Dentistry

Here are 5 helpful tips if your New Year’s Resolutions include having a healthy, beautiful smile in 2012.

1. Quit smoking! Smoking is major culprit when it comes to gum disease – and most other diseases. Smoking constricts and damages small blood vessels throughout your body and decreases blood supply that carries healthy nutrients. Smoking also darkens your teeth. It is not too late to make a New Year’s resolution to quit smoking!

2. Brush your teeth three times a day and floss at least once daily. The most important part of tooth care happens at home. Learn correct techniques for brushing and flossing. The dentists and dental hygienists at McCarl Dental Group recommend using an electric toothbrush. Proper brushing and flossing, along with regular dental checkups, can help prevent tooth decay and gum disease. Your dental health affects your overall health! Visit your dentist and/or dental hygienist every six months and more often when needed.

3. Switch to healthy snacks that include raw fruits and vegetables. Sugary foods and sodas can damage the enamel that protects your teeth. Hard candies, breath mints and cough drops that contain sugar dissolve slowly in your mouth and are especially harmful to your teeth. Acidic drinks can also eat away at the enamel layer of your teeth.

4. Stop grinding your teeth! Clenching and grinding wear down teeth and may lead to broken teeth, headaches, and pain in your jaw muscle and temporomandibular joint (TMJ). In just a few minutes at our dental office, we can make a custom night guard for you that will help prevent damage to your teeth caused by nighttime grinding. A night guard will also ease the tension in your jaw muscles.

5. Never use your teeth as tools! A frequent source of dental emergencies is broken or chipped teeth from people using them as scissors, pliers or fingernail clippers. You would not believe the things people try to open or cut with their teeth – bottles, plastic bags, tape, string, fishing lines, cloth … you name it! We see chipped teeth and broken teeth that damage the dental enamel of natural teeth, but also in porcelain veneers and porcelain crowns. PLEASE DON’T USE YOUR TEETH AS TOOLS!

The Dangers of Soft Drinks and Sport Drinks

When we think of active, healthy people, we normally envision athletes or someone with a gym membership. Most likely if you’re watching a sporting event, there is an ample supply of sport drinks available to the athletes. While these drinks are often intended to help rehydrate the athlete, they wreak havoc on our teeth.

The same goes for soda and soft drinks. Both sports and soft drinks contain sugars and acidic juices. When these combine with our saliva and are broken down for digestion, an acid byproduct is created. This acid is active on the tooth surface for about 30 minutes. Because it is in liquid form, drinks coat the tooth and reach into deep grooves and areas between teeth. When we have more frequent exposure to these beverages, our decay rate increases. Erosion of the tooth enamel also occurs during consumption of these drinks.(i)

A study done on triathletes showed that while only a small percentage of them perceived themselves at a risk for dental decay, over 80% consumed sport drinks and showed extremely high risk for decay.(ii) Surprisingly, some sports drinks are more damaging to the teeth than soft drinks.(iii) Most of the time these drinks are consumed on a frequent basis over a long period of time. This is a recipe for dental disaster!

So do we need to give up these drinks completely? Not necessarily. However, we should be drinking water more often than anything else. Water hydrates the body extremely well and helps the teeth by rinsing some of the naturally accumulating bacteria. Our body needs water and it’s one of the best things that we can drink. If you decide that you need to drink a sport drink or soda, limit the exposure to your teeth. This can be done first of all by not sipping on the drink over an extended period of time. Sipping causes the exposure to be spread out through the day, extending the time frame in which the teeth can be damaged. Drink all at once, preferably with a meal. By limiting the time that your teeth are exposed to sweet and acidic liquids, you will help decrease the tooth decay caused by those beverages.

If your teeth suddenly happen to become sensitive to the sweet taste of sodas or sport drinks, this is an early symptom of tooth decay. If you or your athlete is experiencing any of these symptoms, call McCarl Dental Group today at (410) 987-8800 or (301) 474-4144 to schedule an exam in our Millersville, MD or Greenbelt, MD location. You may also visit us online and print coupons for special offers at www.McCarlDental.com.

(i)Noble WH, Donovan TE, Geissberger M.; Sports drinks and dental erosion.; J Calif Dent Assoc. 2011 Apr;39(4):233-8.

(ii)Bryant S, McLaughlin K, Morgaine K, Drummond B.;  Elite Athletes and Oral Health.; Int J Sports Med. 2011 May 17.

(iii)Kitchens M, Owens BM.; Effect of carbonated beverages, coffee, sports and high energy drinks, and bottled water on the in vitro erosion characteristics of dental enamel;J Clin Pediatr Dent. 2007 Spring;31(3):153-9.

Sometimes our patients ask “why is it important that I have x-rays taken when I come for my check-up?” The short answer is dental x-rays also called  radiographs can show us things that we cannot clinically see with our own eyes.

The dentists and dental hygienists at the Millersville and Greenbelt offices of McCarl Dental Group follow guidelines determined by the American Dental Association (ADA). The ADA standard of care is to perform routine intraoral radiographs once a year for most patients. These are the films that we normally refer to as “bitewing” x-rays. The other type of radiographs, Panoramic or Full Mouth Series of films, are normally taken once every 5 years. Occasionally there will be the need to take an x-ray of just one tooth for treatment or monitoring. To help provide incentive for people to get very important preventive care, we offer special discounts for an introductory visit with teeth cleaning, evaluation by a dental hygienist, dental x-rays as necessary and an exam by a dentist. The comprehensive dental exam also includes an oral cancer screening.

Each type of dental radiograph works in a different way. A panorex/panoramic film shows us a broader view of the entire oral cavity, bone structures and anatomy surrounding the teeth. This allows us to screen for any problems such as cysts, bone degeneration or missing teeth.

Bitewing x-rays are more detailed and allow us to closely look into the contact area between your back teeth. This is an important area to watch for early signs of decay and periodontal disease. A periapical x-ray will show us more of an individual tooth than a bitewing, and allow us to see around the tip, or apex of the tooth. These smaller films, the bitewing and PA, also allow us to detect abscesses and monitor the quality of existing dental work.

Without x-rays, we might not be able to see dental problems like failing restorations, recurrent decay, or a tooth abscess in the earliest stages. By the time many of these symptoms become evident visually, they are advanced and causing notable discomfort. That’s why coming in for routine dental hygiene cleaning and dental examinations can prevent more advanced treatments later. Our goal is to prevent dental problems and maintain a healthy smile. Dental x-rays help us achieve that goal.

Dental x-rays are extremely safe. They use minimal levels of radiation, and newer digital x-ray equipment uses even less. We are able to view and discuss digital x-rays with our patients on a large television screen in the dental operatories. This allows our patients to see what we are seeing and understand the treatment process better. Patients who have an increased risk of decay, or who suffer from periodontal disease may need more frequent radiographs. This is to help us monitor any suspected areas and intervene with therapy before problems progress to a more severe stage.

If you’re behind on your dental care or need to schedule your routine dental cleaning and exam, call us at our Millersville, MD dental office (410) 987-8800 or Greenbelt dental office (301) 474-4144 to schedule a check-up. www.mccarldental.com

An important measure of periodontal (gum) health is the depth of the pocket around each tooth. The top of gum tissue does not attach directly to teeth. There is a space of pocket between the gum and the tooth before it attaches. This space or pocket deepens in the presence of gum disease. To monitor and evaluate gum health, the pocket depth must be measured, recorded, and monitored over time.

Many diseases are not obvious without testing. High blood pressure, high cholesterol, and high blood sugar levels must be measured in order to be evaluated. Similarly, periodontal disease needs to be measured by pocket depth around each tooth.

The pocket depths are compared to see if gum health is improving, maintaining, or getting worse. Gum disease is sometimes called “the sneak thief of teeth.” You may not know you have it until it is too late. People may assume their gums are fine because “they don’t hurt,” but if the pockets haven’t been measured, you can’t be for sure. The dentists and hygienists at McCarl Dental Group work to monitor these levels closely for each patient in our Greenbelt and Millersville, MD dental offices.

In a healthy mouth, a pocket can be anywhere from 1-3 millimeters deep. To measure a pocket we use a periodontal probe. The probe allows us to measure in millimeters from the top of the pocket to the bottom of the pocket. The bottom of the pocket is the area where the tissue is connected through ligaments to the root.
This measurement is taken very gently and causes no damage to the delicate gum tissue.

When a tooth has periodontal disease, this tissue becomes detached past 3mm deep. Under 3mm deep a pocket is considered healthy, while 4mm or deeper it is considered unhealthy. When connective tissue loss occurs, it is also a sign that there is bone loss. By our hygienists and dentists measuring the periodontal pockets regularly, we can monitor bone and tissue attachment levels. These measurements should be taken once or twice a year, or more often in patients with active or previous periodontal disease.

The recordings taken during periodontal probing are recorded onto a chart. There are 6 measurements taken for each tooth, 3 on the facial side and 3 on the tongue side. By monitoring the recordings against each other, the dentists and hygienists at our dental offices in Millersville and Greenbelt, MD are able to make sure no areas become progressively worse, or note improvement where treatment has occurred.

When several deep pockets are evident we will recommend scaling and root planing, or “deep cleaning.” The deep cleaning is more involved in that the focus is to remove the tartar from all pocket areas, since that is the bacteria’s “hiding place.”  Not even diligent brushing and flossing can remove the tartar from a deep pocket. If left alone, these infections can cause more bone loss and tissue detachment, resulting in tooth loss.

The Dentists at McCarl Dental Group in Millersville, MD and Greenbelt, MD, we believe in early intervention and prevention. By recording periodontal measurements at regular recall appointments, it can help us to detect small problems before they turn into large ones. We will work together with our patients to help them understand where these periodontal pockets are, and what we can do to help them heal. If you’re looking for a dentist in the Greenbelt or Millersville, MD area, please feel free to call and schedule an appointment. Greenbelt dental office -  301-474-4144; Millersville, Maryland dental office 410-987-8800. We’re available 6 days a week.   To learn more about periodontal charting and other dental topics, please visit the McCarl Dental website at www.mccarldental.com.

Have you seen our  iTero Digital Scanner? It looks like R2D2 and talks to us in a robot voice! It makes crowns, bridges and veneers from hundreds of images of your teeth instead of from rubber impressions.

iTero digital oral scanner at McCarl Dental Group

At McCarl Dental group in Greenbelt and Millersville, MD we are excited to be using the advanced iTero technology that almost completely eradicates the need for conventional dental impressions. Instead, the iTero device allows a virtual 3D impression to be taken of the patient’s teeth in about the same amount of time that it used to take impression material to set and harden.

iTero technology works by using an intra-oral scanner that takes approximately 300 slices of information with 100,000 points in each picture. A voice-guided computer program navigates the clinician on proper placement of the scanning mechanism, so that a thorough image is recorded. These different layers of information are laced together to create a 3D image of the teeth.

Because the iTero impression technology is extremely accurate, it improves the seating of restorations like crowns and bridges by requiring little to no adjustment to the fit of the restoration when it is permanently placed into the mouth. With conventional impressions there are numerous steps to be taken, all of which require extreme detail, and all of which can alter the way a dental restoration fits into the mouth. With iTero, these other steps are not required, and the precise digital 3D image ensures proper fit of the final restoration.

Our patients love the iTero because there is no need for taking traditional impressions that may trigger a gag reflex. The iTero also saves time for both our patients and our staff by shortening appointment length and doing away with the need to fabricate models in our own dental lab. Instead, the 3D impression is sent wirelessly to the iTero laboratory that takes the information and creates an accurate polyurethane model of the teeth, which is sent to the dental technician who will create the crown, bridge, veneer, or other dental restoration. The need for re-impressions, sometimes needed with conventional impressions, is not a factor with iTero technology.  This also helps McCarl Dental do its part to go green, by reducing consumables and waste products.

The iTero digital impression allows restorations to be made from all types of materials, whether porcelain or gold, it doesn’t matter. McCarl Dental Group uses the iTero to scan for various restorative and cosmetic dental procedures like crowns, bridges, veneers, onlays and inlays.

If you’ve been putting off dental treatment because of dental impressions or other conventional treatment, call our Millersville or Greenbelt, MD locations at (410) 987-8800 or (301) 474-4144 to schedule an appointment.

iTero digital oral scanner next to foot pedal drill (circa 1920s) Dentistry has come a LONG WAY!

Is your smile causing you to lose confidence? Veneers can transform an everyday smile into a Hollywood smile in just a couple of simple appointments to the dental office. Smiles with spaces, gaps, crooked, discolored, broken or missing teeth are easily improved with the placement of dental veneers. Because veneers make your teeth appear straighter and whiter, your smile will be more beautiful than ever before.

Traditional veneers are used to cover darkened teeth or very crooked teeth. They require the preparation or grinding off of natural tooth surface before the veneer can be constructed, manufactured and placed on the patient’s teeth. Should the veneer ever come off, there is an immediate need to have the veneer replaced due to the dark appearance and condition of the tooth underneath.

That was before no-prep veneers came along.

At the McCarl Dental Group, we have placed porcelain veneers for over 20 years, and now in selected cases, we offer veneers that require minimal to no-prep! Placing these no-prep veneers almost never causes any discomfort to our patients and the appointment process is extremely simple. In fact, when beginning the process for minimal or no-prep veneers, after the first appointment at our Millersville, MD or Greenbelt, MD dental office locations, it is often not even evident that anything has been done to the patient’s teeth. It’s that easy.

At the first appointment at our Millersville, MD or Greenbelt, MD dental office we simply skim the surface of the teeth that are to receive the veneers, then take an impression of the patient’s mouth. These impressions are used to create models of the teeth, so that customized veneers can be constructed in a dental lab to fit the patient’s mouth appropriately. After about 3 weeks, the patient returns to our office to have the veneers placed on their teeth, and we will adjust their bite as needed so that they will fit appropriately with the teeth on the opposite arch.

These minimal to no-prep veneers are so thin, at about 0.2mm in thickness, that they are extremely comfortable for our patients to wear. Our patients often say that in addition to being beautiful, the procedure is remarkably comfortable.

McCarl Dental Group has performed porcelain veneers for over 20 years and offers various other cosmetic dentistry options as well. Our cosmetic dentists in Millersville, MD and Greenbelt, MD will work with you to generate the smile that you’ve been dreaming of. Veneers are a wonderful cosmetic option to help restore self-esteem and confidence to your everyday life.

To learn more about the benefits of dental veneers call our Millersville dental office at 410-987-8800, Greenbelt dental office at 301-474-4144. You may read more about no-prep veneers and see pictures of our dental patients on the McCarl Dental Group website.  http://www.mccarldental.com/porcelain-veneers-dental-veneers-cosmetic-dentist.php

The dentists at McCarl Dental Group have a passion for providing top quality care to their dental patients. They understand that a smile can change a person’s attitude, health, and ultimately life. In addition to preventative care, many dental patients would like to correct problems they have had since childhood, such as discolored or misaligned teeth, while others would like to minimize the effects of aging that develop over time. McCarl dentists are adept at managing complex dental cases that require a combination of treatments, as well as cosmetic dental treatments that produce excellent results in one to three visits. Whether your profession requires being in front of a television camera, speaking with students or conducting business meetings, a beautiful smile conveys warmth, confidence and success.

The McCarl Dental Group is comprised of Dr. Clayton McCarl, Jr., Dr. Jay McCarl, and Dr. David McCarl—all of whom completed their Doctorate of Dental Surgery from the University of Maryland Dental School, and continue postdoctoral training with prestigious instructors and advanced programs throughout the country. The McCarl dentists are active in their communities, volunteer regularly, and are proud to honor their grandfather, Dr. James W. McCarl, who started his practice in 1924 and was the first dentist in Greenbelt, Maryland. Today, the McCarl Dental Group offers expertise in traditional porcelain veneers and no prep veneers, porcelain crowns and bridges, Invisalign orthodontics, custom teeth whitening, minimally invasive and traditional dental implants, composite white fillings, dental hygiene and periodontal treatment.

More than seventy percent of new patients to McCarl Dental Group are referred by existing patients who are delighted with their dental care. Five current patients have shared their success stories through their own words and smiles on the following page. These patients are a testament to the brilliant work and service that McCarl dentists provide.

Patient Testimonials

“A smile is very important in the business world because it’s one of the first things a potential client, customer or coworker sees. I speak with a lot of crime victims in my line of work, and a warm smile often helps express concern and compassion when words seem to fall short. Thanks to the McCarl Dental Group my smile is the last thing I need to worry about. I can focus on the person in front me and help them find justice. The McCarl Dental Group is very professional and up-to-date on the latest technology, and best of all I didn’t have to travel the country looking for the best dentist. He was right in my backyard!”— Karen Daboroski, producer of America’s Most Wanted

“I always hated to see my teeth when I smiled for pictures because they were so yellow. Even after trying different whiteners, I could not get them any whiter. Dr. McCarl recommended a veneer to repair a front tooth that was dark and said that my smile could be further enhanced by placing veneers on the other front teeth that showed when I smiled. I had porcelain veneers placed on six teeth and couldn’t be happier with my white smile now!”— Cecily Duda, elementary school teacher

“The dentists at McCarl Dental Group have removed the anxiety one typically experiences when going to the dentist. It is an established practice that truly gives you the feel of an ‘old-time’ family practice, but with current, state-of-the-art technology and dental practices. Over the years, my visits to McCarl Dental Group have become more than the routine patient-dental service provider relationship—they treat me like family. Thank you to all of the members of the McCarl Dental practice for helping me attain the smile that I always desired and making my dental care a friendly, comfortable visit.”— Dan Dering, business executive

“Before my experience with the McCarl Dental Group, I did not like showing my teeth when I smiled. I am so glad I chose to enhance my smile through Invisalign, and I am pleased to have chosen the McCarl Dental Group for my dental needs. I now love showing my teeth when I smile, and especially love being photographed.”— Jackie Oddoye, recruiter

“My smile became increasingly important to me as I started to speak publically, and appear on national television shows. It was not just a matter a vanity—it became a necessity for career advancement. After doing the Dr. Phil Show over a dozen times, I had some of my own material pitched to different networks, and was told my work was great, but my teeth and smile were not up to standards. After consulting with three dentists, I choose the McCarl Dental Group to do my complete mouth restoration. Dr. McCarl’s knowledge and confidence about the process of dental restoration was evident. It was a fair and realistic price for my veneers and crowns, and I could not be happier with my smile. My favorite compliment is, ‘They look like your teeth,’ and that’s exactly what I wanted.”— Joani Gammill, RN and Board Certified Alcohol and Drug Interventionist

Washington Capitals forward Eric Belanger said he felt his teeth shatter immediately upon impact with Canadiens defenseman Marc-Andre Bergeron’s hockey stick. Fans watched as Bellanger handed broken teeth to his trainer. Belanger had his lip sutured and emergency dental work most likely including a root canal between periods and returned to play more than 10 minutes of the game.

Apparently he does not wear a mouth guard because he is already missing three of his top front teeth, making it impossible to bite down on a guard. Belanger will need additional dental care but says he will be 100 percent ready to play in Game 6 Monday night in Montreal. Bergeron wasn’t penalized on the play.

Dr. Oz, health expert for the Oprah Winfrey Show and your McCarl dentists believe that health and beauty start with your teeth.

In the book, You: Being Beautiful: The Owner’s Manual to Inner and Outer Beauty, Dr. Oz and Dr. Roizen write “Beauty reflects inner health – and teeth do it better than anything else.”

When interviewed on Dr. Oz on ABC News, Dr. Oz said, “The health of your gums is a more important predictor of whether you are going to have a heart attack than your cholesterol level.”

If your gums are inflamed, your teeth are falling out, or your teeth are getting ground down from wear and tear it will affect and reflect the health and beauty of your entire body.

Gum disease also called gingivitis is a much more common cause of tooth loss than tooth decay or cavities. The tooth is anchored in place by the gums which act like a suction cup. When the gum gets inflamed and swollen by gingivitis, the muscle and tissue in the gums and the bone beneath it pull away from the tooth.  The suction loosens and you are at risk of losing teeth. Cavities are a problem too. Bacteria eats its way through the tooth and gets into the pulp which has nerves that carry the pain all the way down into the jaw bone. Your jawbone supports your teeth. If you loose your teeth whether through trauma or decay, your jaw bone will eventually erode.

To keep your teeth healthy and prevent both gum infections and cavities, follow Dr. Oz’s Rule of Two’s: Brush your teeth for two minutes with a soft brush, change your toothbrush after two months. Flossing is critical – flossing cleans 40 percent more of the tooth than brushing alone.  You should also eat foods that are healthy for your teeth and make sure you follow your dentist’s recommendations for routine dental cleanings and exams.

McCarl Dental Group offers a New Patient Discount. Teeth cleaning, dental exam and necessary x-rays are only $45.  Click here to see other special discounts for dental care at McCarl Dental Group.

See Dr. Oz on ABC

Sally McCarl Moore has been practicing as a Registered Dental Hygienist since 1980, and works in the McCarl Dental Group offices in Greenbelt and Millersville. Sally is known for her excellent clinical skills and is constantly updating professional techniques and products based on the latest research. Her main focus however, is the personal relationship she forms with each of her patients. Sally is compassionate and has a great sense of humor. She has built wonderful friendships with her patients over the years and is a great asset to our practice. Sally teases her long time patients that when anything of importance happens to them the first person they should call is their dental hygienist!  A relaxed atmosphere and a lot of laughter make a trip to the Greenbelt, Annapolis and Severna Park Dentists at McCarl Dental Group an enjoyable one. Who says dental visits can’t be fun!

Sally is the sister of Drs. Clayton and Jay McCarl, and is Dr. David McCarl’s cousin. She started working as a dental assistant with her father, Dr. Clayton McCarl Sr. when she was sixteen. Each Saturday and every summer vacation was spent at the Greenbelt office learning the family business. While assisting in high school and college, Sally worked beside her aunt, Mary Jean McCarl Bonham. Many of her cousins also worked for the dental office in various positions ranging from dental assistant to lawn maintenance. “We were taught at a young age about the importance of serving others and to take great pride in our work. Our grandfather and fathers lead by a strong example that made a great impression on us all.”

Sally lives with her husband, Brian in Crofton. She has three fabulous grown children, Kelly, Colleen and Alex. They are all enjoying and excelling in their fields as an attorney, history teacher, and accountant.

Sally’s husband, Brian likes to joke that she should be a great hygienist; because that’s the only job she’s ever had!  Sally says, “Actually that is true. I never saw the point in working anywhere else. What could be better than working with your family?”