My Blog

By H. David Allick, DDS, PA
April 30, 2019
Category: Dental Procedures
Tags: cosmetic dentistry  

Improve your smile and boost your confidence with cosmetic dentistry.

Thanks to the continued advancements in cosmetic dentistry, our Rockville, MD, family dentists Dr. David Allick and Dr. Ghassan Jacklis Implantcan offer adults of all ages with amazing opportunities to improve their smiles once and for all. No matter if you are looking to make small changes or serious alterations, we have the treatment that will give you the results you’re looking for. Here are some of the most popular cosmetic dentistry treatments,

Teeth Whitening

If you are dealing with yellowing teeth, thanks to years of coffee drinking, eating certain foods or even smoking then our Rockville, MD, cosmetic dentists can easily give you back that radiant smile with help from professional teeth whitening. In as little as one hour, our in-office whitening system can get your smile several shades whiter (just in time for a big event!). You may also choose to whiten your smile with custom-made whitening trays and our take-home system.

Dental Bonding

Is there a small chip in your front teeth that throws your entire smile off kilter? Do you have a minor discoloration in a tooth that makes you feel less than confident about your smile? No problem. These small aesthetic flaws can be covered with dental bonding, a tooth-colored resin that is molded to the tooth and then hardened with a dental light. The bonding resin is even matched to the color of your tooth so that it blends right in.

Porcelain Veneers

If you are dealing with flaws that affect several teeth then bonding may not be the most effective option; however, this might just be a job for dental veneers. Veneers are very thin shells often made from porcelain that are bonded to the front of your teeth to hide everything from discolorations and chips to misshapen teeth and gaps. Veneers can instantly reshape, resize, realign and even whiten your smile.

Dental Implants

Are you missing one or more teeth? If so, we know how much you want to get a tooth replacement that looks just like the real thing. Dental implants are truly the closest you can come to real teeth. An implant replaces missing tooth roots and is placed into the jawbone where it fuses together with bone and tissue to provide a permanent and stable foundation to support a dental crown, bridge or dentures.

Are you ready to sit down with our dental team to find out what cosmetic treatment will match your smile goals? Then call (301) 881-6666 today to schedule a consultation at White Flint Dental Associates in Rockville, MD.

By H. David Allick, DDS, PA
April 25, 2019
Category: Oral Health
LifeIsSometimesaGrindforBrookeShields

Ever since childhood, when her career as a model and actress took off, Brooke Shields has enjoyed worldwide recognition — through advertisements for designer jeans, appearances on The Muppet Show, and starring roles in big-screen films. But not long ago, that familiar face was spotted in an unusual place: wearing a nasal anesthesia mask at the dentist's office. In fact, Shields posted the photo to her own Instagram account, with the caption “More dental surgery! I grind my teeth!” And judging by the number of comments the post received, she's far from alone.

In fact, researchers estimate that around one in ten adults have dental issues that stem from teeth grinding, which is also called bruxism. (Many children also grind their teeth, but it rarely causes serious problems, and is often outgrown.) About half of the people who are teeth grinders report problems like persistent headaches, jaw tenderness and sore teeth. Bruxism may also result in excessive tooth wear, and may damage dental work like crowns and bridges; in severe cases, loosened or fractured teeth have been reported.

Researchers have been studying teeth grinding for many years; their findings seem to indicate that it has no single cause. However, there are a number of factors that play a significant role in this condition. One is the anatomy of the jaw itself, and the effect of worn or misaligned teeth on the bite. Another factor relates to changes in brain activity that occur during the sleep cycle. In fact, nocturnal (nighttime) bruxism is now classified as a sleep-related movement disorder. Still other factors, such as the use of tobacco, alcohol and drugs, and a high level of stress or anxiety, can make an individual more likely to experience bruxism.

What can be done for people whose teeth grinding is causing problems? Since this condition may have many causes, a number of different treatments are available. Successful management of bruxism often begins by striving to eliminate the factors that may cause problems — for example, making lifestyle changes to improve your health, creating a soothing nighttime environment, and trying stress-reduction techniques; these may include anything from warm baths and soft music at bedtime, to meditation and mindfulness exercises.

Several dental treatments are also available, including a custom-made occlusal guard (night guard) that can keep your teeth from being damaged by grinding. In some cases, a bite adjustment may also be recommended: In this procedure, a small amount of enamel is removed from a tooth to change the way it contacts the opposite tooth, thereby lessening the biting force on it. More invasive techniques (such as surgery) are rarely needed.

A little tooth grinding once in a while can be a normal response to stress; in fact, becoming aware of the condition is often the first step to controlling it. But if you begin to notice issues that could stem from bruxism — or if the loud grinding sounds cause problems for your sleeping partner — it may be time to contact us or schedule an appointment. You can read more about bruxism in the Dear Doctor magazine article “Stress and Tooth Habits.”

By H. David Allick, DDS, PA
April 15, 2019
Category: Dental Procedures
Tags: porcelain veneers  
YourTeenagersTeethMayNotBeMatureEnoughforVeneers

Teenagers and adults alike can improve their smile appearance with dental solutions like teeth whitening or orthodontics. But there are a few cosmetic solutions like porcelain veneers that are better suited for more mature teeth.

Veneers are composed of thin layers of dental porcelain that are bonded to the outside of teeth. They're kind of a tooth "mask" that hides blemishes like chips, discoloration or mild bite problems. They're often less involved and expensive than other types of dental restoration.

Even so, we usually need to remove some of the natural tooth's enamel before applying them. Veneers placed directly on unprepared teeth can appear bulky, so we remove some of the enamel to create a more natural look. And although usually only a slight amount, the alteration is permanent and will require the tooth to have some form of restoration from then on.

This usually doesn't pose a major issue for adults, but it could for a teenager's younger teeth. The nerve-filled dentin in a teenager's still developing tooth is thinner and closer to the pulp (nerve tissue) than in more mature teeth.

There's at least one situation, though, where veneers might be applied safely to a teenager's teeth without this concern. If the teen has abnormally small teeth and are receiving veneers to improve their appearance, they might not need alteration. Because the teeth are already thinner than normal, the "no-prep" veneers may not look bulky when directly bonded to them without preparation.

With most cases, though, it might be best to pursue other options that at the very least can make a cosmetic difference until their teeth are mature enough for veneers. For example, we might be able to repair chipped areas with composite resin material that we form and bond to the tooth to achieve a life-like appearance.

We can discuss these and other options for safely improving your teenager's smile. The important thing is to achieve a more confident appearance without endangering their future health.

If you would like more information on cosmetic treatments for teenagers, 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 “Veneers for Teenagers.”

By H. David Allick, DDS, PA
April 05, 2019
Category: Dental Procedures
Tags: tooth decay  
YourSinusInfectionMightbeaSignofaToothProblem

Each year thousands of people develop sinus infections from various causes. But there's one cause for sinusitis that might surprise you—tooth decay.

Tooth decay begins when the acid produced by oral bacteria erodes a tooth's enamel protection to create a small hole or cavity. Left untreated, the infection can move into the inner pulp of the tooth and tiny passageways leading to the roots called root canals. The decay can then infect and break down the structure of the supporting jawbone.

This could affect the sinus cavities, hollow air-filled spaces in the upper portion of the face. The maxillary sinus in particular sits behind the cheek bones just above the upper jaw. Tooth roots, particularly in back teeth, can extend quite near or even poke through the floor of the maxillary sinus.

If decay affects these roots, the bone beneath this floor may begin to break down and allow the bacterial infection to enter the sinus. We call this particular kind of sinus infection maxillary sinusitis of endodontic origin (MSEO), "endodontic" referring to the interior structure of teeth.

While advanced decay can show symptoms like pain or sensitivity with certain hot or cold foods, it's also possible to have it and not know it directly. But a recurring sinus infection could be an indirect indication that the root of your suffering is a deeply decayed tooth. Treating the sinus infection with antibiotics won't cure this underlying dental problem. For that you'll need to see a dentist or an endodontist, a specialist for interior tooth issues.

The most common way to treat deep tooth decay is with root canal therapy. In this procedure, the dentist enters the decayed tooth's pulp (nerve chamber) and root canals and removes the diseased tissue. They will then fill the empty pulp and root canals with a special filling and seal the tooth to prevent future infection. The procedure stops the infection and saves the tooth—and if you have MSEO, it eliminates the cause of the sinus infection.

So, if you're suffering from chronic sinus infections, you might talk with your dentist about the possibility of a tooth infection. A thorough examination might reveal a decayed tooth in need of treatment.

If you would like more information on how dental problems can affect your overall health, please contact us or schedule an appointment for a consultation.

By H. David Allick, DDS, PA
March 26, 2019
Category: Oral Health
Tags: nutrition  
NutritionfortheBestOralHealth

It's National Nutrition Month! Good nutrition is key to overall health, but poor dental health can have a big impact on your ability to get the right nutrients. Your mouth is the first step in the digestive system, so if teeth and gums are in poor shape, food choices can be severely limited. Here are some nutritional guidelines that will benefit your oral health as well as your overall health.

Get plenty of fruits and vegetables. Plant foods provide many oral health benefits:

  • Crunchy fruits and vegetables scrub debris from your teeth during chewing and stimulate the production of saliva, which neutralizes acid and helps rebuild tooth enamel.
  • Dark, leafy greens are a good source of iron, calcium and many vitamins that are good for your teeth and gums.
  • Several fruits have vitamin C, an essential for healthy gums.
  • Bananas have magnesium, which builds tooth enamel.
  • Many yellow and orange fruits supply vitamin A, which keeps the soft membranes in your mouth healthy.

Go for dairy. Dairy products—for example, cheese, milk and unsweetened yogurt—neutralize acid as well as contribute tooth- and bone-strengthening minerals such as calcium and phosphorus.

Eat whole grains. An excess of refined carbohydrates can lead to chronic inflammation, which contributes to gum disease and many other ailments. However, the complex carbohydrates found in whole grains work against inflammation.

Incorporate all food groups. Strive to eat a balanced diet that includes healthy foods from all food groups. For example:

  • Lean proteins are essential for keeping your teeth and gums healthy.
  • Good fats such as those found in salmon and nuts work against inflammation. In addition, nuts stimulate the production of saliva and contain vitamins and minerals to keep teeth strong.
  • Legumes are a great source of many tooth-healthy vitamins and minerals.

Limit sugary or acidic foods and beverages. Acid from certain foods and beverages can weaken tooth enamel, leading to cavities. The bacteria in your mouth feed on sugar and release acid that eats away at tooth enamel, causing cavities. How you eat and drink also affects dental health. For example, if you indulge in sugary treats, do so with a meal if possible so that other foods can help neutralize the acid. And if you drink lemonade or soda, don't brush your teeth immediately afterwards. Instead, wait at least 30 minutes before brushing to give your saliva a chance to neutralize the acid.

Getting the right nutrition for a healthy body requires good dental health, so it pays to take good care of your teeth. For a lifetime of good oral health, choose foods that keep your teeth and gums healthy, and don't forget to schedule regular dental checkups to make sure your teeth and gums are in great shape. If you have questions about diet and oral health, please contact us or schedule an appointment for a consultation.





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