The PearlFection Blog

The Maryland Sedation Dentistry and Surgical Center will provide a universal option for sedation dentistry in the State of Maryland, with all dental procedures and sedation levels fully supported under one roof.


By: Pearlfection Dentistry and Maryland Sedation Dentistry and Surgical Center


FREDERICK, Md.June 27, 2022 - We are excited to announce that the construction of the new Maryland Sedation Dentistry and Surgical Center (MSD&SC) at 60 Thomas Johnson Drive Suite 2 in Frederick, Maryland has commenced with the drum beat of concrete saws and jackhammers preparing the site for dental and anesthesia plumbing, equipment and operating rooms. Upon completion in late 2022, the center will establish a convenient and cost-effective option for every dentist in the state of Maryland to now be considered a “sedation dentist”. Dentists can begin the process of getting credentialed to use the facility immediately.  No advanced sedation license will be required by dentists using this facility, because this facility will be accredited by AAAHC and staffed by board certified anesthesiologist and will be licensed as an outpatient surgical center.   All Maryland licensed dentists can now provide general anesthesia and IV Sedation to their patients in an accredited surgical center, 100% dedicated to dentists and dental procedures.   The center will provide outpatient dental sedation and anesthesia services to children and adults via an expertly staffed and fully equipped Category 1 certified facility.


Most dental professionals in conventional office settings are qualified to use only local anesthetics and inhalation sedation or “anxiolysis” techniques. Moreover, in the State of Maryland certified anesthesiologists are only permitted to render their services in Category 1 certified dental facilities or when the dentist has an advanced anesthesia license themselves, which are extremely rare. Historically, this has limited the options for procedures requiring IV sedation or general anesthesia and making it hard for patients who require sedation to obtain treatment they may need. "Almost no one can render patients unconscious in their dental office," says MSD&SC General Manager Stewart Stringer. "This leaves hospitals and general surgery centers as the remaining options, but they are reluctant to take on dental cases. They just don’t want to waste operating room time on dental procedures."  This reluctance comes down to prioritization and revenue, with heart surgery, knee surgeries, eye surgeries and other high revenue surgical procedures given precedence by surgical centers and hospitals. At the same time, the infrequency of dental care performed in hospital settings can leave many dentists unfamiliar with systems and practices. The Maryland Sedation Dentistry and Surgical Center establishes a centralized, Category 1 hub to fill this void for dentists and patients throughout the state.  We will welcome all dentists to bring their own patients and bill those patients out of their own office, or patients can call the center directly and we will provide one of our affiliated top-notch dentists to address the need.  The phone number to call to inquire about services or for dentists to begin the rapid credentialing process is (240) 673-3283 – (240) 6-SEDATE. 


Sedation encompasses multiple levels, beginning with minimal sedation techniques that render a patient in a relaxed state, such as nitrous oxide (laughing gas) or oral sedation medications like Valium or Halcion. Minor sedation is often used to calm the nerves of anxious patients receiving treatments like fillings and cosmetic contouring. Intravenous (IV) sedation is utilized during more invasive procedures and places the patient in a depressed state of consciousness, sometime referred to as “Twilight” although they may still be responsive to verbal queues. This type of sedation may take hours to fully wear off, leaving the patient unable to drive or perform other basic tasks. General anesthesia is the highest level of sedation, with the patient rendered fully unconscious and unable to breathe on their own. This is usually reserved for the most invasive surgical procedures and usually done in a hospital or accredited Ambulatory Surgical Center.  The Maryland Sedation Dentistry and Surgical Center will be equipped and staffed to perform all levels of sedation, specializing in General Anesthesia and IV Sedation.


Extractions (including wisdom teeth), implant surgery, and reconstructive jaw/mouth surgery are among the procedures typically accompanied by IV Sedation and in some situations general anesthesia as administered by a certified anesthesiologist or by the oral surgeon. With the number of people receiving dental implants increasing by 500,000 each year, the need for these services continues to grow. In some cases, general anesthesia is also prescribed for highly anxious patients or uncooperative children or special need patients. General Anesthesia and IV sedation are rarely used for restorative and endodontic procedures such as root canals but they are now options at this facility. Patients must be closely monitored throughout any sedation treatment.  The beauty of the MSD&SC is that any procedure, from a simple cleaning to the most complicated full maxillofacial reconstruction surgeries and full mouth extractions and implant support denture “All on 4” cases can be done under general anesthesia or IV Sedation, giving doctors much more latitude in the procedures and patients they can treat.  The staff anesthesiologists at the MSD&SC will be supported by a full cadre of specialists, including oral surgeons, periodontists, prosthodontists, endodontists, pediatric dental specialists, and general dentists. This means that if a dentist wants to bring their patients to the MDSD&SC to do the restorative work but doesn’t feel comfortable doing a complicated 3rd Molar extraction or a tricky root canal, the coordinators at the facility could arrange for a team approach, whereby the general dentist would do their work and then the specialists would step in and do their work.  In this type of team approach, the patient would only need to be sedated once, lowering costs and making it more convenient for the patient and the doctors.  “We will be the only facility in the State of Maryland, with a dedicated team of dentists and dental specialists and anesthesiologists where a patient can go and get all their dental needs taken care under one roof supported by a team of every dental specialty.   Basically, what we are building is a dental anesthesia hospital to serve the State of Maryland and surrounding region” said Stewart Stringer, General Manager of the Maryland Sedation Dentistry and Surgical Center.


The innovative patient care model established for the center consists of two options: The first is a direct referral mode, whereby patients contact the center directly for an appointment and are aligned with a team of in-house doctors. MSD&SC dentists and specialists will complete the treatment plan and dentistry while a staff anesthesiologist will perform all necessary sedation services. A second option will allow patients to utilize the center through their existing dentist and utilize only the anesthesiology services. This option is a win-win for patients who prefer the familiarity of their current provider and dentists seeking a convenient anesthesiology solution while billing for their services out of their own practices. In these instances, the center will bill for facility fees and sedation services only the dentist will bill for only dental procedures performed. The MSD&SC will open its doors to all licensed dental professionals in the State of Maryland.

Upon completion, the MSD&SC will include two fully accredited operating rooms plus four procedure rooms. Each will be fully equipped for general anesthesia, IV Sedation and nitrous oxide sedation dentistry. A state-of-the-art surgical sterilization center will underpin the operation and a 6 bed recovery area will handle pre and post op prep and recovery. The center will also provide comfortable consultation and waiting room areas to optimize the patient experience. Thousands of patients put off necessary dental care for any number of reasons. The existence of the Maryland Sedation Dentistry and Surgical Center will reduce worry and stress for both doctors and patients. The Medicare/Medicaid approved center will accept most traditional dental insurance plans and flexible financing terms will be offered.  “Our goal is to make sedation dentistry services an affordable and convenient option for anyone who prefers to not be awake during dental procedures,” said Stringer.

The complexities associated with sedation dentistry have long been recognized by the dental community. As these issues rose to the forefront, the American Dental Society of Anesthesiology (ADSA) was founded in 1953 with a motto of “science conquers all suffering”. The ADSA provides a forum for dentists and dental schools in the U.S. and Canada committed to robust anesthesiology standards and practices. Despite the progress made over the ensuing decades, the challenges of providing a safe and convenient setting for sedation dentistry have persisted. The trailblazing MSD&SC now combines science with colocation and collaboration to reduce suffering and anxiety for dental patients across the state and region.


Contact the MSD&SC: This unprecedented opportunity has created a wellspring of interest in advance of the official opening. Prospective patients are encouraged to contact the center and learn more about the available options or schedule an advance appointment. The free credentialing process for interested doctors is also underway. Dental professionals can contact the center to kickstart this process or to simply discover more about how these innovative sedation dentistry services can benefit their practice.

Stewart Stringer

 240-6-SEDATE or 240-673-3283 

Dr Badakhshan, one of our 4 General and Cosmetic Dentist is offering 90-minute combined Zoom Whitening and Botox sessions for a limited time in the Summer of 2022.

In these 90-minute sessions, Dr B will administer custom Zoom teeth whitening and at the same time a full 50 units of injectable Botox wrinkle reduction therapy. 

Normally these procedures are $1400 but for a limited time and when done together, we are offering both procedures for $1100.

Treat yourself, a friend, a significant other, or a spouse, to a little pampering.  Everyone likes to look their best.  Start the summer off with whiter teeth and younger looking skin.  You deserve it!

If you would like to claim this offer, please click to request a free consultation and mention the Botox and Zoom offer.  Our team will schedule you for a 15-minute consultation.  Dr B will discuss your options and if it’s something you would like to proceed with, we will schedule you for the 90-minute program.

Request an Appointment

Read more about Botox and PearlFection Dentistry in Frederick and Urbana Maryland 

By PearlFection Dentistry
June 03, 2022
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A root canal procedure isn’t quite as scary as it sounds. Especially with a skilled and experienced endodontist on your side.

Root canals are tiny passages inside the teeth that extend downward to the roots and contain blood vessels, nerves, and other tissue (pulp). These passages become important for dental treatment when damaged or diseased pulp is removed. Root canal therapy is one of several interior dental treatments commonly performed by an Endodontist.

What is an Endodontist?

Like many other dental terms, the word “endodontic” finds its origins in ancient Greek language. The word “endo” meaning inside, is combined with the word “odont”, meaning tooth.

Endodontists specialize in treating tooth pain, infections, and other diseases related to the interior or “pulp” of the tooth. Since successful endodontic treatment can often prevent tooth extraction, the American Association of Endodontists (AAE) describes the profession as the “tooth saving” specialists of dentistry.

Emergency Dentists

Injury or disease involving the pulp can irritate the nerves and cause severe pain. For this reason, an endodontist might be called upon as an emergency dentist. Endodontists are experts at administering medications including topical numbing treatments that ease tooth pain and make patients feel more comfortable.

Endodontists use specialized surgical tools and materials such as drills, files, plugs, and dental dams along with X-ray equipment, special microscopes, and digital radiographs to view the interior of the tooth.

PearlFection Dentistry is fortunate to have an experienced, board-certified endodontist as a valued member of a Frederick, MD team. Dr. Pratik Patel is a graduate of George Washington University and SUNY at Buffalo School of Dental Medicine, where he received his D.D.S. He obtained his Certificate in Endodontics from Columbia University in New York City.

What is a Root Canal?

When root canal treatment is performed, a small hole is drilled in the outer tooth surface, giving the endodontist an access point to the inner chamber from which all injured or infected pulp material can be removed. The chamber and root canals are then thoroughly cleaned and filled with an elastic material. The drilled hole is sealed to prevent recontamination. A crown may eventually be placed to protect the natural tooth.

Root canal treatment is usually performed in stages, so two or three office visits might be required. Modern dental tools and procedures have made root canal therapy much less invasive for patients, with a high rate of success in saving the affected tooth.

When do I need a root canal?

Persistent tooth pain can be a sign that progressive tooth decay, a tooth abscess caused by bacteria inside the tooth or gums, or a crack in the tooth’s surface has formed. Other symptoms that might indicate a root canal is necessary and dental treatment should be sought right away include:

  • Tooth sensitivity to temperature (hot or cold)
  • Loose tooth/teeth
  • Swollen jaw or gums

The dentists, endodontist, and other dental specialists at PearlFection Dentistry are adept at determining the cause of tooth pain and prescribing the correct course of treatment. A complete team of oral surgeons, periodontists, general and cosmetic dentists, prosthodontists, orthodontists, and pediatric dentists are available to assist Dr. Patel and the general dentists with diagnosis and treatment when dental emergencies occur.

Root canal vs tooth extraction

A root canal is sometimes confused with tooth extraction, but they are very different procedures. Root canal therapy allows the natural tooth to be retained by removing the diseased pulp within it. Although a crown may be required to fully restore the tooth, the root, bone structure, and alignment of surrounding teeth is preserved.

In some cases, an injury, tooth abscess, or tooth infection is so severe that the tooth cannot be saved and must be extracted. Using special dental appliances, an endodontist or oral surgeon will carefully loosen and remove the tooth from its socket. Since the resulting gap cannot be left indefinitely, a restorative dental implant or bridge is usually needed.

What else can Endodontists do?

Tooth infection caused by bacteria is one of the common reasons patients will require the unique skills of an endodontist. These specialists are also adept at treating many tooth injuries caused by accidents, sports, or other mishaps. With the prompt treatment of an injured or dislodged tooth and the surrounding tissues, an emergency dentist can often stabilize the injured area and replace the tooth in the socket.

Other valuable procedures performed by endodontists include:

  • Apicoectomy: A type of endodontic microsurgery used to remove infected tissue at the tip of the root that cannot be accessed through the root canal.
  • Pulpotomy: Similar to root canal therapy, a pulpotomy is used to treat and remove infected tissue within the pulp of the crown, usually caused by tooth decay. Since the pulp in the root canal is left intact, the tooth is still able to grow.
  • Retreatment: Occasionally, the symptoms that led to the original procedure will return, making root canal retreatment necessary. This could be due to a new tooth trauma or a new infection forming within the small passages of the root canals.

Learn more about Endodontic Treatment

All dentists undergo training in endodontic therapy, but only 3% pursue it as their specialty. The education, training, and board certification processes completed by Dr. Patel and other endodontists make this unique vocation among the most challenging, valuable, and rewarding in the dental field.

PearlFection Dentistry offers the very best options for root canal treatment and other endodontic procedures. Backed by a complete team of specialists under one roof, the diagnosis, treatment, and restorative options for children and adults are second to none.

PearlFection Dentistry continually strives to help patients to improve their knowledge as they learn more about emergency dental care, endodontic treatment, oral hygiene, and other important topics. Contact us at (301) 663-5550 to set up a consultation. We will be happy to answer any questions that you have.

By PearlFection Dentistry
May 06, 2022
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What is a Periodontist?

The gums are an important yet frequently overlooked part of the human anatomy.

Also known as the gingiva, this pink, fleshy tissue surrounds the teeth and covers the jawbone. The gums hold teeth securely in place while acting as a protective barrier and shock absorber. Most people don’t realize that the gums can also become an entry point for bacteria, leading to serious medical issues like pneumonia, bronchitis, and heart disease.

PearlFection Dentistry in Frederick, MD and Urbana, MD recognizes the importance of the gums and other tooth-supporting tissues to maintaining healthy smiles and overall health, with highly trained specialists on staff to diagnose and treat these critical issues. These specialists are known as Periodontists.

What is a Periodontist?

Periodontists are dentists who specialize in the prevention, diagnosis, and treatment of periodontal disease (gum disease), as well as the placement of dental implants. Periodontics is one of nine specialty areas recognized by the American Dental Association (ADA).

The word periodontal originated from the Greek words “peri”, meaning around, and “odon”, meaning tooth. With this definition in mind, periodontists are adept at diagnosing and treating conditions related to the gums as well as the jawbone, ligaments, and other tissues that support the teeth.

What does a Periodontist do?

Top periodontists, including Dr. Sharma and Dr. Pasieta of PearlFection Dentistry, favor a proactive approach that begins with prevention and non-surgical treatments and extends to cutting-edge restorations and surgical procedures if and when they are necessary.

Recognizing the Symptoms

Common signs of early-stage periodontal disease (Gingivitis) might be observed by a general dentist or dental hygienist during teeth cleaning. These symptoms include swollen or bleeding gums, gaps or “pockets” forming between the gum edges and teeth, gum sores, halitosis (bad breath), and unusual sensitivity to hot and/or cold liquids.

Customizing a Treatment Plan with your Periodontist

General dentists receive the training needed to recognize gum disease and treat less serious periodontal cases, but the focused education and training of a periodontist gives them a broader set of diagnostic tools and treatment options.

Once a patient has been referred to a periodontist, they will usually undergo a detailed periodontal exam. A treatment plan will be developed to control or eliminate the symptoms and stop infections from progressing into more severe periodontitis. The periodontist might also request a biopsy to test any suspicious gum sores or lesions.

Some of the many treatments and surgical procedures commonly performed by periodontists include:

  • Scaling and Root Planing – Deep teeth cleaning (scaling) with advanced dental tools is used to remove all plaque and tartar from above and below the gum line. Rough areas of the roots are then cleaned and smoothed out (planed) so that they will reattach to the teeth more easily. 
  • Pocket Reduction Surgery – Also known as flap reduction, this minor gum surgery is performed to reduce the size of bacteria-trapping pockets that have formed between the teeth and gums due to the impact of periodontal disease on the supporting tissue and bone.
  • Crown lengthening – This form of restorative gum surgery reshapes the gum tissue to expose more of the tooth surface and improve the appearance. This process is also used to avail more of the natural tooth for bonding when a crown is installed over it.
  • Frenectomy – The skills and experience of Dr. Sharma and Dr. Pasieta are utilized to perform many types of soft tissue restoration. This includes frenectomy procedures to repair the connecting tissues between the lips, tongue, and gums.

Periodontists and Dental Implants

Periodontists are trained to perform delicate surgical procedures on the jawbone and other tooth-supporting anatomy. This expertise serves them well in the placement of dental implants.

  • Dental implants typically consist of a screw-like, metal (titanium) post that is secured to the jawbone. An abutment segment attached to the implant body is used to permanently install a porcelain crown.
  • Implant crowns are strong and realistic prosthetics that form the visible portion of the tooth replacement. Crowns can also be used to cover and protect cracked natural teeth. Implant crowns are made by special dental labs based on a cast of the patent’s existing teeth.
  • Implant supported dentures are an appliance method where a series of implants is used to permanently fix complete dentures to the jawbone. Unlike removable dentures that rest on the gums, implant supported dentures provide greater convenience along with a more natural look and feel

Oral surgeons are also well-versed in the placement of dental implants. The seating of prosthetic implant crowns might benefit from the expertise of a prosthodontist. With all these valuable specialties under one roof, PearlFection Dentistry fosters a smooth and successful dental implant process with a high standard of patient satisfaction.

Becoming a Periodontist

Periodontists must complete their undergraduate (Bachelors) degree, followed by four years of dental school. From there, they will typically spend three more years in training as a periodontal resident.

During residency, the periodontist-in-training will master dozens of complex surgical procedures and treatments while studying to absorb the latest scientific and practical knowledge. It is no surprise that precision, attention to detail, and curiosity are among the personality traits found in many successful periodontists.

As board certified or board eligible specialists with a wealth of training, knowledge, and experience, Dr. Sharma and Dr. Pasieta combine an unwavering commitment to their craft with a singular dedication to the health and satisfaction of their patients. 

Choosing the Right Periodontist

Many of us establish long-term partnerships with our general dentist. They can also become our trusted advisors when we need to choose a specialist. Direct access to top periodontists who put the health and comfort of their patients first can take some of the stress and worry out of this difficult decision.

With over 47% of adults over 30 in the U.S. showing signs of gum disease, a dental office with all specialties (including periodontists) available is a wise and convenient option. The services offered by PearlFection Dentistry range from deep teeth cleaning, whitening, and orthodontics to the placement of complex implant supported dentures.

If you have concerns about the health of your teeth or gums, don't hesitate! The dentists and specialists at PearlFection Dentistry in Frederick Maryland and Urbana Maryland are here to help. Call us at (301) 663-5550 to set up a consultation. We will be happy to answer any questions that you have.

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