Dentist Blog

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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.

November 12, 2018
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Dr. ChiPearlFection 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”

one-day dentures

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
[email protected]

http://www.pearlfectionurbana.com (Urbana, Maryland)

Dentist – Urbana, MD – (301) 831-8303
PearlFection Dentistry – Urbana, Maryland
3280 Urbana Pike
Urbana, MD 21754
[email protected]

Wisdom teeth usually arrive during our adolescence, and just like teenagers, they can sometimes cause a little trouble!

Our doctors at PearlFection Dentistry in Frederick Maryland and Urbana Maryland, see a lot of teeth and we answer a lot of questions about when is it recommended to get wisdom teeth removed.

Some folks go through their entire life with wisdom teeth in place and have no trouble, but wisdom teeth often create issues later in life so it is usually recommended that they be extracted and certainly they should be extracted if they begin creating dental pain or get infected. Also, it is usually easier to extract wisdom teeth, and patients experience less complications, if they have the procedure done earlier in their life. Wisdom teeth often get harder to extract later in life.

Complications are commonplace with wisdom teeth; symptoms include failure to fully erupt through the gum bed, the teeth becoming impacted or cause other teeth to shift out of alignment. Wisdom teeth can actually damage other teeth and cause major discomfort. In some cases, orthodontic treatment can be required to correct shifted teeth.

To avoid pain, infections and teeth alignment issues your dentist may recommend a wisdom teeth removal procedure called an extraction or third molar extraction. This procedure is best performed by a board certified oral surgeon with advanced training is the surgical removal of teeth and the skills required to deal with complications. Remember, all dentists in the State of Maryland are licensed to remove wisdom teeth the day they graduate from dental school. They have probably done some wisdom teeth extractions under the supervision of a faculty member at school. Oral surgeons, in addition to having done dental school have gone on to additional years of training to learn how to extract the most difficult teeth and have likely extracted thousands of wisdom teeth. Ask yourself, who would you rather extract your wisdom teeth?

Not everyone will require surgical removal of wisdom teeth. If you suspect your wisdom teeth are causing you pain or you suspect you may have a wisdom tooth infection you should set up an appointment for a consultation at Pearlfection Dentistry in Frederick Maryland or Urbana, Maryland. One of our oral surgeons can meet with you, look at the xrays and determine a good course of action.

Many folks get their wisdom teeth extracted in their late teens or early 20s. It’s wise to address issues with your wisdom teeth early when your gums are young and healthy and will heal quickly. If you wait, it is likely that you will notice problems and pain when your body is run down due to some life event, like a cold or stress.

- Learn more about Wisdom Teeth

We start teething in our infancy and revisit the process in our late teens or early adult life, when our so called ‘wisdom” teeth emerge.

What are Wisdom Teeth?

Wisdom teeth are an additional set of molars that generally arrive between the ages of 17-21 and are generally considered to be ‘vestigial’ or excess to requirement from an evolutionary perspective. The anthropological view is that the third molars were used to provide the extra grinding power our ancestors needed to break down predominantly raw, unprocessed food but this doesn’t explain why they arrive so long after childhood. Put simply, oral hygiene is a relatively modern concept. Our ancestors were likely to lose teeth at an earlier age, so the arrival of an additional set of molars later in life may have evolved to assist survival. Not everyone gets their wisdom teeth. In some people, only two will emerge, in others four. When wisdom teeth do erupt, they are located at the far back of the mandible (lower) and maxilla (upper) jaw. Modern man has a much smaller jaw than our ancestors and this means there may not be enough room in the mouth to accommodate the wisdom teeth. They may fail to erupt or only partially erupt, which is sometimes referred to as having ‘impacted’ molars. Partial eruption can leave the soft tissue around the tooth exposed to bacterial build up, crowding or movement of other teeth, the formation of cysts and more rarely, tumours.

Symptoms of Adult Teething

In the first instance, teething often proves as painful for teens as it does for tots. The size of the wisdom teeth and the lack of room in the mouth mean it can sometimes take a long time for the teeth to come through. Inflammation of the gums at the back of the jaw can make it painful to chew. There may be increased sensitivity to hot or cold and pressure on surrounding teeth can refer pain into other parts of the face and jaw, resulting in ear ache, headache and a sore throat.

Treating Wisdom Teeth

As wisdom teeth are excess to requirement and their presence can cause complications, it is common for dentists to recommend the removal of wisdom teeth.

How much will Wisdom Teeth Removal Cost?

The cost for having wisdom teeth removed can vary between different areas and dental practitioners. But it can get expensive, if teeth are impacted and need special procedures to come out. Sometimes medical insurance will pay for wisdom teeth extraction and sometimes dental insurance will pay. Make sure you ask your insurance carrier if they pay for wisdom teeth extractions and under what conditions.

When making enquiries with a dentist, it is important to find out more information than simply the cost. Find out their approach, what kind of x-rays they’ll take, and their approach to numbing the pain of the removal and if they offer sedation dentistry. Are they a board certified oral surgeon or just a general dentist? How many extractions do they do weekly? And of course, read on line reviews.

Post-Care – Wisdom Teeth Removal

After wisdom teeth removal, you will need to take some care to ensure you recover smoothly. Here are some of the do’s and don’ts of wisdom teeth recovery, whether you have one, two, three or all four teeth removed.

Immediately following your surgery you will need to take special care not to disturb the surgical area. You should ensure you rest so your body can have a chance to heal. Follow any doctor recommendations.

Food and drink

Make sure you drink plenty of water after surgery, although it is best to avoid using a straw as this can dislodge the blood clot that would have formed in the socket. Although it is essential to remain hydrated, try to stick to water for the first 24 hours and avoid drinking alcoholic, caffeinated, carbonated or hot drinks. It is important to eat after surgery, although you will need to stick to soft foods for at least the first 24 hours. Once you feel you can tolerate them, you can move on to semisoft foods. Hard, chewy, hot or spicy foods should be avoided as they can irritate the wound or become stuck in the socket.

Smoking and spitting

You should avoid smoking as this can slow healing and increase the chances of developing dry socket, which is a painful infection of the extraction socket. It is essential to avoid this in the first 24 hours at least – and longer, if possible. Sucking on lollies or straws and spitting can also remove the blood clot essential to a good recovery, so you should take care to avoid these actions, too.

Cleaning your teeth

Follow your doctor's advise here. But generally you will need to avoid cleaning your teeth at least for the first 24 hours. Don’t brush, rinse or spit. After the first 24 hours are over, you can gently rinse your mouth with warm salt water every two hours or so and after meals. Your salt water mix can be made by mixing half a teaspoon of salt into a cup of lukewarm water. Your surgeon may give you a special mouthwash or paste.

Pain management

Your oral surgeon or dentist may provide you with a prescription for pain medication, which can include over-the-counter pain medication such as ibuprofen. It is important you follow your dentist’s instructions about its use and never abuse pain medication.

Antibiotics

You may be given a course of antibiotics in order to prevent the development of an infection after wisdom teeth removal. It is essential to take these when required and to finish the entire course. Your dentist will be able to provide you with more information.

Like any medical procedure or surgery there are risks. Before proceeding with a surgical or invasive procedure, you should seek a second opinion from an appropriately qualified health practitioner.

Visit Pearlfection Dentistry in Frederick Maryland or Urbana Maryland or call today and find out if your wisdom teeth need to be extracted

Pediatric dental care is often a concern for parents. Most parents want to know at what age they should start bringing their kids in for dental care and for parents with older kids, they wonder when should they switch from a pediatric dentist to an adult dentist. Like most things in life the answer is "it depends". The doctors who treat pediatric patients at PearlFection Dentistry in Frederick Maryland and Urbana Maryland usually recommend starting kids off kind of early for their first dental experience, usually between ages of 1 and 3. This gets them used to the sounds and sites of a dental practice and we usually try to make it a positive experience. That way, they have a positive impression of the dentist early in life and it transfers through to adulthood. If kids are a bit anxious our child friendly dentists can use some sort of sedation, often nitrous oxide (laughing gas) to put the kids at ease, but we always prefer to not use drugs if we don't need to.

Our doctors in Frederick Maryland and Urbana Maryland will perform everything from child teeth cleanings to root canals and crown and teeth extractions to orthodontics on kids. The other advantage of coming to a dental practice that sees both kids and adults is there is no reason to make a choice when to move from a pediatric dentist to an adult dentist. Kids can stay at a pediatric dentist up to and even beyond age 18, but most parents and kids opt to see an adult dentist soon after their adult teeth are in, but again it's a personal choice. If your kids like the pediatic dentist, there is no huge reason to force them to see an adult dentist too soon. But again, at practices like PearlFection Dentistry you don't have to choose because we see kids and adults in both our Frederick and Urbana locations. We see both adults and children for orthodontic braces and Invisalign with one of the best and most experienced orthodontists in the States of Maryland, Virginia and the District of Columbia, Dr Stephen Tigani.

So if you need pediatric dental care for your young children or your teens, or need to talk about orthodontic, endodontic, or oral surgery, including wisdom teeth extractions, or need emergency dental care for kids, call a dentist with the expertise and reputation your kids deserve. Call PearlFection Dentistry in Frederick Maryland or Urbana Maryland, the most reviewed dentist in the State of Maryland.

They are nearly invisible, they are effective in moving teeth and they can be customized to do a little movement or major movement. Some general dentists offer Invisalign. Our orthodontist offers Invisalign and standard braces but also a less expensive and equally effective 3M aligner option. We offer free orthodontic consultations for both children and adults.