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I have been a patient for about 20 years. My son has been a patient for almost 17 years. The staff is pleasant, which includes the Dr.’s (both Dr. Jan Ziegler and Dr. Ryan Ziegler), as well as Janine Vega, the hygienist. They are caring and go the extra mile when attending to both my son and myself. I trust them.
Xiomara B.
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Really good service. The people is very kind. We feel very comfortable.
Mariana C.
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The primary reason is Janine as an Higenist , she is the best you have in the Dental center
Yolanda L.
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Had a very good experience with Dr.Barrantes and his whole staff. Everyone in the office is very nice and efficent. Must go see them!!!
Ginette H.
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Very good Doctors and outstanding service.
Willie V.
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Awesome experience, the staff is really professional and helpful. The Dentist and the Hygienist are amazing. It took me a while to find a good dentist, my luck a found a great dental office.
C H.
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Awesome experience, everyone is professional and efficient.
Andrew P.
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Dr. Ryan Ziegler is the greatest dentist ever. No one can top him. Recommend him for anyone wanting a great dentist who does superior work. Friendly and helpful staff. State of the art equipment. Great atmosphere making you feel very comfortable. Janeil Morphonios
Patricia F.
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I have always had a great experience
Luisa A.
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Janine is amazing! She is very detailed and makes regular cleanings a very great experience! I highly recommend them.
DANIEL C.
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Janine was awesome with my cleaning. Great staff! Highly recommended!
Gordon W.
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Because they always make you feel welcome and treat you like family . No matter how much time has passed they always remember you. Dr. Ryan Z and Dr. Jan Z, Dayami and Daimi they make so a wonderful team !!!
Ana F.
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