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Top Down Dental

Holistic Dentistry and general care in Los Gatos

Closed
(408) 477-1205WebsiteUpdated Aug 28, 2026

About Top Down Dental

Top Down Dental provides dental care on Blossom Hill Road in Los Gatos, California. Holistic, or biological, dentistry applies standard dental diagnosis and treatment within an approach that emphasises material choice and conservative treatment, considering oral health as connected to the body more broadly rather than treating the mouth in isolation.

Left untreated, small dental problems tend not to stay small. A minor cavity that would have been a straightforward filling can progress to needing root canal treatment and a crown, and early gum inflammation that would have reversed with a good cleaning can progress toward bone loss around the teeth. Catching things early is generally the difference in both effort and cost.

Continuity matters in dental care — seeing the same practice over time means your history, X-rays, and any patterns in your oral health are already on file, rather than starting from scratch at each visit. That familiarity is part of what a regular dental home offers beyond any single appointment.

Dental anxiety is common, and most practices are used to working with nervous patients — through clear explanations of what is about to happen, a slower pace where needed, and sedation options for patients who want them. Avoiding the dentist out of anxiety tends to make eventual treatment more involved, not less.

Children benefit from starting dental visits early, generally by their first birthday or within six months of the first tooth coming through, mainly so they become familiar with the setting before any treatment is actually needed. Establishing that routine early tends to make ongoing checkups far less stressful for both child and parent.

Payment and insurance arrangements vary by practice and by treatment, so it is worth asking directly what is covered and what options exist for anything that is not, rather than assuming either way. Getting that clarified before treatment starts avoids surprises once it is underway. This page has the practice's contact details and full service list. Get in touch through it to ask questions or book a visit.

Patients looking for holistic dentistry on Blossom Hill Road in Los Gatos, California can consider Top Down Dental, which lists it among its treatments. The practice is open Monday through Thursday. Full service details and contact options are available on this page.

Clinic Details

Best Known For

Dental Implants, Invisalign, Porcelain Veneers, Emergency Dentistry

Business Hours

Monday
8:30 AM5:30 PM
Tuesday
8:30 AM5:30 PM
Wednesday
7:30 AM4:30 PM
Thursday
8:30 AM5:30 PM
FridayClosed
Saturday(Today)Closed
SundayClosed

Frequently Asked Questions

Where is Top Down Dental located in Los Gatos?
Top Down Dental is on Blossom Hill Road in Los Gatos, California (95032).
What days is Top Down Dental open?
Top Down Dental is open Monday through Thursday. Contact the practice through this page to confirm current appointment times before travelling.
What services does Top Down Dental offer?
Listed services at Top Down Dental include Holistic Dentistry. The full list is shown on this page.
Do holistic dentists use fillings without mercury?
Practices describing themselves this way typically favour tooth-coloured composite and ceramic materials over amalgam. If material choice is your reason for choosing a practice, it is worth confirming directly what they use.
What is holistic dentistry?
It is an approach that considers oral health in the context of overall health and tends to emphasise material choices and conservative treatment. The underlying clinical standards for diagnosing and treating dental disease remain the same.
How can I look after my teeth between appointments?
Brushing twice a day with fluoride toothpaste and cleaning between the teeth daily covers most of it. Limiting how often sugary food and drink appear through the day matters more than the total amount consumed.

Location

Services Offered

Dental CrownsDental ImplantsEmergency DentistryInvisalignVeneersDenturesHolistic Dentistry

Reviews

65 reviews

Smyleee Rating reflects verified profile signals, reviews, and overall care quality.

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Recent Reviews

M
M***2 months ago

Very good

L
L***4 months ago

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".

B
B***6 months ago
H
H***1 year ago

I've had a wonderful experience at Top Down Dental! The staff was warm, welcoming, and incredibly professional. The office is clean, modern, and very well organized, which made me feel comfortable right away. Everyone—from the doctors to the assistants—was fantastic: friendly, skilled, and always made sure I was at ease. What really stood out to me was how genuinely they care about their patients—not just treating teeth, but taking the time to answer questions and provide personalized care. Scheduling was easy, and I never had to wait long. Special thanks to Dr. Nancy Nehawandian, Dr. Alan, and dear Faye for their exceptional care and kindness. If you’re looking for a dental office that’s professional, caring, and efficient, I highly recommend Top Down Dental!

H
H***1 year ago

Best dentist I've ever been to. Very efficient and professional with the most advanced dentistry tools I've seen.

G
G***2 years ago

I recently found Top Down Dental. I am so glad that I did. They are world-class and remarkable people. The work and service they provided was exemplary. I admire their technical and people skills. They can make going to the dentist a pleasant experience. I seldom do reviews, but I am pleased to recommend Top Down Dental.

S
S***2 years ago

Very impressed with Top Down. Dr Allen & Faye were excellent. Had a full examination & comprehensive treatment plan determined and subsequent crown. My experience was pleasant, efficient & professional. Well deserved 5 stars!

k
k***3 years ago

I continue to be impressed with my care at top down dental. I have had nothing but great experiences. Dr. Nancy Nehawandian has been very thorough and thoughtful about my tx plan. I have never felt so confident and happy with my dental care. I look forward to my appointments and appreciate the compassion from the entire team!

M
M***7 years ago

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!

Reviews are aggregated from public sources.

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