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By Frederick Dental Group
July 25, 2017
Category: Dental Appliances
Tags: dentures  

Find out if these restorations are just what you need to get your smile back.Dentures

You are dealing with significant tooth loss and you are ready to say goodbye to those ugly gaps in your smile but you’re not sure the best approach for doing this. Our Frederick, MD, dentists, Dr. Dave Verma and Dr. Arpana Verma, may be able to provide you with a simple and easy tooth replacement solution.

When most people think about dentures they often think that this is a restoration designed only for older individuals when, in essence, anyone dealing with significant tooth loss could benefit from these oral prosthetics. Dentures could be right for people of all ages who are dealing with tooth loss. You may want to consider dentures if:

  • You want to replace several or all of your missing teeth
  • You don’t want to undergo surgery
  • You want to get your new smile quickly
  • You are on a budget and want to be financially smart about your dental work
  • You want to restore your smile so that chewing and speaking are restored
  • You have unhealthy damaged teeth that need to be extracted

Partial vs. Full Dentures

Which kind of dentures is right for you? When you come in for a consultation our Frederick family dentists will be able to determine the best restoration to improve your smile and your oral health. If you still have some healthy teeth remaining then partial dentures will be all you require. Of course, if you have complete tooth loss or the remaining teeth are irreparable and need to be extracted, then full dentures will be the best option.

While dentures have certainly become better over the years thanks to advancements in dental technology, some people still find themselves a bit disappointed by them. Even though dentures are meant to give you artificial teeth they won’t function in much the same way as real teeth. You may find that dentures sometimes move or shift around in your mouth. You may also find that certain foods are still a bit difficult to eat.

If you still aren’t satisfied with your dentures after giving yourself some time to get used to them then you may want to consider getting dental implants to stabilize your dentures and hold them in place.

If you are looking to get affordable, quality dentures in Frederick, MD, then it’s time to allow the dental experts at Frederick Dental Group to create a beautiful new smile for you.


All treatments for periodontal (gum) disease focus on one goal — to remove any bacterial plaque and calculus (hardened plaque deposits) that are at the heart of the infection. Plaque is a thin surface film of food particles and bacteria that cause gum disease.

Plaque builds up on tooth surfaces due to inadequate oral hygiene. And as the disease progresses brushing and flossing won’t be enough — you’ll need our services and specialized equipment to fully remove the plaque and calculus. The basic technique is called scaling in which we remove plaque and calculus manually from tooth surfaces above and just a few millimeters below the gum line.

As the disease develops, though, the slight natural gap between teeth and gums may begin to increase to form voids known as periodontal pockets. Filled with infection, these pockets can extend below the gum line onto the roots of the tooth. If the pocket extends more than 4 millimeters, basic scaling may not be able to remove all of the plaque and calculus.

Periodontists (dentists who specialize in the treatment and care of gum tissues) can perform a surgical method to access these deeper areas. Known as flap surgery, this procedure aims not only to reach and disinfect periodontal pockets and root surfaces, but also repair damaged gum tissue and create a better environment for future hygiene and treatment.

As the name implies, we create an opening in the gum tissue with one side remaining attached to the gum structure — much like the flap of a paper envelope. Through this opening we’re able to reach areas to remove plaque and calculus, as well as install both bone grafts to regenerate lost bone and growth factors to stimulate tissue growth. Once finished, we stitch the flap back into place with sutures and, in many cases, place a moldable dressing to protect and hold the flap secure while the incision heals.

This relatively minor procedure can be performed with local anesthesia and requires only a few days of recuperation. The results, though, can provide long-term benefits — reduced infection, better bone and gum health, and a more conducive environment for future maintenance of health — that could save your teeth and your smile for many years to come.

If you would like more information on treatments for gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Flap Surgery.”

By Frederick Dental Group
July 03, 2017
Category: Oral Health

Some people are lucky — they never seem to have a mishap, dental or otherwise. But for the rest of us, accidents just happen sometimes. Take actor Jamie Foxx, for example. A few years ago, he actually had a dentist intentionally chip one of his teeth so he could portray a homeless man more realistically. But recently, he got a chipped tooth in the more conventional way… well, conventional in Hollywood, anyway. It happened while he was shooting the movie Sleepless with co-star Michelle Monaghan.

“Yeah, we were doing a scene and somehow the action cue got thrown off or I wasn't looking,” he told an interviewer. “But boom! She comes down the pike. And I could tell because all this right here [my teeth] are fake. So as soon as that hit, I could taste the little chalkiness, but we kept rolling.” Ouch! So what's the best way to repair a chipped tooth? The answer it: it all depends…

For natural teeth that have only a small chip or minor crack, cosmetic bonding is a quick and relatively easy solution. In this procedure, a tooth-colored composite resin, made of a plastic matrix with inorganic glass fillers, is applied directly to the tooth's surface and then hardened or “cured” by a special light. Bonding offers a good color match, but isn't recommended if a large portion of the tooth structure is missing. It's also less permanent than other types of restoration, but may last up to 10 years.

When more of the tooth is missing, a crown or dental veneer may be a better answer. Veneers are super strong, wafer-thin coverings that are placed over the entire front surface of the tooth. They are made in a lab from a model of your teeth, and applied in a separate procedure that may involve removal of some natural tooth material. They can cover moderate chips or cracks, and even correct problems with tooth color or spacing.

A crown is the next step up: It's a replacement for the entire visible portion of the tooth, and may be needed when there's extensive damage. Like veneers, crowns (or caps) are made from models of your bite, and require more than one office visit to place; sometimes a root canal may also be needed to save the natural tooth. However, crowns are strong, natural looking, and can last many years.

But what about teeth like Jamie's, which have already been restored? That's a little more complicated than repairing a natural tooth. If the chip is small, it may be possible to smooth it off with standard dental tools. Sometimes, bonding material can be applied, but it may not bond as well with a restoration as it will with a natural tooth; plus, the repaired restoration may not last as long as it should. That's why, in many cases, we will advise that the entire restoration be replaced — it's often the most predictable and long-lasting solution.

Oh, and one more piece of advice: Get a custom-made mouthguard — and use it! This relatively inexpensive device, made in our office from a model of your own teeth, can save you from a serious mishap… whether you're doing Hollywood action scenes, playing sports or just riding a bike. It's the best way to protect your smile from whatever's coming at it!

If you have questions about repairing chipped teeth, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Artistic Repair of Chipped Teeth With Composite Resin” and “Porcelain Veneers.”

By Frederick Dental Group
June 27, 2017
Category: Dental Procedures
Tags: oral surgery  

Finding out you require oral surgery may send you into a state of imagining a long procedure and recovery period and having to oral surgeryundergo general anesthesia. Luckily, oral surgery rarely requires any of those things and usually takes place right in your dentist’s office. Find out more about oral surgery and when it is necessary with Dr. Dave Verma and Dr. Arpana Verma at Frederick Dental Group in Frederick, MD.

When is oral surgery necessary? 
Since it encompasses many procedures, someone may need oral surgery for any number of reasons. Some of the most common oral surgeries include:

  • Dental Implants: Dental implants replace a missing tooth and its root to fill in the gaps in your smile and prevent the side effects of missing teeth such as bone atrophy. Implants are the most permanent and effective tooth replacement option, lasting a lifetime with the proper care and replacing one, many or all of your teeth. Implants require a surgical procedure to place the implant’s fixture, a small, titanium post, into the jawbone below the gumline.
  • Tooth Extraction: An extraction is often an option when more conservative procedures like dental crowns fail. Extractions often times do not require oral surgery though it may become necessary if the tooth is broken or impacted and your dentist cannot remove it in one piece. Then, your Frederick dentist will need to operate to remove the tooth completely.
  • TMD Surgery: TMD occurs when the temporomandibular joint, or TMJ, located at each side of the jaw, becomes inflamed and irritated. When conservative measures fail to treat symptoms of TMD, oral surgery to correctly realign the joint and help relieve pain and inflammation.
  • Jaw Surgery: Corrective jaw surgery becomes necessary if a person’s malocclusion, or bad bite, is so severe that orthodontic care cannot repair the problem. This procedure helps the jaw become more functional, making chewing and eating easier.

If you think you could benefit from an oral surgery procedure, you can talk to you dentist to ensure this course of treatment is the best for you. For more information on oral surgery, please contact Dr. Dave Verma and Dr. Arpana Verma at Frederick Dental Group in Frederick, MD. Call (301) 624-1001 to schedule your appointment with your dentist today!


Children's permanent teeth normally erupt over several years after first forming below the gum line. All their permanent teeth should come in by the time they reach early adolescence.

Unfortunately, this process doesn't always happen as it should. If the erupting teeth become crowded due to a poor bite (malocclusion), teeth still to come in may not have enough room to fully erupt. They become impacted, a condition in which the visible crown remains partially or completely submerged below the gum line.

Impacted teeth create consequences for other teeth and dental health overall. They more readily cause abscesses (a localized infection within the gum tissue) and can damage the roots of nearby teeth. Impacted front canine (eye) teeth can interfere with bite function and their visual absence mars an otherwise attractive smile.

If your child's canine teeth have failed to erupt properly, there is a way to help them fully come in if you act before their mouth structure fully matures. The first step is an orthodontic evaluation of their entire bite. This will determine if there's enough space to move other teeth to make room for the impacted canines.

If so, we would then find the exact position of the impacted teeth using x-rays and possibly cone beam CT scanning for a detailed three-dimensional image. The teeth could be in a variety of positions, such as angled toward the roof of the mouth or cheek or buried high in the jawbone. If the teeth are too far out of position the best course of action may be to remove them and replace them later with a dental implant.

If the impacted teeth, though, are in a feasible position for retrieval, we first expose each tooth through the gums with a minor surgical procedure and bond a small bracket to it. We then attach a small gold chain to the bracket that loops over an orthodontic appliance attached to other teeth. The appliance will exert pressure over several months to pull the tooth into proper position.

If successful, your child will gain the use of these important teeth and a more attractive appearance. But don't delay — this desired outcome will become much harder if not impossible to attain as their teeth and jaws continue to develop.

If you would like more information on treating impacted teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Exposing Impacted Canines.”

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