Family and Cosmetic Dentistry, including Porcelain Veneers, Invisalign, Non-Surgical TMJ Treatment, and Sleep Apnea appliances, all in a relaxing environment. Children and adults alike love coming to this office.Voted Top Dentist - Checkbook Magazine Voted Top Dentist - Northern Virginia Living MagazineFeatured Dentist - A New Me Tv Show / NBC 4 Selected by New Beauty Magazine for Cosmetic DentistryAsk The Dentist Column - Our Town Paper
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Tue: 7:00 AM - 4:30 PM
Wed: 7:00 AM - 3:30 PM
Thur: 7:00 AM - 3:30 PM
Fri: -Same Day Emergencies OK
Tmj - A Non Surgical Approach
TMJ (temporo-mandibular joint) disorders, also know as TMD or just TMJ, affect a fairly large percentage of the population. The most common symptoms of TMD are clicking or popping of the jaw, grinding of teeth, frequent headaches, neckaches and backaches, and ringing in the ears (tinnitus.) In some cases, TMD may not have any symptoms at all, but the signs of TMD will still be present. These signs include limited mouth opening, a deviation of the jaw to one side when opening, or worn down teeth. The treatment for TMD depends on the diagnosis. In the past, treatment was limited to muscle relaxants, pain killers, and night guards. In extreme cases, surgery of the joint was performed, but the success was variable. With more modern techniques, treatment has become predictable and comfortable, and rarely requires surgery. The reason diagnosis of TMD is critical is that TMD has been called the great imposter. The symptoms can mimic so many other diseases that sorting out the true cause can be difficult. Often, TMD is only diagnosed after the patient has been through numerous medical tests to rule out serious disorders such as brain tumors, neurological disorders, and psychological disorders. Sadly, when the doctors cant come up with a diagnosis, the patient is often told, its all in your head. On the other hand, many patients who have all the symptoms of TMD are suffering from some other structural imbalance, often in the neck or the back. Neck and back problems can also cause headaches and grinding of the teeth. Therefore it is critical to obtain proper diagnostic information before proceeding with any treatment. At Fairlington Dental, diagnosis includes MRI studies of the jaw joint, Tomographic x-rays, and autonomic nerve tests. The most common finding is a slipped disk in one or both jaw joints, and most of the time the patient was not aware of this condition. A proper medical history can often pinpoint the cause or incident when the condition first occurred. Treatment is custom tailored to each individual, and often involves two appliances: one worn during the day and a separate one worn at night. Average treatment time is three to six months and requires the patient to return to our office approximately every four weeks for adjustments. We work closely with referring dentists, as well as chiropractors, osteopathic physicians, massage therapists, and physical therapists to obtain optimum results.
Beautiful, Natural Looking Veneers And Lumineers
If you have always wanted a more attractive smile, but were afraid of the pain or drilling down of teeth, now you can have Lumineers. Lumineers are contact lens thin porcelain veneers that don't require any shots or drilling away of sensitive tooth structure!
Personalized Care In A Comfortable Setting
Since we opened our doors in 1989, our goal has been to provide the same level of care we would to our own families in a comfortable, inviting setting. We are passionate about dentistry and customer service and it shows! We promise your dental experience will be positive, no matter how long its been since you have visited a dentist. From the moment you enter our reception area and hear the soothing sound of falling water and serene music, youll know your dental experience will be different than any other. Our professional dental team is here to provide individual care for every patient in our state of art treatment suites. You can enjoy a movie, your favorite tv show, and/or listen to your favorite music while we attend to your dental needs. Our office is conveniently located in Arlington, VA just off of King Street and Interstate 395. We invite you to call or email with any questions. We look forward to hearing from you soon!
Invisalign - The Invisible Way To Straighten Your Teeth
**Dr Rogers is an Invisalign Premiere Provider** Invisalign's invisible, removable, and comfortable aligners will give you the beautiful straight teeth you've always wanted. And best of all, no one can tell you're wearing them. Invisalign is great for adults and teenagers. What is Invisalign? Invisalign is the invisible way to straighten your teeth without braces. Invisalign uses a series of clear, removable aligners to straighten your teeth without metal wires or brackets Invisalign has been proven effective in clinical research and in orthodontic practices nationwide. How Does Invisalign® Work? You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move little by little, week by week - until they have straightened to the their final position You'll visit us about once every 6 weeks to ensure that your treatment is progressing as planned. Total treatment time averages 9 - 15 months and the average number of aligners during treatment is between 18 - 30, but both will vary from case to case. How Are Aligners Made? You'd Be Amazed... The aligners are made through a combination of our expertise and 3-D computer imaging technology.
Deep Bleaching - Awesome Results
Deep Bleaching is one of the most effective ways to add "WOW" to your appearance! Deep Bleaching works by restoring your teeth's ability to absorb oxygen. The oxygen from Evolve Deep Bleaching gel is absorbed deeply into the tooth, dissolving stain molecules. Deep Bleaching is SO effective, it is the ONLY recognized bleaching technique that will even whiten tetracycline stained teeth in a short time. Tired of not getting results with other whitening products? Call us today to schedule a consultation !!
Hate Your Cpap? Snoring Keeping You Awake?
Oral appliance therapy has been recommended by the American Academy of Sleep Medicine and the National Institutes of Health for snoring and mild to moderate sleep apnea. Snoring is no laughing matter. Snoring can be a warning sign of a serious health problem where the airway closes during sleep and may even become life-threatening. Snoring also causes poor sleep which can result in daytime fatigue. To determine if you are a sleep appliance candidate, our office performs a complete dental history, screening exam and diagnostic tests as well as referring out to a sleep specialst (or working with yours) for a medical assessment and a sleep study when indicated. Airway sleep appliances are light and easy to wear. They fit over the upper and lower teeth. Their purpose is to move the lower jaw forward and downward, causing a positive change in the jaw and/or tongue position, which opens the airway. An appliance worn during sleep helps prevent the airway from collapsing by creating extra airway space. If you or someone you love experiences snoring or sleep problems, we can help. Ask any member of our team for more information. Indications of poor sleep
A Solution To Sleep Apnea You Can Live With Sept. 3, 2008, 11:07 p.m.
As Seen In Ladies Home Journal – May 2008
“Obstructive sleep apnea is a serious medical condition that can lead to poor sleep...”
Michael B. Rogers, D.D.S.
If you’ve been diagnosed with obstructive sleep apnea, but can’t handle the idea of using a CPAP machine, Dr. Michael Rogers of Fairlington Dental has some very good news: a comfortable, highly effective alternative is available. What’s more, this new treatment is what the American Sleep Association recommends as the first line of defense for mild to moderate sleep apnea. “Obstructive sleep apnea is a serious medical condition that can lead to poor sleep and play a role in high blood pressure, stroke, heart attack, diabetes, kidney failure and obesity,” explains Michael B. Rogers, D.D.S. of Fairlington Dental.
“Unfortunately, most patients find the standard treatment, a CPAP machine, uncomfortable and impractical as a long term solution. Recently, however, a new oral appliance has been developed that not only resolves mild to moderate sleep apnea, but is also easy to use and virtually undetectable.” Characterized by loud snoring and a blocked airway, obstructive sleep apnea can interrupt normal breathing patterns hundreds of times each night. By wearing a simple oral appliance similar to a retainer, patients suffering from sleep apnea and snoring can find relief by repositioning the jaw and opening the airway. And because we use impressions from the individual’s own upper and lower jaw, we can personally tailor the device so much that the patient report they don’t even notice they’re wearing it after just a few nights.” Called “The Silencer” and approved by the FDA, the oral appliance Dr. Rogers and his team use is effective 85 percent of the time, which is a great contrast to CPAP’s failure rate of over 50 percent. What’s more, the oral device is significantly less expensive than CPAP and covered by a growing number of insurance plans. If you’ve undergone a sleep study and received a diagnosis for mild to moderate sleep apnea, you can achieve the relief you need by requesting a referral to Fairlington Dental.
“The Silencer is a wonderful alternative for patients who can’t or don’t want to use a CPAP machine,” says Dr. Rogers. “It’s also just as effective for those patients who snore, but who have not been diagnosed with obstruct ive sleep apnea. And not only will the individual wearing the oral appliance sleep better, but their sleep partner will, too.” “Unlike CPAP, which must be worn as a mask that covers most of the face, the oral appliance is comfortably worn inside the “The Silencer” is a comfortable, FDA approved oral appliance worn by patients who cannot tolerate the CPAP Machine.
If you would like to use The Silencer to alleviate snoring, no referral is necessary and you may schedule a consultation simply by calling the office today at 703-671-1001. To learn more about Dr. Rogers and the leading-edge dental care provided by Fairlington Dental, visit the web site at http://www.fairlingtondental.com/.
A Non-Surgical, Pain-Free Solution for TMJ April 9, 2008, 10:17 p.m.
Headaches, jaw pain, neck aches, clicking sounds when you open your mouth… If you’ve ever talked to your doctor about any of these things, you may have been told that it’s “all in your head.” But if you’re one of the estimated 10 million Americans who experience these kinds of debilitating symptoms, you could be suffering from a very real medical condition: temporal mandibular joint disorder, or TMJ.
“TMJ is still very poorly understood,” notes Michael B. Rogers, D.D.S. of Fairlington Dental in Arlington, Virginia. “And, unfortunately, too many people simply endure the pain without knowing there’s something they can do about it.”
Dr. Rogers should know; he is a TMJ patient himself. For years, he suffered from lower back pain and tingling sensations in his fingers. Then, based upon his extensive research and continuing education in TMJ disorders, Dr. Rogers discovered a breakthrough solution: a non-surgical, pain-free device that corrects jaw alignment and eliminates TMJ pain.
“Within five days after I started wearing the device, my pain was gone,” says Dr. Rogers, who has now successfully treated hundreds of TMJ patients using the same approach. “Since TMJ disorders stem from improper jaw alignment, effective treatment requires repositioning the jaw joints. By wearing the device continuously for three months, patients can gently allow their joints to fall into the correct position, which ultimately alleviates the symptoms and pain.”
Non-obtrusive and virtually invisible, the TMJ appliance fits comfortably between the teeth and allows for normal chewing and speaking. It can be removed for cleaning and, after a short adjustment period, most patients report that they don’t even feel it.
“Our success rates using the TMJ device are close to 100 percent because we use x-rays and non-invasive autonomic nerve testing to ensure our patients have TMJ and not some other medical disorder,” Dr. Rogers explains. “We also recommend MRI testing to confirm what type of TMJ is present since most individuals have slipped disks in their jaw joints, and those only show up with MRI testing.”
As important as all of the diagnostic tests are, though, there’s one other essential step Dr. Rogers takes right from the start. “Before we do anything else, I sit down and talk with my patients,” says Dr. Rogers. “I want to give them the opportunity to really tell me what’s on their mind and the kind of symptoms they’ve been experiencing. I know firsthand how frustrating dental problems can be and it makes a huge difference when the person administering treatment actually takes the time to listen.”
Together with his team at Fairlington Dental, Dr. Rogers is committed to providing excellent care in a friendly, patient-centered environment. To learn more, or to schedule a consultation, please call 703-671-1001. Visit the website at www.fairlingtondental.com.
My Back Hurts; Could It Be TMJ? Jan. 28, 2008, 10:05 p.m.
Written and Published by Michael B. Rogers, D.D.S.
TemporoMandibular Joint Dysfunction, often called TMJ or TMD, is known as the “great imposter” because so many symptoms that patient complain of can be related to this disorder. The list of possible TMD symptoms include back pain, dizziness, ear congestion, ear pain, eye pain, facial pain, fatigue, headaches, jaw clicking or popping, jaw locking, migraines, muscle twitching, neck pain, ringing in ears, shoulder pain, sinus congestion, and many others.
Acute trauma to the jaw joint will usually result in pain in and around the joint. Most dentists are able to treat this type of trauma with hot and cold compresses, soft diet, jaw exercises, and anti-inflammatory drugs such as ibuprofen. Patients with chronic jaw joint problems, on the other hand, rarely have pain in the joint. Instead, they tend to complain of neckaches, headaches, backaches, ear congestion or pain, and even numbness and tingling in the fingertips. This article will help explain how TMD is related to these seemingly unrelated symptoms.
The nervous system of the human body consists of two parts. The voluntary nervous system is the one you control with your brain. If you want to throw a ball, all you do is think about moving your arm and the necessary muscles work in a coordinated fashion to make it happen. The involuntary nervous system is the part that controls everything else. Most people are aware that it controls things such as your heartbeat, breathing, and digestion, but it also controls all the muscles you don’t think about. When you raise your arm to throw a ball, the muscles on the other side of your body also contract to keep you in balance. You don’t have to think about it; it just happens.
The main goal of the involuntary nervous system is to keep you alive. This requires placing more importance on certain areas of the body than others. If you fall down, your hands automatically go out to protect your head from hitting the ground. Better to have a broken arm or wrist than a brain injury. Likewise, if you have a splinter in your left foot your body automatically places more weight on your right foot. If you don’t remove the splinter, eventually your right foot would start to hurt because it is overcompensating for the injured foot.
Patients with TMD usually have irritated jaw joints, which is similar to having a splinter in your foot. Whether due to a bad bite, a slipped disk, or trauma to the joints, the only way the body can take the pressure off the joints without consciously thinking about it is to change the head position. Try this simple exercise: Open your mouth, look up at the ceiling, then close your mouth and notice which teeth touch first. Next, open your mouth, look at the floor, and close your mouth and notice, which teeth touch first. For most people, it’s quite different, and one position is usually more comfortable than the other. Naturally, you can’t walk around all day looking at the ceiling or at the floor, but the body can figure out a way to change the bite while your head is level. By holding the head in a different position (usually forward), the bite changes just enough to take the pressure off the irritated jaw joint. In order to do this, however, the neck and shoulder muscles must be constantly contracted to keep the head from falling over. Better to have sore neck muscles than be unable to chew or talk.
The human head weighs about as much as a bowling ball. Imagine holding a bowling ball in the starting position, close to your body with your forearm straight up and down. You could probably hold the ball like this for quite a long time. Now imagine moving the ball about six inches away from your body. How long do you think it would take for your arm muscles to become sore or irritated? Of course, you could use your other arm to hold up the first one, but eventually the other arm would become tired as well. In fact, if you could hold the ball up long enough, your shoulders would start to hurt, your back muscles might cramp, and even your feet may become tired because of the awkward position of your body.
By now you might be starting to connect the dots as to why TMD patients have so many seemingly unrelated symptoms such as headaches, neckaches, backaches, and shoulder pain. Holding the head in the forward position to protect the jaw joint requires a lot of tension in the neck and back muscles. This constant tension also compresses the nerves that pass through these muscles, so some TMD patients also suffer from shoulder pain and even numbness or tingling in the fingers. In order to maintain balance and not fall forward, the body may also compensate by rotating the hips, resulting in lower back pain, and flaring the feet out, resulting in foot pain.
Sometimes holding the head forward is not possible or is not enough to change the bite, and the joint remains painful as well. In certain cases the jaw position puts pressure on the ears, causing ear pain and even hearing loss. Sometimes the extra stress on the nervous system causes other unrelated problems to flare up, such as allergies, sinus problems, and eyelid twitching. And in many cases, the chronic pain combined with the stress can lead to depression and mood swings.
A dentist trained in TMD treatment that relieves the stress on the jaw joints has the potential to relieve most if not all of the above symptoms. If the symptoms have been long standing, however, other health care providers such as chiropractors, osteopathic physicians, physical therapists, and massage therapists may be needed for complete relief. And in certain cases, the “TMD symptoms” may not be due to the jaw joints at all. Back and neck disorders can also cause the same symptoms as TMD. In these cases, TMD treatment will be of limited benefit and your dentist may be able to refer you to the appropriate health care provider.
If you suffer from any of the symptoms listed in this article, it may be worth your while to have your dentist perform a TMD screening. I speak from personal experience; I suffered from lower back pain and numbness in the fingers for many years, potentially a career ending condition for a dentist. I never believed I had TMD because my jaw joints never hurt. With the proper diagnosis and treatment of my TMD, however, I have now been pain free for over two years, and continue to practice dentistry with no numbness in my fingers.
(Dr. Rogers is a general dentist practicing in Northern Virginia. His practice focuses on helping patients achieve better overall health through advanced dental treatments.)
Cosmetic Dentistry - Know ALL your options Jan. 25, 2008, 8:51 a.m.
Cosmetic Dentistry: Know ALL your options
Various surveys report that when you meet someone for the first time, you notice their smile more than any other feature. This partly explains the huge interest in cosmetic dentistry in the past 10 years. Major advances in technology and techniques are the other side of the picture. With so much information available, deciphering this complex subject can be quite daunting, even for the average dentist. This article will help to clarify the subject by explaining the pros and cons of each option, so one can make an informed and intelligent decision about which option is best for them.
Cosmetic dentistry is often equated with porcelain veneers, perhaps due to the success of the extreme makeover shows. Veneers are a great option, but are by no means the only option. Cosmetic dentistry includes whitening, orthodontics (braces), dental implants, oral surgery, gum lifts, tooth colored fillings, and even a new set of dentures. And depending which dentist you go to, you may only be offered one or two of these options.
Let’s examine the following analogy: suppose you have a sore joint. If you go to an orthopedic surgeon, most likely surgery will be recommended. A chiropractor might suggest adjustments, a physical therapist would try physical therapy and exercises, a nutritionist might recommend glucosamine, and a pharmacist would recommend Advil or Aleve. All are appropriate treatments for sore joints, but not all would be appropriate for every patient. In fact, the best treatment might be a combination of several different modalities.
Now suppose you have a smile which needs improvement. A general dentist might recommend whitening and/or bonding, a cosmetic dentist will often recommend veneers, an orthodontist would certainly consider braces, and a surgeon or gum specialist may yet offer more solutions. And like the analogy, the best treatment may be a combination of several different approaches.
So let’s review the options available in the field of cosmetic dentistry and for each provide an idea of the risks, benefits, cost, and time involved.
Tooth whitening, sometimes referred to as bleaching, has been around for decades. The active ingredient in virtually all systems is some form of hydrogen peroxide, which has been shown to be completely safe for teeth and perhaps even beneficial to the gums. The major drawbacks to whitening are sensitivity and unpredictability. The major advantage is low cost. Various “whitening strips” can be purchased over the counter for around $40. They work well for light staining on otherwise normal, healthy teeth. Stock bleaching trays purchased over the Internet provide about the same level of whitening, but perhaps with more sensitivity. Custom bleaching trays provided by a dentist provide even better results, if you are willing to wear them every night for a few weeks. One-hour bleaching in a dental office or spa does the same or better job very quickly, but may also result in some short-lived sensitivity. The cost of in-office bleaching ranges from $400-$1,000, but the results are still variable. Some patients experience amazing results from these methods, while others are disappointed. For people with normal healthy teeth that would like predictable results, a system known as “Deep Bleaching” developed by dentist Rod Kurthy will deliver predictable results, even in deeply stained teeth. This system is a combination of in-office sessions and specialized take-home trays that gives amazing results every time. The cost of deep bleaching ranges from $1,200-$1,800, and there is very little or no sensitivity with this system. However, if your teeth have other issues in addition to color, then you will probably be looking at “permanent whitening”, also known as porcelain veneers.
PORCELAIN VENEERS AND CROWNS
Porcelain veneers are thin facings that are bonded to the front of your teeth to restore your smile. They can completely cover stains, as well as even out crooked teeth and make chipped teeth look like new. Traditional porcelain veneers require numbing of the teeth, and removal of the top stained layer to provide space for the new white porcelain layer. The results can be dramatic and immediate, and the veneers can last for decades. The drawbacks are high cost, sensitivity sometimes lasting for weeks or months, and irreversibility. But for certain cases the advantages far outweigh the disadvantages. If you prefer not to have your teeth numbed, another option is Lumineers. Lumineers are very thin porcelain veneers that don’t require numbing of the teeth in most cases, and no drilling into sensitive areas of the teeth. While they can’t correct everyone’s smile issues, they should at least be considered, especially for the nervous patient. Both Lumineers and traditional veneers are expensive, around $1,500-2,000 per tooth, but they can be completed in just a few visits. This makes them perfect for patients wanting “immediate gratification.”
Porcelain crowns are similar to traditional dental crowns, but do not contain any dark metals on the inside of the crown. For patients who are tired of the “dark line” around the gums of their crowned teeth, all-porcelain crowns are a fantastic alternative. The newer crowns are very strong and bonded to the tooth to prevent the cement wash-out that used to occur with traditional crowns. Porcelain crowns typically cost a bit more than traditional crowns, but are well worth the extra expense in any area where the edge of the crown shows.
If you don’t mind waiting some months for your new smile, orthodontics may be a much better option than porcelain veneers. For patients with nice looking natural teeth, just crooked or gapped, orthodontics is a more natural and cost-effective approach. Of course, in the field of cosmetic dentistry most adults do not want railroad track braces on their teeth, so manufacturers have developed “clear braces” where all you notice is a thin wire on the teeth. Plus, modern orthodontics has embraced the “low-force, low friction” philosophy, making braces much more comfortable than ever before. If the thought of braces still turns you off, then you should consider Invisalign (www.invisalign.com). Invisalign is a series of clear plastic trays, similar to bleaching trays, which gently move your teeth to their new, straight position. At an average treatment time of only 11 months, Invisalign is quicker and easier than traditional braces, plus there are no diet restrictions and no issues brushing and flossing. The disadvantage of Invisalign is the time involved, and the chance that porcelain veneers may still be needed to achieve the patient’s esthetic goals. The advantage is preservation of natural teeth, and relatively low cost at around $6,000 total.
If you are missing some teeth, whitening, veneers and braces may not solve all your needs. In the past, missing teeth meant partial or full dentures, or sometimes a bridge. With recent advances in technology, we can now replace missing teeth with artificial teeth that look and feel just like natural teeth. And with a better than 95% success rate, implants have become almost routine in many dental practices. The advantages are obvious; the disadvantages are high initial cost and the need for minor surgery to place them. Over the long term dental implants may actually be less expensive than other options, since they potentially can last the rest of your life.
Most patients would prefer to avoid surgery, but sometimes it really is the best option. Gum surgery to improve a gummy smile, a chin implant to improve a receding chin, jaw surgery to correct a disfiguring overbite or cleft – these are situations where the other options just may not be enough. Surgery is often considered the last option, but in some cases the results are worth the risks.
THE COMPREHENSIVE APPROACH
The comprehensive approach utilizes all of the above options. Often this means combining two or more of the above treatment modalities. It starts with identifying the patient’s desired result, budget, lifestyle issues, and time frame. All of these factors can influence a patient’s decision about treatment and should be taken into consideration by the dentist.
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