For over 50 years, the practice Las Vegas turns to when a case is complicated enough that another office refers it out.
A toothache doesn’t wait for a convenient time, and we do everything we can to get you seen quickly – often the same day you call. From there, we’ll either get you comfortable and start a treatment plan ourselves, or – if it’s a root canal or extraction – fast-track you to a specialist we know and trust personally. Either way, you’re pointed at the right fix without delay.
It’s built into our mark – two pieces, interlocking, coming together to solve what’s incomplete. That’s the whole practice in one shape.
Pain, a chip, a smile you’ve started hiding – you already know you need help. You just haven’t found the right plan yet. That’s where we start: listening first, then building a plan around your case, your pace, your budget.
The most important issues are often the quietest ones – a bite slowly wearing down, bone loss you can’t feel yet. Thorough exams and imaging find the piece of the puzzle you didn’t know was missing, before it becomes something bigger.
Two minutes now saves you guessing later. Tell us what’s going on, and we’ll help you find the piece that’s missing.
Every case is a puzzle – some simple, some the kind other offices pass along. Here’s the philosophy behind how we put it together.
Not every visit is a transformation – plenty of our patients are just here for a comfortable, thorough cleaning. That matters just as much to us.
“Dr. Doug is awesome! He gave me the most thorough dental exam I’ve ever had, and spent the time to go through everything with me and explain the treatment options.”
“Dr. Doug Sandquist and his team are wonderful! I highly recommend this practice. Every team member is skilled, kind and focused on giving the patient their full attention. I have been a client for over 50 years starting as a child with Dr. Dave Sandquist. Quality has continued through the generations.”
“Dr. Doug is an amazing dentist. He has an innate artistry in his dentistry. He listens to your concerns and puts you at ease. The office staff is very kind, as well.”
“By far the best dental experience I’ve ever had! Cathy my hygienist is one of the best. She’s very gentle and explained each step of the process clearly, making me feel at ease throughout the appointment. I especially appreciated her detailed instructions on how to improve my brushing technique.”
Founded by David B. Sandquist, DDS.
This has been a family practice in every sense of the word – carried into a second generation since 1998. We build relationships that last decades, and take on the restorative and cosmetic work that requires real skill: replacing missing teeth, full mouth rehabilitation, smile makeovers, and fixing dental disasters.
Our founder, July 2, 1942 – May 16, 2022.
David B. Sandquist opened these doors in 1968 and spent more than five decades building a practice around real, hands-on problem-solving – the kind of care that doesn’t give up on a complicated case. He passed away in 2022, but the standard he set never left the building: get to know the patient first, then find the piece that’s missing.
His son, Dr. Douglas Sandquist, joined the practice in 1998 and carries that same standard forward today.
A look at real patients, real changes – from full mouth rehabilitation to a simple ceramic touch-up. Every one of these stories started the same way theirs did: a conversation about what’s possible.
The ask: Referred over to bond the spaces between her front teeth.
What we found: A comprehensive exam turned up slightly mobile front teeth from previously-treated gum disease, plus a tongue thrust habit driving the gaps.
The plan: A perio consult confirmed things were healthy after treatment, and myofunctional therapy resolved the tongue thrust. From there, Invisalign closed her spaces for good – no bonding needed.
The ask: Years of trying to fix crooked lower teeth. She’d tried clear aligners before, but just wasn’t going to commit to that again – so when a chip broke, she wanted a real fix instead.
The plan: A complete review found a restorative path to exactly what she wanted: a new, straight smile – no aligners, no braces required.
The ask: Worn, sensitive teeth that had started to look bad – and were getting in the way of eating comfortably.
What we found: A comprehensive exam showed years of enamel erosion had worn his teeth down.
The plan: Lithium Silicate crowns restored the lost enamel, bringing back both function and a confident smile.
The ask: Her teeth were turning gray, and every time she tried whitening them, they just came out grayer.
What we found: It wasn’t staining at all – she’d lost enamel from the inside of her teeth, which had started causing sensitivity and trouble eating.
The plan: High-strength ceramic restorations rebuilt the lost enamel, restoring both function and a bright, even smile.
The ask: Years of dental work, some successful and some not, left her needing a new smile – and scared of who to trust.
The plan: A comprehensive exam and a plan built together restored her smile with a mix of ceramic restorations and dental implants.
The ask: Childhood tetracycline staining left his teeth permanently dark – he’d learned to hide his lower teeth behind his lip for years, even after veneers fixed the top.
The plan: Finishing the smile with restorations on the rest of his teeth meant he could finally stop hiding it.
The ask: His teeth were getting noticeably shorter, worn down unevenly by his bite.
The plan: Invisalign corrected the alignment first, then ceramic crowns restored the worn edges.
The ask: She knew something was wrong with her smile – she wanted it broader, more open.
The plan: Orthodontics moved her teeth into the right position, then ceramic veneers completed the smile she’d always wanted.
The ask: She was concerned her teeth were wearing away – and didn’t show any teeth at all when she smiled.
The plan: A comprehensive exam found she’d lost several millimeters of tooth structure from wear. Ceramic restorations on top and composite bonding on the bottom restored her smile and function for the long run.
The ask: She came in asking about whitening – but wasn’t convinced it would be enough on its own.
The plan: A closer look found real tooth wear underneath the discoloration. Ceramic veneers restored both the length and the look she wanted.
The ask: A bad car accident as a young man cost him all the teeth and bone on the upper right side of his jaw.
The plan: After years searching for a surgeon who could rebuild the lost bone, a referral finally made it possible – then implants restored his smile and function for good, and the removable partial denture went in the trash.
The ask: Old crowns were starting to show the dark lines that come with age.
The plan: Replacing them with all-ceramic restorations gave her smile a real boost.
The ask: He wanted to improve his smile but wasn’t sure what was even possible.
The plan: A comprehensive exam mapped out a plan – moving his teeth into the correct position, then restoring his smile with ceramic restorations.
The ask: Years of carbonated, sugary drinks as a teenager had eroded the enamel off his biting edges.
The plan: Once we traced the cause together, he switched drinks and we built a plan to restore his smile.
The ask: Bonding on her two front teeth had gotten dark over the years, and the teeth next to them were crooked.
The plan: Rather than orthodontics, ceramic restorations on the top and bottom front teeth solved both problems at once – and she’s done well for years since.
The ask: Her teeth and gums just weren’t where they were supposed to be.
The plan: Periodontal surgery repositioned the gum line, opening the door to restore a brand new smile – it took a real plan to pull off.
The ask: A chipped tooth got him in the door – and once we asked, he admitted he’d never liked the gap between his front teeth either.
The plan: Ceramic restorations fixed the chip and closed the gap in one visit.
The ask: She wanted her veneers redone – but the real story went back to a childhood accident that damaged her upper lip, which had covered her smile through several surgeries since.
The plan: After coordinating with her plastic surgeon on timing, new ceramic veneers lengthened her teeth – finally giving her the smile she’d dreamed of.
The ask: Old, uneven veneers were wearing down her lower teeth, and four previous extractions had left her upper arch too narrow.
The plan: Arch expansion with an orthodontist, followed by restorative work, rebuilt both her function and her smile.
The ask: He’d just had new crowns on his upper front teeth when we noticed his lower teeth were severely crowded – a real risk for keeping them clean and healthy long-term.
The plan: Invisalign guided his bite and lower teeth into alignment, making it easier for him – and our hygiene team – to keep everything healthy.
The ask: She’d wanted to improve her smile for years, but had started to wonder if she was too old for it.
The plan: With some coaxing from her husband, she went for it – and now she’s smiling from ear to ear.
The ask: Braces left dark triangular gaps at the top of her teeth – and they showed every time she smiled big.
The plan: Since the orthodontic work was already done, composite bonding filled the dark spaces without removing any tooth structure – and she can smile with full confidence now.
The ask: He’d had crowns and bridges done in a foreign country and wasn’t happy with how they looked.
What we found: A comprehensive exam found the real problem ran deeper than looks – none of the crowns actually fit properly, which had already caused gum disease and cost him several back teeth.
The plan: We referred him to a periodontist to treat the gum disease and remove the teeth that couldn’t be saved, then placed dental implants – giving him back a bite that actually works and a smile he’s proud of.
The ask: She’d had a missing eye tooth replaced in a foreign country and wasn’t happy with the dark space that had developed in her smile.
The plan: A comprehensive exam and review found a targeted fix – moving the teeth slightly to improve the space, then composite bonding and a new bridge closed it out. Not every case needs a mouth full of crowns or veneers; sometimes it’s just a few teeth.
The ask: Recently retired and settling into warmer weather, she asked what it would take to fix her smile – as long as it could be done in phases she could budget for.
The plan: After handling the items of immediate need first, we built a plan combining orthodontics and ceramic restorations, phased out over several years to fit her schedule and budget – proof a full smile transformation doesn’t have to happen all at once.
The ask: She came in for a posterior tooth that was causing trouble.
What we found: Once that was under control, a comprehensive exam turned up broken front teeth that told their own story – chipped, uneven, and worth addressing while she was already here.
The plan: We discussed ceramic veneers against composite bonding, and she chose bonding on the front four teeth to restore their shape and length – a smile rejuvenation without removing any tooth structure.
The ask: She had old crowns on her four front teeth and didn’t like the dark lines starting to show.
The plan: Replacing them with all-ceramic crowns restored her smile and blended seamlessly with the rest of her teeth, bringing back her confidence.
The ask: His old crowns had started to develop cracks and craze lines – not urgent, but the kind of thing that can turn into a bigger problem if a piece breaks off.
The plan: After weighing the benefits and risks of leaving them alone, he chose to replace them. The goal wasn’t a new look – it was matching the new crowns so closely to the rest of his smile that you’d never know anything changed, just without the risk of a crack turning into a chip.
The ask: After a hard stretch of years, Derek was ready to start over.
The plan: We were glad to play a small part in helping him get back on his feet – restoring the smile that came with his fresh start.
The ask: J.D. had lived with a poor bite and periodontal disease for close to twenty years, ever since a significant bite change from old dental work – and she’d struggled to find a team she trusted to take on a challenge that size.
The plan: After a comprehensive exam, we worked through her options together with periodontist Dr. Ryan Gifford and lab technician Justin McElroy, and J.D. chose dental implants to support her new smile – pain-free, and back to singing with her sisters.
The ask: Kurt put his own teeth on hold for years while he took care of everyone else.
The plan: His new smile turned him into a new guy.
Individualized care through our uniquely personal approach – from everyday visits to the cases that need real problem-solving.
Restorative and cosmetic, patient-centered dentistry – from esthetic work and jaw and bite problems to clear aligner therapy and myofunctional therapy.
Specializes in full mouth rehabilitation and the complex cases – restorative and esthetic dentistry, treatment for jaw and bite problems, and personalized care built around your plan, pace, and budget.
Read full bio →
A Gold Invisalign provider certified in myofunctional therapy – helping patients with clear aligner treatment, short-term braces, and functional habits affecting oral health.
Read full bio →Award-winning Invisalign to straighten crooked teeth – removable clear aligners with no wires or brackets.
It’s a benefit with a cap – usually somewhere between $1,000 and $2,000 a year. That’s not protection against risk. That’s a coupon.
We aren’t an insurance provider – we don’t participate in any plan’s network. But we do submit your claim for you, and your insurer reimburses you directly. If you have coverage, you still use it here. What we can’t do is promise what they’ll pay: that comes down to your specific policy. If a claim is denied or underpaid, we’ll resubmit it one more time.
Which is really the point of the word coupon. The patient is responsible for payment; the plan reduces what you end up paying. Fees are paid before or at the time of service, so nobody’s treatment sits waiting on a claim to process – the reimbursement finds its way to you afterward.
Dental coverage began in the 1950s as a union benefit, and by the time this practice opened in 1968, a typical plan capped out around $1,000 a year. That was real money then – enough to handle meaningful care. Roughly a third of plans still cap in that same range today, while the cost of dentistry has climbed past it many times over.
Staying out of networks is a deliberate choice – not a knock on the practices that do. A network contract fixes what you can charge for every procedure, well below a practice’s normal fee. That math only resolves one way: to charge less, you have to see more people and do more work in less time. It isn’t a character flaw, it’s arithmetic. We’d rather run hour-long appointments and up to 90 minutes for a new patient exam, and the only way to do that is to have nobody else setting our fees. It also keeps the calendar out of it – when benefits reset every January, there’s a quiet pull to sequence treatment around the plan year instead of around your mouth.
And for the cases that matter most, the cap doesn’t move. Fall and break a front tooth, and an implant and crown might be the right fix – but your plan still pays out to that same $1,000 or so it always has, whether the real cost is $1,000 or $8,000. Insurance was never built to carry real dental work. It just wasn’t designed for it.
Imagine if homeowners insurance worked the same way: your house burns down, and your policy pays out a predetermined $1,000 to $2,000 – but it’ll happily cover a portion of your window cleaning twice a year. That’s dental insurance.
This is the same belief behind everything else here: the right plan is the one built around your case – not the one that maximizes what an insurance company is willing to put on the table.
Read the full explanation: Why We Aren’t an Insurance Provider →
We’re not big on debt, but we understand not everyone feels that way – some people are used to paying over time, or simply prefer to manage their own cash flow that way. That’s exactly what financing through CareCredit or Cherry is for: not something we push, but an option offered to break down a barrier when cost is what’s standing between you and care you need. You can check your pre-approval before your visit, with no obligation to use it.
Larger cases don’t have to happen all at once, either. Treatment can often be phased over months or years – handling what’s urgent first, then working through the rest at a pace that fits your budget. Several of the transformations in our smile gallery were done exactly that way.
On the other end, if you’d rather pay in full upfront, we make that worth your while too – a 5% discount for paying in full before treatment starts, on treatment plans of $1,000 or more. It’s a genuine win-win: we get to put that money to work right away, and you save 5% for paying ahead.
Prefer to prepay your everyday care instead? Our Optimal Dental Health Program bundles a full year of hygiene visits, exams and X-rays at a discount off our regular fees – and members take 10% off most treatment, from whitening to a crown.
Not an insurance provider – but we submit your claim for direct reimbursement to you, and refile once if it comes back denied. Fees are paid before or at the time of service; the plan reduces what you pay.
Prepay a year of hygiene visits, exams and X-rays at a discount off our regular fees – plus 10% off most treatment, from whitening to a crown.
CareCredit or Cherry financing, phased treatment for larger cases, or save 5% by paying in full upfront on plans of $1,000 or more.
Straight answers on the restorative and cosmetic questions patients ask us most.
An implant doesn’t replace your tooth, it replaces the absence of one. What is lost, why patients adapt so well, and what to settle before agreeing to an extraction.
RestorativeWhat it really involves, when a simpler fix is enough, and how we build a treatment plan around your case.
TMJ / TMDHow TMJ/TMD therapy works, the symptoms patients overlook, and what treatment looks like day to day.
Fee-for-ServiceWe stay out of networks, but we file your claim so your insurer reimburses you directly. Here’s the reasoning, and what we offer instead.
A routine dentist appointment for regular dental exams and hygiene visits takes one hour. For new patient exams we schedule 60 to 90 minutes. For specific dental procedures you’ll want to talk to Dr. Sandquist’s team to understand the length of time required for your treatment.
No, we do not pull teeth. During your consultation, if we see that you have teeth that need to be removed we will refer you to a trusted specialist and coordinate to ensure the restoration of your teeth.
Yes, we are a Gold Invisalign provider. Dr. Lee-Mirzayan straightens teeth and corrects mild to moderate bite issues with Invisalign custom-made clear aligners that gradually shift your teeth into place, like traditional braces but without metal wires or brackets.
Full-mouth rehabilitation is a comprehensive dental treatment plan that restores the function, aesthetics, and health of the entire mouth by addressing issues with teeth, gums, and bite alignment – often a combination of crowns, veneers, implants, and periodontal treatments tailored to your specific needs.
Myofunctional therapy is a series of exercises designed to improve the strength, coordination, and function of the tongue, lips, and facial muscles. Dr. Lee-Mirzayan, DDS, is certified in myofunctional therapy and will help you determine whether it’s right for you.
2650 Lake Sahara Dr. Suite 160
Las Vegas, NV 89117
We are located in the Commercial Finance Building – a yellow two-story building on the east side of Lake Sahara. Our entrance is on the east side of the building on the first floor.
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