
A Holistic Approach to Dentistry
Your mouth is a window to your overall health. Modern research shows that oral health affects the rest of your body, from inflammation to heart wellness. That’s why our approach goes beyond treating symptoms—we identify the underlying causes of dental concerns and tailor care to support total well-being. Our team works closely with physicians and other healthcare providers to ensure your treatment complements your overall health.
Our Promise to You
We aim to change lives through comprehensive, high-quality dentistry. Every treatment we provide—from preventive cleanings to complete smile restorations—is designed for comfort, longevity, and beauty. Each patient is seen in a private treatment room, allowing for focused, one-on-one care. We stay at the forefront of dental innovation through continuing education, ensuring you receive the most advanced, evidence-based treatment available.
What Sets Our Los Gatos Dental Office Apart
Experience and Education

Artistic Dentistry and Personalized Care
Beautiful smiles combine art and science. Dr. Nehawandian’s artistic ability to design balanced, natural-looking smiles has earned recognition from peers and patients alike. She listens carefully to your goals and takes full responsibility for every detail—from the shape and shade of your teeth to the way your bite feels—so your smile looks radiant and feels natural.
Trusted Reputation
Our patients travel from across the United States and even from Europe for care they trust. Many come through referrals from friends, physicians, and fellow dentists. Dr. Nehawandian was recognized as a Top Doctor in comprehensive aesthetic dentistry by San Jose Magazine for her integrity and excellence in patient care.
Comfort, Design, and Technology

We use digital X-rays, laser gum therapy, and early cavity detection tools to make treatment precise and minimally invasive. Our preventive dental care services help patients avoid disease and maintain long-term oral health, while our use of biocompatible materials protects the body as a whole.
For patients seeking improved function or aesthetics, we offer Invisalign for discreet orthodontic treatment and advanced dental sleep medicine solutions to help you breathe and rest better. By combining artistry, science, and compassionate care, we create smiles that are as healthy as they are beautiful.
Patient Testimonials
I came into this office with complex and difficult dental problems. Their personal caring and professional approach points the way to solutions. This seems like a haven for those with allergies and sensitivities in our area.
I can’t say enough good things about Dr. Nancy and the entire staff at Top Down Dental. They go above and beyond to make sure you get the best quality care, and it’s always a joyful experience visiting their office. If you live near Los Gatos go see Dr. Nancy!
Top Down Dental has provided EXCELLENT service for all of my dental needs. I love that Nancy is very knowledgeable and practice holistic dentistry. Nancy and all of her staff are wonderful and very professional. I highly recommend Top Down Dental.
Visit Our Dental Office in Los Gatos
From the moment you arrive, you’ll notice how peaceful and different our environment feels. Our goal is to help you feel at ease while receiving advanced dental care that supports your total well-being.
Experience comprehensive care that restores health, enhances beauty, and promotes balance. Call (408) 354-5600 to learn how our San Jose dental office can help you achieve the healthy, confident smile you deserve.
Click on a thumbnail image below to take a virtual tour of our office.















