Dentist Blog

By PearlFection Dentistry
October 10, 2017
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Dr Steven Tigani joined PearlFection Dentistry in Frederick Maryland in 2016.  To prepare for the addition of Dr Tigani, the decision was made to invest in the most modern orthodontic equipment on the market, including a digital panoramic x-ray system and celphalometic x-ray system, life support equipment, sedation dentistry equipment, upgraded hand pieces, and digital x-rays, as well as expand our capabilities by offering both Invisalign and Tigani Clear Braces.  The practice purchased the advanced equipment, to ensure we had the best equipment on the market and the best doctors to operate it, so we can provide the best and safest dental care in the State of Maryland.  These new pieces of equipment and technology allow the doctors and their assistants to perform advanced dentistry, including surgery and orthodontic treatment with the most modern dental equipment and therefore give the patient the greatest prognosis of a good clinical outcome.  With general dentist, orthodontists, oral surgeons and endodontists on staff, PearlFection has the ability to treat almost all dental conditions in-house without having to send difficult or emergency cases out.

Dr Tigani was promoted to lead orthodontist with a team of 6 orthodontic assistants and staff reporting to him at two different offices, one office in Urbana Maryland and the Second in Frederick Maryland.  The expanded operation allows Dr Tigani to serve patients in his existing offices of Washington, DC, Virginia and Maryland, making Dr Tigani one of the most geographically diversified orthodontists in the region.  His low cost, high quality approach to orthodontics has made him and his practices extremely successful over his 30 plus year career.  Dr Tigani was also the head of the Washington, DC American Dental Society, an extremely prestigious title.

We asked Dr EJ Stringer why the decision was made to expand Dr Tigani’ s operations inside PearlFection Dentistry in Frederick and Urbana.  She said “The decision to bring on Dr Tigani was driven by our patients’ request to have more procedures done at the practice, especially orthodontics for both adults and children.  In the past, we sent out most of our child orthodontic work, as well as adult orthodontic work, we also didn’t have a great alterative to Invisalign, which can be pricey.  We sent this work out to orthodontists not affiliated with our practice and across town, and sometimes didn’t get the results we wanted.   Our patients never really liked having to do that and they just felt more comfortable staying at our practice on Thomas Johnson Drive and in Urbana on Urbana Pike.  Now instead of going out to have these procedures done, we’ll have them all performed in house.  By bringing on Dr Tigani, we are able to have a specialist in the practice who is truly one of the best orthodontists in the state and region.  Our practice and our patients are very lucky to have him.  We asked the General Manager of PearlFection Dentistry, Stewart Stringer, why he thinks Dr Tigani is such a good fit for PearlFection in Frederick Maryland and Urbana, Stewart said “Dr Tigani is a rare breed.  He greets each of his patients personally in the waiting room and shakes the kid’s hands and geniality makes people feel special.  He is the most competent orthodontist I have ever met, and he’s a genuinely nice guy.  The kind of guy you can sit down and talk to or have a beer with.  That is what PearlFection is all about.  We strive to be the number one dental practice in the region with the best doctors and best team around.  With doctors like Dr Tigani, how can we not be?”


The doctors at PearlFection Dentistry can be reached at 301-663-5550 (Frederick office) or 301-831-8303 (Urbana Office) or visit the website at .  You can request an appointment on line.

PearlFection Dentistry has been practicing in Frederick and Urbana since 1977, making the practice one of the oldest and most respected practices in the region.  Patients consistently rank PearlFection Dental practice as one of the best dental practices in the region and 98% of patients say they would refer a friend.  The practice also ranked as one of the top dental practices in the region by Angie’s list and Google, winning Angie’s List Super Service Award Yearly and being the number one reviewed dentist in the state of Maryland at the time of this press release.   Dr Stringer says, “We practice advanced and affordable dentistry and try to treat each patient like family.” 

The practice provides dental care in the following areas: General Dentistry, Dental Hygiene, Tooth Whitening, Crowns, Bridges, Orthodontics, Clear Braces, including Invisalign, Fillings, Restorations, Dental Implants, Restoration, Invisalign Orthodontics, Root Canals (Endodontics), Dental Surgery, Bone Grafting, Pediatric Dentistry, Extractions, Checkups, Periodontics and preventative dental care, Dentures and Partial Dentures.

One of the most important things you can do for yourself and your family is maintaining good oral health.  The American Dental Association recommends you see a dentist twice a year.  Please call us to set up an appointment or check us out on our website at:               (Frederick Maryland) (Urbana, Maryland)

Dentist – Frederick, MD – (301) 663-5550
PearlFection Dentistry – Frederick Maryland

196 Thomas Johnson Dr. Suite 200
Frederick, MD 21702

[email protected]


Dentist – Urbana, MD – (301) 831-8303

PearlFection Dentistry – Urbana, Maryland

[email protected]

3280 Urbana Pike

Urbana, MD 21754

Author Resources:  PearlFection Dentistry with Drs. EJ Stringer, Jared Lawson, Amadeus Lopez, Melanie Smith, Pratik Patel (endodontist), Brian Chang (oral surgeon), and Dr Stephen Tigani (Orthodonitist) leading Frederick family dentists and specialty practice, maintain the highest levels of accreditation and pursue ongoing education to stay abreast of the latest trends in dentistry. They provide services such as Root Canals, Oral Surgery, Invisalign, Braces, general orthodontic treatment, emergency dental care, Botox treatment, tooth extractions, bonding, teeth whitening, cleanings, veneers, fillings and dentures in Frederick, Maryland among other services.


September 08, 2017
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It’s that time of year! Getting the kids ready to go back to school can be a handful sometimes. It does make scheduling future appointments for them a little tricky but at our office we offer a variety of hours so the kids can get their annual checkups and cleanings on time. We do our best getting emergency appointments seen as soon as possible. We have a tooth extraction specialist who can give consults about wisdom teeth, and dental implants. The younger you are having wisdom teeth removed, the less complications. For anyone starting sports or is already playing, it may be best to think about getting a customized mouth guard to protect those teeth. We also have free consults for everyone who is interested in braces or invisalign. Let’s start the New Year fresh!

Call us to schedule

301-663-5550 in Frederick
301-831-8303 in Urbana


He is one of the best orthodontics from the Washington area, with over 22 years of experience and now working out of and owning a total of five different offices. Dr.Tigani’s personable chairside manner will make you feel great about your smile and make you laugh.

He received his bachelor degree from Georgetown University, where he majored in Psychology and minored in Biology. He went on to receive his Doctor of Dental Surgery from Maryland University and then completed a 2 year orthodontic program at Colombia University. All ages are welcomed to meet with him for a free consultation.

You will be greeted by Dr. Tigani personally and he will help you make the best decision for your smile, whether that means employing traditional braces or clear aligners to help you achieve your optimal smile.

Dr. Tigani or on of our other orthodontists will answer all your questions. We invite Frederick Maryland and the surrounding community in for a free consultation and in office visit and let us guide you in the right direction!

June 15, 2017
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When it comes to orthodontics and choosing an orthodontist to treat your children or yourself, the questions and the right approach can be overwhelming. Some of the questions we have heard are should I use traditional steel brackets and wires, should I use clear braces, when am I too old for braces, when is my child too young, do I need a retainer when I’m done, what are the potential risks and the big one, WHAT DOES ORTHODONTIC TREATMENT COST and will insurance pay for it and is it all the same and does it matter where I get my treatment done?

All these questions are valid and can make your head spin. The good news is there are answers and a qualified team that can help you answer all of them. Remember, orthodontics is not just about aesthetics, it’s often about ensuring proper teeth alignment to prevent abnormal wear and tear, as well as ensuring that good oral hygiene can be performed. Improper alignment can lead to major dental problems and high costs later in life.

Let’s start with should I use clear aligners or standard brackets? This treatment really depends on personal preference, and what the objective is as well as the individual patient habits and level of personal responsibility. Some tooth movements cannot be achieved with clear aligners, at least not as easily as traditional braces, but for the most part, clear plastic aligners are as good, and in some instances a superior option over metal brackets. The beauty of clear aligners is that most people will not know you have them in. The other major advantage of clear aligners is that they are removable. This means it’s easy to clean the teeth with a traditional toothbrush and floss. One of the worst things that can happen during orthodontic treatment is for home care to suffer because it’s difficult to brush and decay begins. The downside of clear removable aligners is they are easy to lose and sometimes children and yes some adults, don’t wear them religiously. This can result in longer treatment times, teeth moving back to their original position and overall frustration and higher costs with the process. With steel brackets, we see better compliance, particularly in children. Also, due to the higher lab fees associated with clear aligners, there is often a cost added of a few hundred dollars.

We often hear, “Am I too old for braces?” the answer to this is that no one is too old for braces. This totally depends on personal preference and does the patient have good oral health. Tooth movement can occur at any age, so orthodontic treatment for both clinical reasons and cosmetic reasons can be done at any age. We have patients over 70 years old who are currently in treatment. And the number of adults in orthodontic treatment has skyrocketed in recent years

The other question about age, is when is too young to intervene with orthodontic treatment for children? Depending on the situation and what the orthodontist is trying to accomplish in the long run, patients as young as 6 years of age might start orthodontic treatment. This is often done to create space so future teeth can come in properly and is usually done with the anticipation of some sort of additional orthodontic treatment planned when the child has their permanent teeth.

Ok, let’s address the retainer question. Do I need to wear a retainer? The answer is yes……well only if you want your teeth to stay where you want them to. Teeth move and if we don’t use a retainer device after completion of the primary orthodontic treatment, the teeth can move back. To prevent this we recommend wearing a retainer. The amount of time each day it needs to be worn depends on many factors but usually we recommend wearing it all the time for some period following the primary treatment and then only at night for the long term. Retainers can be clear plastic aligners, more rigid devices sometimes referred to as a hawley or in some instances, fixed devices that can be placed in the mouth. Your orthodontist can go over what retainer is right for you.

There are some risks associated with orthodontic treatment. Some patients’ mouths just are not healthy enough to withstand the stress that tooth movement can impart on the gums, bones and teeth and in those rare cases, orthodontic work might not be recommend. Basically as long as your gums are healthy, you are a candidate for orthodontic treatment. In other cases, what appears to be a simple case, can result in teeth becoming loose. This is usually corrected by slowing down the movement, but in some cases, it is recommended we stop the treatment temporarily or in rare instance permanently. The biggest complaint we hear, and it’s usually after a tightening visit, or when new aligners are put in, is that it’s uncomfortable, at least for a while. This is due to the wires or aligners putting additional pressure on the teeth to gradually move them into proper position. This constant pressure can be uncomfortable for a while but usually subsides after a few hours or days, as the teeth move. Mild pain killers like Ibuprofen is usually enough to take the edge off.

Finally the big question, “What is the cost of orthodontic work?” We are not trying to be coy, but IT DEPENDS!!!!! The cost for full blown orthodontic work where the patient is in active treatment for 24 months or more, needs to visit the office every 4 weeks and then followed by 24 months retention phase can be over $7000. However, on cases where only minor tooth movement to correct things like crowding or minor movement to correct a diastema can be as low as $1500 and then there is everything in between. The costs will ultimately depend on how long the patient is in treatment and whether there are large lab fees. The lab fees occur when a case must be sent out to have aligners made. Some dentist can reduce costs and get excellent results with “generic” clear aligners vs using a brand name like Invisalign. Insurance often, but not always, provides a benefit that will pay for orthodontic treatment, but there is usually a lifetime cap of $1000 – 2500. A good front desk insurance coordinator will help patients utilize this benefit.

Yes, there is a lot to consider when deciding on orthodontic treatment for you and your family, but remember, you have a partner who has the expertise, experience and options to help you make the right choice. PearlFection Dentistry in Urbana MD and Frederick MD offer free consultations to answer all these questions and help you pick the right treatment option. Our orthodontic team, led by Dr Jennifer Smith and Dr Stephen Tigani offer traditional braces, Invisalign and generic clear aligners to deal with any orthodontic needs. With over 40 years of experience and multiple offices to choose from we are one of the best orthodontic choices in the MD and DC area. Call one of our two PearlFection Dentistry offices for a free consultation. In Frederick call – 301-663-5550 or Urbana Maryland – 301-831-8303.

October 10, 2016
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Do you snore?  Does someone you know snore?  If so, please continue to read, it can mean there is a serious underlying health issue called sleep apnea or sleep disordered breathing.

What is Sleep Apnea:  Sleep apnea is a common condition, affecting 1 in 15 Americans, where the airway collapses and the person stops breathing for a period of time of up to 30 times per hour.  People with this condition are at higher risk of heart disease and other health conditions and can occur in men, woman and children.

The most common sign that a person suffers from sleep apnea is snoring and it is often first noticed by the spouse or partner of the snorer.

If you or someone you know has any of the following conditions, sleep apnea could be the cause:

  • Excessive Daytime Sleepiness
  • Snoring
  • Gasping for breath while sleeping
  • Headaches
  • Frequent urination during the night
  • Depression and irritability
  • Gastric Reflux

People who are overweight or have large necks are more likely to have sleep apnea

What are the health concerns for people with sleep apnea?

  • High blood pressure
  • Heart disease / Heart Attack
  • Stroke
  • GERD

What can be done if I have sleep apnea?

  • CPAP/PAP – positive airway pressure devices
  • Surgery
  • Body Position modification
  • Oral Devices

Why see a dentist to diagnose and treat sleep apnea?

One of the simplest and sometimes most effective way to treat sleep apnea are oral devices that are worn while sleeping.  Specially trained dentists, like Dr Robert Kenyon at our Urbana Office, can conduct an in-office evaluation of the airway and if appropriate, conduct an in-home overnight sleep study.  The study is then evaluated to determine the best course of treatment.  Sometimes the best option is CPAP/PAP or surgery, but if the patient can be treated with body position modification or an oral device, those options are preferable, both from a comfort level and also from a cost perspective. 

PearlFection Dentistry is offering in-office airway evaluations free of charge in the month of October.  This study utilizes an instrument called an acoustic pharyngometer.  This pain free and noninvasive procedure, uses soundwaves to measure your airway.  We will evaluate the patient and determine if an overnight sleep study is required.   Once the study is completed and evaluated, our doctors will meet with the patient again to determine the best course of action.

Please call our office at (301) 831-8303 to schedule your no cost airway evaluation or visit our website to learn more:


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