Our Core Principles of Holistic Dentistry
At our San Jose dental practice, our approach is guided by three key principles that define our biologic dental philosophy. We use biocompatible or bio-inert materials whenever possible, prioritize the safety of our patients, our team, and the environment, and recognize the close connection between oral health and whole-body wellness. These values influence everything we do—from preventative cleanings and exams to advanced restorative care.
What Does Comprehensive Dentistry Involve?
Our holistic care begins with a comprehensive evaluation designed to support both preventative dentistry and long-term wellness. These screenings help us identify risks early and guide personalized care.
We evaluate how oral conditions may be influencing your general health, perform head and neck exams including oral cancer screenings, assess airway health and breathing patterns, analyze your bite for balance and comfort, review existing or needed restorations for biocompatibility, and carefully examine your gums and jawbone for signs of inflammation or disease.
This comprehensive approach allows us to provide proactive general dental care in San Jose while staying true to our holistic philosophy.
Natural Dentistry or Holistic Dentistry?
While the terms “natural” and “holistic” dentistry are often used interchangeably, we prefer “holistic” because it best reflects our comprehensive, whole-body approach. Our care combines modern general dentistry in San Jose—including exams, cleanings, and restorative treatments—with a strong focus on biocompatibility, nutrition, and the body’s natural healing processes.
Healthy Dental Restorations Without Mercury
Top Down Dental is a mercury-free dental office in San Jose committed to using safe, non-toxic materials. We do not place metal amalgam fillings that contain mercury. Instead, we offer durable, natural-looking options such as composite resin and ceramic restorations that align with our biologic standards.
Our holistic protocols are shaped in part by Dr. Nehawandian’s professional memberships in the International Association of Mercury Safe Dentists (IAMSD), the International Academy of Biological Dentistry and Medicine (IABDM), and the International Academy of Oral Medicine and Toxicology (IAOMT). These organizations promote mercury-safe practices and the use of biocompatible materials, and their standards guide our entire team.
Supporting the Body’s Natural Healing
Holistic dentistry supports your body’s ability to heal itself. We encourage healthy saliva production to help remineralize enamel, provide guidance on hydration and nutrient-rich diets, and recommend limiting inflammatory, sugar-heavy foods. We also use ozone therapy to neutralize harmful bacteria and acids, supporting the natural repair of minor tooth decay.
The DNA Appliance for Sleep Apnea
The DNA Appliance is a holistic option for patients with sleep apnea and airway concerns. Rather than simply holding the airway open, this appliance encourages structural changes in the jaw and airway over time, which may help some patients reduce or eliminate reliance on CPAP therapy.
Drug-Free Relaxation with NuCalm
NuCalm is our preferred approach to relaxation dentistry. It uses your body’s natural calming mechanisms to reduce dental anxiety without medication. Patients remain relaxed, clear-headed, and comfortable throughout their visits, making routine care such as cleanings and exams easier and more comfortable.
Understanding the Body-Mouth Connection
Holistic dentistry recognizes that oral health and overall health are deeply connected. Gum disease has been linked to heart disease and diabetes, TMJ disorders can contribute to headaches and neck pain, and stress or chronic illness can affect oral health habits and healing. This interconnected perspective shapes how we evaluate and treat every patient.
Solving Mysterious or Chronic Conditions
Some chronic or unexplained symptoms may be linked to oral health issues such as hidden infections, failing root canals, incompatible dental materials, or TMJ dysfunction. We use advanced tools, including Biolase lasers, to help eliminate infection and support long-term health.
Your Holistic Dental Team in San Jose
Dr. Rana Alan leads our holistic care with a compassionate, integrative approach, supported by Dr. Nancy Nehawandian’s extensive education and involvement in leading biologic dental organizations. Together, our team provides holistic dentistry in San Jose alongside comprehensive general dental care—from preventative cleanings and exams to advanced, biocompatible treatments.
If you’re looking for whole-body dental care rooted in prevention, modern dentistry, and long-term wellness, schedule your consultation at Top Down Dental today by calling (408) 354-5600.









