Top Down Dental
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Top Down Dental
At Top Down Dental, we strongly believe that a dentist should focus on oral-systemic health. Your mouth is the entrance to your body. By design, everything in the mouth has a pathway into your body. A healthy mouth establishes a firm foundation for your overall health, while disease in the mouth undermines your health from all sides.

Simply call (408) 354-5600 to book your next appointment with Dr. Nehawandian to discuss your oral health. Our holistic dentist will recommend the necessary treatments to optimize your oral and overall health. Enjoy your healthy body, mouth, and life, and maintain results with proper at-home oral care.
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Dr. Nancy Nehawandian has a simple philosophy; focus on the patient, and work with a caring commitment to excellence. Her dental office team says they have a second philosophy; treat everyone the way they want to be treated. These two philosophies have meshed to create an exceptional dental office experience at Topdown Dental in San Jose/Los Gatos.
I am proud to be part of a team that is so dedicated to our patients overall health. I truly value the relationships we build with our patients, and enjoy helping our patients achieve and enhance their dental health. I love greeting our new patients and helping them feel comfortable with our practice.
Dr. Nehawandian's focus is always on ensuring the patient's health, and she has the education to ensure she is fully prepared to handle all your dental needs from basic prevention to complex cases. Whether your teeth are missing, broken, cracked, or chipped, we offer the restorative dentistry treatments you need to restore your teeth back to strength, durability, and beauty.
Dr. Nancy Nehawandian has a simple philosophy at her comprehensive aesthetic dental practice; focus on the patient and work with a caring commitment to excellence. Her team says the office has a second philosophy; treat everyone the way they want to be treated. Those two philosophies have meshed to create an exceptional dental experience at Top Down Dental in Los Gatos.
Our office is stocked with of state-of-the-art technology, Fully-loaded, as they say in the automotive industry, Top Down Dental in Los Gatos has all the technology you need for comfortable, safe, effective dental treatments. Using traditional cavity detection methods such as visual inspection, x-rays and tactile inspection, we can only detect cavities once they are big enough to see or feel.
Reviews (18)
Katelyn H.
Katelyn H.
Nov 12, 2021
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I have no idea how anyone could have had a horrible experience with Dr. Nehawandian based on my experience.

Background - I've been seeing a functional medicine doctor for chronic gut, fatigue and hormonal issues so looking for a holistic/biological dentist was at the top of my list since the mouth is a crucial part to the gut. When I first visited Top Down Dental they were incredibly thorough with their examination and I decided to do a bacterial test to get more tangible results. She recommended that I do a deep cleaning/laser treatment because based on her findings, I have the beginnings
Drake V.
Drake V.
Sep 21, 2021
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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
Carolina M.
Carolina M.
May 17, 2021
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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
Chris A.
Chris A.
Aug 06, 2020
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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
Susan F.
Susan F.
Oct 02, 2019
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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
Brian H.
Brian H.
Apr 10, 2019
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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
Melissa T.
Melissa T.
Jan 09, 2019
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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.
Cynthia R.
Cynthia R.
Mar 09, 2018
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I went in on my first visit for a cleaning and was given expensive recommendations. I was also told that I had "good insurance" and the staff seemed very excited about that. I recently had a baby and had not had my teeth cleaned in about a year. I was simply wanting a basic cleaning that's all. Nancy and her staff pressured me into getting a crown over a filling I had, something I'll regret for the rest of my life. In addition when they did my cleaning they made me come back over 2 days, not convenient for a new mom and not necessary. It turns out this was done just to maximize
Ivan A.
Ivan A.
Feb 14, 2018
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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.
Elika H.
Elika H.
Dec 22, 2017
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I have been going to Top Down Dental since I was a child, and after my wonderful experiences I will continue to do so as I enter the threshold of adulthood.

The experience is relaxing, and catered to the patient.

1. Parking is never an issue in the spacious lot in front of the office.

2. Entering the office, you walk into the clean and modern waiting room and settle into a large armchair. The amazing Vicki is at the front desk, greeting you with a smile. There is coffee and tea, juices in the fridge, and usually some type of cookie for your snacking enjoyment. Usually the wait isn't
Julie K.
Julie K.
Oct 25, 2017
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After my experience with Top Down Dental, I realized I will not select a dentist based on Yelp reviews. Dr Nancy is so aggressive with her dental treatment recommendations that one starts to question whether she has the patient's best interest in mind.

She suggested I replace my filling with a porcelain crown and then get a deep cleaning using lasers (together both would cost almost $4000). My biggest regret is that I actually went ahead with the porcelain crown. To explain, after Dr. Nancy recommended that my sister replace something like five of her fillings and crowns, my sister sought
Shelly M.
Shelly M.
Jul 21, 2016
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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.
Anne G.
Anne G.
Apr 20, 2016
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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
Niloufar N.
Niloufar N.
Nov 28, 2015
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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
Laura B.
Laura B.
Mar 04, 2015
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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
Jason D.
Jason D.
Apr 05, 2014
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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!
Jackie A.
Jackie A.
May 01, 2013
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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.
Maja S.
Maja S.
Sep 01, 2012
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Love Dr. Nancy and the entire team.
Who would have thought that you can look forward to going to the dentist?!

I started to come here about 2 years ago because I had terrible TMJ, no dentist that wanted to treat it or was willing to even acknowledge what I have and no advice I felt I could trust.
After much online research I found Dr. Nancy. First she took pictures of my posture, then of my mouth and ran numerous tests. Then I got braces and the TMJ is much much better. Treatment is not complete yet, but I can feel the improvement and feel like it has been a success already.

I can only recommend