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Posts for category: Dental Procedures

By Colesville Dentistry
April 18, 2019
Category: Dental Procedures
Tags: Teeth Whitening  

Find out how you can get professional teeth whitening from the comfort of your own home.

Wondering what it takes to get a brighter smile? Our Silver Spring, MD, dentists, Dr. Gregory Hysong and Dr. Lynda LePore, offer Teeth-Whiteningprofessional whitening kits to help you get the more radiant smile that you want. Have questions about professional whitening? Well, we’ve got answers!

 

What stains are treated by teeth whitening?

There are two types of stains: internal and external. External stains are the most common and they are the result of consuming certain foods and drinks. External stains can also develop as we get older, causing our teeth to turn yellow and dull. These stains respond the best to teeth whitening treatment. On the other hand, internal stains can be the result of direct trauma or prolonged antibiotic use. These stains are less responsive to teeth whitening treatment.

 

How long will my teeth whitening results last?

Results aren’t permanent, but how long your results last will depend on you and how well you care for your smile. Avoid foods and drinks that can cause dental stains, and make sure that you are regularly brushing and flossing. You may also talk with our Silver Spring cosmetic dentists about other at-home whitening products that can help maintain your results.

 

How long will it take to see results with at-home whitening?

How long it takes to see results will vary from person to person. Some people may see results after a week of continued use while those with more severe stains may not see results for up to two weeks.

 

What’s the difference between commercial whitening and professional whitening?

The first difference is that professional whitening can be tailored to your specific needs, which means that we can offer different strengths of whitening gel to give you the results that you’re looking for. Commercial whitening kits offer whitening gels that contain only a very small percentage of the active ingredient meant to break up stains.

Furthermore, over-the-counter whitening trays aren’t made to fit your teeth specifically. This means that they can move or shift around in your mouth, making your whitening results uneven. If you choose to get professional at-home whitening, we will provide you with custom-fitted whitening trays that will give you the radiant smile that you are looking for!

 

Give us a call!

Interested in getting a whiter smile at home? If so, then turn to the whitening experts at Colesville Dentistry in Silver Spring, MD. Call us today at (301) 384-6000 to let us know that you are interested in at home whitening!

JulianneHoughSharesaVideo-andaSong-AfterWisdomTeethComeOut

Once upon a time, celebrities tried hard to maintain the appearance of red-carpet glamour at all times. That meant keeping the more mundane aspects of their lives out of the spotlight: things like shopping, walking the dog and having oral surgery, for example.

That was then. Today, you can find plenty of celebs posting pictures from the dentist on social media. Take Julianne Hough, for example: In 2011 and 2013, she tweeted from the dental office. Then, not long ago, she shared a video taken after her wisdom teeth were removed in December 2016. In it, the 28-year-old actress and dancer cracked jokes and sang a loopy rendition of a Christmas carol, her mouth filled with gauze. Clearly, she was feeling relaxed and comfortable!

Lots of us enjoy seeing the human side of celebrities. But as dentists, we’re also glad when posts such as these help demystify a procedure that could be scary for some people.

Like having a root canal, the thought of extracting wisdom teeth (also called third molars) makes some folks shudder. Yet this routine procedure is performed more often than any other type of oral surgery. Why? Because wisdom teeth, which usually begin to erupt (emerge from beneath the gums) around age 17-25, have the potential to cause serious problems in the mouth. When these molars lack enough space to fully erupt in their normal positions, they are said to be “impacted.”

One potential problem with impacted wisdom teeth is crowding. Many people don’t have enough space in the jaw to accommodate another set of molars; when their wisdom teeth come in, other teeth can be damaged. Impacted wisdom teeth may also have an increased potential to cause periodontal disease, bacterial infection, and other issues.

Not all wisdom teeth need to be removed; after a complete examination, including x-rays and/or other diagnostic imaging, a recommendation will be made based on each individual’s situation. It may involve continued monitoring of the situation, orthodontics or extraction.

Wisdom tooth extraction is usually done right in the office, often with a type of anesthesia called “conscious sedation.”  Here, the patient is able to breathe normally and respond to stimuli (such as verbal directions), but remains free from pain. For people who are especially apprehensive about dental procedures, anti-anxiety mediation may also be given. After the procedure, prescription or over-the-counter pain medication may be used for a few days. If you feel like singing a few bars, as Julianne did, it’s up to you.

If you would like more information about wisdom tooth extraction, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”

By Colesville Dentistry
March 07, 2019
Category: Dental Procedures
Tags: Teeth Whitening  

There are a few key factors that play into whether you have what is considered a beautiful smile, including the spacing, contouring, and Teeth Whiteningsize of your teeth. One of the most significant factors is the color or shade of what should be your “pearly whites.” According to surveys released by the American Academy of Cosmetic Dentistry, teeth whitening is the most popular cosmetic procedure. You can improve your smile with a simple, yet effective teeth whitening solution available at Colesville Dentistry in Silver Spring, MD.

How White Are Your Teeth?
You check out your teeth in the mirror every day when you brush or floss, so it’s easy to miss how they may be changing in color over time. You could brush with a whitening paste every day, and still experience tooth yellowing as time goes on. One of the easiest home tests to get an idea of how white or yellow your smile is to place a clean white napkin next to your teeth to compare the color.

Professional Teeth Whitening at Home
Some dental staining is caused by taking certain medications or a dental injury that causes problems at the inner layers, but in other cases, the staining is extrinsic, meaning that the stains lie on the outer surface. In these cases, a hydrogen-peroxide based tooth bleach can whiten the teeth. At Colesville Dentistry in Silver Spring, MD, you can experience professional teeth whitening results by using a take-home whitening tray kit. The trays are prescribed to fit your smile (both the top and bottom rows), and you’re provided with a high-grade whitening solution to use. It takes a few weeks of wearing the whitening trays as directed by your dentist to get the results that you desire.

A Better, Brightened Smile
Imagine how much better your smile will look when it is three, four, or five shades whiter. The brighter your teeth are, the brighter your facial features will look when you smile—from your eyes to your skin tone. In a survey conducted by Kelton Research, most American adults agreed that a whiter smile is a better smile that has both professional and social advantages.

Make Your Whitening Appointment Today
So, now that you know how you can get a whiter smile after visiting the dentist’s office, what are you waiting for? Call 301-384-6000 today to schedule a teeth whitening consultation with Dr. Gregory Hysong or Dr. Lynda LePore at Colesville Dentistry in Silver Spring, MD.

By Colesville Dentistry
February 26, 2019
Category: Dental Procedures
Tags: tads  
AnchorageDevicesEnableGreaterPrecisionDuringOrthodonticTreatment

As a basic orthodontic appliance, braces are what allows us to move teeth into better positions to improve a person’s bite. In certain cases, though, this treatment application gets a little assistance from Temporary Anchorage Devices (TADs) to improve accuracy and reduce treatment time.

Braces take advantage of our teeth’s natural ability to move. Teeth are held in place within the bone by the periodontal ligament, an elastic tissue that attaches to the teeth with microscopic fibers secured by a hardened substance called cementum. The periodontal ligament is constantly remodeling in response to changes in the mouth. As pressure is placed on a tooth, new bone, ligament and cementum are formed on the “pulling” side of the tooth; on the other side, the bone and ligament dissolve (resorb), allowing the tooth to move in that direction.

Braces allow this natural process to occur with controlled forces applied by thin flexible wires threaded through the small brackets attached to the front of the teeth and then affixed or “anchored” to other teeth. By attaching the teeth to the other teeth by wires running through all the brackets, “anchorage” is created to allow teeth to be moved where the dentist wants them to go. By adjusting the tension on the wires, we can apply light but constant pressure on the “unanchored” teeth to move them into a new desired position.

Teeth we do not want to move are referred to as the anchorage for teeth we do want to move. If, however, the situation calls for more precise isolation of teeth to be moved, TADs can be very useful. TADs are mini-implants imbedded in the bone to serve as anchorage at strategic locations in the mouth. In this way, the group of teeth to be moved receives forces that are applied through the additional anchorage provided by the TADs. That “tension” or “pressure” is applied only to them and not to adjacent teeth that should not move. This increases efficiency for tooth movement and helps reduce the treatment time.

TADs can be placed using local anesthesia and with little discomfort, and are removed when orthodontic treatment is completed. Although the procedure is pretty straightforward, it does require collaboration between orthodontist and surgeon to ensure correct positioning.

In the end, TADs increase our ability to control the forces that move teeth during orthodontic treatment. This lessens discomfort for the patient and helps ensure the end result — a more functional bite and a transformed smile.

If you would like more information on the use of TADs and other orthodontic appliances, 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 “What are TADs?

By Colesville Dentistry
February 16, 2019
Category: Dental Procedures
WemayNeedtoBuilduptheBoneinYourJawbeforeImplants

Dental implant technology has advanced at such an astounding rate in recent years that you can now walk into a dentist's office with a problem tooth and out the same day with a new one. Unfortunately, not all dental situations allow for this possibility.

For example, you might be considering an implant many years after losing a tooth. But there's a potential problem: there might not be enough supporting bone. While an implant might still be possible, inadequate bone complicates the matter.

Because implants are essentially tooth root replacements, they require a certain amount of bone for stability and the best attractive outcome. As a general rule, implants need to be surrounded by  at least 1.5-2.0 millimeters of healthy bone to support an implant. But you might not have enough if your tooth has been missing for awhile, regardless if you have or haven't worn dentures or other restorations.

That's because bone has a life cycle in which older cells die and newer ones form to take their place. As we chew or bite, the force generated travels up through the teeth to the bone to stimulate this new growth. Without a tooth the bone doesn't receive this stimulus, which can slow the growth rate. Over time the affected bone can lose its volume and density.

If we find you've experienced loss to the point your bone won't support an implant, that doesn't automatically mean this popular restoration is out of the picture. But it will require us first performing a procedure known as augmentation or bone grafting to help rejuvenate some of the lost bone.

With grafting, we place processed bone grafting material in the jaw through a minor surgical procedure to form a scaffold for new bone to grow upon. After several months this can result in several millimeters of new growth maintaining the width of the underlying bone, which in turn may be able to support an implant.

Bone grafting is quite common, often performed at the same time as tooth extraction if there's going to be a time lag before installing an implant. Even if performed later, though, it can successfully rejuvenate lost bone and make it possible for you to take advantage of durable, life-like implants.

If you would like more information on dental implants, 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 “Dental Implants after Previous Tooth Loss.”



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