Case of the Month

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By Frederick Dental Group
November 09, 2021
Category: Oral Health
Tags: Gingivitis  

Gingivitis is often a sneaky problem that can develop quickly and leave damaged gum tissue. Given the recent pandemic and disruption in many patients' routine health visits, this can become an issue quickly. Regularly scheduled visits to the dentist help avoid and catch these issues quickly. Frederick Dental Group can provide a Frederick dentist for Frederick, MD residents to help with this issue. Dr. Dave Verma and Dr. Arpana Verma fully understand this problem and will be able to assist you to restore your oral health to its natural state.

How Gingivitis Develops

Gingivitis starts when starches and sugars from the food you eat interact with the bacteria in your mouth. They can produce plaque, a type of biofilm that can quickly harden and spread throughout your teeth. When this plaque is not adequately removed by brushing and flossing, it can cause irritation in the gingival tissues surrounding the teeth. In some cases, it may form beneath the gum line as tartar, move to your gums, and cause gingivitis. Gingivitis can be the start of larger issues that can lead to and cause permanent bone loss. 

Before visiting a dentist, though, it is good to know what kind of symptoms indicate gingivitis. Doing so helps make it easier to manage this problem and gives you a better oral healthcare plan. Here's what you need to know about the many symptoms of gingivitis.

Symptoms of Gingivitis 

Make sure you watch for:

  • Swollen or irritated gums that may be tender to the touch 
  • Red gums that may worsen in color density 
  • Gums that bleed easily even when brushed or flossed even softly 
  • Bad breath that just refuses to go away 

This health issue is one that you must take seriously.

Let Us Help You

Do you need a Frederick dentist whom you can trust in Frederick, MD? Is your gingivitis getting out of control, and you're tired of being in pain? Then please contact us at Frederick Dental Group right away to learn more. Dr. Dave Verma and Dr. Arpana Verma can help you better understand your oral health concerns and give you the care you need to recover. Call 301-624-1001 to get started today.


Ashley Graham has a beautiful and valuable smile—an important asset to her bustling career as a plus-size model and television host. But she recently revealed on Instagram a “confrontation” between one of her teeth and a frozen oatmeal cookie. The cookie won.

Holding her hand over her mouth during the video until the last moment, Graham explained how she sneaked a cookie from her mom's freezer and took a bite of the frozen treat. Taking her hand from her mouth, she revealed her broken tooth.

Okay, maybe it wasn't an actual tooth that was broken: the denticle in question appeared to have been previously altered to accommodate a porcelain veneer or crown. But whatever was once there wasn't there anymore.

Although her smile was restored without too much fuss, Graham's experience is still a cautionary tale for anyone with dental work (and kudos to her for being a good sport and sharing it). Although dental work in general is quite durable, it is not immune to damage. Biting down on something hard, even as delicious as one of mom's frozen oatmeal cookies, could run you the risk of popping off a veneer or loosening a crown.

To paraphrase an old saying: Take care of your dental work, and it will take care of you. Don't use your teeth in ways that put your dental work at risk, tempting as it may be given your mouth's mechanical capabilities.

¬†Even so, it's unwise—both for dental work and for natural teeth—to use your teeth and jaws for tasks like cracking nuts or prying open containers. You should also avoid biting into foods or substances with hard textures like ice or a rock-hard cookie from the freezer, especially if you have veneers or other cosmetic improvements.

It's equally important to clean your mouth daily, and undergo professional cleanings at least twice a year. That might not seem so important at first since disease-causing organisms won't infect your dental work's nonliving materials. But infection can wreak havoc on natural tissues like gums, remaining teeth or underlying bone that together often support dental enhancements. Losing that support could lead to losing your dental work.

And it's always a good idea to have dental work, particularly dentures, checked regularly. Conditions in the mouth can change, sometimes without you noticing them, so periodic examinations by a trained dental provider could prevent or treat a problem before it adversely affects your dental work.

We're glad Ashley Graham's trademark smile wasn't permanently harmed by that frozen cookie, and yours probably wouldn't be either in a similar situation. But don't take any chances, and follow these common sense tips for protecting your dental work.

If you would like more information on care and maintenance of cosmetic dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty as Never Before” and “Dental Implant Maintenance.”

By Frederick Dental Group
October 14, 2021
Category: Cosmetic Dentistry
Tags: Veneers  

You might expect improving your smile to be a lengthy, painful process of procedures, implements, and treatments. But there is a way to perfect chipped, crooked, yellowed, or jagged teeth: dental veneers.

Dr. Dave Verma and Dr. Arpana Verma of Frederick Dental Group in Frederick, MD, can fit you with veneers that offer a much-improved smile in just hours. Best of all, veneers can last for years, making them hassle-free and convenient. Make an appointment with us to see if you are a candidate for veneers.

What are veneers?

Veneers are essentially teeth-shaped coverings that affix to the front of your natural teeth. The slim ceramic facings are cemented to the surface for a permanent bond. Veneers from our Frederick, MD, office are durable, natural-looking, and functional.

What are the benefits of veneers?

  • Efficiency: Veneers are the fastest way to correct a multitude of dental imperfections. Veneers cover up stains, cracks, gaps, rough surfaces, misalignment, and otherwise damaged teeth. Rather than needing many treatments, such as braces, whitening, retainers, crowns, or fillings, veneers are a more convenient fix. After your veneers are custom-crafted and affixed, you will see a much-improved smile.
  • Appearance: Veneers are natural-looking yet attractive, made to fit the shape, size, and tint of real teeth so they are inconspicuous while giving you a glamorous grin. Veneers have the added bonus of repelling stains from beverages like coffee or wine for longer-lasting whiteness.
  • Durability: Veneers are strong and built to withstand normal chewing, biting, and brushing. You can eat and practice dental hygiene like you would with your regular teeth. Veneers can last a long time when cared for well, making them a great investment for your smile. (Follow proper care instructions provided by our office)
  • Comfort: They are affixed precisely so you have no irritation to your gums or mouth.

Am I a candidate for veneers?

It's important that you schedule a consultation with us before you make any decisions. Not everyone is suitable for veneers. Patients with unhealthy teeth and gums are not eligible candidates for veneers. Bruxism, also known as teeth grinding, also disqualifies you. Your dentist will also determine if you have enough tooth enamel for the procedure. There are situations when other procedures are much better suited to your needs, like dental crowns. 

You also need to consider the risks that come with veneers. If veneers debond from your teeth, they can cause chipping or other issues that will need correction.

Create your best smile with veneers from the Frederick, MD, office of Drs. Verma. Call Frederick Dental Group today at 301-624-1001.

By Frederick Dental Group
October 09, 2021
Category: Dental Procedures
Tags: tooth decay  

For several decades, dentists have been saving teeth from tooth decay following a few basic guidelines: 1) Identify decay as soon as possible; 2) Thoroughly remove decayed tooth structure; and 3) Fill any cavities. With millions of diseased teeth rescued, observing these simple steps have proven a rousing success.

But as with most things, even this successful protocol isn't perfect. For one, some healthy tissue gets removed along with the diseased portions. The average percentage of "collateral damage" has dropped over the years, but it still happens—and a reduction in healthy tissue can make a tooth less structurally sound.

Another drawback, at least from the patient's perspective, is the dental drill used for removing decay and preparing cavities for filling. Many people find drilling unpleasant, whether from its vibrations in the mouth or its high-pitched whine. The drill's burr head design also contributes to greater healthy tissue loss.

But those weaknesses have lessened over the last few years, thanks to innovations on a number of fronts.

Better risk management. Tooth decay doesn't occur out of thin air—it arises out of risk factors unique to an individual patient like personal hygiene, bacterial load, saliva production or even genetics. Taking the time to identify a patient's "tooth decay risk score" can lead to customized treatments and practices that can minimize the occurrence of decay.

Earlier detection. Like other aspects of dental health, the sooner we detect decay, the less damage it causes and the more successful our treatment. X-rays remain the workhorse for detecting decay, but now with improvements like digital film and better equipment. We're also using newer technologies like laser fluorescence and infrared technology that can "see" decay that might otherwise go undetected.

Less invasive treatment. The dental drill is now being used less with the advent of air abrasion technology. Air abrasion utilizes a concentrated spray of particles to remove diseased tooth structure more precisely than drilling. That means less healthy tissue loss—and a more pleasant (and quieter!) experience for the patient.

In effect, "less is more" could describe these improvements to traditional decay treatment. They and other methods promise healthier teeth and happier patients.

If you would like more information on current treatments for tooth decay, 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 “Minimally Invasive Dentistry: When Less Care is More.”

By Frederick Dental Group
September 29, 2021
Category: Oral Health
Tags: oral hygiene   toothpaste  

We're all interested in how our toothpaste tastes, how it freshens breath or how it brightens teeth. But those are secondary to its most important function, which is how well our toothpaste helps us remove dental plaque, that thin bacterial film on teeth most responsible for both tooth decay and gum disease.

Daily brushing and flossing clear away dental plaque, resulting in a much lower risk for dental disease. But while the mechanical action of brushing loosens plaque, toothpaste helps complete its removal. It can do this because of two basic ingredients found in nearly every brand of toothpaste.

The first is an abrasive (or polishing agent), a gritty substance that boosts the effectiveness of the brushing action (which, by the way, alleviates the need for harmful aggressive brushing). These substances, usually hydrated silica, hydrated alumina or calcium carbonate, are abrasive enough to loosen plaque, but not enough to damage tooth enamel.

The other ingredient, a detergent, works much the same way as the product you use to wash greasy dishes—it breaks down the parts of plaque that water can't dissolve. The most common, sodium lauryl sulfate, a safe detergent found in other hygiene products, loosens and dissolves plaque so that it can be easily rinsed away.

You'll also find other ingredients to some degree in toothpaste: flavorings, of course, that go a long way toward making the brushing experience more pleasant; humectants to help toothpaste retain moisture; and binders to hold bind all the ingredients together. And many toothpastes also contain fluoride, a naturally-occurring chemical that strengthens tooth enamel.

You may also find additional ingredients in toothpastes that specialize in certain functions like reducing tartar buildup (hardened plaque), easing tooth or gum sensitivity or controlling bacterial growth. Many toothpastes also include whiteners to promote a brighter smile. Your dentist can advise you on what to look for in a toothpaste to meet a specific need.

But your first priority should always be how well your toothpaste helps you keep your teeth and gums healthy. Knowing what's in it can help you choose your toothpaste more wisely.

If you would like more information on oral hygiene products and aids, 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 “Toothpaste: What's in It?

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