Our Blog

Stained Teeth Hiding Your Smile?

July 13th, 2017

Who is teeth whitening for?

There are several types of patients that are candidates for whitening. If you have a lot of staining habits such as drinking coffee, tea, wine, smoking (it’s great for someone who’s just quit smoking and would like to treat themselves), or someone who has tetracycline staining (which comes from certain medications) you could be considered a candidate for whitening. If teeth are stained yellow, brown, or blue-gray (from tetracycline) then teeth whitening could definitely be for you.

We do two different types of whitening at Nathanson Dental: both take home trays and in office whitening with Zoom! by Phillips. Take home trays are created here in our office and then whitening gel is given to the patient for strictly at home use. We also offer in-office whitening, which takes about an hour and twenty minutes to an hour and half, and is used in conjunction with the take home trays.

We recommend doing both the take home and the in-office whitening for maximum results. In office Zoom! Whitening offers immediate gratification for anyone who would like a bright smile for an event or special occasion while the at home whitening maintains the brightness that was achieved, and sometimes even improves the whitening that is done in our office.

What about the stuff I buy in the store?

Any over the counter whitening product is not endorsed by the ADA (the American Dental Association). The dangers, in general, can range from tooth sensitivity to gum irritation and/or burns from the gel to use of potential exposure to cancer causing ingredients. Charcoal, for example, is well known to be carcinogenic despite the recent trend of using it in toothpaste for tooth whitening effects. Our staff at Nathanson Dental would not recommend using a charcoal based product for tooth whitening.

So how does it work?

When you come in we evaluate them by taking the initial tooth shade so we can see the before and after results, we talk about your whitening goals (how white you want teeth to be afterwards), evaluate your smile to make sure you're a good candidate for whitening – restorations in the front of the mouth, such as crowns, don’t whiten so those patients would not be good candidates for whitening. If it’s determined you are a good candidate we’d then get their custom tray impressions, whether you are doing in-office or take home whitening. Afterward, the we will send you home with a high fluoride toothpaste to use one to two weeks prior to your in-office whitening appointment. The toothpaste helps to cut down on the sensitivity that some patients experience after having their teeth whitening. Once the custom trays are made and the you have been using the fluoride toothpaste, we will have you come back in the office for your service. We begin the service by placing barriers over the soft tissue to protect from discoloration or irritation. Then we’ll place gel on the teeth and shine the Zoom lamp on the gel for fifteen minutes and we’ll do that for three sessions. After the three sessions the we will do a fluoride treatment for thirty minutes to help with any sensitivity you may be experiencing. The hygienist will show you how to use the take home trays with the at home whitening gel and that’s it!

Why Nathanson Dental?

We take precautionary measures when it comes to teeth whitening including toothpaste to reduce sensitivity and barriers to protect fragile gum and lip tissue from burns or irritation. We follow a specific whitening protocol and we do so with our patients’ comfort in mind. Also, we offer a very special program for our whitening patients called Forever White. Every patient that gets in-office whitening is automatically enrolled in the program that gives them at home whitening gels at every hygiene visit for no additional cost.

Ready to schedule?

Click here.

CEREC: Same Day Crowns. It's Possible!

July 10th, 2017

CEREC® is an in-office crown making process. It’s done with a computer, a milling chamber, and an oven. It's a different type of restoration that we can do in our office, rather than sending it out to a lab, through a series of pictures. The photos are uploaded into the computer first, from the computer it’s then digitally transferred to the milling chamber, and then it makes the crown out of a little block of porcelain. The porcelain block is a light purple shade at first which is then glazed to match your tooth color.

Why CEREC® over a traditional crown? While they are both equally important options to have in our dental repertoire, some benefits include:

  • All the work is completed in the office so you don’t have to come back for another visit,
  • the durability is roughly the same, dependent on where the restoration is being put into the mouth; in the back part of the mouth there is a lot of force so sometimes a traditional crown is still preferable,
  • although the same day appointment may take a little longer, we have different amenities that we like to offer to all of our patients: Netflix, massage pads on the chairs, and we also give patients a series of breaks during their CEREC® procedure. We let them get up, use the restroom, get something to drink if needed. Depending on where the restoration is in the mouth it could take up to 2.5 hours.
  • Perhaps the best benefit of all is that you can eat right away after your CEREC® restoration!

Regardless of if you have a CEREC® or a traditional crown, routine cleanings and daily brushing and flossing is recommended to maintain your overall oral health. With flossing just be sure to pull down and pull through with your floss, rather than pull down and pull up, as the force may cause the crown to become loose.

Concerned about new technology? Never fear! Here at Nathanson Dental we are continually learning and growing with our technology. We have a lot of representatives that come to our office and show us what's new, and any updates we need to do to the CEREC® computer, since it is all digital and connected to the milling chamber. There are also a multitude of out of office continuing education classes that Dr. Nathanson attends to stay up to date on all of our advanced dental technology.

If you need a crown, give our office a call to get your appointment scheduled.

Helping Children Breathe Easier

July 7th, 2017

For some parents, life with their child is nothing but stress. What if my child acts out in public? What if my child acts out in school? What if, what if, what if?

What if I told you that we may be able to help? I know what you're thinking: You're a dentist office, how can you possibly help me with my child's crazy behavior? I have two words for you: Healthy Start.

While Healthy Start is not a new program, it is new to the Baltimore area. It utilizes removable mouth pieces that children can start wearing as young as two years old. There are two incredible benefits to using Healthy Start. First, it guides the growth of the jaw. Research on this particular system has shown that in 80-90% of the cases the child’s jaw grows properly and he or she ends up not needing braces.

It can also work with helping to treat children’s sleep apnea. There are studies that show that up to 90% of children have some degree of difficulty breathing when they sleep. A lot of that is because the airway of the child is so flexible that if their head tilts to the side it can actually restrict the airway and the child can have trouble breathing. If the child breathes through their mouth when they sleep, parents should definitely consider getting their child screened. A child should be breathing through his or her nose when they sleep and if they can’t then that’s something we can help them with. And it’s something we want to treat at a young age because the longer a child has difficulty when they sleep, it can affect growth and interfere with their ability to have a social interaction with other people. If children aren’t sleeping properly and they’re tired all the time they may act out. Wouldn't you if you never got a good night sleep? Some children have actually been misdiagnosed with ADD when in reality they were just tired and not sleeping properly. We are very excited to be the first practice in Maryland to be offering Healthy Start.

You don't even have to just take our word for it. This powerful video is the testimonial from a mom who was at the end of the rope with her son. He was acting out and she just new that something was going on with him. This is the reason we provide this service to our patients and their children. We work closely with you to ensure Healthy Start is the right fit for your child, whether it's to guide jaw growth, or to help breathe easier. Click here to request your complimentary consultation.

Nathanson Dental: What Makes Us the Best

July 3rd, 2017

In a sea of dental offices, we know it can be difficult to choose the one that's right for you. Let us help you make that decision!

For starters, we have the best team; we know a lot of dentists will probably say that, but with us it really is true. We go through a lot of training, not just for dental care, but also to find out how we can really connect with people. The term customer service is kind of a “buzz word” that’s bandied about a lot but we really take that very, very seriously. We’re not just working with teeth, we are working with people. We want to make sure that everyone feels comfortable, that they are getting the best care, and we want people to know they’re surrounded by people that really, really care about them and who want to make sure we serve them the way that they need to and want to be served. We have quarterly training, for one we actually attended training from the Ritz Carlton trainers, we take our education very seriously. With us it’s about the experience that the patient is going to have that they just can’t get anywhere else. Who else in this area do you know that bakes chocolate chip cookies in the reception area? As soon as you get your teeth done you can have a fresh baked chocolate chip cookie (as long as you brush afterwards, of course)!

For baby boomers who grew up in a time where fluoride was just starting to be introduced into the community and water systems, and therefore may have had a lot of cavities resulting in a lot of big fillings, what we do now is replacing those fillings. Sometimes those teeth need to be capped or crowned if there isn’t enough tooth structure left. In some cases, simply a replacement of the old fillings that are breaking down. We do a fair amount of cosmetic dentistry as well for people who don’t like the appearance of their teeth. We lighten teeth through teeth whitening, we do ceramic veneers if people want to change the shape, size, and color of their teeth. If people feel that their teeth are too crooked we do orthodontics; we offer Invisalign and Six Month Smiles. Invisalign is “invisible braces,” or aligners, that fit over the teeth and help move the teeth gradually over time. Six Month Smiles is more like conventional braces however the brackets are clear and the wires are tooth colored so it’s very difficult to tell from a distance that a person actually has braces on. That works a little faster than Invisalign, but both are great options to straighten crooked teeth. We really area a full service dental office, whether it's restorations or cosmetic, we can help you achieve the smile you've always wanted.

Something that many don't realize about dentistry is our involvement with dental sleep medicine, making oral appliances for people who have problems breathing when they sleep and can’t get used to a CPAP machine. We do emergency care as well; we really want to help people get out of pain, whether it’s a root canal or an extraction we can take care of you. If for any reason we can't treat you in our office we can refer you to a doctor in our great network of specialists. We choose our specialists carefully so we can make sure everyone who comes here gets the best care possible.

As far as what to expect on your first visit, we like to keep some of that as a surprise because when patients come and we do something that they didn’t expect it's really a lot of fun. After meeting our concierge and our administrative team, you'll get a tour of the office. We always want our patients to see where things are, something as simple as knowing where they can get a bottle of water or a cup of coffee in our reception area and knowing where the bathrooms are, help our patients to feel at home right away. Then you'll meet the clinical team, the assistants and hygienists. Our staff always strives to make sure that patients understand how much we care about their health and how grateful we are that they chose our office out of all the offices they can choose. And it works! The team that we have takes great care of our patients, both new and existing. The doctor is usually the last one to sit down with the new patient at their first visit. By the time they get their x-rays taken, get their teeth cleaned, etc. if they aren’t absolutely raving about how this is the best dental office they’ve ever been to then we’ve done something wrong.

At Nathanson Dental you aren't just a patient, you're our family. We hope to see you soon!

American Dental Association Academy of General Dentistry American Academy of Dental Sleep Medicine WCLI Institute
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