The PearlFection Blog

By PearlFection Dentistry
August 03, 2018
Category: Uncategorized
Tags: Untagged

Wisdom teeth usually arrive during our adolescence, and just like teenagers, they can sometimes cause a little trouble!

Our doctors at PearlFection Dentistry in Frederick Maryland and Urbana Maryland, see a lot of teeth and we answer a lot of questions about when is it recommended to get wisdom teeth removed.

Some folks go through their entire life with wisdom teeth in place and have no trouble, but wisdom teeth often create issues later in life so it is usually recommended that they be extracted and certainly they should be extracted if they begin creating dental pain or get infected. Also, it is usually easier to extract wisdom teeth, and patients experience less complications, if they have the procedure done earlier in their life. Wisdom teeth often get harder to extract later in life.

Complications are commonplace with wisdom teeth; symptoms include failure to fully erupt through the gum bed, the teeth becoming impacted or cause other teeth to shift out of alignment. Wisdom teeth can actually damage other teeth and cause major discomfort. In some cases, orthodontic treatment can be required to correct shifted teeth.

To avoid pain, infections and teeth alignment issues your dentist may recommend a wisdom teeth removal procedure called an extraction or third molar extraction. This procedure is best performed by a board certified oral surgeon with advanced training is the surgical removal of teeth and the skills required to deal with complications. Remember, all dentists in the State of Maryland are licensed to remove wisdom teeth the day they graduate from dental school. They have probably done some wisdom teeth extractions under the supervision of a faculty member at school. Oral surgeons, in addition to having done dental school have gone on to additional years of training to learn how to extract the most difficult teeth and have likely extracted thousands of wisdom teeth. Ask yourself, who would you rather extract your wisdom teeth?

Not everyone will require surgical removal of wisdom teeth. If you suspect your wisdom teeth are causing you pain or you suspect you may have a wisdom tooth infection you should set up an appointment for a consultation at Pearlfection Dentistry in Frederick Maryland or Urbana, Maryland. One of our oral surgeons can meet with you, look at the xrays and determine a good course of action.

Many folks get their wisdom teeth extracted in their late teens or early 20s. It’s wise to address issues with your wisdom teeth early when your gums are young and healthy and will heal quickly. If you wait, it is likely that you will notice problems and pain when your body is run down due to some life event, like a cold or stress.

- Learn more about Wisdom Teeth

We start teething in our infancy and revisit the process in our late teens or early adult life, when our so called ‘wisdom” teeth emerge.

What are Wisdom Teeth?

Wisdom teeth are an additional set of molars that generally arrive between the ages of 17-21 and are generally considered to be ‘vestigial’ or excess to requirement from an evolutionary perspective. The anthropological view is that the third molars were used to provide the extra grinding power our ancestors needed to break down predominantly raw, unprocessed food but this doesn’t explain why they arrive so long after childhood. Put simply, oral hygiene is a relatively modern concept. Our ancestors were likely to lose teeth at an earlier age, so the arrival of an additional set of molars later in life may have evolved to assist survival. Not everyone gets their wisdom teeth. In some people, only two will emerge, in others four. When wisdom teeth do erupt, they are located at the far back of the mandible (lower) and maxilla (upper) jaw. Modern man has a much smaller jaw than our ancestors and this means there may not be enough room in the mouth to accommodate the wisdom teeth. They may fail to erupt or only partially erupt, which is sometimes referred to as having ‘impacted’ molars. Partial eruption can leave the soft tissue around the tooth exposed to bacterial build up, crowding or movement of other teeth, the formation of cysts and more rarely, tumours.

Symptoms of Adult Teething

In the first instance, teething often proves as painful for teens as it does for tots. The size of the wisdom teeth and the lack of room in the mouth mean it can sometimes take a long time for the teeth to come through. Inflammation of the gums at the back of the jaw can make it painful to chew. There may be increased sensitivity to hot or cold and pressure on surrounding teeth can refer pain into other parts of the face and jaw, resulting in ear ache, headache and a sore throat.

Treating Wisdom Teeth

As wisdom teeth are excess to requirement and their presence can cause complications, it is common for dentists to recommend the removal of wisdom teeth.

How much will Wisdom Teeth Removal Cost?

The cost for having wisdom teeth removed can vary between different areas and dental practitioners. But it can get expensive, if teeth are impacted and need special procedures to come out. Sometimes medical insurance will pay for wisdom teeth extraction and sometimes dental insurance will pay. Make sure you ask your insurance carrier if they pay for wisdom teeth extractions and under what conditions.

When making enquiries with a dentist, it is important to find out more information than simply the cost. Find out their approach, what kind of x-rays they’ll take, and their approach to numbing the pain of the removal and if they offer sedation dentistry. Are they a board certified oral surgeon or just a general dentist? How many extractions do they do weekly? And of course, read on line reviews.

Post-Care – Wisdom Teeth Removal

After wisdom teeth removal, you will need to take some care to ensure you recover smoothly. Here are some of the do’s and don’ts of wisdom teeth recovery, whether you have one, two, three or all four teeth removed.

Immediately following your surgery you will need to take special care not to disturb the surgical area. You should ensure you rest so your body can have a chance to heal. Follow any doctor recommendations.

Food and drink

Make sure you drink plenty of water after surgery, although it is best to avoid using a straw as this can dislodge the blood clot that would have formed in the socket. Although it is essential to remain hydrated, try to stick to water for the first 24 hours and avoid drinking alcoholic, caffeinated, carbonated or hot drinks. It is important to eat after surgery, although you will need to stick to soft foods for at least the first 24 hours. Once you feel you can tolerate them, you can move on to semisoft foods. Hard, chewy, hot or spicy foods should be avoided as they can irritate the wound or become stuck in the socket.

Smoking and spitting

You should avoid smoking as this can slow healing and increase the chances of developing dry socket, which is a painful infection of the extraction socket. It is essential to avoid this in the first 24 hours at least – and longer, if possible. Sucking on lollies or straws and spitting can also remove the blood clot essential to a good recovery, so you should take care to avoid these actions, too.

Cleaning your teeth

Follow your doctor's advise here. But generally you will need to avoid cleaning your teeth at least for the first 24 hours. Don’t brush, rinse or spit. After the first 24 hours are over, you can gently rinse your mouth with warm salt water every two hours or so and after meals. Your salt water mix can be made by mixing half a teaspoon of salt into a cup of lukewarm water. Your surgeon may give you a special mouthwash or paste.

Pain management

Your oral surgeon or dentist may provide you with a prescription for pain medication, which can include over-the-counter pain medication such as ibuprofen. It is important you follow your dentist’s instructions about its use and never abuse pain medication.


You may be given a course of antibiotics in order to prevent the development of an infection after wisdom teeth removal. It is essential to take these when required and to finish the entire course. Your dentist will be able to provide you with more information.

Like any medical procedure or surgery there are risks. Before proceeding with a surgical or invasive procedure, you should seek a second opinion from an appropriately qualified health practitioner.

Visit Pearlfection Dentistry in Frederick Maryland or Urbana Maryland or call today and find out if your wisdom teeth need to be extracted

By PearlFection Dentistry
August 02, 2018
Category: Orthodontics

Find out whether traditional braces are the right approach for a straighter smile.

Dealing with crooked, misaligned teeth? Not only can a crooked smile affect your appearance but also it can negatively impact your oral braceshealth by increasing your chances for decay, excessive wear, and fracturing. Luckily, Our general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan and Dr. Amadeus Lopez, periodontist Dr. Ashley Seals, Prosthodontist Dr. Vincent Auth, oral surgeon Dr. Brian Chang, endodontist Dr. Pratik Patel and orthodontist Dr. Steven Tigani in Frederick and Urbana, MD, are here to tell you when traditional braces are the best option for getting the smile you want.

Traditional braces are still the most popular way to straighten teeth in children, teens, and even adults. Traditional braces involve a series of brackets that are bonded to the front of your teeth and connected through wires that apply pressure and force to move teeth and even jaws into proper alignment. If you have more complicated tooth movements (e.g. severe crowding) or if you need to realign the jaws, traditional braces are the only way to do this.

Of course, you may want to choose a more discreet option even if you need traditional braces. In this case, ceramic braces might be a better approach. Instead of stainless steel brackets and wires, our Frederick orthodontist will apply tooth-colored ceramic brackets to the front of your teeth; however, in most cases, a metal wire will still need to be used to link the brackets to one another.

The Pros and Cons of Metal Braces

Modern-day metal braces have come a long way over the decades and now the metal used is more lightweight and compact; however, they are still visible when you smile, which can make some people (particularly adults) more self-conscious about wearing braces. Of course, metal braces are the most affordable orthodontic treatment option, making it ideal for those on a budget, and it may even take less time to achieve results than with other orthodontic options.

The Pros and Cons of Ceramic Braces

As you might imagine, having tooth-colored braces means that your treatment will be less visible. Of course, it’s also up to you to clean and maintain them and to stay away from stain-causing foods or drinks that could leave behind visible stains on your brackets. Furthermore, ceramic braces are often more expensive than regular metal braces.

Clear Braces

Clear aligners are a great option for those who want to straighten their smile but don't like the idea of wearing metal braces. These include Invisalign, Tigani Aligners, and other clear orthodontic aligners. These aligners can be removed so you can brush and floss as normal, and they are easy to clean.

Do you want to find out if traditional metal or ceramic braces are right for you? If you are considering getting orthodontic treatment then call Pearlfection Dentistry in Frederick and Urbana, MD, today to schedule your no-risk consultation. We are conveniently located just 20 minutes from Hagerstownown, 45 mins from Baltimore and 45 minutes from Washington, DC.

Pediatric dental care is often a concern for parents. Most parents want to know at what age they should start bringing their kids in for dental care and for parents with older kids, they wonder when should they switch from a pediatric dentist to an adult dentist. Like most things in life the answer is "it depends". The doctors who treat pediatric patients at PearlFection Dentistry in Frederick Maryland and Urbana Maryland usually recommend starting kids off kind of early for their first dental experience, usually between ages of 1 and 3. This gets them used to the sounds and sites of a dental practice and we usually try to make it a positive experience. That way, they have a positive impression of the dentist early in life and it transfers through to adulthood. If kids are a bit anxious our child friendly dentists can use some sort of sedation, often nitrous oxide (laughing gas) to put the kids at ease, but we always prefer to not use drugs if we don't need to.

Our doctors in Frederick Maryland and Urbana Maryland will perform everything from child teeth cleanings to root canals and crown and teeth extractions to orthodontics on kids. The other advantage of coming to a dental practice that sees both kids and adults is there is no reason to make a choice when to move from a pediatric dentist to an adult dentist. Kids can stay at a pediatric dentist up to and even beyond age 18, but most parents and kids opt to see an adult dentist soon after their adult teeth are in, but again it's a personal choice. If your kids like the pediatic dentist, there is no huge reason to force them to see an adult dentist too soon. But again, at practices like PearlFection Dentistry you don't have to choose because we see kids and adults in both our Frederick and Urbana locations. We see both adults and children for orthodontic braces and Invisalign with one of the best and most experienced orthodontists in the States of Maryland, Virginia and the District of Columbia, Dr Stephen Tigani.

So if you need pediatric dental care for your young children or your teens, or need to talk about orthodontic, endodontic, or oral surgery, including wisdom teeth extractions, or need emergency dental care for kids, call a dentist with the expertise and reputation your kids deserve. Call PearlFection Dentistry in Frederick Maryland or Urbana Maryland, the most reviewed dentist in the State of Maryland.

By PearlFection Dentistry
July 25, 2018
Category: Oral Health
Tags: Dental Emergency  

Don’t ignore a true dental emergency when it happens to emergency

Think you are dealing with a dental emergency? If so, you may be wondering, “Now what?” Our Frederick, MD, general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer and Dr. Amadeus Lopez, periodontist Dr. Ashley Seals, oral surgeon Dr. Brian Chang, endodontist Dr. Pratik Patel and orthodontist Dr. Steven Tigani are here to help you pinpoint a true dental emergency so you know what steps to take next.

Dental Emergencies

So what constitutes a dental emergency? Here are problems that can arise that need immediate attention from your Frederick, MD, dentist:

  • A toothache
  • A cracked or fractured tooth
  • A knocked-out or partially dislodged tooth
  • A severely bitten tongue or lip
  • Broken dental work or braces

If you or a family member is dealing with any of the problems above, it’s time to get immediate dental care.

Stay Calm and Seek Dental Care

While we know it can be difficult to stay calm when you are dealing with a dental emergency it’s important not to freak out. Here are some pointers to follow to help you know what to do when a dental emergency happens to you or a loved one:

  1. Call your dentist right away and let them know what’s going on. They will let you know whether you need to come in right away. This is the first and most important step you need to take.
  2. If you are dealing with pain or swelling, you can take an over-the-counter pain reliever such as ibuprofen to at least temporarily stave off discomfort until you get into our office. Never rub aspirin or any pain reliever directly on your gums.
  3. If your tooth has been knocked out or cracked, collect the tooth (or pieces of the tooth). If the tooth is fully intact rinse it with lukewarm water (handle the tooth by the crown only; never the roots) and then carefully try to place it back in the socket. If the tooth won’t go back in the socket hold the tooth between your cheeks and your gums and head to our office immediately. Cracked pieces of a tooth can be placed into a protective container.
  4. If there is bleeding, apply a clean cloth to the area and apply pressure for several minutes. If the bleeding gets worse or doesn’t stop in 15 minutes then you may need to go to your nearest emergency room.
  5. If there is facial swelling, take a pain reliever or apply a hot or cold compress to your face for 10-15 minutes at a time.

If you are looking for emergency dental care in Frederick, MD, then look no further than Pearlfection Dentistry. We are proud to provide comprehensive dental services to the Hagerstown and Germantown, MD, areas, and we are only 45 minutes from Washington, DC, and Baltimore. If you have a dental emergency call us right away.

By PearlFection Dentistry
July 25, 2018
Category: Oral Health
Tags: snoring   sleep apnea  

Don’t let another night of poor sleep affect your quality of life.snoring, sleep apnea

Dealing with chronic and loud snoring is one of the main complaints among partners. If you or a loved one’s snoring is keeping everyone up at night, it’s important that you turn to a sleep specialist to find out if sleep apnea could be the reason for your snoring. Even if sleep apnea isn’t the cause, snoring can disrupt sleep and lead to daytime fatigue and a host of potentially serious and chronic health problems such as heart attacks, high blood pressure and stroke.

So, how can our Urbana, MD, dental team help? While it might seem rather odd to go to a dentist to treat your sleep apnea or snoring symptoms it’s actually not as odd as you might think. After all, there is a connection between your symptoms and your mouth. For example, in those with obstructive sleep apnea (the most common type of sleep apnea) the tissues in the back of the throat, or the tongue itself, end up blocking the airways throughout the night, affecting how much oxygen your brain and body are getting each and every night.

To prevent these obstructions from happening, our dental team will provide you with an oral appliance. Many people with sleep apnea will receive CPAP therapy to treat their condition. This is a standard treatment option, but it’s not the only treatment option. In fact, if your condition is mild you may not even need to wear the CPAP mask at all. You could get the treatment and results you need with our simple oral appliance. Instead of putting a mask over your nose and mouth each night you will pop this custom-made dental device over your upper and lower teeth.

An oral appliance looks similar to a mouthguard; however, it can work in one of two ways: It can either reposition the jaws forward to prevent the tissue in the back of the throat from collapsing at night or it can suppress the tongue so the tongue doesn’t block the airways while you sleep. This treatment has helped many patients get better quality sleep while eliminating snoring and sleep apnea symptoms.

Pearlfection Dentistry in Urbana, MD, is ready to help you get the quality sleep you finally deserve. If you are dealing with sleep apnea or chronic snoring and are ready to find out if oral appliance therapy is right for you, give our office a call today!

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