The PearlFection Blog

By PearlFection Dentistry
December 04, 2018
Category: Orthodontics
Tags: orthodontics  

Whether you’re a preteen or an adult, orthodontic treatment can have a major positive impact on your smile. More adult Americans are opting for braces than ever before, as they comprise approximately 27 percent of all orthodontic patients according to the American Association of Orthodontists (AAO). Read below to learn more about the benefits of seeing your Frederick and Urbana, MD, 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 for an orthodontic consultation.

About Orthodontic Treatment
Orthodontia is the science of moving and aligning the teeth. Although the teeth are normally firmly entrenched in the gumline, they can be moved slowly using pressure from an orthodontic device. Orthodontics also help to realign the jaw when there is an overbite, underbite, open bite, or when the bite is crossed. Every patient's orthodontic treatment plan is unique and carefully mapped out by a dentist. The recommended treatment type and length of treatment will depend on the severity of the patient's orthodontic problems.

Benefits of Orthodontics
The main benefit of orthodontic treatment is that your teeth will be aligned in a more attractive way. It can close gaps, whether they are between all of the teeth or just the front ones. It can tame protruding teeth so that they fit in with the others, or realign those that are crowded. Choosing orthodontic treatment with your Frederick, MD, dentist is a sign to others that you care enough about your smile to make an investment in it.

Orthodontic Treatments
When most people think of orthodontics, they imagine wearing rigid metal braces and brackets. But there are a few alternate options. Ceramic braces have a color that more closely matches the color of the teeth, so they are less visible during the treatment period. Lingual braces are attached behind the teeth so that only the patient knows they’re there. But when a patient requires maximum flexibility and discretion during an orthodontic treatment, Tigani Orthodontic Aligners aligners should be inquired about. For more complex cases, traditional metal braces may still be the best option available.

Make Time for a Visit
Now that you know more about the benefits of orthodontics, make time to see a dentist for a consultation in the very near future. Call (301) 663-5550 today to schedule an appointment at Pearlfection Dentistry of Frederick in Frederick and Urbana, MD. We are just 45 minutes from Washington, DC and Baltimore and serve patients from all over Hagerstown and Germantown, MD

By PearlFection Dentistry
December 03, 2018
Category: Dental Procedures
Tags: dental crowns  

Find out how restorative dentistry can breathe new life into your smile.

Are you dealing with a weak or damaged tooth? If so, our Frederick and Urbana, MD, general, cosmetic and restorative dentists general,dental crowns 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 here to tell you how a dental crown could be the quick fix you need to get your smile back in shape.

In most cases, the purpose of this tooth-shaped restoration is to cover and support a weak or damaged tooth. A crown is often all you need to strengthen the natural tooth’s structure after it’s been affected by decay, trauma or an infection. While a decayed tooth is often treated with a dental filling, if the decay isn’t caught soon enough and has enough time to spread throughout the tooth then a dental filling may not be enough to support the tooth. When this happens, a dental crown is the best option.

Of course, if a bad fall or sports injury cracks or fractures your tooth then a dental crown may also need to be placed over the tooth to rebuild and protect it from further damage. As you might imagine, a weak tooth is susceptible to further problems down the road if left untreated. Not to mention, having a tooth that is clearly broken or fractured is unflattering. By getting a dental crown from our Frederick and Urbana, MD, dentists we can improve not just the function and strength of the tooth but also the shape and size, too.

Which brings us to something else that a dental crown can do for your smile. It can also enhance the appearance of a tooth and improve the symmetry and look of your smile. Think about it: if you have a tooth that is disfigured or discolored it often stands out, and not in a good way. By placing a dental crown over the tooth we can also improve its color, shape and size.

Dental crowns are also instrumental in treating tooth loss. If you decide that you want to get a dental implant to replace a single missing tooth, then a dental crown will be necessary to complete this restoration. Once this implant is in place, a dental crown is secured over top. Are you getting a dental bridge to replace a tooth? Dental crowns will also be used to support and hold the false tooth in place.

Here at Pearlfection Dentistry, we believe that everyone should feel confident smiling. If you are looking for reliable general, cosmetic or restorative dentistry in Frederick and Urbana, MD, then give us a call today. We are conveniently located only 45 minutes away from Washington DC and 45 minutes from Baltimore, and proudly serve patients from the Hagerstown and Germantown area.

By PearlFection Dentistry
November 20, 2018
Category: Dental Procedures
Tags: cosmetic dentistry   veneers  

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

Porcelain VeneersA 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.

The Benefits

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.

By PearlFection Dentistry
November 13, 2018
Category: Uncategorized
Tags: Untagged

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 or . 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.

By PearlFection Dentistry
November 13, 2018
Category: Dental Procedures
Tags: Extraction  

Tooth ExtractionYour 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:

  1. Bite on sterile gauze to quell bleeding.
  2. Take antibiotics if prescribed.
  3. Control pain with over-the-counter ibuprofen or acetaminophen.
  4. Avoid brushing, smoking or drinking with a straw for at least 24 hours to avoid dislodging the blood clot and stitches.
  5. 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.

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