Dentist Blog

Posts for: October, 2022

By PearlFection Dentistry
October 27, 2022
Category: Uncategorized
Tags: Untagged

For many of us, the braces on our teeth were just part of growing up.

For an orthodontist, helping patients of all ages maintain healthy, straight teeth is part of a lifelong dedication to advanced dental technology and craftsmanship. These uniquely qualified specialists help adult and pediatric patients keep their smiles functional, beautiful, and properly aligned.

What is an Orthodontist?

Orthodontists are dentists who specialize in the prevention, diagnosis, and treatment of dental misalignment issues. Their practices focus on teeth straightening and other bite correction issues. Although orthodontic care is usually associated with metal braces and retainers, there are now many other advanced tools available to treat tooth, jaw, and facial irregularities.

The American Association of Orthodontists (AAO) recently renamed this specialty Orthodontics and Dentofacial Orthopedics. This new title reflects the fact that certified

orthodontists, including Dr. Tigani of PearlFection Dentistry, also provide orthopedic treatment to guide and influence the growth of the face and jaw.

Most orthodontic patients begin treatment between the ages of 8 and 14. The dedicated pediatric dentists at PearlFection Dentistry work closely with Dr. Tigani to ensure orthodontic issues are treated proactively as their young patients grow. Many adults also benefit from orthodontic treatment for a variety of teeth straightening and cosmetic procedures.

Teeth Straightening and Teeth Crowding

The aesthetic value of straight teeth is obvious, but orthodontic care has many other benefits including improved speech, chewing, and dental hygiene. Correction of a malocclusion (bite misalignment) can also relieve uncomfortable physical pressure on the teeth and facial muscles.

  • Dental crowding or “teeth crowding” is a common type of misalignment that occurs when there is not enough space in the mouth for teeth to grow properly. This can be caused by genetic issues, wisdom teeth growth, or premature loss of primary (baby) teeth, among other things. Fortunately, teeth crowding can usually be corrected through orthodontic treatment.
  • Overbite and Underbite are other categories of misalignment where either the upper or lower set of teeth protrudes noticeably. These conditions can also be genetic but are sometimes caused by habits like thumb-sucking in children. Braces and other types of orthodontic appliances are effective in treating these malocclusions.

How do Braces Work?

The familiar “train-track” style braces we have grown accustomed to have been used by orthodontists for generations for one simple reason: They work!

The materials and techniques used to install and adjust braces have improved over the years, but the basic working principal remains the same: A combination of parts installed on and around the teeth creates a source of constant, gentle pressure.

  • Brackets made of stainless steel, ceramic, or plastic are bonded to the teeth. These brackets make it possible to control the pressure applied to each tooth individually.
  • Archwires are long, curved wires that feed through the individual brackets. The tension in these wires transfers the pressure needed to realign the bite.
  • Elastic bands or “ligatures” are fitted around the brackets as needed to fine tune the amount of pressure in each direction.
  • A Buccal tube attached to a molar creates an anchor point for the braces and gives the orthodontist a point from which to release or tighten the archwire.

The training and expertise of the orthodontist is called upon to design both the braces and the overall treatment plan. Over the course of multiple visits spanning months or years, the components of the braces work together to slowly move the teeth into their intended position.

What else can an Orthodontist do?

As experts in the function and development of the teeth, jaw, and facial structure, orthodontists, sometimes working with pediatric dentists, general and cosmetic dentists, oral surgeons, prosthodontists, and other specialists, apply their expertise to improve teeth beauty, function, and alignment in a variety of ways.

The field of orthodontics has expanded to include many other options in addition to traditional metal braces.

  • Clear braces – This recent alternative to metal braces uses a series of customized, removable, transparent trays known as “aligners” to gradually engender straight teeth. The Invisalign system must be worn for about 22 hours each day but can be removed for brushing/cleaning. Adult patients are often more self-conscious than children when it comes to wearing braces, so the less noticeable form factor is a good alternative. Although Invisalign can be credited with starting the clear braces revolution, other suppliers, including 3M, have now entered the market with their own distinct offerings.
  • Retainers – Can either be permanently fixed to teeth or removable plastic and metal appliances that fit snugly within the palette with a formed wire holding the teeth in position. Although retainers are often used to maintain teeth straightening after braces are removed, they can also be used to correct minor misalignments that don’t require braces.
  • Veneers – Thin, customized porcelain or composite “shells” are permanently bonded to the front surface of natural teeth to improve appearance, fill in gaps, and compensate for minor misalignments.

Invisalign vs 3M vs generic aligners

Since the Invisalign patent expired a few years ago, several companies have entered the marketplace. One of the leaders is 3M. Some orthodontists, including Dr Tigani, prefer the service, performance, and ultimate outcome the 3M aligners provide for their patients. 3M aligners have several different options for material type and can be integrated with clear or metal braces. There are also generic aligners available that do not require consultation with an orthodontist or detailed 3D scanning and mapping, making them a more convenient and cost-effective option.

When do you need an Orthodontist?

For children, a pediatric dentist may be the first to recognize the need for orthodontic care. Beginning regular check-ups and teeth cleaning at an early age can be important when it comes to diagnosing and correcting orthodontic issues before they progress. With over 75% of orthodontic patients being under the age of 18, orthodontists are also adept at working with children and teens to make them feel safe and comfortable during and between visits.

Adult patients may already be aware of their teeth straightening or teeth crowding issues or may have developed new orthodontic issues due to illness or injury. In either case, Dr. Tigani and the highly qualified team of general dentists, pediatric dentists, oral surgeons, and prosthodontists at PearlFection Dentistry can help guide them through the host of available orthodontic options, including the latest in clear braces and Invisalign teeth straightening technology.

Can my regular dentist do orthodontic work?

Many patients don’t realize that any dentist in the State of Maryland, after taking a short course, can fit a patient for clear aligners like Invisalign. After a slightly longer course, a general dentist can also put braces on patients. In these cases, the general dentist or pediatric doctor will rely heavily on the expertise of the aligner manufacturer to ensure the case progresses well. Another philosophy is that it is best for trained orthodontists to perform these procedures. At PearlFection Dentistry, our long held believe is that all dental procedures are best performed by dentists who specializes in those procedures. This means that at PearlFection Dentistry, only an orthodontist will do orthodontic work. We have found that this results in the best orthodontic outcomes.

Beautiful, straight teeth for children and adults could be just a phone call away. Call PearlFection Dentistry at (301) 663-5550 today to set up a consultation and begin the journey to a more radiant smile.

By PearlFection Dentistry
October 27, 2022
Category: Uncategorized
Tags: Untagged

FREDERICK, Md. - Oct. 22, 2022 - PRLog -- Throughout history, the functional and aesthetic value of the teeth has always been appreciated.

Ancient cultures around the world experimented with tooth replacement methods, often with mixed results. Thankfully, by the 20th century, the processes used to create and install dental appliances became more standardized, and the National Society of Denture Prosthetics, known today as the Academy of Prosthodontics, was formed.

Prosthodontists continue to improve their craft today, as the available materials, technology, and techniques improve each year. With leading "oral architects" Dr. Huang and Dr. Chi on staff,  PearlFection Dentistry in Frederick, MD and Urbana, MD provides unmatched convenience and expertise for patients in need of dental prosthetics and other advanced restorative or cosmetic treatments.

What is a Prosthodontist?

According to the American Dental Association (ADA) definition, a prosthodontist is a dental specialist who focuses on the restoration of the natural teeth and/or the replacement of missing teeth with artificial substitutes (prostheses). Prosthodontists also treat other mouth, face, and jaw issues through specialized surgical procedures and appliances.

Denture Specialists vs Regular Dentist

Although many general dentists also include tooth replacement and cosmetic dentistry in their practice, prosthodontists are recognized as the experts due to their extensive education, training, and experience. The prosthodontist also works closely with a qualified dental lab, where skilled technicians combine art and science to create realistic crowns, dentures, and bridges to match a patient's natural smile.


What does a Prosthodontist do?

For most prosthodontists, the primary focus is on tooth replacement (restorative dentistry), although they also diagnose and treat a variety of health issues including sleep apnea, cleft palates, and other congenital or trauma-related facial issues.

Options for replacing missing or damaged teeth

Restorative dentistry includes basic crowns, veneers, and bridges along with dentures and dental implants.

  • Bridges are removable appliances linking two or more crowns together that fit on top of or between natural teeth. A dental bridge is a less invasive way to remedy gaps in the smile without implant surgery.
  • Dentures are larger appliances used to replace most or all of the upper and/or lower teeth (arch). Some are temporarily fixed in place by the patient using a safe dental adhesive, while an implant supported denture is permanently installed and secured to the jawbone.

Other treatments and procedures performed by prosthodontists

  • Sleep apnea treatment – Sleep apnea affects millions of people, causing soft tissues in the throat to collapse and obstruct the airway during sleep. This can lead to disruptive snoring, exhaustion, and other physical issues. Using specialized dental appliances, prosthodontists can manage and alleviate sleep apnea symptoms.
  • Maxillofacial procedures – Qualified prosthodontists work with patients to reconstruct facial features including the nose, ears, eyes, and jaw when a correction is needed due to cancer, trauma, or congenital issues. Dr. Chi of PearlFection Dentistry has to his credit a fellowship in Oral Oncology and Maxillofacial Prosthodontics from the University of Texas. His research in this field has been recognized on numerous occasions.
  • Same day denture – Comprehensive, full-service dental offices offer same day denture and crown service when time is of the essence. Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) technology makes it possible to fabricate laboratory-grade crowns and dentures in the office in just minutes.


Types of Dental Implants

No matter the cause, the loss of natural teeth can be traumatic. More than 300,000 people in the U.S. alone receive a new dental implant each year. Fortunately, implant technology has improved dramatically and the options for patients have expanded.

Commonly used endosteal type implants consist of a screw-like (usually titanium) post that is secured to the jawbone. An abutment segment attached to the implant holds the realistic porcelain crown in place.

  • Single implant – this option is ideal when only one tooth is missing. The prosthodontist, sometimes working with an oral surgeon and periodontist, uses a single implant screw, abutment, and crown combination to replace the missing tooth both aesthetically and functionally.
  • Implant supported denture - a series of dental implants can be used to permanently fix a complete appliance to the jawbone, providing greater convenience and a more natural look and feel than removable dentures.
  • Three on six dental implant – this method divides an upper or lower denture into three segments, with each part supported by two dental implants.
  • All on four denture – this type of implant supported denture uses four or more individual implants to support a full upper or lower arch. The relatively small number of implants improves recovery time. This method of securing dentures has become increasingly popular and certain offices, like PearlFection Dentistry in Frederick Maryland and their prosthodontic and oral surgery teams, work together to deliver this option for dentures to their patients.

Becoming a Prosthodontist

Becoming a prosthodontist requires many years of dedicated study and training. After completing a bachelor's degree, four additional years of dental school are needed to obtain a DDS (Doctor of Dental Surgery) or a DMD (Doctor of Medicine in Dentistry) degree and board certification as a dentist.

Competitive residency programs for prosthodontics admit very few students and maintain high standards and expectations during the three years of intense training. Third year residents are likely to see patients five days a week and perform their own dental lab work at night. Critical thinking, decision making, and active learning are some of the traits that lead to successful completion of residency and board accreditation from the American Board of Prosthodontics (ABP).

Despite these challenging requirements, elite prosthodontics, including Dr. Huang and Dr. Chi of PearlFection Dentistry, choose to further their educational journey. While Dr. Chi went on to pursue his Maxillofacial Prosthetics fellowship, Dr. Huang now educates a new generation of prosthodontists as a Clinical Assistant Professor for the University of Maryland Dental School.

Choosing a Prosthodontist

Consultation with a general dentist is good first step in deciding whether you need restorative dental treatment, and if so, which option is best for you. Having all dental specialties under one roof makes it easy for the team at PearlFection Dentistry to provide convenient, highly rated, and board-certified prosthodontist options. In some cases, the prosthodontist might also be working with an oral surgeon and periodontist; also collocated to form a well-integrated treatment team. Patients often do not understand that any dentist licensed in Maryland can prescribe and deliver a denture, but at PearlFection Dentistry, only prosthodontists handle complicated denture and implant supported denture cases. Before you get a denture that will cost thousands of dollars or tens of thousands of dollars, you should consult a board-certified prosthodontist for their opinion on the best options. You will thank yourself.

If you have lost a tooth (or teeth) to decay, infection, or injury, a prosthodontist can restore both your smile and your bite. The dentists and specialists at PearlFection Dentistry 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.

FREDERICK, Md. - Oct. 3, 2022 - PRLog -- PearlFection Dentistry is pleased to announce that Dr. Frederick ("Fritz") Canby has joined the practice as our second Endodontist. Dr. Canby is a board-certified specialist with decades of diverse and valuable experience in general dentistry and Endodontics. Dr. Canby joins Dr. Pratik Patel to become the second outstanding Endodontist on the PearlFection staff.

Dr. Canby is originally from the Washington DC area. After receiving his bachelors degree from Colby College in Waterville, ME and completing additional studies at Phillips University in Marburg, West Germany, he earned his DDS degree from Georgetown University. His successful career as a Navy Dentist included a stint onboard the USS Missouri as Dental Department Division Head, distinguished service during Operation Desert Shield and Desert Storm, and two years at the Navy Dental Center in Long Beach, CA. During this time, Dr. Canby developed an interest in the treatment of diseases and conditions related to the interior or "pulp" of the tooth. This led to a Masters degree and Certificate in Endodontics from Northwestern University Dental School in Chicago, IL.

After completing his advanced studies, Dr. Canby returned to the greater DC Metropolitan area where he established a successful private practice, treating thousands of patients from West Virginia, Northern Virginia, and Maryland. Simultaneously maintaining his commission in the US Navy Reserve while rising to the rank of Captain, he completed his final tour of duty on the Medical Staff, Headquarters 3rd Fleet, Point Loma, CA before retiring from the Navy in 2019.

Outside of the office, Dr. Canby enjoys spending quality time with his family. While his wife is a regulatory Pharmacist at the Veterans Administration in Martinsburg WV, his children continue to pursue their own rewarding careers. His daughter studies Dentistry at California Northstate University in Sacramento, CA and his son, a US Army reservist, studies Law at the University of Richmond School of Law in Virginia.

"The addition of a 2nd highly competent endodontist to our team, ensures that the vision of providing the highest quality dental care, all under one roof, in a customer service focused environment, with minimal wait and exceptional results, continues to be realized.  I'm so pleased that Dr Canby has joined out team," said Stewart Stringer, General Manager Pearlfection Dentistry, Frederick Maryland.

The addition of Dr. Canby to the PearlFection team is emblematic of a commitment to comprehensive dental service with all dentistry under one roof, where the very best team of dentists, specialists, and support staff collaborate to address the unique needs of each patient. Dr. Canby and Dr. Patel have been provided with advanced facilities and Endodontic equipment, including specialized X-ray machines, microscopes, and radiographs to obtain clear and accurate images of interior tooth structures. As "emergency dentists" they are called upon to treat patients experiencing severe pain and are adept at administering medication including topical numbing treatments to reduce tooth pain and improve patient comfort.

In addition to their well-earned distinction as tooth saving specialists, Endodontists are recognized as experts in root canal therapy. When this treatment is completed, 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. Modern dental tools and practices have made root canal therapy much less invasive, with an extremely high success rate. As an Endodontist, Dr. Canby also performs apicoectomies, pulpotomies, internal bleaching and other advanced procedures used to treat and remove infected tissue from the interior of the tooth.

The addition of Dr. Canby to the Frederick Maryland and Urbana Maryland PearlFection Dentistry offices has been welcomed by the exceptional, well-rounded team that also includes four General Dentists, Cosmetic Dentists, two Periodontists, two Prosthodontists, two Oral Surgeons, one Orthodontists, one Pediatric Dentists, an additional Endodontist, and a highly dedicated group of Hygienists, Dental Assistants, and office personnel.

About PearlFection Dentistry: PearlFection Dentistry has been meeting the dental needs of Frederick, MD since 1977 by striving to ensure patients get top-quality dental treatment while enjoying a relaxed and supportive atmosphere. PearlFection is currently welcoming new patients, and most forms of dental insurance are accepted.

Call today to schedule an appointment with our friendly patient coordinator at 301-663-5550 or 301-831-8303 (Urbana), or visit our websites: or to learn more about PearlFection Dentistry or make an appointment online.
Stewart Stringer

Dr Adrianne Golly Pearlfection Dentistry FrederickPearlFection Dentistry is proud to announce that Dr. Adrianne Golly has joined the practice as an Oral and Maxillofacial Surgeon (OMS). Dr. Golly is board-certified with a decade of experience covering the full spectrum of oral and maxillofacial surgical procedures. Her extensive training and experience encompass dental implant surgeries, wisdom teeth extractions, anesthesia, dental-alveolar procedures, hard and soft-tissue facial trauma, oral and facial pathology, jaw surgery, and facial cosmetic surgery.  Dr Golly's true specialty is implant supported denture cases, where she is a world leader, with over 4000 "all on four" hybrid dentures cases done, including zygomatic and pterygoid implants. For these cases Dr Golly performs the surgery and implant placements and teams up with a prosthodontist who does the denture portion of the procedure.

Born and raised in Spokane, WA, Dr. Golly received a bachelor's degree in Biochemistry from Washington State University in 2002, then earned her doctor of dental surgery (DDS) degree from the University of Maryland in 2007. She went on to complete her oral and maxillofacial residency at Louisiana State University, where she also earned her medical doctor (MD) degree.

Dr. Golly is an active member of the American Association of Oral and Maxillofacial Surgeons and a Diplomate of the American Board of Oral and Maxillofacial Surgery (ABOMS). As the only certifying board for the specialty of oral and maxillofacial surgery in the United States, ABOMS is dedicated to improving the knowledge and skills of oral and maxillofacial surgeons nationwide.
Dr. Golly is known by her patients for a friendly, caring, and compassionate attitude along with exceptional levels of knowledge and understanding that lead to positive outcomes. Outside of the office, she enjoys traveling, cooking, tennis, and teaching her sons to ride horses. She also enjoys spending time with her animals, including a chocolate lab, one horse, and two ponies.

Dr. Golly brings her expertise to the Frederick Maryland and Urbana Maryland PearlFection Dentistry locations along with the state-of the-art Maryland Sedation Dentistry and Surgical Center (MSD&SC) in Frederick. Each of these facilities provide access to the most advanced oral surgery equipment and technology available, including IV sedation and general anesthesia for patients requiring these services. Dr. Golly is supported by an on-staff anesthesiologist and a comprehensive team of dentists and specialists with decades of collective experience. With all dentistry under one roof, PearlFection Dentistry has created a unique atmosphere where convenient, comprehensive dental services translate to optimal levels of patient comfort, care, and disease prevention.

As an Oral Surgeon, Dr. Golly has obtained the knowledge and expertise necessary to treat a wide variety of functional and cosmetic conditions impacting the bone, skin, or muscle tissues of the face. Wisdom teeth extraction, facial reconstructive surgery, dental implants, and cancer surgeries are among the important procedures leveraging this unique skill set. Oral and maxillofacial surgery is one of 12 specialties currently recognized by the American Dental Association. The term "maxillofacial" specifically refers to the jaw and face. Oral surgeons are also trained and certified to provide sedation and anesthesia, including the IV sedation used during more invasive procedures. They often work closely with general dentists and other specialists including endodontists, prosthodontists, and periodontists to ensure the best course of treatment.

The PearlFection Dentistry staff is thrilled by the addition of Dr. Golly's to the growing team of dentists and specialists. As an experienced oral surgeon, Dr. Golly bolsters an already impressive array of dental services ranging from cleaning, teeth whitening, and orthodontics to complex implant-supported dentures, facial reconstructive surgery, and emergency dental treatment.

About PearlFection Dentistry: PearlFection Dentistry has been providing patients with top-quality dental treatment in a relaxed and supportive atmosphere since 1977. PearlFection maintains convenient locations in Frederick Maryland and Urbana Maryland and is owned and operated by its dentists. With 15 doctors now on staff in various specialties including oral surgery, cosmetic treatment, and everything in between, you'll be confident your oral health and hygiene are always in the very best hands.

We are currently welcoming new patients, and most forms of dental insurance are accepted. Call today to schedule an appointment with our friendly patient coordinator at 301-663-5550 or 301-831-8303 (Urbana), or visit our websites: or to learn more about PearlFection Dentistry or make an appointment online.