Top Down Dental

Our holistic approach treats oral health as integral to overall wellness. We use biocompatible materials, mercury-free restorations, and ozone therapy to address systemic connections. Services include comprehensive screenings for airway health, TMJ function, and periodontal disease. Patients benefit from non-toxic, minimally invasive treatments that support the body's natural healing processes while improving oral health.

Custom smile transformations combine aesthetic and functional improvements. We offer porcelain veneers, teeth whitening, and Invisalign to correct discoloration, gaps, and misalignment. Treatments enhance confidence while promoting oral health through durable, natural-looking results tailored to individual facial aesthetics and bite mechanics.

Non-surgical TMJ solutions address pain from misaligned bites or muscle tension. Using neuromuscular diagnostics and custom orthotics, we realign jaw joints for comfort. Patients experience relief from headaches, jaw clicking, and facial pain while improving long-term joint function and bite stability.

Custom oral appliances and DNA appliances treat sleep-disordered breathing by optimizing airway space. These non-invasive solutions reduce snoring and apnea events, improving sleep quality and systemic health. Treatment integrates with myofunctional therapy for lasting airway support and better overall wellness.

Invisalign straightens teeth discreetly using removable, transparent aligners. Digital planning ensures precise tooth movement for improved aesthetics and bite function. Patients enjoy comfort, convenience, and confidence during treatment, with results achieved in 6-18 months depending on case complexity.

We provide mercury-free fillings, ozone therapy, DNA appliances for airway development, and biocompatible restorations to support whole-body health.

Yes, we use neuromuscular diagnostics and custom orthotics to alleviate jaw pain, headaches, and bite imbalances without surgery.

We offer custom oral appliances and myofunctional therapy to improve airway function and reduce sleep-disordered breathing symptoms.

Porcelain veneers, Invisalign, and teeth whitening create smile transformations that enhance aesthetics while maintaining oral health.

We provide urgent care for dental trauma, infections, and severe pain with same-day appointment availability.

We work with most PPO plans and assist patients in maximizing benefits while offering transparent treatment pricing.

Should have sought a second opinion. Very aggressive in diagnosis and treatment - and even more aggressive with a drill. At least I didn't pursue the other 2 crowns that were recommended - those I did get a 2nd (and 3rd) opinion on and they were completely unnecessary. The one I did get placed I've had to spend several thousands of dollars on, including the original placement and getting it fixed with another dentist. The thing that gets me is I didn't need a crown at all in the first place. Great hygienists and office staff, but I would not trust beyond a basic cleaning. Run away, fast.

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!

I had a horrible experience with Nancy. I had a crown put in and I'm now in constant pain. I went to another dentist who found two sections of my neighboring teeth taken off. We compared x-rays prior to the crown placement and after to confirm that in fact my neighboring tooth was damaged. Nancy was so rough during the procedure. She never mentioned that in the process she damaged my other tooth.

I'm now in constant pain. My new dentist was shocked at the work that Nancy did and even pointed out a section where my crown is jagged on the x-rays and doesn't lay flush with my tooth. She said this will likely cause cavities in the future. I am so disappointed that I went to Nancy and will be reporting her to the appropriate licensing boards as I really think Nancy should not be practicing as a dentist.

The office is nice inside with the dim lighting and massage chairs but if you want a knowledgeable dentist that is going to do good work this is not the place. I had several fillings done that ended up having to be replaced by another dentist. The second filling ended up needing a root canal. I've had fillings before but find Nancy to be extremely rough. She just doesn't have a gentle approach. I'd rather do without the massage/spa environment and have a competent dentist do work on my teeth.

Please do yourself a favor and find one of the many excellent dentist in the Bay Area not this place. I'm extremely happy with my new dentist and above all they seem knowledgeable and trustworthy. Avoid Top Down Dental at all costs!

Please please don't go here. Nancy caused me a lot of pain and suffering when the anesthesia shot she gave me I believe hit a nerve. I've been in constant pain since then. I've had numerous trips to the neurologist since then with little relief. She seemed distracted and clumsy when she was working on my teeth. I've paid the ultimate price now because I'm in constant pain. Eating and chewing are unbearable. I wish I would have never went to Nancy. The dental work she has done on my teeth has ruined my life.

Is Nancy a real dentist? She caused me so much extreme pain and suffering. She placed a crown on my tooth that was not placed properly and it needed to be replaced after only 3 months. I was in constant pain after Nancy placed the crown. She seemed distracted when she placed the crown and was too busy watching the show that was playing on the screen then looking at my tooth. I am shocked that she is a licensed dentist. I'd encourage anyone looking for a new dentist to go elsewhere.

Unfortunately I cannot recommend Top Down Dental. The dental hygienist does a fairly good job cleaning but the problems lie in the dentist Nancy. She does not appear current or knowledgeable in her trade. On multiple occasions she recommended outdated procedures and when asked she wasn't aware of the current standard of care. I brought this to the attention of my new dentist who was amazed at some of her recommendations and techniques. Although the office feels fairly new the dentist is not up to date at all in her profession. I would go somewhere else.

I had a total overhaul of my teeth in 2016. All teeth got crowns. It cost me a fortune. Four teeth got root canals. It was a big ordeal that lasted almost a year. I have been taking care of my new crowns as I was told. Stopped smoking as well. One tooth went bad, so I got an implant, which I lost, although the dentist said it was clear to implant. It just fell out at night. I suspect it was because there was nickel involved, and I am highly allergic to it. Well, I was told they could fix it, but it would have cost me another thousand or more.

No warranty. I now lost TWO more teeth, they just broke off. I am now in Germany and cannot sue. I feel betrayed, especially because I was acquainted with the dentist. Now I am not able to eat properly, and with Corona, it is a problem to get proper dentist attention, because I am not vaccinated yet. Thank you, Nancy!

Being going here for years they do a great job its spaced out they make you feel at ease. Love this place

I have to second the review that mentioned BUYER BEWARE! Nancy and her team are terrible. I had a small crack in my tooth and was pushed into getting a crown by Nancy, so she could make more money off of me. She did a terrible job and caused me to need a root canal, not to mention the horrible constant pain. I have three friends that have also had botched procedures by Nancy. In my case, she damaged a nearby tooth because she was sloppy during the procedure and not paying attention.

I have the before and after x-rays to prove it. I truly believe a place with dim lights and message chairs is not where you want to go for quality work. Top Down Dental is nothing but a gloried Message Envy with incompetent staff. If you want a massage and movie go to Top Down Dental but if you want a real dentist who will perform HONEST and quality work choose a different place. She is very overpriced and has the one goal of making money. There are plenty of honest and good dentists out there unfortunately Nancy is not one of them.

I feel like the most blessed person in the world to have found Dr. Nancy and her fabulous staff at Top Down Dental. I've had a lot of traumatic experiences throughout my life with dentists and dental procedures, but the sincere concern and top notch care provided by Dr. Nancy and her team are bar none. I literally feel like I am going to a spa or being treated like royalty when I go in there.

The massaging chairs, ambient music via headphones, heated neck pillows and more are provided for you while you are being worked on. This is so relaxing, healing and really helps ease the pain of having to get any array of dental procedures done. Besides the amazing amenities, Dr. Nancy Nehawandian is one of the most intelligent, in tune, nurturing doctors I've ever met- in any medical profession.

Beyond her many traditional certifications, she offers a holistic approach to provide her patients with the best possible care that is up to date with the times, techniques and technology. She even offers ozone therapy in her treatments! I simply cannot say enough wonderful things about Dr. Nancy and the incredible people she has on her team.

I recently switch to Top Down Dental after my former natural/holistic dentist quit taking my insurance (I was happy with him). I researched extensively to find a Dr. that would be more natural/holistic and not just treat "symptoms" as well as using non-toxic materials. I found Dr. Nancy and have been very impressed with her knowledge, experience but mostly her patient way of explaining treatments and recommendations. The visits are very "gentle" and the experience is "spa like".

Buyer Beware! I went to Dr. Nancy Newandian for several years because I needed a sedation dentist and recently left when my hygenist left. I never much cared for the dentist herself -- she was not warm and friendly. Her exams last 2 minutes -- my last exam consisted of her looking at the xrays and talking about sleep apnea. My first visit she told me I urgently needed full mouth planeing and scaling to protect my teeth and I did that under sedation.

She charged me $7000 which, in my stupidity I did not shop. I found out today that my current sedation dentist, more established and with a better reputation, charges $2000 for that procedure -- 5 years later! I feel taken and cheated.

The team at Top Down Dental make you feel at ease. During college I stopped going to the dentist and I had a real fear of going back. When I came in to this office they helped calm me down and made things really easy. Appreciate all their help

Top Down Dental is awesome, and crazy as it may sound, I look forward to going to my dental cleanings. I've been a patient of Dr Nancy's for nearly 25 years, and appreciate the care and compassion she and her amazing team bring to their work. The place is lovely, sparkling clean, with massage chairs that make the cleaning whiz by. Processing our insurance has always been masterfully handled by Vicki to assure we made the best use of our dental plan's coverage. I highly, highly recommend Top Down Dental!

Top Down Dental is awesome, and crazy as it may sound, I look forward to going to my dental cleanings. I've been a patient of Dr Nancy's for nearly 25 years, and appreciate the care and compassion she and her amazing team bring to their work. The place is lovely, sparkling clean, with massage chairs that make the cleaning whiz by. Processing our insurance has always been masterfully handled by Vicki to assure we made the best use of our dental plan's coverage.

I have been going to Dr. Nancy for the past 5 years. She and her staff go out of their way to make you feel welcome and comfortable while you're there. From the relaxing massage chairs, relaxing lotions, and steamed hand towel infused with lavender oil, this dentist office feels like a spa. I highly recommend going to Dr. Nancy as she is experienced, knowledgeable and really kind. She and her team are the best!

Professional, informative, caring. She really took the time to understand my symptoms in order to analyze the issue; and took time to explain the process.

All the bells and whistles of a modern dentist office. Aggressive push for an expensive treatment plan was off putting. Of the four plus crowns/root canals, all had issues fixed by another dentist. Three crowns came off (two within six months). One of these revealed a botched root canal done at Top Down that resulted in tooth removal. That particular root canal was done twice at Top Down as the first attempt did not clear things out. Apparently, neither did the second. Nice people but workmanship/materials issues make this place an incredibly risky dental option. Go elsewhere.

WHO LOVES THEIR DENTIST?! I do. Never healthier, nor so pain free. I am grateful to have discovered them when I had to find a new dentist years ago and have been blessed with healthy gums ever since! They performed deep cleaning and recommended a treatment that has since literally eliminated sensitivity (!), improved the health of my gums and teeth, and likely my heart as a result. The office staff are as caring as Dr Nancy, herself, and I am treated like family Since relocating, I will be driving to the bay area twice a year for regular visits, as in 55 years I've never found any health practice like this one - one of a kind

I started seeing Dr. Nancy after a recommendation from another fantastic dentist I know (who is now retired) from another state. When I started seeing her, I had multiple problems in my tooth due to an implant badly done. Dr Nancy was able to make me recover from that situation quickly and make recommendations which would make my general oral health much better in the long run. It was a complete 180 turn for me. I completely recommend this place. To top it all, the staff is amazing!

I have been going to Top Down Dental for about twenty years now. They are knowledgable and courteous. Sometimes it feels like they are recommending expensive services. $5000+ for a highly customized mouth guard, etc. They seem a bit over-priced to me in that regard but that just might be my perception. Overall, for quality of service, I would absolutely recommend them.

Dr Nancy and her team are excellent The experience is designed for comfort with optional nucalm for anxiety and massage chairs and headphones. The copayments are addressed upfront and professionally My daughters and I have been satisfied customers for the past 15+ years Highly recommended

Dr. Nehawandian has been my dentist for years and I can't imagine going to any other dental office than Top Down Dental. I typically get nervous before going to the dentist but everyone at this office makes me feel at home. At the office, they have different systems and tools that make you feel relaxed before your treatment. During my procedure, I typically enjoy a movie and use the massage feature on the chair.

The hygienist is very friendly and knowledgeable. She spends lots of time educating me about the importance of healthy teeth and gums. Dr. Nehawandian always explains any necessary procedures. She takes the time to explain my options to me and will answer any questions that I have. I love how everyone who works there takes the time to get to know me and my health personally and is extremely friendly every time I visit.

Be careful. I came here in lots of pain due to a neck injury. Someone recommended I get checked for TMJ. After about an hour of tests and images that did not seem to go smoothly, the doctor was convinced I had TMJ and we started the path to get a mouthpiece made. The mouthpiece came in, and it didn't feel right. I had to go back in multiple times, where the piece was sawed down, but still never seemed to fit. Basically, this threw my bite WAY off, caused more pain, nightly clenching, and has resulted in lots of money, time. and energy put into having to get my bite readjusted by an osteopath.

Please be careful before agreeing to any treatment, especially if you are in a vulnerable state like I was. I am still paying off an unfair bill, and was left with more pain and frustration than when I came in. I do think they mean well, but should stick to regular dentistry. Beware.

Barry E. First class technical skill along with heartfelt personal care. Dr. Nehawandian and her exceptional staff combine these two attributes to become simply the best!

I am so happy with the quality of work done on my teeth, the impeccable aesthetics and superior customer service. If you have the Groupon, come here! I did and I received an awesome cleaning, got to know Jenna (ask for her, she is so kind and amazing), and received great health advice for the quality of my teeth. I'd come here again, and fully recommend you receiving top-notch service at Enhancing Smiles.

Nancy has been my dentist for as long as I can remember! The office is great for kids and adults both; it has a calm, relaxed environment that has never made me feel anxious about going in for an appointment. The staff is all so friendly, and I always leave feeling great! Jenna is awesome

I have been going to Dr. Nancy for over 18 years now and I have never thought about changing dentists. She is honest about your oral health and is truly committed to best serving your needs. Her skills are unique in that she is able to find a solution to any problem you may have. Unlike other dentists, she tries to solve the root of the problem instead of masking the pain.

I love Dr Nancy and her staff Vicky and Faye are the best all of her staff are accomdating and empathetic to my every request. I give the 10 Stars

Dr Nehawandian and all of the staff are great. Our boys love that they get to watch movies during treatments, and the chairs have a massage option. We always feel welcome and pampered here. They get my highest recommendations.

I started seeing Dr. Nancy after a recommendation from another fantastic dentist I know (who is now retired) from another state. When I started seeing her, I had multiple problems in my tooth due to an implant badly done. Dr Nancy was able to make me recover from that situation quickly and make recommendations which would make my general oral health much better in the long run. It was a complete 180 turn for me. I completely recommend this place. To top it all, the staff is amazing!

I was looking for a Biologic dentist to remove my root canal effectively and safely. Top Down Dental made the experience very pain free, by implementing many different relaxation techniques, which I completely appreciated. I was very happy with the work they did!

5 Stars! The Staff and Dr. Nancy Nehawandian of Top Down Dental are the nicest and most professional dental team in the Bay. As soon as you walk into their waiting room, you are greeted, and can hang out in their comfortable waiting room. During uncomfortable procedures, Dr Nancy allows you to watch a movie or use the NuCalm system, where you take minerals and listen to relaxing music. Between teeth cleaning (6 months), Dr. Nancy finds ways to improve & innovate her business.

One of my favorite new features is text reminders of when my next appointment will be, so helpful! I highly recommend Top Down Dental to anyone in search of the right dentist. Dr Nancy is a great dentist and all her employees are warm and friendly!