The PearlFection Blog
Posts for: November, 2018
What's a reliable and realistic way to cover dark stains, large cracks and chips, small gaps, and other defects? Porcelain veneers from Pearlfection Dentistry in Frederick and Urbana, MD, of course! Composed of premier porcelain, these thin, realistically-colored laminates strengthen and beautify teeth for good.
The Cosmetic Dentistry Consultation
A consultation helps your dentist determine the type of services you need to achieve the best-looking smile possible. At this meeting, the doctor will do a thorough oral examination, take X-rays or any other necessary types of imaging, and make impressions of your teeth and gums as needed. From there, you'll receive a detailed treatment plan. If porcelain veneers appear on that plan, expect to make two additional visits to the office.
Creation and Placement
To place veneers, your dentist first must remove about 1/2 millimeter of enamel from the front side of each tooth receiving a laminate. This resurfacing will allow the veneers to fit comfortably inside the mouth. Your dentist will also caution you that the change is permanent.
While you wait for your customized veneers to come from the dental lab, you'll wear functional and realistic temporaries. Your dentist will then remove them when you return in a week or so for the final placement of your permanent veneers.
Placement is a careful process. Your doctor will first try-on and adjust your veneers before securing them with the actual bonding adhesive. This process also entails varying the color and the thickness of the glue as needed to achieve the right look and proper bond. To finish, the doctor will cure the adhesive with a special light.
There are many perks to veneers, one of which is their beautiful resiliency. They hold up well to the ordinary wear and tear of biting and chewing, retaining their sheen, shape and color. They are easy to clean, as your usual brushing and flossing routine keeps them stain and plaque-free. Because they restore just the side of the tooth which shows when you smile, your veneers will also require far less tooth reshaping than porcelain crowns do. Finally, dentists often use veneers together with other cosmetic services as part of a comprehensive smile makeover, putting you on the path for a full cosmetic overhaul.
Find out More
To make an informed decision about porcelain veneers, arrange a cosmetic dentistry consultation at Pearlfection Dentistry. Call us at (301) 663-5530. The office is located 45 minutes from Washington, DC, and 45 minutes from Baltimore. Our professional team includes general, cosmetic and restorative dentists general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan, Dr. Alex Sin Deuk Kim, 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.
If you have ever been scared to go to the dentist and wish you could just go to sleep and wake up with all the work, that you have been putting off for years, done and have the movie star perfect smile, or you wish that bothersome tooth could be gone and with it the pain. If either of these sound familiar you might want to read on. You might want to learn more about sedation dentistry in Frederick Maryland and Urbana Maryland. Also, if you like the idea of all your dental care, from cleanings and Zoom Whitening, to major wisdom teeth surgery and implants, done in one place by the most competent team around, you may want to read on.
Sedation Dentistry refers to the use of drugs to calm and relax a patient prior to and during a dental appointment. The drugs belong to a class of drugs called sedatives, which exert their action by depressing the central nervous system, specifically those areas concerned with conscious awareness. In the dental field of medicine, doctors will use pharmacological chemicals, ranging from pills, to gases to intravenous drugs to achieve a level of sedation that is required to perform the procedures that the patient needs. Most dental patients require little more than local anesthesia, like an injection of Lidocaine or Novocain, but some patients require local anesthesia as well as some sort of sedation procedure.
There are different degrees of central nervous system depression, each corresponding to a level of relaxation which ranges from minimal, moderate, to deep sedation. Minimal sedation is refers to a state of consciousness where a patient is sedated but readily responds to verbal or physical stimulation, Valium or nitrous oxide are the most common examples of minimal sedation. With moderate sedation the patient is even more relaxed, and will respond to purposeful stimulation, but otherwise is not responsive. In deep sedation, the patient may not exhibit any signs of consciousness and therefore will be unresponsive to stimulation. A different level of training is required by a dental team to perform each level. PearlFection Dentistry is sanctioned and licensed by the State of Maryland to perform all levels of sedation, which is both rare for a dental practice and extremely useful when performing comprehensive dental care.
Sedation by pharmacologic methods may be obtained by three general routes. The inhalation route, where a gas is administered to the patient though a mask, where the sedative gas and oxygen are mixed in such a ratio so the patient losses some level of anxiety. The enteral route involves absorption of medication orally, through the digestive tract. This route includes medications that are either swallowed, absorbed through the mucosa of the oral cavity, or inserted rectally. The intravenous route, where pharmacological agents are injected via needle, into the patient’s bloodstream.
What are the Benefits of Sedation Dentistry
Sedation dentistry has become popular because it offers benefits for both the patient and the dentist. Patients who are simply too scared to have work done when they are conscious, can choose sedation as a way to simply not know what is happening. They go in to the office, have a drug administered and wake up with the work done. It’s easy and eliminates most of the fear. For the dentist, sedation dentistry, allows the doctors at PearlFection Dentistry to perform the work, quickly and without having to worry about the reaction of a nervous patient. For some patient groups, the use of sedation dentistry is the only way that they can get the dental care they need and improve their dental health.
Sedation Dentistry can offer:
- Patient relaxation
- Anxiety control
- Increased comfort
- Movement control
- Patient co-operation
- Control of gag reflex
- Little or no memory of treatment
- Blood pressure control
- All work done in one sitting
- Low cost
- Availability for all ages needs patients
What Does Sedation Dentistry Cost?
Depending on type of sedation needed, costs range from a few hundred dollars per session to several thousand. The most expensive sedation option is Intravenous Sedation (IV Sedation) where a team of at least three must monitor the patient’s vital signs. The least costly sedation methods are oral medications and nitrous oxide. Most practitioners charge by the amount of time needed and insurance companies typically reimburse based on 15-minute increments. At PearlFection Dentistry, we charge by the 15-minute increment, unless it’s a very large procedure lasting several hours and then we will give a flat rate. When oral medication is used, there is no additional costs, except the cost of the drugs, which are purchased at the local pharmacy.
Why PearlFection Dentistry for your Dental Care and Sedation Dentistry?
At PearlFection Dentistry in Frederick Maryland and Urbana Maryland, patients come from hundreds of miles away, even across the country to experience what it is like to truly have a team approach for their most complicated dental procedures. PearlFection Dentistry, is a small practice with only two locations, one in Frederick Maryland and one in Urbana Maryland, but our reputation for quality care has become well known far from the local region. With our staff of board-certified Oral Surgeons, Periodontists, Prosthodontists, Endodontists, and renown Orthodontists, as well as our team of general, restorative and cosmetic dentists, and our ability to administer sedation dentistry, the care we provide during sedation, is second to none. While the patient is sedated, each specialist will do his part. If a patient needs several root canals, several extractions, dental implants, and crowns, bridges or dentures, each specialist will do what they do best and hand the patient off to the next specialist. By the time the patient wakes up, all the work is done and the patient recovers and only had to be in the chair one time. It’s a great option and the results speak for themselves.
How do I learn more about Sedation Dentistry and the Multi-Specialty Approach to dental care at PearlFection?
If you are nervous about dental care, really scared, or flat out petrified, you have read the right article and we can help. The first step is to have a consultation by calling (301) 663-5550 or visit our website and request an appointment www.pearlfectiondentistry.com or www.pearlfectionurbana.com . At the consultation there will be no pain. We will ask you some questions, we will take some x-rays and we will go over your entire mouth, one tooth at time, on a big screen with your x-rays displayed, so you can see what our doctors are talking about. We will discuss treatment options and sedation dentistry options. We will go over the costs and how much your insurance will cover. Once you have all the information and are comfortable with the plan we will schedule the work. From there, all you need to do is show up and we do the rest. We can perform, all your wisdom teeth extractions, all your root canals, all you implants, almost everything all at the same visit. We can even do extractions, implants and dentures the same day so you walk out with a new set of teeth in one appointment. Sound too good to be true? You owe it to yourself to see how sedation dentistry and the multi-specialty dental practice can help you get the dental work you need done, without the pain and fear you are worried about.
Your team of dentists and oral surgeons at Pearlfection Dentistry in Frederick and Urbana, MD wish to put an end to tooth loss. That's why they offer a full range of preventive and restorative dental treatments. However, if tooth extraction becomes necessary, you'll be in good hands with this highly-qualified team. Learn here why your dentist may extract a tooth and how the procedure and what recovery looks like.
Reasons for tooth extractions
The American Dental Association (ADA) states that the top three reasons for tooth extraction are trauma (injury), disease (cavities, abscess or gum disease) and overcrowding (impeding orthodontic correction and proper tooth alignment). In addition, your Frederick and Urbana oral surgeon may remove third molars, or wisdom teeth, which are encased in bone or gums (impacted) and are intruding on the roots of neighboring teeth.
Additionally, baby teeth often stay in place long after permanent teeth form and erupt through the gums. In most cases, the baby teeth roots simply dissolve, and the teeth fall out naturally. In cases where the baby teeth are especially stubborn, your dentist at Pearlfection Dentistry may advise simple extractions.
The extraction procedure
Usually, local anesthetic sufficiently numbs the extraction site, making the patient completely comfortable. Some individuals may elect sedation, depending on their comfort level and the nature of the extractions.
For a simple extraction, our periodontist, oral surgeon or general dentist will perform the procedure. The doctor uses an elevator tool to rock the tooth gently, loosening the periodontal ligament. Then, he or she grasps the tooth with a forceps and removes it from the socket.
With a surgical extraction, there may be more extensive incision of the gums and modification of the underlying bone. Sutures finish this type of extraction as well.
At home, extraction patients are encouraged to:
- Bite on sterile gauze to quell bleeding.
- Take antibiotics if prescribed.
- Control pain with over-the-counter ibuprofen or acetaminophen.
- Avoid brushing, smoking or drinking with a straw for at least 24 hours to avoid dislodging the blood clot and stitches.
- Eat a soft diet for a few days.
In the office, you and your doctor will make the decision if bone graph and dental implants make sense in your situation.
Trust your dentist
The doctor knows when to extract a tooth and when to save it. For your consultation on the best treatment for your compromised tooth, please call PearlFection Dentistry in Frederick and Urbana, MD. Located only 45 minutes away from Washington, DC and Baltimore, and welcoming patients from the Hagerstown and Germantown, MD area.
PearlFection Dentistry in Frederick Maryland and Urbana Maryland would like to announce the newest addition to our dental team and extend a warm welcome for our patients to schedule an appointment to meet our Board-Certified Prosthodontist, Dr Amos Chi. Dr Chi has joined our practice and we could not be more pleased. Dr Chi brings with him years of expertise in the prosthodontist field, and is able to perform the most complicated and technically challenging prosthodontic procedures, like dentures, crowns, bridges, and all-on-four implant supported dentures. This Board-Certified Prosthodontist is supported by the PearlFection team of general and cosmetic dentists, oral surgeons, periodontists, orthodontists, endodontists and entire dental team.
When it comes to providing superior dental care, PearlFection is always looking for the best talent, and with the addition of Dr Chi, our team is that much stronger. Dr Chi, will be the lead prosthodontist on our team, preforming and overseeing the most complicated prosthetic work, ranging from bridges to partial dentures, to full dentures, to total mouth rehabilitations with implant supported fixed dentures, often called “all on four implant supported dentures.” To learn more about dentures, dental implants and the other services we offer, visit our Frederick Maryland dentist website http://www.pearlfectiondentistry.com/services.html or call (301) 663-5550 or visit our Urbana Maryland Dentist website at https://www.pearlfectionurbana.com/services.html or call (301) 831-8303
Dr. Chi is a Lieutenant Colonel in the United States Army. Dr. Chi graduated from the University of Virginia with a bachelor degree in Biochemistry. He was awarded the Doctor of Dental Surgery degree from the University of Maryland in 2005. He completed a three-year residency program specializing in prosthodontics at the U.S. Army Postgraduate Dental School in Augusta, Georgia in 2008, and a Master of Sciences in Oral Biology from Dental College of Georgia at Augusta University, August, GA. His thesis entitled ‘Resistance to abrasion of extrinsic porcelain esthetic characterization techniques.’ was published, in July 2017, in the Army Medical Department Journal. Dr. Chi has to his credit a fellowship in Oral Oncology and Maxillofacial Prosthodontics from The University of Texas, M.D. Anderson Cancer Center, Houston, Texas in 2018 where his clinical work titled ‘Prosthodontic treatment of a patient with Ewing sarcoma of the left maxillary sinus: A clinical report’ was accepted for publication in 2018, in the Journal of Prosthetic Dentistry.
Dr. Chi has been conferred numerous awards. In 2018, he was conferred the Maxillofacial Foundation Award by the American Academy of Maxillofacial Prosthodontics. In July 2016, Dr. Chi was awarded Meritorious Service Medal by the United States Army. Dr. Chi was as an ‘Invited Speaker’ at International Congress of Oral Implantologists, Korea Section and Seoul International Dental Exhibition & Scientific Congress on the topic of ‘Zirconia Restorations’.
Dr. Chi has multiple scientific papers published in both national and international journals as well as poster discussions at national conferences. Dr. Chi presented two abstracts entitled ‘Prosthodontic treatment of a patient with Ewing sarcoma of the left maxillary sinus: A clinical report’ and ‘The effects of zinc on radiation-induced dysgeusia: A meta-analysis’ during American Academy of Maxillofacial Prosthodontics and American College of Prosthodontists meetings in 2018.
Dr. Chi is a Diplomate of the American Board of Prosthodontics, a Fellow of the American College of Prosthodontists and an Associate Fellow of the American Academy of Maxillofacial Prosthetics.
When asked what does Dr Chi bring to the table that readers would be interested in, PearlFection General Manager, Stewart Stringer commented, saying “It is rare to have a team as diverse and competent as PearlFection Dentistry is right now. We have searched the Maryland, Delaware, Washington DC, West Virginia, Virginia and Pennsylvania region to find the absolute best dentists and specialists in their specific role. When we bring together this level of specialization great dentistry happens. Dr Chi brings with him year of experience and his expertise in Prosthodontics, combined with our team of Orthodontists, Periodontists, Oral Surgeons, Endodontists and Cosmetic and Family Dentists, is simply hard to find better care in one place. We are proud of what we have created and proud to have doctors like Dr Chi join our team. In addition to being a seasoned and excellent doctor, he’s a genuinely nice guy. We are lucky to have him join our team”
If you would like to learn more about implant supported dentures, dentures in a day, or other prosthodontic options available at PearlFection Dentistry, please call our office at (301) 663-5550 (Frederick Maryland Dentist) and (301) 831-8303 (Urbana Maryland Dentist).
http://www.pearlfectiondentistry.com (Frederick Maryland)
Dentist – Frederick, MD – (301) 663-5550
PearlFection Dentistry – Frederick Maryland
60 Thomas Johnson Dr. Suite 1
Frederick, MD 21702
So you have a chipped tooth…now what?
Dealing with any kind of dental damage can come as quite a shock. It can even be a little nerve-wracking when it happens. Luckily, our general, cosmetic and restorative dentists Dr. Jared Lawson, Dr. EJ Stringer, Dr. Tammira Badakhshan, Dr. Alex Sin Deuk Kim, 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 all here to provide you with the care you need when dental issues arise.
It’s important that if you have fractured, chipped or cracked your tooth that you visit your emergency dentist in Frederick and Urbana, MD, as soon as possible. Leaving a damaged tooth untreated could lead to further damage. The technique we use to treat the tooth will depend on the extent of the damage.
If a small piece of the tooth has broken off the repair is pretty simple, while patients dealing with more severe fractures or cracks may require longer and more extensive dentistry in order to fully restore the tooth. Here are just some of the ways we will repair your tooth:
You know the tooth-colored material that’s used to fill a tooth after a cavity? Well, that same moldable material can also be placed over a small chip or crack to restore the tooth. First, we will choose to proper shade of bonding resin to use. Then we will apply it over the chipped area and shape it. Once the resin is shaped and trimmed, we will harden it with a dental light. The process is fast and painless.
If there is a much larger chip in the tooth then the only option may be to buff away the damage and apply a dental crown. Since a large piece of enamel has broken off this can leave the tooth weak and prone to further damage. In this case, the only option will be to place a crown to restore and strengthen the tooth’s structure. A crown is often made from a tooth-colored material such as porcelain, and just like bonding the shade of the crown is matched to the rest of your smile.
If you are dealing with chips or cracks in the tooth that are large but don’t actually affect the integrity and function of the tooth then you may be able to get dental veneers to not just improve the shape of the tooth but also to strengthen it, as well. Unlike crowns, which fit around the entire tooth, a veneer is a thin porcelain shell that is bonded to the front surface of a tooth to improve its appearance. This requires far less tooth preparation (removal of enamel) to get veneers than it will for a dental crown.
The moment you face any problems with your smile it’s important that you have a dentist you can turn to in those moments for immediate care. Trust in our friendly, reliable team here at Pearlfection Dentistry, Located in Frederick and Urbana, MD, just 45 minutes from Washington, DC and Baltimore, and serving patients from all over Hagerstown and Germantown, MD. We provide comprehensive dentistry to patients of all ages.