The PearlFection Blog
Some dental problems can be resolved with relatively mild treatments, like deep cleanings, cavity fillings, or taking oral medications to control infections. But other problems may need to be addressed surgically. Know the signs that you may need oral surgery to resolve your dental concern. At PearlFection Dentistry in Frederick and Urbana, MD, our general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan, and Dr. Nikta Pashai, periodontist Dr. Ashley Seals, prosthodontist Dr. Amos Chi, oral surgeon Dr. Brian Chang, endodontist Dr. Pratik Patel and orthodontist Dr. Stephen Tigani can perform a wide range of procedures to help restore your teeth, gums, and jaw to good health.
What Is Oral Surgery?
Oral surgery is often a secondary measure that’s used when more conservative treatments, aren’t working and can be used to resolve a disease, abnormality, or cosmetic problem. Patients must be put under sedation for oral procedures, ranging from local anesthesia to intravenous sedation.
Signs You May Need Oral Surgery
An oral surgery procedure may be needed in the event of a dental emergency, to resolve general pain involving the jaw bone or joints, or for a cosmetic solution. These are some signs that you may need to see your Frederick and Urbana, MD, dentist for oral surgery:
- Your wisdom teeth are emerging and have become painfully impacted.
- You have a missing tooth that you want replaced with a dental implant.
- You have advanced gum disease and need periodontal surgery to remove diseased tissue or bone grafting.
- There’s an unexplained growth or sore that doesn’t heal that needs to be biopsied.
- You’ve been experiencing jaw pain and clicking from TMJ disorder.
Oral Surgery Aftercare
Like any surgical procedure, after oral surgery, you must closely follow care instructions from your dentist to ensure proper healing. Here are some tips to follow:
- Minor bleeding after oral surgery is normal; keep firm pressure on the area with gauze.
- Use an ice pack to reduce swelling.
- Take the anti-inflammatory pain medication prescribed by your dentist to reduce pain, along with any antibiotics.
Come in for an Exam
Many dental problems can be resolved with non-invasive or preventative procedures, but in some cases, oral surgery is the best course of action. Call (301) 831-8303 for the Urbana office, and (301) 663-5550 for the Frederick location to find out how we can restore and preserve your oral health. Serving the Hagerstown and Germantown, MD, areas, and also conveniently located only 45 minutes away from Washington DC and Baltimore.
Say goodbye to cosmetic imperfections in your smile once and for all.
Do you wish you had that picture-perfect smile but discolorations, gaps between teeth and other aesthetic problems are making it impossible? If so, our dental team here at Pearlfection Dentistry in Frederick, Maryland and Urbana, Maryland, can help you get the smile of your dreams with the help of a simple restoration known as dental veneers.
What are dental veneers?
Veneers are very thin tooth-colored shells that are bonded to the front of your teeth to completely change the appearance of your smile. Whether you are dealing with misaligned, crooked, chipped or discolored teeth, getting dental veneers can hide all of these issues to give you a straighter, symmetrical and whiter smile. Veneers are great for hiding moderate-to-severe cosmetic flaws.
How are veneers placed?
Before veneers can be placed, our Frederick and Urbana, MD, dentist will need to make sure that you are right for veneers. You’ll go through a thorough consultation where we will examine your teeth and gums, and run x-rays to make sure there are no problems that could affect your treatment. Once we have determined that veneers are right for you, we will also take impressions of your teeth and prep your teeth.
Tooth preparation with veneers is very minimal, and only requires us to shave about 0.5mm of enamel from the front of each tooth. Since there are no nerves lying within the outside layers of the tooth, this process is painless and can usually be performed without needing local anesthesia.
Once the teeth are prepped our dentist will decide whether or not temporary veneers are necessary while waiting for your permanent ones to be made. Once the permanent veneers are created you will come back to our office so that we can remove the temporaries and bond the dental veneers to the front of your teeth.
Our general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan, and Dr. Nikta Pashai, periodontist Dr. Ashley Seals, prosthodontist Dr. Amos Chi, oral surgeon Dr. Brian Chang, endodontist Dr. Pratik Patel and orthodontist Dr. Stephen Tigani are dedicated to providing patients with beautiful, healthy smiles with the help of cosmetic dentistry. Pearlfection Dentistry is located in Frederick, Maryland and Urbana, Maryland and servicing Hagerstown and Germantown, MD, our office is just 45 minutes away from Washington, DC and Baltimore. Call us today to schedule a cosmetic consultation.
PearlFection Dentistry’s orthodontist and orthodontic team have made the decision to expand their operating hours to accommodate patient demand in the Frederick Maryland and Urbana Maryland areas. With this decision, PearlFection Dentistry will now have orthodontic hours on Mondays, Tuesdays, Wednesdays and Fridays.
PearlFction’s General Manager Stewart Stringer attributes the growing demand for orthodontic services at the practice to several factors. Firstly, he believes that having one of the best orthodontists in the region, who also is very personable, is a huge asset, chairside manner matters to patients. Second, having multiple disciplines including Orthodontics, Oral Surgery, Periodontics, Prosthodontics, Endodontics and General Dentistry, under one roof makes patient care easier for both patient and the dental team the third reason we believe we are busy and need to expand hours, is the fact that we have such a strong reputation in the community. In fact, we are the number one reviewed dentist in Maryland. The 4th and finally thing that makes PearlFection different is our attention to exceptional customer service. Those attributes have helped propel PearlFection Orthodontics to be one of the leading providers of orthodontic services in the Frederick and Urbana Maryland areas
Dr Tigani and his orthodontic team offer both traditional braces, Invisalign and Tigani clear aligners. The choice of which orthodontic technology to use will be a decision made between the doctor and the patient, every situation is different. Some patients what clear aligners, others want blue brackets, others want the braces not to show or to show as little as possible. There is no one size fits all.
We will see new orthodontic patients, we will see orthodontic patients who are referred by other general dentists, we will see complicated orthodontic cases, we will see easy orthodontic cases, we will see orthodontic cases where all the patient needs is a retainer and we will see orthodontic patients who simply need a night guard. We will see adults who need orthodontic care and we will children who need orthodontic care. We will see orthodontic patents who only need a little movement in the front teeth to close a diastema who will be in braces for 2 months and we will see orthodontic patients who have teeth coming out of the middle of their pallet who will be in braces for years. Bottom line, we will see any orthodontic patient and we will give them exception dental and orthodontic care.
The really unique thing about PearlFection Dentistry, is that we don’t need a patient to go outside our practice to have specialty procedures done before beginning orthodontic treatment. Sometimes an orthodontist will need a few teeth pulled. No problem, Dr Brian Chang, PearlFection’s Oral Surgeon, will step in to do the extractions. Sometimes an orthodontic patient will need to have a periodontal issue cleared up before orthodontic treatment or braces can be started. No problem, Dr Ashley Seals, PearlFection’s periodontist will do an evaluation and perform any periodontal surgery, deep cleaning or some other periodontal procedure so orthodontic treatment can begin. Sometimes orthodontic work requires both orthodontic work and prosthodontic or dentures or partials dentures or even implant supported dentures. When this happens, it can be incredibly complicated coordinating between so many specialists. Not to fear, at PearlFection Dentistry, you will have one primary doctor who will act as the quarterback and coordinate all the specialists so you get the treatment and outcome you deserve without things getting lost in the cracks.
We encourage anyone in the Maryland, Virginia and DC area to come in for a free orthodontic consultation. Our orthodontist, Dr Tigani, will spend some time with you and your family, he will work with you to determine the best orthodontic appliances for you, and then work toward a cost effective solution that gets you to the outcome you want. We even offer orthodontic financing if necessary. When it comes to orthodontic treatment in Frederick Maryland or Urbana Maryland, we strive for excellent outcomes and happy people with straight, healthy teeth, we stand behind out work and we can be your dentist for life. Call us for an appointment in Frederick Maryland 301-663-5550 or Urbana Maryland 301-831-8303
www.pearlfectiondentistry.com – Frederick Dental Practice
www.pearlfectionurbana.com - Urbana Dental Practice
Dealing with a toothache? You might need a root canal.
A root canal is one of the most commonly performed dental treatments and yet, it has gotten such a bad reputation over the years. Of course, despite all the negative hype and myths surrounding this treatment it actually offers major benefits for a smile that is dealing with an infected or damaged tooth. Our dentists at Pearlfection Dentistry in Frederick, Maryland and Urbana, Maryland could even end up saving your tooth in the long run thanks to performing this simple endodontic procedure.
A root canal is a procedure done by a dentist where the tooth is opened up and a small flexible rotary tool is inserted into the tooth's canal(s), where the nerve and pump reside. The rotary action of the tool, along with other techniques will remove the pump and nerve. This will result in a tooth with no more sensitivity.
We recommend root canals being done by a trained endodontist with advanced training in root canal therapy. Every dentist licensed in Maryland is allowed to do root canals but when selecting a dentist to perform the procedure, ask them how many root canals they do weekly and if they are a board certified or board eligible endodontist. If they say they are a board certified or board eligible endodontist, you will know they have advanced training in endodontic treatment. Also, make sure your root canal is performed by a doctor with an endoscope. This is an advanced piece of equipment with a microscope that allows the doctor to very accurately see inside the tooth and make sure he or she has cleaned out all the canals. Many teeth have multiple canals. Missing one of the canals will likely mean you will need the root canal to be done again at additional expense.
Here are some warning signs that you might need a root canal:
A toothache is certainly not something you want to ignore as it’s trying to tell you something is wrong with your tooth. A toothache doesn’t just happen without a reason. While a toothache can have many causes, including a cavity, abscess and infection, a cracked tooth or nerve damage, it could also mean that the inside of your tooth is inflamed or infected and requires root canal treatment. Some folks are simply more prone to toothaches than others.
If you notice that your tooth suddenly hurts when you put pressure on it or is particularly sensitive to hot or cold foods or drinks this is something that you should have your Frederick and Urbana, MD dentist examine as soon as possible. The sooner dental treatment is done, usually the better and less expensive the outcome. Waiting usually only makes things worth and can infect other teeth and cause irreversible bone loss, which further limits a patient's options for treatment.
If tooth sensitivity suddenly appears and doesn’t go away this might be a sign of damaged tooth roots, which will not heal on its own. To prevent the damage from spreading to other areas of the tooth our endodontist will need to go in and remove the bacteria and infection.
Discoloration in the Tooth
While yellowing teeth often happen as we get older or as a result of the food and drinks we consume, sometimes if the tooth suddenly appears darker this could mean that there is nerve damage. When damage occurs to the nerve and blood vessel (the dental pulp), we will need to open up the tooth to remove the affected pulp. An endodontist can perform both internal bleaching and external bleaching of the tooth, during the root canal procedure.
Even though gum inflammation is usually synonymous with gum disease, if you only notice swollen gums around the problem tooth or a pimple-like growth develops on the gums then you need to get your tooth evaluated right away by a dentist.
If you are experiencing a toothache it’s important that you seek dental care as soon as possible. Luckily, our general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan, and Dr. Nikta Pashai, periodontist Dr. Ashley Seals, prosthodontist Dr. Amos Chi, oral surgeon Dr. Brian Chang, endodontist Dr. Pratik Patel and orthodontist Dr. Stephen Tigani at Pearlfection Dentistry in Frederick and Urbana, MD, can handle your dental problem, no matter whether it’s an emergency or not. Call us today. The office is located 45 minutes from Washington, DC, and 45 minutes from Baltimore. We are the number one reviewed dentist in the state of Maryland and all your work can be performed in one location. We also do IV sedation for those patients who are extra nervous. And if you want the entire aesthetic treatment, our doctors will even do Botox treatment at your 6 month cleanings.
Does Gum Disease Increase Risk of Heart Disease?
Recently, dentists, researchers, and doctors have begun to examine the link between oral health and overall health. One area they’ve focused on is the relationship between gum disease and heart disease.
Gum disease, also called periodontal disease, is inflammation of the gums. It can lead to the breakdown of the gums, teeth, and bone tissues that hold them in place. Heart disease refers to a broad set of conditions, including heart attack and stroke. Heart disease is caused by the narrowing or blockage of important blood vessels.
Keep reading to learn more about how these two conditions are related and what you can do to reduce your risk.
Gum diseases and other diseases
Gum disease and oral health may be related to other conditions, as well, such as:
- Osteoporosis: Some research suggests that lower bone density leads to bone loss in the jaw. This may eventually lead to tooth loss due to a weaker underlying bone.
- Respiratory disease: Bacteria in the mouth can move to the lungs and cause infections such as pneumonia. This is more common for people with periodontal disease.
- Cancer: Some research suggests that gum disease may increase the risk of certain forms of cancer, such as kidney, pancreatic, and blood cancers. More research is needed in this area.
- Rheumatoid arthritis (RA): Early research shows an association between RA and gum disease. However, more research is needed.
There are also some conditions that may increase your risk of developing gum disease. Research indicates that people with diabetes are at increased risk of developing gum disease. This is likely due to increased inflammation and greater risk of infections in general. The risk lowers if you manage your diabetes.
Pregnant women are also at increased risk of gum disease due to hormonal changes and increased blood flow.
Symptoms and diagnosis
Gum disease symptoms
Regular visits to your dentist can help with early diagnosis and treatment of gum disease. You should also let your dentist know if you have any symptoms of gum disease, including:
- persistent bad breath
- swollen, red gums
- tender gums that bleed easily
- pain with chewing
- highly sensitive teeth
- receding gums or sunken teeth
- loose teeth or changes in bite
Just because you have one or several of these symptoms doesn’t mean you have gum disease. A dentist will make a formal diagnosis by reviewing the severity and duration of your symptoms. They will also evaluate your teeth and review your medical history. During your visit, they may:
- measure your gums with a tiny ruler to check pocket depth
- evaluate your gums for signs of inflammation and plaque buildup
- take X-rays of underlying jaw bone to look for bone loss
- examine sensitive teeth for receding gums
Heart disease symptoms
If your doctor suspects heart disease, they will make a diagnosis based on your medical history, the severity and duration of your symptoms, and the results of a physical examination. The following are common symptoms of heart disease:
- chest pain, also known as angina, resulting from your heart not getting enough oxygen
- arrhythmia, also known as irregular heart beat
- shortness of breath
- unexpected fatigue
- dizziness and lightheadedness
- sudden confusion or impaired thinking
- excess buildup of fluid, known as edema
- heart attack
The doctor will also evaluate your blood and examine risk factors for heart disease, such as family history and body weight. They can confirm a diagnosis with the following tests:
- EKG to record the heart’s electrical activity
- chest X-ray to visualize the heart and other organs in the chest
- blood tests to evaluate levels of proteins, lipids, and glucose
- stress test to document abnormal changes in your heart beat and breathing during exercise
What’s the outlook?
Research shows some connection between gum disease and heart disease. Bacteria buildup and inflammation in the oral cavity eventually leads to narrowing and blockage of blood vessels. However, more research is needed to better understand the connection.
There are many healthy lifestyle habits you can use to maintain good oral hygiene and reduce your risk of gum and heart diseases.
- Brush your teeth and tongue at least twice per day with a fluoride toothpaste. Ask your dentist to demonstrate the correct technique for brushing.
- Floss between your teeth and gums at least once per day.
- Use mouthwash regularly.
- Only use teeth cleaning products that have the American Dentist Association’s seal of approval.
- Refrain from smoking or chewing tobacco.
- Drink water that contains fluoride.
- Eat a diet high in vegetables, high-fiber foods, low-sugar fruits, and vegetable-based proteins.
- Maintain healthy levels of blood sugar, especially if you have diabetes.
- See a dentist twice per year for regular cleanings and checkups.
- Be mindful of early signs of gum disease, such as bleeding gums and constant bad breath. Let your dentist know if you have any of these symptoms.
Q&A: Gum disease
Can I reverse the damage caused by gum disease?
Yes, gum disease can still be reversed if you are in the gingivitis stage of the disease, but not from the advanced form of the disease. To improve your gum health, brush your teeth twice per day with a fluoride toothpaste. Floss regularly using string floss, a water flosser, or special dental brushes and picks. Use mouth rinses, and have regular dental checkups and professional cleanings.
If gum disease is in the more advanced form, called periodontitis, you can take measures to control it. Scaling and root planning (deep cleaning), reduction of gum pockets (surgical treatment), and medication may be necessary.
- Christine Frank, DDS
Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.
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