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About Us

About Us

Holistic dentistry with your whole well-being in mind — thoughtful care that considers your mouth, jaw, airway, and sleep alongside your health history.

Our practice

A Healthy Life StartsWith a Healthy Mouth.

Top Down Dental is a holistic dental practice in Los Gatos serving San Jose and the Bay Area, built around the belief that oral health and overall health are deeply connected. Dr. Rana Alan and Dr. Nancy Nehawandian take the time to understand each patient as a whole person — not just a set of teeth — before recommending any treatment.

From your very first visit, our team focuses on clear communication, biocompatible materials, and conservative treatment planning, so you always understand your options and feel comfortable with your care.

Depending on your concerns, we may also evaluate airway and breathing patterns, sleep symptoms, and TMJ or jaw joint function. These areas help us understand how your mouth fits into your broader wellness picture and when collaboration with another health professional may be appropriate.

Dr. Nancy Nehawandian and Dr. Rana Alan at Top Down Dental

A Whole-Person Approach to Dentistry

Our doctors pursue continuing education well beyond license requirements, and bring that training to every appointment — from periodontal health and TMJ function to airway and sleep concerns. We believe prevention and patient education, not just repair, are the foundation of lasting oral health.

A conversation about clenching, jaw tension, snoring, or restless sleep may help guide your dental evaluation. Our TMJ management and airway and sleep solutions reflect this attention to oral function as well as teeth and gums. We explain what the findings mean for your dental care and coordinate with other health providers when medical assessment is needed.

Our biological dentistry approach also considers material choices, prevention, and preserving healthy tooth structure. We favor conservative, minimally invasive approaches whenever they can effectively address the problem, with a plan shaped around your needs and preferences.

A Calm, Comfortable Experience

We know dental visits are not always easy, especially for patients managing anxiety or past dental trauma. Our team is experienced in creating a calm, low-stress environment — supported by comfort amenities and time to discuss what helps you feel at ease.

Learn more about Dr. Rana Alan and Dr. Nancy Nehawandian, explore the technology behind our diagnostics, or schedule a visit to experience the difference for yourself.

Patient Reviews

See why
our patientslove us

Thoughtful material choices, prevention, and attention to breathing and jaw health guide our holistic approach. Your questions and priorities help shape the conversation. Hear from patients who have shared their experience with Top Down Dental.

Very good
— Martine L.
Best dentist I've ever been to. Very efficient and professional with the most advanced dentistry tools I've seen.
— H S.
Top Down Dental, using the most advanced and well-equipped dental equipment, expertise in the best possible way, expert staff, and a very hygienic and clean environment.
— Azin A.
Great office with knowledge professionals. Had my teeth cleaned, x-ray and exam today. The hygienist was gentle and the chair massage is an extra touch 👌
— Monica H.
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