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Your Emergency Dentist for a Tooth Abscess

July 20, 2015 in Dental Emergencies,Dentistry,Root Canals by mccarl_dental

blog photo

If you’ve ever had an abscessed tooth, you know that waiting until Monday at 9 am isn’t an option. An abscess can strike with little to no warning, and the pain can start as a mild heat and cold sensitivity and develop into severe pain within hours. Physicians realized long ago that Monday through Friday from 9 am to 5 pm wasn’t the only time patients needed medical attention. Emergency rooms exist when you have a new pain, when your doctor’s office is closed, but there are no emergency dentist offices. At McCarl Dental Group, we’ve decided to change that. Our emergency dental care is available when you need us. No matter what your dental emergency, call McCarl Dental Group.

Tooth Abscess Causes

Infection in the root of a tooth or between the gums and teeth can cause an abscess or painful toothache that is caused by spreading infection. This can happen if a tooth is decayed, broken, or if a patient has severe gingivitis (periodontal/gum disease) which allows bacteria to enter the soft center of the tooth or pulp, and cause severe pain. If a tooth is abscessed, infection continues to spread, and surrounding gum tissue and supporting bone structure can become infected.

Tooth Abscess Symptoms

Abscessed teeth can cause a toothache, swelling, pus around the tooth or gum, fever, muscle aches, swollen glands, and general nausea or queasiness. Occasionally, a minor toothache especially when chewing and sensitivity to heat or cold is the main symptom of an abscessed tooth. Sometimes, patients do not recognize these symptoms are related to their teeth.

The more severe and abscess becomes the harder it is to ignore. Patients who experience swelling of the gums or jaw, bitter taste in the mouth, bad breath, or draining sores on the gums are much more likely to realize they have an abscess tooth. However, once the infection reaches this point, it is more difficult to treat. If you have recently had tooth decay (cavities), trauma to your tooth (even if you didn’t believe damage was done), or gum disease, don’t hesitate to contact us, if you experience any of these symptoms.

Emergency Treatment

It is important to contact your dentist as soon as you have dental pain. When you seek treatment for an abscessed tooth, there are a number of things we can do to help you feel better quickly. The first priority for dental treatment for an abscessed tooth is to drain the abscess or pus surrounding the tooth. We will likely prescribe antibiotics to help your body fight the infection, and prevent any further infection. Sometimes the patient will need to start antibiotics before the dentist drains the abscess.

Once you contact our on-call dentist, we will work with you to develop a treatment plan. During the treatment planning process, our dentists take digital x-rays and intra-oral photographs and project them on a large television monitor so our patients can see the damaged tooth very clearly.

Our goal is to preserve the tooth whenever possible. An x-ray will help us determine the extent of the infection. If the abscess appears to be only in the gums, it is possible a minor incision may be enough. However, most abscesses are much deeper, in the pulp of the tooth. Root canal therapy to extract the infected pulp, may be the next step. If a root canal is the best treatment option, our team will remove the infected pulp from your tooth. The tooth is filled with gutta-percha (a gum-like substance), and sealed. The tooth may then need to be restored or strengthened with a crown.

In some cases, the tooth may need to be extracted. This is a mutual decision between the patient and dentist. When an extraction is necessary, a dental implant restored with a crown feels and functions like a normal healthy tooth.

Call for Emergency Dental Care

If you have severe tooth pain, nausea, or fever you believe are related to an abscessed tooth, don’t wait until Monday to get help. Call McCarl Dental Group’s on-call dentist. McCarl Dental Group offers same day emergency care during regular business hours as well as evenings and weekends.

If you’re in need of a dentist for any of your oral health care needs, schedule an appointment today.

Our knowledgeable staff is available at either of our two convenient locations Millersville or Greenbelt, MD.

Tooth Decay on the Root Surface

July 19, 2015 in Dentistry,Periodontal Treatment,White Fillings by mccarl_dental

Tooth decay on the root surface of teeth is also called root decay or root caries. It is an important dental problem that needs immediate treatment.

Root caries on lateral incisor, canine and first bicuspid

Root caries on lateral incisor, canine and first bicuspid

While many people are fortunate enough to have cavity resistant tooth enamel, few people have cavity resistant root surface. When gums recede below the enamel line of the tooth or pull away from the tooth, root surface is exposed. The root surface does not have a hard protective enamel covering like the crown of the tooth. This unprotected surface is very vulnerable to decay. Root caries do not occur unless the root of the tooth is exposed or there is loss of attachment of the gum to the tooth. An exposed root surface frequently becomes sensitive to hot, cold and sweet foods and drinks.

Causes of Gum Recession and Root Caries
Poor oral hygiene – not brushing teeth and flossing teeth daily
Brushing teeth too vigorously or using a hard bristle tooth brush
Age – as people age, their gums typically recede exposing root surfaces
Periodontal disease known as gum disease
Genetics – periodontal disease runs in families
Crooked teeth – misaligned teeth are more difficult to clean thoroughly and can make you more prone to gum disease
Smoking cigarettes or cigars, dipping, using chewing tobacco or any kind of tobacco use
Medication that causes dry mouth
Radiation treatment for head and neck cancer
Trauma to gums or teeth

Treatments for Receding Gums and Root Decay
The appropriate treatment of receding gums depends on the reason for recession and the extent and severity of the decay.

Use a soft bristle or electric toothbrush. Our dental hygienists teach dental patients how to brush teeth to clean tooth surfaces and gums thoroughly and prevent further gum recession. This will not repair existing damage but will hopefully prevent additional gum recession.

Excellent oral hygiene at home and routine cleaning by a dental hygienist and dental examinations.

If the gum recession is caused by periodontal disease, the patient will need periodontal treatment by a dental hygienist that usually starts with scaling and root planning. Plaque and tartar are removed from the surfaces of the root and teeth. Periodontal treatment can help gum tissues heal and reattach to the tooth surface.

If gum recession is advanced, a gum graft where the gum tissue has receded may be indicated. Grafts may help protect the root surface from sensitivity and decay.

Tooth colored fillings can repair this root caries before it becomes too advanced

Tooth colored fillings can repair this root caries before it becomes too advanced

Root caries on a lower molar

Root caries on a lower molar

If tooth decay or root caries are present, the patient will need to have the decay removed and replaced with a filling or crown. At McCarl Dental Group, we have not used amalgam fillings for more than 25 years. We use tooth colored composite filling material to fill a cavity after removing tooth decay.  Dental fillings should not be visible when you smile or talk.

Tooth Abscess Dental Emergency

July 6, 2015 in Dental Emergencies by mccarl_dental

Dental infections and abscessed teeth are a leading reason for emergency dental treatment.

Tooth Abscess Before Dental Treatment

Tooth Abscess Before Dental Treatment

A tooth abscess is a painful and serious dental emergency. An abscess is a pus producing bacterial infection that causes pain and swelling that needs immediate attention. The infection occurs in or around the root of a tooth that contains blood vessels, nerves and connective tissue, also called in the dental pulp. The abscess can also occur between the gum and a tooth. Tooth abscesses are most commonly caused by advanced tooth decay which may originate from a chipped or broken tooth that becomes infected, worn enamel that allows bacteria to enter the tooth or untreated dental cavity. Gum disease also called gingivitis or in advanced stages periodontal disease, can also cause and abscess. In very serious cases, the infection spreads from the root of the tooth to the bones in the jaw supporting the tooth.

The dentists at McCarl Dental Group take care of patients with dental emergencies every day. Last week in our Greenbelt and Millersville Maryland dental offices, we provided same day emergency dental care to patients with pain from dental infections from the following cities: Annapolis 21401, Severn 21144, Crownsville 21032, Glen Burnie 21060, Riverdale Park 20737, Lanham Seabrook, MD 20706 and Bowie 20715. Almost all of these patients who needed emergency treatment were new to our dental practice. We were happy to help!

Symptoms of an Abscessed Tooth

  • A severe toothache or tooth pain with dull pressure, aching, throbbing pain or sharp pain
  • Fever
  • Pain with or without chewing
  • Redness and swelling of the gums and in advanced infections, swelling of the jaw
  • Sensitivity of the teeth to temperature – hot or cold
  • An open, draining sore in the gums that may also cause a bitter taste in the mouth
  • Bad breath

Treatment of an Abscessed Tooth

Drain the abscess – The most effective way to treat an abscessed or infected tooth is to establish drainage of the infection. A small incision into the abscess will help the pus drain out. The dentist may also debride and irrigate or wash the area of infection with saline. Debridement is removal of dead or necrotic tissue that will never heal.

Antibiotic therapy – It is not always easy or possible to drain the abscess. A serious dental infection can “neutralize” the effects of local anesthetics making it very difficult to numb the patient for treatment. Infected lower molars are especially difficult to numb in the presence of a serious infection. In these cases a patient needs to be placed on an appropriate antibiotic to reduce the infection so that the local anesthetics can be effective for comfortable treatment.

Root canal – A root canal is a dental procedure to remove the nerve, arteries and vein in the center of the tooth root. In an infected tooth, a root canal can help drain the abscess. When the infection heals, the tooth is restored with a crown to increase the strength and preserve the tooth.

Extraction – If the infected tooth can’t be saved, it will be extracted to drain the abscess and promote healing of the infection.

If there is increased swelling or fever despite antibiotic therapy, the dental patient may need to be seen in a hospital setting. Contact your Dentist for a referral to an Oral Surgeon with hospital privileges to treat you. Don’t get “lost in a hospital emergency room” that may not have expertise with dental emergencies.

If you have dental discomfort that has become painful with selling, you may have an abscess. See your dentist immediately and start appropriate treatment. Although rare, dental abscesses can cause the loss of life.


Severna Park Dental Emergency

June 29, 2015 in Dental Emergencies by mccarl_dental
Dental Emergency - Broken Tooth

Dental Emergency – Broken Tooth










Nothing ruins a person’s day like snapping off a front tooth at the gum line.  This Severna Park, Maryland resident called McCarl Dental Group at Shipley’s Choice when he broke his front tooth. Dental emergencies can happen anytime and our dentists do their best to make emergency dental care available as soon as possible. This patient was eating popcorn and bit an unpopped kernel. Although the patient was not in pain, he was embarrassed about his missing tooth.

Dr. Jay saw the patient within an hour, performed a root canal, inserted a post and core, and then cemented the original porcelain crown back in place. The patients smile was restored.

The patient commented that Dr. Jay McCarl is a very gentle, kind and exceptionally competent dentist.

Here are photos of the dental emergency. There are several steps for a root canal, post and core and re-attachment of a porcelain crown.

Rubber Dam

Rubber Dam








After discussing options with the dental patient, Dr Jay explained the dental procedure and placed a rubber dam.  Each tooth has a circulatory system. When a healthy tooth breaks at the gum, a root canal is necessary to prevent pain and infection. During the  root canal procedure, the dentist removes the nerve, artery and vein from the center of the root of the tooth. The nerve, artery and vein are also called the pulp of the tooth. Root canal dental instruments are very small and the rubber dam helps prevent them from falling into the patient’s mouth. The rubber dam also helps prevent contamination of the root canal.


Post and Core Dental Procedure

Post and Core Dental Procedure







The canal in the root of the tooth that is prepared by the dentist is also where the post is placed during the post and core procedure. The post and core procedure is necessary to anchor the dental crown. A dental post is a ceramic or metal cylindrical rod that is inserted into the root space of the tooth. The restored root of the tooth is prepared with a series of endodontic files to make room for the dental post. There is no discomfort or dental pain during this procedure because the nerve of the tooth has been removed. The core in a post and core dental procedure refers to a foundation around the post that the dentist builds to help with retention of the crown.

This picture shows the crown anchored in place with the dental post and core before the dentist removed the extra length of the post.

Crown Anchored with Dental Post  after Root Canal

Crown Anchored with Dental Post after Root Canal







After the post and core, the dentist cemented the crown, removed the excess length of the post and polished the tooth. The dental patient was comfortable and delighted with his restored smile.

Severna Park Dental Patient Pain Free after Same Day Dental Emergency Care

Severna Park Dental Patient Pain Free after Same Day Dental Emergency Care



Continuing Education for Dentists

June 1, 2015 in Dentistry by mccarl_dental

The Maryland Board of Dental Examiners requires that licensed dentists participate in 30 hours of continuing education every two years, including two hours of infection control. The dentists at McCarl Dental Group participate in about four times the required amount of dental continuing education per year. Here are some of the courses that McCarl Dentist have participated in during the last few years.

Occlusal Adjustment/Therapy – Dental Occlusion

New Trends in Esthetic Implant Dentistry

Comprehensive Communication Program – Patient Education

Treatment Planning Session – Diagnosis and Treatment Planning for Dental Implants

Skeletal Relationships: The Impact on Facial Esthetics

Analgesics for Pain Management

Wisdom Teeth – Current Knowledge and Treatment Indications, The American Association of Oral and Maxillofacial Surgeons White Paper

Effective Diagnosis and Restorative Treatment for Worn Dentition

Missing Maxillary Lateral Incisors: The Benefits and Challenges of Implant Replacement – Dental Implant Surgery

New Trends in Esthetic Implant Dentistry

Facial Trauma – Trauma Management

Workshop for Successful Anterior Esthetics – Dental Implant Restorations (Prosthodontics/Fixed)

Management of Complications in Oral Surgery

Intraoral Scanning of the Future

Concepts verses Clinical Realities of High Strength Ceramic Restorations – All Ceramic Restorations

Common Sense Operative Restorative Dentistry

The Art of Cosmetic Dentistry

Efficient Implant Dentistry to Optimize Treatment

Sleep Prosthodontics – Sleep Apnea & Appliance Therapy

Patient Education and Problem Solving

Restoration of Multiple Failing Teeth with Implants in the Aesthetic Zone

Bone Preservation around Dental Implants, the Prosthetic View – Surgical Phase Therapy

The Anterior Single Tooth Implant – Restorative Management of the Soft Tissue in the Esthetic Zone

The Egoscue Method – Chronic Neck and Back Pain Relief

Top Game Changers for Every Dental Practice

Craniofacial Epigenetics – Orthodontics BioModeling Solutions

Aesthetics through Innovation – Esthetics/Cosmetic Dentistry

The Christensen Bottom Line – Operative (Restorative)

The Christensen Bottom Line – Prosthodontics/Fixed Dentistry

Dental Practice Management from a Dental CPA’s Perspective

If I Can, You Can: Overcoming Obstacles

Concepts vs Clinical Realities – Dental Implants

Creating Implant Provisionals to Support Soft Tissue Management

Immediate vs. Delayed Provisional Restoration of Anterior Post-Socket Implants: The Influence on Soft Tissues and Ultimate Aesthetic Success – Implant Restorative Dentistry

Meeting Esthetic Demands with Interdisciplinary Treatment Planning

Diagnosis and Treatment Planning – Dental Implants

Locations of these dental continuing education courses include: Annapolis, MD 21401, Crofton, MD 21114, Rockville, MD 20850, Catonsville, MD 21228, Baltimore, MD 21201

Common Causes of Missing Teeth

May 29, 2015 in Dental Implants,Dentistry by mccarl_dental
Our Greenbelt and Millersville Maryland Dentists help dental patients replace missing teeth and restore healthy functional smiles.

Our Greenbelt and Millersville Maryland Dentists help dental patients replace missing teeth and restore healthy functional smiles.

Have you seen Aziz Ansari’s question about missing teeth on your Chipotle bag? Chipotle decorates their bag with commentary from authors and comedians and calls it their “Cultivating Thought” series.

To answer Ansari’s question… Tooth loss is an indication of overall dental health and access to dental care.

Here are some common causes of tooth loss.

Untreated cavity – you wouldn’t believe how many people delay dental treatment or even ignore holes in their teeth! Unfortunately, a dental cavity cannot repair itself. If the area of tooth decay becomes too large it may be impossible to save the tooth. Regular dental check-ups are vital in identifying early tooth decay. Dental X-rays help us identify decay that may not be visible to the eye. Cleaning by a dental hygienist every six months or more frequently helps remove plaque and calculus and helps prevent cavities. And please don’t forget, prevention starts at home. Brush your teeth three times each day and floss your teeth daily.

Periodontal disease or gum disease is also a leading reason for tooth loss. Periodontal disease starts in the sulcus, the gap between the gum and the tooth. Gum diseases are usually divided into two categories, gingivitis and periodontitis.

Gingivitis is inflammation of the gums that causes tender, red, swollen gums that bleed easily. Gingivitis can progress to periodontitis which damages the bone and connective tissue that supports the teeth.

Symptoms of Periodontitis include:
•    Gum inflammation, with redness and bleeding.
•    Deep pockets or gaps that form between the gum and the tooth.
•    And finally, loose teeth, caused by loss of connective tissue structures and bone.

Other risk factors for missing teeth include:
•    Age – people older than 35 are at higher risk for loosing teeth
•    Gender – men are at higher risk than women
•    Lack of professional dental care
•    Poor oral hygiene – not brushing teeth
•    Smoking (current or past)
•    Diabetes
•    High blood pressure
•    Rheumatoid arthritis

Our goal for our dental patients is that they keep healthy teeth for their lifetime. Our dentists and dental hygienists emphasize prevention and early treatment of tooth decay and periodontal disease. Our Greenbelt Dental Office is conveniently located near Riverdale Park 20737 , University Park 20782, College Heights Estates 20783  and College Park, 20740.

When tooth loss cannot be prevented, there are several options for tooth replacement. Dental implants are an excellent option for tooth replacement. Please read our blog about replacing missing teeth with dental implants.

Ansari continues his musing on the back of the bag about his quest for the perfect toothbrush. “Why do we always want the best?” he asks. Of course he goes to Google for the answer. How often do we do that?!  Click below to hear our thoughts on the best toothbrushes.

Our Millersville Dental Office is located near Crownsville 21032, Gambrills 21054, Crofton 21114, Annapolis 21403, 21401 21409

Dental Emergencies

May 15, 2015 in Dental Emergencies by mccarl_dental

broken tooth needing a crownDental Emergencies happen when we least expect them. At McCarl Dental Group, we treat patients who need emergency dental treatment every day. Pain, swelling, broken teeth and a lost veneer or crown are typical dental emergencies, but anything is possible. In some cases, you may be on vacation or unable to make it into the office when an emergency arises. Even if you are not in the area, do not hesitate to call your dentist at McCarl Dental Group. We can offer dental advice and let you know if your dental emergency needs immediate treatment or if it can wait until you return home. If you need to be seen immediately, we may be able to help you find a dentist near you.

We’re here to help. Below are a few short-term remedies you can try before receiving emergency help.

Lost crown or veneer: Sometimes a crown or veneer becomes loose. If your crown or veneer has popped out, please DO NOT swallow or lose the tooth. Be sure to store it in a safe place and schedule a dental appointment as soon as possible.

Not sure what to do? Here are a few short term solutions to get you through a social event until you can get into the dental office. If a crown or veneer is loose do not go to sleep with it in your mouth!

  • See if you can align the crown and “snap” it back into place. Veneers usually do not snap into place securely.
  • If the crown or veneer is not secure, use Vaseline or a denture adhesive like Poligrip or Fixodent as a temporary measure.
  • If you are not able to confidently secure the crown or veneer, place it in a clear plastic bag or clean medicine vial (don’t use a paper towel, napkin or tissue – these get accidently thrown away).

Broken tooth: If cold air or water causes pain, or if you feel sharp edges on a tooth, you may have a broken tooth. Do not try to chew with the damaged tooth – a crack can spread and turn a small dental problem into a large one. Call our Greenbelt or Millersville MD dental offices and schedule an emergency dental appointment as soon as possible.

  • If the tooth hurts, take an over the counter pain reliever.
  • Eat soft foods and avoid chewing with the broken tooth.
  • Wax or gum can cover a sharp edge temporarily to protect your tongue.

Trauma to permanent tooth: It is normal for children to lose baby teeth. If an adult tooth is knocked-out.  Gently the pick the tooth up. Try not to touch the root of the tooth. If the tooth is dirty, do not use soap – gently rinse it in water or milk and try to replace the tooth in the socket without using force. The sooner the tooth is replaced the greater the chances that it will survive. If your gums have swollen and you cannot put the tooth back into its socket, keep it moist either by carrying the tooth in cool milk in a baggie or Tupperware container. Call and schedule an appointment with our emergency dentists. We do our best to treat traumatic dental injuries the same day they happen.

Emergency Dentist Open Today

April 21, 2015 in Dental Emergencies,Dentistry by mccarl_dental

Tooth and first aid kit
Have a Dental Emergency? For your convenience, our dental offices in Greenbelt and Millersville Maryland offer evening office hours and our Greenbelt dental office is open on Saturdays. We offer same-day emergency dental care every day. When our dental office is closed, our dentists are on-call. The personal phone numbers of all of our dentists are listed on our office recording for you to contact your dentist if you have a dental emergency after hours.

If you break an arm on Friday night, you don’t craft a sling and wait until Monday morning to call your doctor. You go to the emergency room. At McCarl Dental Group your comfort and care are always our first priority, and that means being available for dental emergencies when you need us. You wouldn’t wait to see your physician to treat a broken arm, and you shouldn’t wait for a broken, lost, or abscessed tooth. McCarl Dental Group is your emergency dentist open today. Call our on-call emergency dentist whenever dental disaster strikes.

Dental Disaster

You may have grown up watching your parents and grandparents putting in their dentures every morning, but that doesn’t have to be you. Advances in dentistry and increasing commitment to restorative dentistry, have significantly decreased the need for dentures. If you’re over 40, it’s essential that you treat your teeth with care, especially when dental disaster strikes. At McCarl Dental Group, we want you to have healthy teeth for life. That’s why we’re available to help solve your dental emergency.

Increasing Dental Concerns after 40

You use your teeth every day for chewing, biting and talking. Your jaw is in motion and your teeth continually come in contact with foods, beverages and other teeth. Some people even use their teeth as tools to bite fingernails, tear plastic and remove lids. Do not use your teeth as tools!  We are hard enough on our teeth! While they are made to handle normal pressure, over time, they begin to wear down and become more susceptible to many dental health problems.

Over time your tooth enamel wears down and can crack, exposing the dentin. Some people have cavity resistant tooth enamel, nobody has cavity resistant dentin! Clenching or grinding your teeth, also called bruxism, causes increased wear on your tooth enamel, during the day and even as you sleep. Bruxism puts you at greater risk for tooth decay, cracked or broken teeth and abscesses of the tooth or gums.

Additionally, recent studies showed that 75% of Americans over the age of 40 suffer from some form of periodontal (gum) disease. Many patients don’t realize they have gum disease until it’s too late. Although untreated tooth decay is a significant cause of missing teeth, in patients over 40, gum disease is actually the leading cause of tooth loss.

Emergency Dentistry for Patients Over 40

Any dental emergency is important, and McCarl Dental Group is committed to providing convenient emergency dental care for every patient. As we age, it becomes increasingly important to seek dental restoration as soon as possible.

After 40, your teeth are more likely to sustain increased damage due to weakening of the enamel. Even if you don’t see much damage on the surface of your teeth, a dental examination can prevent future dental problems. Some cracks in your teeth are not be visible without dental x-rays. As bacteria work their way into these cracks, damage can progress, causing an infection or abscess that requires root canal therapy or even removal of the tooth. Whatever your dental care, emergency or age, our on call dentist nearby is here to help you. If you’re over 40, receiving care for a dental emergency within hours rather than days can help you to keep your smile for life.

Find Out More

Whatever your dental emergency and whenever it happens, we’re here to help, and our patients agree. Check out the emergency dentistry gallery for stories from patients we were able to help. Don’t wait to get help for your dental emergency. Call McCarl Dental Group and get help when you need it.

Our knowledgeable staff is available at either of our two convenient locations Millersville or Greenbelt, MD. We also conveniently serve patients from Severna Park, Crownsville, Gambrills, Annapolis, Crofton, Glen Burnie and Severn.

Maryland Dentists Recommend Hydro Floss

January 26, 2014 in Dental Hygiene,Dentistry by McCarl Dental Group

How Often Do You Floss Your Teeth?
Some dental patients tell us that they don’t use dental floss unless there is something stuck between their teeth. Are you a reluctant flosser?

We think this will change after you try the new Hydro Floss. It is comfortable, affordable, easy and convenient!

How often should you floss your teeth?
The American Dental Association recommends flossing at least daily. The dentists and hygienists recommend flossing with traditional dental floss as well as cleaning between teeth with oral irrigation or water flossing. At McCarl Dental Group, we especially like the Hydro Floss, a magnetized water oral irrigator.

Why should you floss your teeth?
Flossing helps remove plaque from the areas between your teeth where the toothbrush can’t reach.  Plaque that is not removed by brushing and flossing can harden into calculus or tartar within just 26 hours. If tartar and dental calculus are not removed, it can progress into a serious form of gum disease.

Daily brushing and flossing as well as routine cleaning by a dental hygienist remove plaque, tartar and calculus. All are part of the basic dental care necessary to help prevent and treat gingivitis and periodontal disease.

Dentists and hygienists are always trying to motivate dental patients to floss their teeth. Flossing can be challenging for patients with limited dexterity. Some dental patients find flossing difficult and some patients are just too lazy to floss. Water flossing is even easier than traditional dental flossing. Oral irrigation is also ideal for patients with hard to reach areas around bridges, crowns, implants or braces.

We can’t say it too many times: the dentists and dental hygienists at McCarl Dental Group recommend flossing with both traditional dental floss and oral irrigation.

Hydro Floss is an oral irrigation device that delivers a steady stream of water that flushes out food particles, bacteria and plaque from under the gums and between teeth, the areas a toothbrush can’t reach. Hydro Floss is easy to use and cleans hard to reach areas before using traditional dental floss.

Our patients are having great success with the Hydro Floss. It is easy. Turn a switch and let a gentle stream of water clean between your teeth and around your gums. The convenience of water flossers increases patient compliance in maintaining oral hygiene. The result is healthier gums and teeth, and cleaner oral appliances such as braces, bridges and dental implants.

For patients with sensitive teeth, Hydro Floss allows you to adjust the pressure of the water stream through manual controls. You may also fill the water reservoir with warm water (slightly warmer than your body temperature) to maximize comfort.

The dentists and staff at McCarl Dental Group encourage and promote oral health for each of our patients. Part of that responsibility includes teaching about products that can help improve oral health.

The Hydro Floss is $129.95 on their website and is not currently carried in stores. If our patients use our office discount code of #942111 they can purchase the Hydro Floss for $98.00 with no shipping fees. This can be done online or by phone 1-800-635-3594.

If our patient orders a Hydro Floss by phone while in our office the price is only $78.40, again with no shipping fees. Their office is open Central Standard Time on Mon-Thurs 8:30-5:00pm and Fri. 8:30-12:30pm. If these times do not correspond with the time of the patients dental appointment, we recommend just stopping by another day, whenever it’s convenient for the patient. Patients interested in purchasing a Hydro Floss are always welcomed to stop by to order one, no appointment is necessary.

If you’re looking for a dentist, please visit one of our offices near you. McCarl Dental Group at Shipley’s Choice, our Millersville dental office is conveniently located near Severna Park, Crownsville, Gambrills, Annapolis, Crofton, Glen Burnie, and Severn. Call 410-987-8800 for an appointment in our Millersville dental office.

Our Greenbelt Dental Office is close to College Park, New Carrollton, Lanham, Seabrook, Bowie, Laurel, Glen Dale, University ParkHyattsville, and Maryland. Call 301-474-4144 for an appointment in our Greenbelt dental office.

You may also schedule dental appointments online at


Pregnancy and Dental Care

January 13, 2014 in Dentistry,Pregnancy and Dental Care by McCarl Dental Group

Congratulations!  This exciting time in your life is filled with joy but also additional doctor appointments and educational classes.  One appointment you should make sure to keep is your six month dental cleaning and exam.

During pregnancy, body changes and increased hormones can affect your gums and teeth.  Many women report increased inflammation, redness, and bleeding in their gums during pregnancy.  If this occurs, maintain a consistent brushing and flossing routine even if the tissues bleed a little.  Make sure to use a toothbrush with soft bristles.  Angle your toothbrush towards the gumline and lightly massage the junction where the tooth meets the gum.  Your dental hygienist can suggest a variety of tips and products to help with your individual care during this time.

Pregnancy also marks a time of potential increase of cavity development.  Morning sickness can prevent your usual AM routine while sweet cravings may increase the frequency of sugar intake.  Bland, unflavored toothpaste may help in the morning and remember that only a pea sized dab is needed.  Excess toothpaste may contribute to the nauseas feeling.  Drink lots of water between snacks and remember that the more sugary snacks eaten- the higher the risk of tooth decay.

If you are planning to get pregnant- see your dentist first.  Ideally any dental needs (x-rays, infections, cavities, gum disease, etc.) will be identified and treated before becoming pregnant.  As bacteria can travel from the mouth to the rest of the body, staying up to date with your with dental health before becoming pregnant is another preventive measure to help your developing baby.

During your pregnancy visit, elective procedures will be postponed until after the birth of your child.  These include routine x-rays, cosmetic care, and small cavities that can be safely filled in a few months.  Dental emergencies and infections will be evaluated and if necessary for the health of the mother and child, dental treatment will occur.  According to the American College of Obstetricians and Gynecologists, the low amount of radiation of a dental x-ray should not pose any risk to the baby when your baby’s safety is considered.  With many x-rays a lead apron covers your abdomen, pelvis, and neck area for added protection to you and the baby.  The dental assistants, dental hygienists, and dentists at McCarl Dental Group are all x-ray certified and have taken courses and exams to ensure they understand the highest standard of care in terms of x-ray techniques and safety.  Both McCarl Dental Group offices offer the newest technology in terms of digital x-rays which are faster and less radiation than the traditional film.

Please call Our Millersville Maryland dental office at 410-987-8800 or our Dental Office in Historic Greenbelt at 301-474-4144 to schedule your dental cleaning and check up and rest assured you are taking one more measure to protect the health of your body and your baby. You may also visit our website at to request an appointment.

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