Greenbelt Dentist

YES! Tobacco use remains the single largest preventable cause of disease and premature death in the United States.

At McCarl Dental Group we care about your oral health and also your overall health! We recently had a question regarding a YouTube video that one of our patients requested that we post on our website. Unfortunately, this patient was diagnosed with oral cancer. Fortunately his treatment was very successful. The cancer was located at the base of the tongue beyond visible range and was not visible upon oral examination. It was diagnosed by an ear nose and throat doctor. The question asked  what percentage of people who dip everyday will get mouth cancer? We researched and were not able to find those specific statistics. Here is the information we found.

Wishing you a healthy and blessed New Year!

Harmful health effects of smokeless tobacco include:

• Mouth, tongue and throat cancer
• Cancer in the esophagus
• Stomach cancer
• Pancreatic cancer
• Increased risk of heart disease, heart attacks, and stroke
• Addiction to nicotine
• Leukoplakia (white sores in the mouth that can become cancer)
• Receding gums (gums slowly shrink from around the teeth)
• Bone loss around the roots of the teeth
• Abrasion (scratching and wearing down) of teeth
• Tooth loss
• Stained teeth
• Bad breath

Smokeless tobacco products are a major source of cancer-causing nitrosamines and a known cause of human cancer. They increase the risk of developing cancer of the mouth and throat, esophagus and pancreas. (Source: Cancer Prevention & Early Detection Facts and Figures 2010)

Smokeless tobacco products are considered less lethal but are NOT a safe alternative to smoking. Use of tobacco in any form harms health and can also lead to nicotine addiction.

Results from a large American Cancer Society study showed that people who switched from cigarettes to snuff or chewing tobacco had higher death rates from heart disease, stroke, cancer of the mouth and lung, and all causes of death combined than former smokers who stopped using ALL tobacco products.

The American Cancer Society, the World Health Organization, the National Cancer Institute and the U.S. National Toxicology Program have all issued strong reports warning on the adverse health effects of smokeless tobacco.

Lung cancer is the leading cause of cancer death in the United States for both men and women. (Source: Cancer Facts & Figures 2011)

Lung cancer is the most preventable form of cancer death in our society. (Source: Cancer Facts & Figures 2011)

Lung cancer estimates for 2011 (Source: Cancer Facts & Figures 2011):

New cases of lung cancer: 221,130

Males: 115,060

Females: 106,070

Deaths from lung cancer: 156,940

Males: 85,600

Females: 71,340

Let’s face the facts. Like 99% of the American population, you probably don’t floss your teeth as often as you should. The majority of dental patients actually confess that they don’t even floss at all unless there is something stuck between their teeth.

How Often Should You Floss Your Teeth?
The American Dental Association recommends cleaning between teeth DAILY with dental floss or an interdental cleaner.

Why Should You Floss Your Teeth?

Unlike brushing, flossing reaches between teeth and helps treat and prevent conditions like tooth decay,  gingivitis and periodontal disease, which can lead to tooth loss. Gingivitis is an early and reversible form of periodontal or gum disease.

Dentists, hygienists and product manufacturers have been trying to find a way to motivate patients to floss for years. The answer has finally come in a method that patients of McCarl Dental Group will both enjoy, comply with, and that is as effective as traditional flossing: the water flosser.

For years, products such as the Waterpik were recommended to patients with hard to reach areas around bridges, crowns, implants or braces. Recent studies show this method of plaque removal even more effective than flossing. (1) Many of our patients say that the water flosser is easier to use than dental floss.

The Waterpik Water Flosser is an oral irrigation device that delivers a steady stream of water and can flush out food particles, bacteria and plaque from under the gums and between teeth, where a toothbrush can’t reach.

For those who find flossing difficult, now a gentle stream of water can do the job. The added convenience of water flossers can also increase patient compliance in maintaining their oral hygiene. The result will be healthier gums, teeth and maintenance of oral appliances such as braces, bridges and implants.

You can purchase the Water Flosser at Bed Bath and Beyond and Target. Oral irrigation devices such as the Waterpik Water Flosser are available in various designs. The lower end models usually deliver one steady stream of water, while higher ends allow more customization in the pressure through manual controls. The water reservoir may be filled with a comfortable temperature of water to ensure patient comfort.

While it may take a little getting used to, many people prefer water flossers to traditional floss because of the convenience and ease of use. For patients with limited dexterity, flossing can be challenging. The Waterpik Water Flosser is easy to use.  Dr. Clayton McCarl is currently using the Water Flosser for hard to reach areas before he flosses.

McCarl Dental Group wants to encourage and promote oral health for each of our patients. Part of that responsibility includes making you aware of successful products that can help achieve improved oral health. If you’re looking for a dentist, we would love to invite you to our office. Our Millersville dental office is conveniently located near Severna Park, Annapolis, Crofton, Crownsville, Gambrills, Glen Burnie and Severn, Maryland. Our Greenbelt Dental Office is close to College Park, Lanham, Seabrook, Bowie, New Carrollton, Laurel, Glen Dale, Bowie, Mitchellville, University Park and Hyattsville, Maryland . To schedule a preventative care appointment with us, call our Millersville, MD office at (410) 987-8800 or our Greenbelt dental office location at (310) 474-4144. You may also schedule a dental appointment with a dentist at McCarl Dental Group online at www.McCarlDental.com.

Reference:
1. Rosema NA, Hennequin-Hoenderdos NL, Berchier CE, Slot DE, Lyle DM, van der Weijden GA.; The effect of different interdental cleaning devices on gingival bleeding.;
J Int Acad Periodontol. 2011 Jan;13(1):2-10.

When a tooth has a deep cavity or receives trauma, the nerve tissue deep inside the tooth may be injured beyond recovery. The typical repair procedure of a dental filling or crown may not be sufficient to treat the inflamed or infected nerve. A root canal is then the procedure necessary to treat and save the tooth.

The most common reason for a root canal is tooth decay – a cavity that has spread to the inner pulp tissue of a tooth. This inner pulp tissue contains the small nerve, artery and vein in a tiny canal in the center of a tooth. Sometimes there is no decay but the tooth has a history of deep fillings, has received a traumatic blow or has been worn down from years of grinding your teeth (bruxism).

The most common symptoms that indicate that you may need a root canal are: dental pain from hot or cold temperatures, pressure or swelling in the tissue around the tooth. There may be a bump or abscess on the gum that drains infection. Sometimes the tooth gets darker than the other teeth. Occasionally, none of these signs and symptoms is present, but an infection is noticed on your routine yearly dental x-rays.

During a root canal, a small opening is made in the tooth and slender instruments are inserted into the canals to remove the infected or inflamed pulp. Patients are given local anesthesia for the procedure. The area surrounding the tooth is completely numb and the patient does not feel discomfort during the root canal procedure. Typically, antibiotics and pain medications are prescribed to ensure a comfortable recovery after the Novocain wears off.

Some teeth have one canal in the root, some two, three or even four canals. This accounts for the difference in time and cost associated with root canals on different teeth. When all of the pulp contents of the canals are removed, the canals are disinfected and sealed. After the root canal, a permanent filling and usually a crown are needed to keep the tooth strong. Root canals are usually covered by dental insurance.

Root canals are usually painless procedures but like teenagers, “you only hear about the bad ones.” The dental pain associated with a root canal is caused by the infection. The procedure removes the infected root and the source of the pain. Occasionally, a root canal will need additional visits to control the infection.

Root canal therapy is the treatment of pain and infection that allows dental patients to keep their teeth. All treatment prescribed by dentists at McCarl Dental Group in our Millersville, and Greenbelt Maryland dental offices is recommended to help maintain optimum tooth health and structure.

The dentists at McCarl Dental Group spend time explaining dental treatments and options to our patients. We want each of our patients to understand their dental needs and why we suggest certain types of treatments over others. The primary goal of McCarl Dental Group is to help our patients have a beautiful, healthy smile that will last a lifetime. Call us in Millersville, MD (410) 987-8000 or Greenbelt, MD (301) 474-4144 or visit our website www.McCarl Dental.com

The dentists at McCarl Dental Group strive to provide same day emergency dental care. Our dentists want to ensure the comfort and safety of each and every patient and encourage you to call should you have a dental emergency. Our dental offices in Greenbelt and Millersville Maryland are centrally located and convenient to Severna Park, Annapolis, Crofton, Crownsville, College Park, Bowie,  and Laurel.

Many times people just aren’t sure whether or not they should come see us or wait it out. Here are some examples of some very common dental emergencies:

Broken Tooth
If you have sustained trauma to the mouth from an accident, sport, or other injury that resulted in a loose or broken tooth, call us immediately. If the tooth is broken off or has been knocked out, do not try to clean it off, but rather place the tooth in a cup of milk and contact a dentist at McCarl Dental Group immediately.

Toothache
Sometimes toothaches come on very suddenly and can cause severe discomfort. Other times dental pain may be slow and gradual. In either case, the thing to remember with toothaches is that they don’t go away on their own. If your tooth hurts, call our dental office and schedule an appointment so that our dentists can help make you comfortable.

Loose Dental Crown
When a tooth with a crown has recurrent decay around it, or the cement simply loosens, your crown may come off. This exposes the surface of the tooth below the crown and unless it is uncomfortable, you may not need an emergency dental appointment. Please schedule an appointment as soon as possible for a dental exam to determine why the crown came off, and what treatment is necessary. Left uncovered, the underlying tooth can easily decay. If the crown on a front tooth or a tooth that is visible when you smile comes off, even if you are not experiencing dental pain, we are happy to fit you into our schedule or come to the dental office to see you as quickly as possible. To keep the crown on temporarily you can use some denture adhesive, or toothpaste. Please do not use any type of glue to try to re-cement the crown!

Broken Dental Fillings
One of the most common dental emergencies is a broken filling. This may be because the filling is very old or there is new decay around the filling. Depending on the size of the filling, the tooth could be at an increased risk of breaking, infecting the nerve, or developing food traps that leads to problems. Teeth that lose fillings have lost some of the stability that is needed to withstand the pressure of chewing. Do not chew on these teeth until the filling has been replaced and make an appointment to see your dentist as soon as possible.

Gum Swelling or Infection
If swelling of your gums, mouth or the surrounding area occurs, you should call us immediately. A small swollen area may be caused by a dental abscess that requires antibiotics and treatment. Infections are not to be taken lightly, they can lead to very serious health risks. Always remember to brush and floss your teeth daily and follow home care instructions after dental treatments to help prevent infections.

No matter what day it is, if you find yourself faced with a dental emergency, the first thing we’ll ask you when you call our Greenbelt, MD or Millersville, MD dental office is “How soon can you get here?” Even cosmetic procedures can become an emergency. We’ve had instances where one patient broke a tooth, and had to be in a wedding the next day. No matter what your dental emergency is, McCarl Dental Group is here to help. You can reach our Millersville, MD dental office at (410) 987-8800 or call our Greenbelt, MD location at (301) 474-4144.  For additional information about McCarl Dental Group, please visit our website at www.McCarlDental.com.

In the last few years, many new products have become  important in dentistry. One of these products allowing advances in dental care is fluoride varnish. Fluoride varnish is quickly replacing dental fluoride foams and gels.

Advantages of Dental Fluoride Varnish

Varnish is extremely effective for the prevention of tooth decay.(i) Studies show that the varnish prolongs the contact time between fluoride and the tooth surface, which helps reduce the rate of tooth decay.(ii)

At McCarl Dental Group in Millersville, MD and Greenbelt, MD we provide fluoride varnish to pediatric patients up to the age of 14. We also perform this treatment on all patients who are undergoing orthodontic treatment. Patients with braces have an increased risk of decay, and fluoride varnish is shown to be extremely effective for this category of patients. For adult patients who have extreme sensitivity areas, or are prone to decay, this is an optional therapy they can request. Unfortunately, insurance companies typically only provide fluoride coverage to patients up to the age of 14, but many adult patients feel the small out of pocket cost is well worthwhile. For those adults who do not request fluoride varnish, our office offers a fluoride rinse or foam tray at no additional cost.

Fluoride varnish is simply applied to the tooth by using a small brush, similar to a paintbrush. This thick material is painted onto your tooth by dental hygienist, and the patient is advised to not brush their teeth for at least 6 hours. Unlike traditional fluoride treatments, there is no restriction on eating or drinking, so patients are able to leave the office and have a snack or meal immediately after their appointment. Following a fluoride varnish application, there may be a slight yellowish color and thin film on the tooth. This is the actual varnish clinging to your tooth, and it is only temporary.

For our patients who have a more sensitive gag reflex, varnishes are great, because there is no need to hold a large tray in the mouth. While traditional foam trays are worn for about a minute, varnish is applied even more quickly. It’s easier than brushing your teeth, because so little product needs to be applied.

To schedule a dental appointment, dental hygiene visit or dental exam call our Millersville Maryland dental office at 410-987-8800. Or, for a Dentist in Greenbelt Maryland, call 301-474-4144. You may also request a dental appointment online at www.mccarldental.com.

(i)Quock RL, Warren-Morris DP.: Fluoride varnish: the top choice for professionally applied fluoride.; J Mich Dent Assoc. 2011 May;93(5):42-8.

(ii) Lam A, Chu CH.: Caries management with fluoride varnish of children in U.S.; N Y State Dent J. 2011 Jun-Jul;77(4):38-42.

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.

We all know that gum can be bad for you. Sugar containing gum actually increases our risk for tooth decay. Cavities that develop from chronic gum chewing often are not very noticeable in plain view. A small hole will be evident on the tooth enamel, but when an x-ray is taken, half of the tooth is “bombed out” on the inside. This type of decay is unique to gum chewing. Even when excellent oral hygiene habits are in place, frequent gum chewing continues to cause decay of the teeth. (i)

Sugary chewing gum can increase your risk of tooth decay.

Now there are now chewing gums available that have the sweetener Xylitol. Xylitol containing gums have actually been shown to reduce tooth decay and encourage enamel remineralization.(ii) Further studies show that chewing a gum with Xylitol encourages healthier gums, reduces bleeding, and decreases harmful bacteria.(iii) For patients who are actively fighting gum disease and recurrent tooth decay, chewing these gums may be beneficial to their oral health.

According to the American Dental Association, chewing gum may also be beneficial for patients with dry mouth. Medications and certain medical conditions are a common cause of dry mouth. Radiation therapy may also be the culprit, as it can destroy the salivary glands within the mouth. When there is no saliva to cleanse the teeth on a normal basis, decay becomes rampant. Xylitol containing gum promotes salivary production and can help decrease the decay rate. Dry mouth can also be very uncomfortable, and salivary supplements that don’t damage your teeth are extremely important. While the old school of thought might have been to suck on a peppermint, we know this is not the healthiest option for our teeth. Within just 5 to 10 minutes of chewing gum, saliva production will peak.(iv) Chewing a Xylitol gum may be a good option to decrease the dental consequences and discomfort of dry mouth.

Research indicates that chewing  gum containing Xylitol can be beneficial to dental health. Check the labels of different brands of chewing gum. You’ll be able to see on the front side of the package, usually in the corner, whether or not Xylitol is an ingredient. Brands like Orbit and Trident use this sweetener in most all of their products. If you or your children enjoy chewing gum, the American Dental Association recommends that you choose gum that contains Xylitol.

It is important to have routine dental hygiene cleaning and preventative oral health care. Please call McCarl Dental Group, dentists in Greenbelt MD 301-474-4144 or Millersville MD 410-987-8800 to schedule an appointment. Visit McCarl Dental Group at http://www.mccarldental.com/dental-hygiene-periodontal-therapy-dental-services.php

References:

(i) Paice EM, Vowles RW, West NX, Hooper SM.; The erosive effects of saliva following chewing gum on enamel and dentine: an ex vivo study.; Br Dent J. 2011 Feb 12;210(3):E3.

(ii) Chewing gum and dental health. Literature review. ; Rev Belge Med Dent (1984). 1992;47(3):67-92.

(iii) Campus G, Cagetti MG, Cocco F, Sale S, Sacco G, Strohmenger L, Lingström P.; Effect of a Sugar-Free Chewing Gum Containing Magnolia Bark Extract on Different Variables Related to Caries and Gingivitis: A Randomized Controlled Intervention Trial.; Caries Res. 2011 Aug 3;45(4):393-399

(iv) Olsson H, Spak CJ, Axéll T.; The effect of a chewing gum on salivary secretion, oral mucosal friction, and the feeling of dry mouth in xerostomic patients.; Acta Odontol Scand. 1991 Oct;49(5):273-9.

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!

Advances in Dental Hygiene

We have seven very talented dental hygienists who work at our dental offices in Greenbelt and Millersville Maryland.

Greenbelt and Millersville Maryland Dental Hygienists at McCarl Dental Group

Recent years have shown tremendous strides in the advancement of technology in the area of dental hygiene. The Dental Hygienists at McCarl Dental Group stay current with the latest advancements so they are able to deliver the highest quality dental hygiene care.  Several of our hygienists have worked at McCarl Dental Group for more than 20 years! Our patients always give fabulous reviews of their dental hygiene care. Because prevention and early intervention is key at your professional dental cleanings with the hygienists at McCarl Dental Group, we want to take a moment to share some of the technological steps that preventative dentistry is making.

• Desensitization

For patients who suffer from tooth sensitivity that does not require restorative dental treatment, desensitizing agents are now more effective than ever.  McCarl Dental Hygienists can apply topical gels that make your teeth “pain free.” Fluoride varnish helps block the pain receptors of the hypersensitive tooth surface. Our dentists can also provide prescription strength fluoride toothpaste for everyday use. This allows patients to eat and drink without associated tooth sensitivity and helps ensure dental comfort between dental appointments.

• Digital Radiography

In the beginning of dental radiography, x-ray films had to be dip processed in 3 separate tanks with chemicals that allowed the films to be viewed. This development process took 20 minutes. Electric processors shortened this time dramatically, usually developing an x-ray within 5-7 minutes after being placed in the machine. In the 21^st century with digital radiography, the images are ready for viewing in an instant. McCarl Dental Group uses digital radiography machines for several types of x-rays. This shortens the time it takes to view x-rays and decreases radiation exposure to our patients. While the exposure levels with traditional films were already safe, digital radiography lowers exposure even more. The detail and resolution of digital radiographs is of extremely high quality, and the files can be sent electronically to other dental professionals or insurance companies.

• Local and Systemic Delivered Medications

For patients who suffer from periodontal disease, in addition to procedures such as Scaling and Root Planing, local delivery of medication to areas with advanced bone loss can improve healing as well as encourage tissue attachment and bone regeneration. (1) These medications are placed below the gum surface into the infected pocket area, and are delivered through fibers, gels, chips, ointments and microspheres.

Recent studies also show that Statin drugs, commonly used to control blood cholesterol, are suggested to improve tissue attachment on the root surfaces of teeth, and encourage bone growth. (2) Azithromycin, another orally delivered medication, has also been shown to improve the success in Scaling and Root Planing therapy. (3)

At McCarl Dental Group  we strive to provide state of the art, quality preventative, restorative and cosmetic dental care to each of our patients. To find out more about the advanced dental care we offer in Millersville, MD and Greenbelt, MD, please call us at (410) 987-8800 or (301) 474-4144.

References:

1. Pradeep, A., Thorat, M.: Clinical Effect of Subgingivally Delivered Simvastatin in the Treatment of Patients with Chronic Periodontitis: A Randomized Clinical Trial. J Perio 81: 214- 222, 2010.

2. Fajardo, M., Rocha, M., Sanchez-Marin, F., Espinosa-Chavez, E.: Effect of Atorvastatin on Chronic Periodontitis: A Randomized Pilot Study. J Clin Perio 37: 1016-1022, 2010

3. Rotundo, R., Nieri, M., Francesco, D., Mervelt, J., Bonaccini, D., Esposito, M., Pini-Prato, G.: Lack of Adjunctive Benefit of Er:YAG Laser in Non-Surgical Periodontal Treatment: A Randomized Split-Mouth Clinical Trial. J Clin Perio. 37: 526-533, 2010