Millersville Dentist

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

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

Our population is living longer than ever but not everyone is keeping their teeth. Unfortunately, one’s own dental health may restrict lifestyles such as the type of food we can eat. For some this may mean pureeing food or avoiding some foods completely. While dentures work well for some patients, others prefer something more stable that will allow them to function the way they did with their own teeth.

Of maybe you’ve just lost a tooth due to other reasons. It could be from an accident or injury, and you’re looking for the best cosmetic dentistry option to replace your missing tooth. Dental Implants can be used to replace one, several, or all of your missing teeth.

What are dental implants? Dental Implants are titanium inserts that are artificially used as “roots” in the jawbone of the mouth, where a natural tooth root would be. These artificial roots provide an anchor to support crowns, bridges, partials and dentures. The unique surface of these titanium posts allows the patient’s bone to grow around the implant so that it remains stable. Successful placement of implants allows the patient to function the way they would as if a natural tooth were in its place.

Here at the McCarl Dental Group in Millersville, MD and Greenbelt, MD we offer both traditional and mini implants. Traditional implants are placed surgically at the dental office, into the bone and require about a 3-6 month time span to rest before a crown or bridge is placed on the post. After the healing time has elapsed, we expose the post in the dental office so that an appliance can be snapped to it.

We are also very excited to now be offering mini implants, which are minimally invasive and are about half the cost of traditional implants. With mini implants only a small amount of Novocain is needed and the post is placed directly into the mouth without any surgical procedures here at our dental office in Millersville, MD or Greenbelt, MD. Mini dental implants are excellent for stabilizing loose dentures.

Dentists at the McCarl Dental Group have performed dental implants since the 1980’s. Many medical procedures have advanced through the last 30 years and so has the field of implant dentistry. We at McCarl Dental remain committed to following the progression of dental implants and cosmetic dentistry, and apply our knowledge and extensive training to be able to offer state-of-the-art care to each of our patients. Our dentists are certified in the advanced treatment of both traditional and minimally invasive dental implants.

Call us today for a consultation at our Millersville, MD dental office 410-987-8800 or our Greenbelt, MD dental office 301-474-4144 to determine what type of dental implants or other cosmetic dentistry services are right for replacing your missing teeth.  You may read more about dental implants on the McCarl Dental Group website.

http://www.mccarldental.com/dental-implants-tooth-implant-dental-services.php

McCarl Dental Patient before Dental Implant with Sinus Lift

X-Ray of Dental Implant with Sinus Lift

McCarl Dental Patient after Dental Implant with Sinus Lift

Have you been told that you need a dental implant that will first require a sinus lift? Sometimes in the upper jaw, the floor of the maxillary sinus is too low to place a dental implant.  A traditional sinus lift procedure creates space for an implant but can be too costly or involved for many dental patients.  Now a “mini sinus lift” can be performed by your general dentists at McCarl Dental Group at the time of dental implant placement with lower cost and no additional recovery time.

Rather than entering the sinus from the cheek side of the arch, a mini sinus lift “bumps” up the floor of the sinus just ahead of the advancing dental implant.  There is no additional entry point, no additional healing period, and a substantial savings over a full lateral approach sinus lift.

Dentists Clayton McCarl Jr, DDS and David McCarl, DDS of the McCarl Dental Group in Greenbelt and Millersville Maryland have received advanced training in placing mini sinus lifts.

"Before" x-ray of missing tooth

"After" x-ray showing sinus lift with dental implant in place

In this x-ray, a patient of Dr. David McCarl needed an implant to replace a missing tooth on her upper arch.  The “Before” x-ray shows the floor of the sinus (white line) was so low there was not enough bone to place an implant.  The “After” x-ray shows a full sized dental implant placed with the floor of the sinus bumped up or lifted ahead of the advancing implant.

The mini sinus lift is an easy affordable way to receive a dental implant for dental patients who were  previously not candidates to receive a dental implant to replace a missing tooth.

McCarl dental patient with a beautiful smile after teeth whitening, thin porcelain veneers, porcelain crowns and gum re-contouring.

Dental patient before teeth whitening, thin veneers, porcelain crowns and gum re-contouring.

Every dental patient is unique and dentistry should be customized specific to each patient’s situation and needs. When a patient consults with a dentist at McCarl Dental Group about concerns and goals for their smile, we listen. Our dental practice features  general dentists with advanced dental skills offering a wide range of dental treatment options. We offer a full range of advanced dentistry  in our Greenbelt and Millersville dental offices.

Combining dental procedures allows us to address our dental patients’ unique needs and provide solutions that will create the most attractive smile AND the most cost effective option. A combination case is the best choice when “just whitening teeth” or covering teeth with “all veneers” or “all crowns” would be inappropriate, unnecessary, or might not be the best way to achieve the dental patient’s goals. Patients who want to straighten and whiten crooked teeth benefit with Invisalign orthodontics combined with teeth whitening or porcelain veneers and crowns. The dentists at McCarl Dental group provide a wide range of dental treatment options to best meet their patients needs.

In a recent case, a patient came to us with 10 year old porcelain fused to metal crowns on her two front teeth after root canal therapy following trauma. The crowns were well made but were not attractive. No matter how well made, dental crowns made completely with porcelain (called all-porcelain crowns) look more natural, lifelike and esthetic than crowns made from porcelain fused to metal.

When the patient and dentist discussed the advantages of replacing the porcelain fused to metal crowns with “all-porcelain crowns”, the patient also wanted to address a slight uneven gum height and small, uneven teeth (lateral incisors) adjacent to the front two teeth.  In this case, full crowns would be unnecessary on the lateral teeth so we elected to place minimal preparation veneers (also called thin veneers). Thin veneers eliminated the need for reduction of healthy teeth, allowed us to improve the size relative to the front two teeth. All four teeth were restored with identical matching porcelain in an attractive white shade chosen by the patient. The gum line was re-contoured and the remaining natural teeth were whitened with beautiful results.

The” general dentists” at McCarl Dental Group are skilled in advanced “combination dental cases.”  We offer our patients the best dental materials and procedures to create beautiful smiles. We can often combine dental treatments and dental materials so that the most attractive smile  is also the most cost effective .

Your smile is one of the first things other people notice about you. You deserve a porcelain crown, veneer or even composite bond that matches your other teeth.  A confident, sincere and beautiful smile helps you make a great first impression.

When you smile, no one else but your dentist should know that you have had dental work. A broken front tooth is a dental emergency – and even emergency dental treatment needs to give beautiful results. The dentists at McCarl Dental Group in Millersville and Greenbelt Maryland treat cosmetic dental problems as true dental emergencies. When a dental emergency is causing pain, discomfort or embarrassment – we ask, “How soon can you meet us at one of our dental offices?” For three generations, we have treated our patients like family.

Catherine Brandt, a dental patient who visits both our Millersville and Greenbelt Maryland dental offices broke her front tooth. Here is what Catherine said about her experience at McCarl Dental Group. “I never realized how much I valued the ability to smile with confidence until I broke my front tooth.  I wasn’t in any pain, but Dr. Clayton McCarl still treated it as an emergency and fixed me right up with a temporary crown.  Soon after, Dr. Clayton took a mold and fitted me with a permanent crown that perfectly matched my other front tooth in color.  I visited other dentists when I lived outside of Maryland, and each commented on the quality work that Dr. Clayton did on my crown.  The same outstanding level of care and talent is applied to all of my dental needs from the doctors, hygienists, and staff at McCarl Dental.”

A very popular procedure in today’s world of cosmetic dentistry is the no-prep veneer. With improved dental technology, dentists can create porcelain veneers that are less than half a millimeter thick. These “thin veneers” can allow smile makeovers with little or no drilling. No-prep veneers are ideal for permanent whitening, minor orthodontic issues and transforming small teeth or teeth with spaces into beautiful and dazzling smiles. The McCarl dental patient in the pictures above transformed his smile in just two visits to our dental office with no preparation thin dental veneers. The thin veneers covered chipped teeth, gave crooked teeth a straight appearance and permanently whitened his smile.

Many people want the cosmetic improvements porcelain veneers provide for a smile but are hesitant about the preparation of the face of the tooth that is required for traditional dental veneers. With the new minimal and no preparation veneers, cosmetic dentistry has become more comfortable, affordable and convenient. Dental veneers can transform a smile in just two visits to the dentist. Thin veneers are often an ideal solution.

Click this link to watch a video testimonial by a McCarl dental patient who improved his smile with minimal preparation thin veneers. He was concerned about yellowed, chipped teeth with spaces and was thrilled to have a beautiful white smile in just two visits.

Traditional veneers are thicker porcelain and require some reduction on the face of your teeth. These veneers are still the treatment of choice when teeth are too crowded or when protruding teeth need to be brought back into the smile line. Many times a patient’s unique situation is best served by a combination of thin and traditional veneers. Tooth structure may need to be modified only on selected teeth in your smile to get optimal results.

A smile makeover consultation with a dentist who is experienced in cosmetic dental treatment is the first step for improving your smile. The dentists at McCarl Dental Group combine experience in cosmetic dentistry, advances in dental technology and genuine care for our dental patients. We listen carefully to your concerns and goals. There is usually more than one solution to dental problems. McCarl dentists offer a variety of dental procedures and explain how they can improve your smile. A smile makeover can include teeth whitening, dental implants, porcelain traditional veneers, thin veneers or porcelain crowns. The combination of treatments gives a great outcome and lowers the total price.

It is important for dentists to use a top quality dental lab for fabrication of porcelain veneers. The highest quality traditional and thin porcelain veneers have the shading and characteristics of natural teeth. With the recent improvements in dental technology, more people are choosing to enhance their smiles with restorative and cosmetic dentistry. Ask a dentist experienced with all types of cosmetic dentistry what would be best for you.

Each year about 800,000 new cases of diabetes are diagnosed.  Even more frightening- the Center for Disease Control reported a 70% increase in diabetes diagnosed in 30-39 year olds from 1990-1998.  In diabetics, the blood glucose level is higher than normal due to a lack of insulin.  Insulin is a hormone produced by the pancreas, the organ that breaks down sugar in our bodies.  Diabetics are typically unable to produce enough insulin or use the body’s natural insulin.  Heart disease, blindness, organ failure, and poor circulation are medical concerns associated with high glucose levels.  However, diabetes also increases the risk of gum disease, which can affect your overall health.

The first stage of gum disease is gingivitis.  Gingivitis occurs when normal bacteria in the mouth are not removed adequately. This causes the gums to become inflamed or swollen. Bacteria grow in plaque, a sticky film that everyone can remove with proper brushing and flossing.  If the plaque is not removed, it hardens into tartar (also known as calculus).  When teeth are not cleaned properly, gums start to bleed while brushing and flossing, a sign of gingivitis. Only a professional cleaning by your dental hygienist or dentist and can remove tartar or calculus.  The dentists and dental hygienists at McCarl Dental Group emphasize preventive oral hygiene. Every patient has unique oral health needs. Some people are more prone to plaque accumulation and need to have their teeth cleaned professionally by a dental hygienist more often than the usually recommended time interval of every six months.

If gingivitis is ignored, more severe gum disease called periodontitis may develop.  Periodontitis causes pockets to form between your teeth and gums.  The gums pull away from your teeth allowing more germs to enter.  The resulting infection may cause bone loss around your teeth which often leads to loose teeth and ultimately results in losing teeth. Missing teeth cause additional health problems.

Research indicates a strong correlation between gum disease and diabetes. Diabetics are more prone to bacterial infections and cannot fight bacterial infections as well as a patient with normal glucose levels.  Common symptoms of oral infections include swelling, pus, pain while chewing or general pain in the mouth, oral sensitivity to temperature and sweetness, and white or red patches within the mouth.

New, studies emphasize the importance of oral health and suggest that gum disease may actually contribute to diabetes.  Serious oral infections like periodontitis can cause unbalanced glucose levels which increase the risk factors for diabetes.

Preventing oral health problems in diabetics is first controlled by regulating diabetes.  Keep a healthy glucose level.  Secondly, brush and floss your teeth properly at least twice daily.  Finally, maintain regular check-ups with your dentist.  Make sure to keep your dentist and hygienist updated on your health condition, medications, and glucose levels.  Dental procedures are best performed when blood sugar is carefully controlled.  Diabetics are typically slower healers, so regulating diabetes allows for a faster healing time.  Remember to eat before heading to the dental office and stick to your normal meal plans afterwards in order to maintain regular blood sugar levels.  If you cannot chew well after the visit, plan an alternative way to sustain your calorie intake.  If you have any concerns about how your diabetes will affect your upcoming dental visit, please contact McCarl Dental Group serving Anne Arundel County and Prince Georges County Maryland to plan your strategy for a healthy smile.

College is a time for new experiences, new friends, and unfortunately – new cavities. A diet high in sugar combined with changes in personal hygiene cause tooth decay and a dramatic increase in dental cavities during college years.

Today’s hectic college lifestyle is filled with fast food, sugar-packed coffees and soft drinks. Even diet sodas increase the likelihood of cavities because bacteria thrive in an acidic environment. Sugar-loving bacteria that are normally present in and around the teeth produce byproducts which cause breakdown of tooth enamel, resulting in tooth decay and dental cavities. The Greenbelt Office of McCarl Dental Group is 10 minutes from University of Maryland College Park Campus. Students with dental concerns are often referred to our Greenbelt office directly from the University Health Center. The College Park Shuttle Bus stops right in front of our Greenbelt dental office. McCarl Dentists offer same day emergency dental treatment. We can also help order replacement Invisalign trays and, of course, offer a full range of preventive dental health services. Our new patient visit costs only $45 for a comprehensive dental exam, professional hygiene cleaning and necessary x-rays.

Symptoms of cavities and tooth decay vary depending on the location and depth. Initially, cavities may not cause symptoms. As tooth decay progresses, it may cause tooth sensitivity or a toothache.  A toothache can cause varying degrees of pain when you bite down or when you eat or drink something sweet, hot, or cold. There may be visible holes or pits in your teeth which can also cause discomfort or pain in your mouth or jaw. A dental cavity will not get better on its own. If you’re experiencing one or more cavity symptoms, it’s time to see your dentist at McCarl Dental Group in Greenbelt and Millersville Maryland.

When you have a dental cavity, your dentist will remove the bacteria and decay and fill the cavity to restore strength to the tooth. In deep cavities, the nerve of the tooth may also be infected. This requires additional cleaning of the infected nerve called a “root canal”. Luckily, this only occurs in the deepest of cavities. Usually there are warning signs, such as sensitivity to extreme temperatures and to sweet foods.

“Pit and fissure” cavities are the most common type of cavities. Back teeth or molars have natural grooves, fissures and pits on their chewing surface.  Toothbrush bristles cannot reach inside deep pits, grooves, or fissures, which allows plaque and tartar to accumulate. During college years, flossing is often ignored, leading to tooth decay and cavities in between the teeth. Because of their location, cavities between the teeth or “interproximal” cavities are frequently only seen with an x-ray.

Preventing Dental Cavities
The first step in preventing cavities is to maintain good oral hygiene to minimize bacterial colonization. This includes brushing at least twice a day with fluoride toothpaste and flossing daily. It is also important to eat well-balanced, nutritious meals with limited snacking. The use of a fluoride rinse also helps strengthen tooth enamel.  Although college schedules are busy, it is very important to maintain regularly scheduled dental visits for teeth cleaning and fluoride treatment.  Dental exams improve the likelihood of early detection of cavities and treatment with a small rather than large filling.

Complete this checklist before you return to college!

1. Schedule a dental check up now. Call 410-987-8800 -we were voted best dentists in Millersville Maryland 21108 and 301-474-4144 for a top dentist in Greenbelt Maryland 20770.

2. Get your wisdom teeth checked. Wisdom teeth often erupt during college years. If they are not correctly aligned or are impacted they can cause pain or get infected requiring emergency dental care.

3. Ask for an NTI nightguard appliance. College students frequently experience stress. Grinding and clenching your teeth can cause chipping and excessive wear to your teeth, NTI dental mouthguards can eliminate the pain and discomfort associated with teeth grinding.

4. Want to dazzle your new friends with your smile? Have your teeth whitened!

5. NOW IS THE TIME TO DEVELOP  EATING HABITS FOR A LIFETIME OF HEALTH!

Best wishes from your dentists and dental hygienists at McCarl Dental Group!