The PearlFection Blog

Posts for category: Dental Procedures

By PearlFection Dentistry
October 12, 2021
Category: Dental Procedures
Tags: Dental Emergency  

It’s always possible for accidents to happen, they are a part of life after all. If something does happen and causes a dental emergency, it’s important that you understand what to do and don’t panic. Knowing what to do in a dental emergency can mean the difference between repairing a tooth and losing a tooth completely. Your dentist at Pearlfection Dentistry in Frederick, MD, can help you understand what to do in a dental emergency.

What to do in a Dental Emergency

A dental emergency can be scary, but if you talk to your dentist in Frederick, MD, beforehand about what to do, you can be prepared and save your smile. If you’ve been playing and accidentally get hit in the face and lose a tooth, the first thing that you should do is assess the situation. If the tooth has fallen out completely, gently rinse any of the dirt off in warm water and be sure to keep the nerves on the end of the tooth protected while rinsing.

Once the tooth is rinsed off and free of any dirt, you can attempt to gently lodge it back into place. If it’s too painful or won’t stay in place, you can put your tooth in a cup of milk to preserve it and keep it safe until you can see your dentist. Call your dentist immediately and see them as soon as possible. The sooner you see them, the more likely they can save your tooth. You can also keep an ice pack on your face to help prevent any swelling that may occur.

Contact Your Dentist Today!

Accidents happen, but they don’t have to be permanent! Contact your general, cosmetic, and restorative dentists, Dr. EJ Stringer, Dr. Jared Lawson, Dr. Tammira Badakhshan, Dr. Nikta Pashai, periodontist Dr. Ashley Seals, prosthodontist, Dr. Amos Chi, oral surgeon, Dr. Brian Chang, endodontist, Dr. Pratik Patel, Dr. Leo Perez (Board Certified Oral Surgeon and General Surgeon), and Dr. Leslie Oakes - Board Certified Pediatric Dentist and orthodontist, Dr. Stephen Tigani.
of Pearlfection Dentistry in Frederick, MD, to find out what you should do in a dental emergency. Call today at (301) 663-5550.

By PearlFection Dentistry
September 20, 2021
Category: Dental Procedures
Tags: dental implants  

Here’s why you shouldn’t ignore gaps in your smile.

We know that dealing with tooth loss can be traumatic all on its own, but we also know that it’s important not to ignore this issue. These days, our Frederick, MD, dentists offer a wide range of options to replace missing teeth. One popular solution is dental implants. This artificial tooth is the next best thing to your real teeth.

Why You Should Replace Missing Teeth

Whether you’ve just had a tooth extracted or you had a tooth fall out that you weren’t able to save, it’s important that you don’t leave that gap in your smile. One of the first calls you make should be to our Frederick, MD, dental team to find out if dental implants are right for you. Here are some of the downfalls of ignoring your tooth loss,

  • Teeth drift into the open gap in your smile, causing more spacing issues and bite problems
  • Trouble properly chewing food, which can also impact digestion and proper nutrition (people with tooth loss often deal with nutritional deficiencies)
  • The jawbone loses density and shrinks
  • As a result of jawbone loss, the face shape will also change leading to sunken cheeks and sagging skin
  • You may also develop TMJ disorder, a painful jaw joint disorder, due to a misaligned smile
  • Speech problems such as lisps may occur due to gaps between teeth

Since the jawbone can lose a significant amount of density just in the first year alone after tooth loss, it’s important that you seek professional care to find out if dental implants or other tooth replacement options are right for you.

Why Choose Pearlfection Dentistry to Replace Missing Teeth

Here at Pearlfection Dentistry, we are dedicated to providing our patients with all the care and dental services they need under one roof. That’s why we have an entire team of dental providers including endodontists, periodontists, and orthodontists. We make it easy to get the care you need here in Frederick, MD, whether you want dental implants or braces.

We also believe that dental care should be for everyone. If you’ve been on the fence about getting implants or other dental care because of the cost, ask us about our very own insurance plans that could help you save money while saving your smile.

With an office in Frederick, MD, Pearlfection Dentistry and its dentists are proud to also serve Hagerstown and Germantown, MD. To schedule a consultation to find out if dental implants are right for you, call us at (301) 663-5550.

By PearlFection Dentistry
March 19, 2021
Category: Dental Procedures
Tags: root canal  

If you have ever had a tooth filled you probably remember how much worse the anticipation was than the procedure itself. In truth, a root canal procedure, though it takes longer than a filling, is not much different from having a large cavity filled. But for a clearer picture please reach out to your Frederick, MD, endodontist of PearlFection Dentistry.

You will be seated and your dentist will likely convey to you what you can expect, and then begin preparations. Beginning with local anesthesia, and thanks to it you should not feel more than minor discomfort as the procedure takes place.

What Happens During the Procedure?

What your doctor is doing as you sit back is removing a portion of your tooth, seeking to expose the nerve center of it, which is called the pulp. It's when the infection reaches this part of the tooth that causes that very familiar pain.

To halt the decay and to relieve you of pain the infected parts of your tooth have to be removed, including the pulp all the way down through the canals in the root of your tooth.

Besides pain relief and the stop of harmful decay, a root canal also helps to save your tooth.

Root Canal in Frederick, MD

After the procedure, the tooth is sealed with a temporary material until your next appointment when a permanent filling or a crown is applied. You may require oral antibiotics for a time, but once you return to normal, thanks to the root canal the pain you once felt should be gone and your tooth as useful as it was.

If you want this to be you then don't wait any longer for relief. The longer you do the more you risk complications, and the pain you feel is not likely to quell on its own. So make an appointment today with your local professionals of PearlFection Dentistry in Frederick, MD, by dialing (301) 663-5550.

Here are some frequently asked questions about dental implants and implant supported dentures, also called “all on 4 dentures”

Will dental insurance pay for implant-supported dentures?

Often dental insurance will pay for part of the implant-supported denture procedure. It depends on the plan of course but most insurances will pay for all or part of certain procedure codes and not pay for others. The issue with dental insurance is that most policies only cover up to a certain dollar figure every year, say $2000. Once that is used up, the patient is usually responsible for anything above that. But it pays to have a knowledgeable insurance coordinator work with you to try and maximize your benefits. At PearlFection, we have dedicated insurance coordinators who work with you and your insurance company to ensure you get the most you can from your carrier to help pay for your procedures. Sometimes, medical insurance will pay for a part as well. PearlFection dentistry will submit to any insurance company we think could help. Also, if you have been in an accident, medical, workers' compensation, and dental insurance can all come into play.

How do I choose a good provider of dental implant-supported dentures?

This is probably the most important question you can ask and please be careful when your decision. Most patients only have one shot to do this right due to expense and biology and if it's done wrong, can really have serious consequences. The questions to ask, are “will a board-certified prosthodontist do my denture?” “Will a board-certified surgeon or periodontist place my implants and do my extractions?” “Will I be sedated?” “Will a lab tech be on site to help facilitate a smooth process?” if the answer to any of these questions is “No” you might want to keep looking or at least ask more questions. Remember, any dentist who graduates from dental school can place implants, make a denture, basically do everything required to perform an “all on 4” case. But the PearlFection Team approach ensures that only the most qualified doctor, is doing the part of the complicated procedure that they spent years training for. And for goodness sake, never get a procedure done in a foreign county. Foreign implant parts are hard to match and with procedures like this, you really should have some sort of warranty. Someone needs to stand behind the work. A warranty is only as good as the company backing it and you may have trouble having a USA doctor touch any work done by a foreign dentist, making any repairs down the road more difficult.

Does this work come with a warranty?

Yes, warranties do come with any implant or implant support denture done at PearlFection Dentistry. It covers workmanship for a certain period of time but it's not forever. Dentures and implants take a lot of pounding and it's hard to guarantee anything when the biology of the patient is concerned. But PearlFection does warranty the work as long as certain requirements are followed. Our hope is we do this once and it's good for a lifetime but that cannot be guaranteed. That said, there are things that can void any dental warranty, things like neglect, smoking, not coming in for checkups, not wearing a night guard or simply not following your dentist’s recommendations.

Is it safe?

PearlFection takes extraordinary steps to keep our patients safe and comfortable. But like any medical procedure, there are risks. Infection control and sedation safety are two areas that PearlFection takes very seriously. We always have at least 3 clinicians in the room at all times to monitor safety protocols, we use state-of-the-art infection control devices to ensure instruments are sterile and the operatory environment is kept free of contaminants. Also, patients are screened prior to the procedures to make sure they are prepared both physically and mentally for the procedures. Drivers to and from the procedure is required and PearlFection can arrange drivers and hotel rooms for out-of-town patients. After the procedure, which can last all day, we want as little stress on the teeth and on our patient so preplanning transportation and after-care is important for a good outcome.

Is there an age range?

There is not an age range, we have placed implants and dentures on children and all ages of seniors. Its less about age and more about the overall health of the patient. Patients with compromised health need additional consideration but we can usually accommodate even patients with health conditions.

How much is it going to cost me?

The unique thing about Pearlfection Dentistry's denture, dental implants and implant supported denture team is we can accommodate almost any income level. Sometimes patients come to us and simply can’t afford to go right into implants and implant supported dentures. That’s ok. We can offer simple dentures for a fraction of the price of implants supported dentures and that’s a perfectly good option. When you have a team of cosmetic dentists and prosthodontists, the outcome for our simple dentures patients is outstanding. Many patients come to us with dentures made years ago from a lab that didn’t take the time to really understand the patient’s occlusion (bite). The result was a poorly functioning appliance from day one. That’s a shame and that doesn’t happen at PearlFection. When you come to PearlFection, you work with a team that understand both function and form. Our end game is a denture that works and looks great. So even if you don’t get implants right away and get a simple denture it's ok. Those same dentures can be converted later to implant supported dentures when and if the patient decides to move forward with the dental implant supported denture option. The beauty of having an on-staff prosthodontist and general and cosmetic dentists is we don’t try to steer our patients to one option or another. We work within the patient’s financial means and tailor a program that works for them.

So, to give more specifics about price, a simple denture (without extractions) is less than $3000. If a patient wants full extractions, IV Sedation, implants and zirconia denture, it can be over $70000 for both arches, add zygoma implants (implants that secure into the cheekbones) and the price can surpass $80,000. So, as you can see, it really depends on what the patient wants and what they can afford. But cost should never stop you from having a consultation to see what your options are. Consultations with our team are free.

Do I need to do everything at once?

No, you don’t need to do everything at once. Although many of our patients get IV sedation and wake up with a full mouth rehabilitation and a movie star smile, it can be done in stages. Full mouth rehabilitation involves all the teeth extracted, bone reduced, implants placed and denture fixed to the implants via abutments. It’s a lot to do at once but we do it all the time. Sometimes we have 7 clinicians in the room at the same time. While other patients take a more gradual approach. Some start out with a simple denture and wear it for a while to get used to it. Then they come back in for the implants. Others start out with an implant supported denture on the top or bottom and leave the other arch alone. How you do it, and the speed you do it at, really depends on the decision you and your dentist make together. There is no “right” answer. Every patient is different and PearlFection Dentistry custom designs every patient’s dental treatment plan specifically for that patient. Dental implant supported dentures, “All on Four” dentures are a big decision. We encourage anyone who is interested to work with the PearlFection team of clinicians, treatment coordinator and financial coordinator to map a path that fits your timeline, budget and needs.

Can PearlFection put me to sleep so I avoid any discomfort?

Our doctors provide IV Sedation, Nitrous Oxide and oral sedation and most of our patients are sedated during the process. One of our mottos is, “you sleep, we work” and you wake up with the movie star smile you have dreamed about your entire life.

What if I can’t afford it?

We get it! Implant supported dentures are not cheap, so let’s not kid ourselves, “all on 4” is not an option for everyone. But PearlFection is not your typical dentist. Many of our patients start out with a simple denture option. Dentures are fairly inexpensive and within the financial means of most patients. If you start out with a simple denture, our skilled team of prosthodontists, lab techs and cosmetic dentists can convert that denture, at some point in the future, to an implant supported denture. This process gets our patients both the functional and aesthetic outcome they need in the short term, with the hope of a true implant supported denture in the long term.

Are there financing options at PearlFection Dentistry for implant supported dentures?

Yes. We have some of the most competent and compassionate financial coordinators around. They will work with you to figure out how to make your goals become reality. We work with several outside financing companies who bend over backward to try and get patients approved for financing. PearlFection even pays for the first 6 months of interest for patients. It's our way of saying thank you for choosing us. We cannot guarantee that everyone will be approved, but we can guarantee that we will help facilitate the process.

What’s a prosthodontist and why should I care?

Prosthodontics, is the area of dentistry that focuses on dental prostheses. Most people seek a prosthodontist when they have a complicated dental device requirement, like a denture that requires a skill set above and beyond what a general dentist might have.

According to the American College of Prosthodontists, a prosthodontist is a dentist who:

  • Specializes in the aesthetic (cosmetic) restoration and replacement of teeth.
  • Receives three to four years of additional training after dental school.
  • Restores optimal appearance and function to your smile. The planning, surgical placement and restoration of implants and rehabilitation of occlusion with prostheses all fall under the field of prosthodontics.

Becoming a prosthodontist requires an additional three years of postgraduate specialty training after obtaining a dental degree. Training consists of rigorous clinical and didactic preparation in the basic sciences, head and neck anatomy, biomedical sciences, biomaterial sciences, implant surgery, function of occlusion (bite), TMJ, and treatment planning and experience treating full-mouth reconstruction cases, and esthetics. Due to this extensive training, prosthodontists are required to treat complex cases, full-mouth rehabilitation, TMJ-related disorders, congenital disorders, and sleep apnea by planning and fabricating various prostheses.

It's important to remember that any dentist in Maryland can legally treat a patient and provide a denture and many good dentists do this every day and do a good job at it. But when it comes to something as complex as an implant supported denture, it is our strong advice to seek a team with a prosthodontist on it, working in conjunction with other specialists to achieve optimal outcomes.

Why do people want an implant supported denture vs a regular denture?

We get this question a lot and it deserves some understanding of what a traditional denture is and what it's not. A traditional denture is held in place by the structure of a patient's gums, adhesives and gravity. Sometimes, depending on the skill of your dentist and lab, the outcomes are better than others. But no traditional denture fits perfectly and it's not a substitute for natural teeth. Dentures just don’t allow the wearer to enjoy all the functionality as real teeth.

A traditional denture is a good option when a patient has a need to replace all or most of the teeth in their mouth and finances are limited or they just can’t find a dentist with the skill set to do “all on 4 implant supported dentures”. A denture allows patients to eat most foods, but there are some serious restrictions that patients complain about when it comes to traditional dentures. The main complaint we hear is that dentures simply don’t stay in place and therefore make it hard to eat certain foods. The other issue is the maintenance and cleaning of traditional dentures. And finally, without the need to support teeth, the bone structure in the upper and lower jaws tend to deteriorate over time resulting in bone loss, which can affect the way a person looks. With Implant supported dentures, patients can eat any food and the dentures function like natural teeth. Some implant support dentures, called “over dentures” are removable and other are permanent and can only be removed by a dentist. Cleaning of implant supported dentures is similar to regular brushing and the fact that implants are secured to the bone triggers the body to realize it needs to preserve bone wherever there are implants and impact. The bottom line is that implant supported dentures might be considered the gold standard for functionality and esthetics, while a regular denture is good but it has limits. PearlFection Dentistry will work with any patient and find a solution that works and stays within a budget. And remember, if you start out with a regular denture, PearlfEction is one of the few dental practices that can convert that denture to an implant supported denture, saving you thousands of dollars down the road.

What is the “team” approach to dental implant supported dentures?

There are some really good dentists out there that can do many procedures, including dental implants, dentures, braces, crowns, and bridges. But even if they are very skilled, it's hard to perfect a skill unless you do it a lot. So, some dentists will do a crown in the morning, an extraction in the afternoon and place braces in the evening. That might sound like a superstar dentist who can do all those things, and maybe they are, or maybe that dentist is biting off more than they should. The “team” approach that PearlFection Dentistry uses is one where the specialist, who has spent years and years of additional training perfecting one skill set, does that procedure and another dental specialist does their specialty. So, for implant supported dentures, our oral surgeons or periodontist, does the extractions and implant placement and bone reduction surgery and IV sedation, our prosthodontist does the denture design and placement and our lab does the actual manufacturing of the denture itself. This team is all on standby during the process and comes into the operatory when it's their time to do their thing.

Prior to the day of surgery, the team has taken Cone Beam CT scans, and used those scans to three-dimensionally design the entire process and map out exactly how they will proceed. The 3D technology allows us to analyze bone density and structure and determine the optimal position for implants and which areas to avoid. It allows us to determine with extreme accuracy what level of bone reduction to make and the prosthodontist and surgeon will have had extensive discussions about implant placement, and implant size, bone level reduction and the best way to proceed. By doing this virtually prior to the actual procedure ensures a more likely positive outcome, with no surprises, and reduces the patient’s time in the chair. If you're considering implant supported dentures, it's important to know who your team is and if they have all the equipment and skills to arrive at the outcome you desire.

Why makes PearlFection Dentistry the best choice in the United States for Implant supported Dentures?

PearlFection has been in business for over 30 years. We started small and have added specialists as time has gone on to meet our patients’ needs. We now have every dental specialist working under roof. This results in an unprecedented level of dental care. We are not your parents’ dental practice. We have the best of the best in both general/cosmetic dentists and specialists and they work in conjunction to provide the absolute best in dental care, utilizing the state of the art in diagnostic tools, equipment and the best materials. Our doctors have performed the most complicated implant supported denture procedures and dental implant placements, including zygomatic implants, oftentimes rebuilding soldiers injured in combat zones. Patients come from around the world to receive the quality of care only offered by PearlFection. It might sound like we are a huge corporate conglomerate, but we are owned by our doctors and only provide implant supported dentures in one place, Frederick Maryland. Whether you are from across town, from another state or from another country, we provide the level of concierge service that is second to none, with a staff dedicated to your complete satisfaction.

My teeth are in really bad shape. Am I still a candidate for dental implants?

PearlFection Dentistry specializes in the cases that other dentists can’t or won’t do. We are the dentist other dentists refer their tough cases to and we welcome that responsibility. Whether you’re missing one tooth or many or need all your teeth removed because of decay or neglect, dental implants may be the best choice for you. PearlFection’s doctors are experienced in treating patients with complex cases that may even have been turned away by others. Call us to schedule a consultation and see what your options are.

I don’t want people to know I have a denture or implants. Will my smile look like I have real teeth?

Every patient is different and has different goals and preferences about shade, size and overall look of their new teeth. We are starting over with your teeth so think about exactly what you want and we will do everything in our power to deliver. During the design process you will work one-on-one with our prosthodontist to develop a product that meets your goals.

Tell me about the doctors who will be doing my implants and the implant supported dentures.

The doctors at PearlFection are true experts in their specialties. And the PearlFection Dentistry “Team” approach is unique to the field of dentistry. Each patient is assigned a treatment plan coordinator, a prosthodontist and an oral surgeon or periodontist, a lab tech and a general dentist. Each of these professionals has a unique role to play and has extensive training, experience and professional designations that ensures you that you have the absolute best care money can buy. At PearlFection Dentistry, no patient is ever treated like a number. Every patient is unique and has different concerns, budgets, time frames and goals. We will guide you through every step of the process and make sure you fully understand why we are doing things and what to expect.

How long does the procedure take?

This depends on the patient’s needs and your plan. We can actually do most of the operatory work in one day, but it’s a misnomer to say it just takes one day. Be suspicious when you hear it's all done in one day. Yes, most of our patients come in the morning and leave later that same day with a new smile but there is some serious preparation work that needs to be done up front, including agreeing on a plan, designing the dentures and coordinating the process. It's not something anyone should rush into. If you are getting pressure to move along too fast, it should raise a red flag.

But in a nutshell, here’s what to expect (Steps 1 to 4 can take a few days or a few weeks depending on the patient and team schedule):

  1. Consultation with dentist or prosthodontist to determine options. in this step, we determine what is possible and what's not. X-rays are taken and CT Scan is done.
  2. Treatment plan options are presented to the patient and the patient selects how they want to proceed. Financial considerations are figured out and deposits are made and impressions taken.
  3. Consultation with Surgeon and consent forms signed. (This can be done remotely if necessary). Surgery is scheduled
  4. Extractions, bone reduction, implants placed and temporary or permanent denture secured to implants
  5. Follow-up (a week to a few months depending on healing)

Will my dental implants function just like real teeth?

Your new teeth will not only look and feel like natural teeth, they’ll also function like real teeth. PearlFection Dentistry's Team approach will result in an outstanding, functional set of teeth. Teeth you will be proud of and allow you to eat any food you can imagine.

Before - natural teeth

After - same day implant supported denture - with zygoma implants and denture - all on four denture

How do I get started with exploring if implant supported dentures are right for me?

Getting started is easy. Just call our office at 301-336-5550, say you would like to come in for a free “all on 4 implant supported denture” consultation, and we will do the rest.

By PearlFection Dentistry
November 30, 2020
Category: Dental Procedures
Tags: dental implants  

Discover what makes dental implants so attractive to patients dealing with tooth loss.

Wondering what dental implants could offer your smile? From the office of our Urbana, MD, general, cosmetic, and restorative dentists, Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan, and Dr. Nikta Pashai, oral surgeons Dr. Brian Chang and Dr. Leo Perez, periodontist Dr. Ashley Seals, prosthodontist Dr. Amos Chi, orthodontist Dr. Stephen Tigani, pediatric dentist Dr. Leslie Oakes, an endodontist Dr. Patik Patel, here are some of the coolest benefits of dental implants,

Dental implants act like the real thing

Want a false tooth that is going to feel and even looks just like your natural teeth? Most people do. That’s why they turn to dental implants. One of the biggest benefits of getting dental implants is that it can restore chewing and biting forces back into your smile. You can also brush and floss dental implants just like real teeth and they don’t require special care.

They can last forever

While most dental restorations will need to be replaced eventually, dental implants are unique because they could last you a lifetime as long as you continue to see your Urbana, MD, dentist for routine checkups and maintain good oral health. Implants offer an incredibly high success rate, which also makes them appealing to many adults shopping for the best tooth-replacement option to fit their needs.

Implants prevent bone loss

When one or more teeth are extracted or fall out the jawbone begins to deteriorate in the places where the roots of the teeth are no longer present to stimulate the jawbone. This complication of tooth loss happens rather quickly, with significant volume loss happening in just the first year. That’s why it’s important to get dental implants as soon as possible after losing a tooth because it can take the place of your tooth roots and prevent jawbone loss.

Prevent premature aging

Another major benefit of dental implants is that they give you a complete smile, which supports the muscles of the face. Since it also prevents jawbone loss, it will also prevent any of the changes that would occur to the face as a result of bone loss such as a receding chin and sunken cheeks. In essence, getting a dental implant doesn’t just make your smile look younger it can also prevent wrinkles and lines from forming on your face to help you look younger overall.

Pearlfection Dentistry has offices in Urbana and Frederick, MD, to make getting restorative and cosmetic dentistry such as dental implants a little easier. To schedule, a consultation with one of our dentists calls (301) 663-5550.