One of the most common questions we are asked at Fine Dentistry by Design is:

“What kind of toothbrush should I use?”

Recently a team of inventors developed “Grush” – a toothbrush that works in conjunction with a video game to help children brush better. Is that really something we need? Well apparently some very smart people think so, because the Grush Brush just took first place in “America’s Greatest Makers,” a new reality TV show from Mark Burnett and Intel. The Grush is expected to sell for $59.00.

Not to be outdone, the folks at Proctor & Gamble are about to unleash the “Oral-B Genius.” We’re not sure what it does, but at $200 it better be pretty smart!

Not expensive enough? Fear not. Soon you will be able to purchase the brainchild of a Chicago dentist, the $400.00 Bluetooth enabled Prophix. Just exactly what does a four hundred dollar toothbrush do? The Prophix actually has a miniature camera so you can see precisely where you are brushing through a smartphone app!

Which leads to the question – do you really need an expensive toothbrush or is a three dollar one from Target good enough?

The answer is a little more complicated than a simple yes or no, but it comes down to this.

Some of our patients, especially those with gum disease, could benefit from an electric Oral-B toothbrush. Consider it to be an investment in your health.

But for many, the good old standard toothbrush is just fine, as long as…

• You purchase one with soft bristles
• The head of the toothbrush is small enough to reach every surface of every tooth
• You brush several times daily using the correct brushing method (this is crucial)
• You floss every day. Yes – not just two minutes before your dental appointment – every day!!

The good news is, for most people a good at-home oral hygiene regimen is inexpensive and simple.

The team at Fine Dentistry by Design would love to show you the correct way to brush and floss (most people are doing it wrong!) and even help you select the best brush and floss for you. Please give us a call at 301-984-2200. We are here for you!

Celebrating 10 Years Of Dentistry

Almost everybody brushes their teeth, but only one in ten people are doing it effectively!

To that, we have to say a great big “YUCK!!” Imagine if only ten percent of the population showered correctly. That would be pretty gross. But according to researchers at The University of Gothenburg, ninety percent of the population does not brush their teeth in the right way!

Don’t worry!! Your friends at Fine Dentistry by Design are here to help you. So sit back and open wide as we present….

The Top Eight Toothbrushing Tips!

1. Size Matters!

Many people use a large toothbrush head thinking “the bigger the better.” But you can brush just as effectively if not more so with a smaller brush, especially if you have to strain your mouth to use a larger one.

According to dental consumer advisor Dr. Dick Price, "the more comfortable it is in your mouth and your hand, then the more likely you will use it and use it properly."

2. It’s Good To Be A Softy!

It would seem to make sense that firmer bristles would clean your teeth better, but many times they just wind up damaging your sensitive gum tissue. The American Dental Association recommends a soft-bristled brush and we agree!

3. Don’t Do A Rush Job!

While most people spend fifteen seconds or so per round of brushing, a full two minutes is best. And to make sure you don’t play favorites, divide your mouth into four sections (upper right, lower right, etc...) and spend thirty seconds on each.

Some electric toothbrushes actually have timers, but you don’t need to be so fancy. Find a thirty second song and sing it to yourself for each mouth quarter. Or multitask by watching TV until the full two minutes is up.

4. What’s Your Angle?

While we typically picture toothbrushing to be a horizontal affair, that leaves out many important tooth surfaces including the crucial area where the tooth meets the gum line. Aim your bristles at a forty-five degree angle and make sure they gently dip below the outer surface of your gums. This can get very tricky, and we recommend that you have one of the fantastic members of our dental hygiene team give you a full demonstration!

5. It’s An Inside Job!

The inner surfaces of the teeth are often overlooked, but just because they hide from daylight doesn’t mean you should neglect them! Take the time to brush all tooth surfaces, inside and out. Oh – don’t forget your tongue either!

6. Rinse-a-rama!

After you brush, loose bacteria are floating around in your mouth having a big old party. It’s time to finish them up with a rinse of mouthwash or even water. They’re on your toothbrush too, so it’s always a good idea to run that under the sink for a few seconds when you finish!

7. Forced Retirement

Many people get nostalgic over their old toothbrushes, but keeping them for too long is a big mistake!! Frayed bristles can’t clean correctly, and even worse – they harbor all kinds of nasty germs. The American Dental Association suggests changing your toothbrush every three to four months – but we think that may even be too long of an interval for many. When in doubt – toss it out!

8. And There’s One More Thing…..

Even though we are discussing toothbrushing, it just wouldn’t be complete without mentioning those tooth surfaces between your teeth – the ones that can’t be reached with a brush. Yes, that’s right – we all need to floss!! Daily flossing prevents cavities and helps to keep your gums in good shape.

At Fine Dentistry by Design, we want you to have strong healthy teeth and gums, fresh breath and a beautiful smile!! Please call us now at 301-984-2200 to schedule an appointment, ask any questions about keeping your teeth and gums nice and clean, or even to schedule a complimentary toothbrushing and flossing lesson! We are here for you!

It’s time once again for March Madness – and here at Fine Dentistry by Design, we would like to join in the fun. So here are ten crazy facts about teeth and dentistry to make you smile. They may improve your health too!

1. The average human produces 25,000 quarts of saliva in a lifetime. That is enough spit to fill 2 swimming pools!
2. You should not keep your toothbrush near a toilet. The airborne particles from the flush can travel up to a distance of 6 feet. Yuck!
3. People who drink 3 or more glasses of soda each day have 62% more tooth decay, fillings and tooth loss than others. Put down the pop and sports drinks and pick up some nice fresh water instead.
4. In 1994, a prison inmate in West Virginia braided dental floss into a rope, scaled the wall and escaped. (We suggest that you use floss to clean between your teeth instead of climbing prison walls! If you don’t, you are missing around 35% of your teeth’s surfaces.)
5. You should replace your toothbrush at least every three months, and always after you have an episode of flu, cold or other viral infections. Notorious bacteria can implant themselves on the toothbrush bristles leading to re-infection.
6. Tooth enamel is the hardest substance in the human body. However, we do not recommend that you use your pearly whites to open bottle caps!
7. The standard advice to “see your dentist twice a year” was actually invented by an ad agency for Pepsodent toothpaste! Your dental professional should recommend the correct schedule for your regular dental visits.
8. A recent poll has shown that health professionals (physicians, dentists and nurses) were among the most trusted people in The United States. The least trusted? Lobbyists and congressmen of course!
9. According to a recent survey done by Time Magazine, 59% of Americans would rather have a dental appointment than be sitting next to someone talking on a cell phone. Maybe some of us should take a hint!
10. Over three out of four people in the United States suffer from some form of gum disease. It is the leading cause of tooth loss in people over age 35. The good news is, in most cases gum disease can be prevented or controlled!

At Fine Dentistry by Design, we are here for you, and want to help you achieve the best smile possible. If you have any questions about your dental health or need to schedule an appointment, please give us a call today at 301-984-2200. We can help you!

Also – did you know that we are now on Facebook? Please go to www.facebook.com/RockvilleDentist20852 and “like” us for more dental health tips, community news, contests, special offers and all kinds of other fun stuff!!

February 2016

Recent research has shown that most Americans are not doing a simple activity that will keep their smiles looking beautiful, reduce cavities, prevent tooth loss and as many dentists and physicians now believe – significantly reduce the chance of heart disease and strokes.

Even though most of our patients swear they do this activity, according to The American Dental Association, more than 90% of Americans don’t. That simple activity? You guessed it – it’s flossing your teeth. And a quick and strenuous attempt to floss right before your dental visit doesn’t fool us! But please read on, because there is hope for everyone!!

Flossing is the best way to clean bacteria and debris from the spaces in between your teeth and underneath your gums. Left in place, that harmful film can cause cavities and gum disease, eating away at the bone that actually holds your teeth in place and causing your teeth to loosen and eventually be lost. Scarier yet – recent research has linked gum disease to heart disease and strokes. So don’t throw in the towel (or floss!) yet.

Any activity requires practice. You couldn’t drive without lessons and a few thousand miles on the road. You couldn’t type the first time you sat down at a keyboard. And though flossing is much easier than either of those activities, many people try it a few times and then frustratingly proclaim “I can’t floss!” Well with a little patience and practice you can! And some of the better flosses on the market (such as “Glide”) make it much easier than it was in the past.

At Fine Dentistry by Design, we really want you to keep your teeth the rest of your life and be as healthy as you possibly can. That definitely involves flossing every single day – and we know you can do it! Feel free to give us a call at 301-984-2200 and we will arrange for one of our fantastic hygienists, to give you a free flossing lesson. Or just ask during one of your regular cleaning appointments. There is nothing to be embarrassed about, and your beautiful smile will last a lifetime!

Valentine's Day 2016

Valentine’s Day is right around the corner, and you may be getting ready for some big fat kisses to come your way. So even though at the office of Lisa Wang, D.M.D, M.S. we’re concerned about cavities, gum disease, bad breath and lots of saliva, we won’t use this month’s blog entry to gross you out about kissing. But we will tell you some interesting facts that you can tell your kissing partner right after they smack one on you!!

Anthropologists have argued for years about the origin of kissing. Many now believe that it has evolved from the time when mothers chewed food for their babies and then went mouth to mouth at feeding time. (Well, okay – we might gross you out a little bit!) This action became so comforting to babies that the habit continued even after they could chew for themselves, and then developed into a sign of affection.

Nowadays kisses aren’t just about romantic love. Of course parents kiss their children. Worshipers often kiss religious artifacts. Some people kiss the ground when exiting an airplane. And who doesn’t want to have a “boo boo” kissed when they get a bruise?

But February 14th is a day for the romantic kind of kiss, and if you are craving one, there may be a scientific reason. While this action can promote a psychological response of warmth and affection, it also causes your brain to secrete some important and productive chemicals, such as:

• Oxytocin, which helps people develop feelings of attachment, devotion and affection for one another
• Dopamine, which plays a role in the brain's processing of emotions, pleasure and pain
• Serotonin, which affects a person's mood and feelings
• Adrenaline, which increases heart rate and plays a role in your body's fight-or-flight response

But along with that, when you kiss, hundreds or even millions of bacterial colonies are transported from one mouth to the other. And let’s face it – no one wants to kiss a person who has poor oral hygiene, bad breath, or just a generally yucky mouth.

So let’s start with the basics:

• Make sure you brush at least twice a day with a soft toothbrush and fluoridated toothpaste.
• Floss once per day – if you have trouble flossing or are not sure how, please ask! We’ll be glad to show you the ropes.
• Avoid sugary and acid-laden foods such as soft drinks, sports drinks, and candy. (Okay - we won’t tell anyone if you have a tiny bit of candy on Valentine’s Day!)
• Eat a well balanced diet including lean proteins, healthy fats, fruits and vegetables, nuts and fiber.
• If you need to slip in a piece of gum or breath mint, make sure it contains Xylitol, which has been proven to reduce tooth decay.
• Drink plenty of water! This helps to rinse away food particles, and staying hydrated is good for fresh clean breath.
• See you dentist on a regular basis and call immediately if you suspect there are any problems with your oral condition.

Here at the office of Fine Dentistry by Design, we want you to have a kissable February 14th and a lifetime of excellent dental health. If you have any questions or need to set up an appointment, please give us a call at 301-984-2200. We are here for you!

January 2016

It’s January, and everyone is talking about their New Year’s resolutions. And while exercising more and eating healthier are certainly great things to do, as resolutions go they are pretty boring and unoriginal. Plus, by February the gyms are empty and the Oreos are flying off the shelves again.

So here at Fine Dentistry by Design, we are proud to bring you ten New Year’s resolutions that you can easily keep up with, and that are guaranteed to significantly improve the quality of your life. Let’s call them…

Resolutions To Do Every Day!

1. Drink a tall glass of room temperature water when you wake up and before you go to bed.

Water is the original “Miracle Food.” No matter your culture, food preferences, physical condition, or anything else, your body craves water. And no – soda (regular or diet) does not count!

2. Take walks.

Walking has been known to help people solve problems, come up with new ideas, and have epiphanies that seem to have come out of nowhere. But they don’t come out of nowhere. They were there all along. Taking a walk just changes the context from ‘inside’ to ‘nature,’ and nature is going to win almost every time. Plus – it’s healthy!

3. Have a moment of gratitude every day.

Just stop what you are doing for two minutes and think about how fortunate you are. It’s great to do this in a beautiful place, but not necessary. And remember – if you live in a modern, developed country, you are indeed fortunate. If you’re not sure what to think of, try three things you are grateful for. Or say to yourself – “I could have been born in a Sudanese refugee camp, but here I am in central Ohio.”

4. Think of your most distasteful task each day, and do it first.

This is called “Eating The Frog First.” Your day will be so much more relaxing once the most dreaded task is taken care of.

5. Send one email / text / message / call to someone you haven’t spoken to in a while.

Over the course of the year, you could reignite 365 friendships! And in line with “Eating The Frog,” send the first one to a person you are having a difficult relationship or grudge match with. Actually, stop reading this and do that one now. It will change your life!

6. Give away or donate one item from your home every day.

Don’t stop until you feel you are completely free of clutter. Then start again! By the same token, stop accumulating stuff you don’t need!

7. Compliment and / or thank someone every day.

If you’re not sure where to start, you can send us a note to let us know you enjoyed this list! And try not to stop with one - keep doing it all day long. It’s always fun to thank someone who is not expecting it.

8. Improve your sleep quality.

Sleep is extremely important, and most people don’t get enough restful zzzzzs. Avoid caffeine for six hours and alcohol for four hours before bedtime. Alcohol may conk you out, but your sleep will be less restful. Tell your brain what time you need to wake before going to bed and avoid the jarring shock of the alarm. Start the relaxation period well ahead of bedtime.

9. Spend at least fifteen minutes every day reading something that will expand your mind.

Generally speaking, this is not the news, celebrity gossip, business journals, etc…

10. FLOSS!!

Okay – we had to give at least one dental tip. Daily flossing helps to keep your gums free of disease and inflammation, and gum disease is linked to not just tooth loss but heart disease, cancer, diabetes and more. It’s a simple thing that takes just a minute, and you’ll feel so much better for it.

If you’re not sure how to floss (or have any other dental questions) we are here for you! Please give us a call at 301-984-2200 and get 2016 started the right way – with healthy teeth and gums, a beautiful smile and fresh breath!

December 2015

Yes – holiday time is here, but let’s face it – an emergency trip to the dentist is probably something you don’t want to put on your calendar. But believe it or not, this time of year presents some special opportunities for dental problems! Here’s how to avoid them:

1. You are not The Nutcracker!

While you may want to go see a local production of this Tchaikovsky classic, remember that your teeth are not for shelling nuts. Those chestnuts roasting on an open fire are meant to be cracked by a nutcracker, not your pearly whites.

2. Slow down!!

It may be tempting to tear open that gift or cut a ribbon with your teeth. But slow down! Give your mouth a gift and use scissors to open those presents. And bottle caps? Forget it, unless you want to share that drink with your dental team.

3. Things can get sticky!

It’s pretty likely that in the next few weeks someone will tempt you with chewy candies, caramels, taffy and the like. But since they can stick to your enamel, causing tooth decay – or help rip out existing dental repairs, your best bet is to pass.

4. Yum, yum, ouch!

Just as bad as a sticky treat is chewing on hard candies or ice. These are often the cause of tooth fractures, which can lead to crowns, root canals, and all kinds of dental situations that you would probably rather avoid. Be true to your teeth or they will be false to you!!

5. …and one more thing!

The holidays can be stressful, but if that leads to nail biting or jaw clenching, you are putting your teeth at risk. This can lead to jaw problems, tooth sensitivity, facial pain and fractures. So take a deep breath, and don’t let your holiday stress lead to dental stress!

Pay close attention to this list and we will put you on our “nice” list. But should you have any dental problems or questions during the holiday season or any time of year, please remember that at Fine Dentistry by Design we are here for you! Please give us a call at 301-984-2200.

November 2015

There are many dental “facts” going around that just aren’t true, and can actually be quite harmful to your dental health. So what should you believe? At Fine Dentistry by Design, we know fact from fiction – so here are the top five dental myths busted!

Myth # 1: Use a hard bristled toothbrush to remove more plaque and food debris from your teeth.

BUSTED: While it may seem to make sense, a hard toothbrush can actually cause irreversible damage to your teeth and gums. Use a soft brush with a gentle stroke on all of your tooth surfaces, including the delicate area where your gums meet your tooth.

Myth # 2: Putting an aspirin next to your tooth will help a toothache.

BUSTED: The only thing that will do is burn and irritate your gum tissue. For a toothache, take an aspirin or other pain medication the normal way and make an appointment to see your dentist immediately! Whatever is causing the discomfort will not go away on its own and needs to be professionally diagnosed and treated.

Myth # 3: There is no need to treat baby teeth; they will fall out anyway.

BUSTED: Baby teeth are important! Not only do they help children chew, speak and smile, they act as spacers, making the proper room for adult teeth as the jaw grows. And just like adult teeth, if not taken care of properly they can develop cavities, cause toothaches, and lead to a lifetime of poor dental health.

Myth # 4: See your dentist twice a year.

BUSTED: That myth was created by an ad agency! While twice-yearly cleanings and exams are correct for some people, the proper interval should be determined by your dental professional.

Myth # 5: It is normal for your gums to bleed a little bit while brushing or flossing.

BUSTED: Healthy gums do not bleed with normal usage – it is a signal of gum disease. And – gum disease leads to tooth loss! Talk to your dentist or hygienist immediately if you notice blood with brushing or a pink toothbrush. It’s not only not normal; it’s a sign that something is terribly wrong!

If you have a question about a dental myth or anything else, we are here to help! Give us a call at 301-984-2200 today!

October 2015

We all know (hopefully) that opening a bottle of Budweiser with your teeth is not a good idea! But here are ten other things you may be doing that can cause a little or a lot of damage to your pearly whites!

1. Thumb sucking. Kids who constantly suck their thumbs can be causing the teeth and jaws to misalign, leading to major problems later in life. As for adults who suck their thumbs – well that’s a different story altogether!
2. Chewing or sucking on lemons. Some people (we’re not sure why!) love the tanginess of lemons so much they suck on them. One thing is for sure – your tooth enamel doesn’t like the highly acidic lemon juice and will corrode with time.
3. Brushing too hard. It seems to make sense – scrub your teeth harder and they will get cleaner. But your teeth aren’t a dirty frying pan, and brushing too hard can wear down both your teeth and gums. Use a soft brush with a gentle but thorough technique.
4. Jaw clenching and tooth grinding. These are signs of stress and are often done subconsciously. But these habits can not only wear down teeth and dental work such as crowns, they can cause pain and chronic problems with the sensitive jaw joint, often called the “TMJ.”
5. Crunching ice. Think about the special blades your blender needs to crush ice. Get the picture? The hardness of ice plus the extreme cold is a double recipe for disaster to teeth and fillings.
6. Utilizing the teeth as a human tool box. It may be tempting to tear off a clothing tag, rip open a bag of chips, hold a nail, or many other handy things around the house with your chompers. Don’t. There are proper tools for all of those jobs, and they are not found in your mouth.
7. Put the pencil down. It’s easy to use your teeth as a pencil holder, eyeglass rest, or pen parker. But doing so habitually can cause your teeth to shift until there is an actual space in there for these objects – a space you probably don’t want!
8. Biting nails. While a tense movie or close sporting event is often called a “nail-biter,” most people who bite their nails do it constantly. This can lead to small spaces between the teeth and shave off bits of enamel. And if you bite your toenails – congratulations on your flexibility, but it’s just as bad. And kinda gross.
9. Drinking soda – even “diet.” We won’t go into the HUGE list of reasons not to drink soda right now, but even diet soda bathes your teeth in unhealthy acid and causes corrosion. When you are thirsty there is a reason your body craves water. Listen to it.
10. Be picky about toothpicking. While properly using a toothpick can be healthy for your teeth and gums, doing it with too much force or aggression can hurt your gum tissue. So just like with brushing, take it easy!

Any questions? Remember, at Fine Dentistry by Design, your health and comfort come first! Please give us a call at 301-984-2200 to make an appointment or discuss any dental health issues you may be having.

At your dental visit it may seem like we concentrate on your teeth and gums, and while that is true, there are other important things in there that need some attention too!

Things like:

The tongue: It’s a big hunk of super-strong muscle in the middle of your mouth, and besides being fun to stick out at mean people, it plays a crucial role in digestion by moving food towards the teeth for chewing and then back to the esophagus for swallowing.

The uvula: That thing which resembles a punching bag in the back of your mouth is not 100% understood, but we are pretty sure it helps in speech, keeping the mouth and throat moist, and the gag reflex.

Salivary glands: Bite on a lemon and you may see one of the three sets of these at work! They secrete saliva, which helps to break down food, rinse away things that may harm your teeth, and counteract the acids in your mouth.

The frenulum: It’s that piece of tissue that connects your tongue to the floor of your mouth. Without it, that tongue of yours would run away and not stay down!

The oral mucosa: Just about everything in your mouth is covered with this protective lining, similar to the stuff that coats the inside of your nose and ears. It has an important job – defending your body from germs and irritants that enter the mouth.

So while we do pay close attention to your teeth and gums, we check all of these areas as well during every examination, looking for things such as inflammation, unusual lumps and bumps, and even oral cancer.

If you have any questions about any of the important structures in your mouth, at Fine Dentistry by Design we are here for you! Just give us a call at 301.984.2200 and we will get you in as soon as possible!!

It can be tempting to treat baby teeth like Kleenex. They're disposable, so why should you take care of them? Also known as primary teeth, these little choppers are more important than you may think.

For one thing, they reserve space for the permanent “adult teeth,” which will show up later, helping to guide them into position. When baby teeth are lost early, due to decay or injury, permanent teeth can drift into that extra space where they don’t belong. It's like when it snows and you clear out your parking spot and save your spot by putting a lawn chair there. Without that chair, you just might find your neighbor's Buick in your spot! Adult teeth are sneaky like that and can move into space if there's no baby tooth holding the spot.

Decayed or damaged baby teeth can also result in crooked and overcrowded permanent teeth. They are important in the development of speech, and forming the proper facial shape as well. Also, having healthy baby teeth can create a lifetime of excellent anxiety-free dental visits!

When a baby tooth gets decayed or infected, it can damage the permanent tooth developing underneath. Be sure your child avoids sugary drinks and sticky foods, and help them to brush frequently. Remember – it’s not just sodas and sports drinks. Even healthy drinks such as juice and milk are full of sugar. Of course seeing the dentist for regular check-ups and cleanings is important for decay prevention.

Dr. Wang suggests that babies come in to the office as soon as the first teeth erupt. Even if it’s just for a ride in the dental chair and a quick brushing, getting your child accustomed to the dentist goes a long way!

So now you know why it's important to take care of those baby teeth! It's also a good idea to encourage kids to learn how to take care of their teeth early on, and hopefully those good habits will carry on into adulthood.

No matter what your age, we at Fine Dentistry by Design care about your dental health and we want to see you! Give us a call at 301-984-2200 to set up your next appointment. Let us take care of those teeth of yours, no matter how long you've had them!

Back in 2004, Listerine introduced a new mouthwash that claimed to replace the need to floss. If you believe that claim, may we also interest you in a can't-lose investment deal on a new bridge from California to Hawaii?

Admit it. You read the headline and were hoping we were going to give you the go-ahead to skimp on the flossing. Since we here at Fine Dentistry by Design have a vested interest in the health of your teeth and gums, we're afraid we can't do that.

Just like your mama told you that, yes, you do need to eat your vegetables, we are here to tell you that flossing really is necessary. A strong mouthwash like Listerine can rinse leftover food particles off the tooth surface, but will only reach a little ways into the gumline. Dental floss is the only way to get that gunk out of there and keep it from causing tooth decay and gum disease.

Your mama also probably told you to wear sunscreen. Sure, sunscreen is good for your skin's health, but it's also good for your appearance so you don’t look like a leather changepurse when you're in your 40s. Guess what? Flossing is also good for your appearance. Gum disease can ruin your smile as it can wear away your gums and your teeth. Flossing helps to preserve gums and even the bone underneath.

There you have it. No matter what some TV commercials would have you believe, you need to floss and you need to do it right!

Quick Flossing Tips:

• Wrap a piece of floss, 15 inches long or so, around each tooth in the shape of a C.
• Floss in a firm but gentle up and down motion. • Use a size that's comfortable for you. If you already have gum tissue damage or simply have large spaces between your teeth, you may want to use a wider type of floss.
• Know that bleeding doesn’t mean you should stop flossing, In fact, it could be a sign of too much plaque that needs to be removed by flossing! However, be sure to give us a call if the bleeding continues for more than a few days.

Remember, we at Fine Dentistry by Design are here for you! Give us a call anytime with questions or concerns about your teeth and gums – 301-984-2200.

Also, in case you missed the itsy-bitsy print at the bottom of the screen during that infamous mouthwash commercial? It said Floss Daily…

June 2015

Here at Fine Dentistry by Design we see our share of excitement, but it’s probably nothing compared to what our colleagues in the National Hockey League are accustomed to!

That’s right – every NHL team has at least one dentist on staff. During games they take care of the home team and the visitors! According to Dr. Bill Blair, President of the NHL Team Dentists Association, the first priority is always, "Immediate relief of pain; hockey players are paid to play hockey. It is our job to get them back on the ice as soon and as quickly as possible.” That may explain the Swiss cheese smiles many hockey players seem to have!

Jaromir Jagr of the New York Rangers lost three teeth after suffering a blow to the face during a game. He continued to play, and even scored a late goal to lead his team to victory. According to The Bleacher Report, Jagr gave a post-game interview with teeth that "looked like broken-out windows in a haunted house."

Tomas Tatar of the Detroit Red Wings has lost the same three teeth on four different occasions. He stayed in the game every time.

"Hockey pucks are pretty nasty," says Dr. Bob Orta, team dentist for the Tampa Bay Lightning. "They're frozen solid, coming at you at 100 miles per hour. That can really do some damage to a face."

Even if you are not in the NHL, sports of all types can be dentally dangerous. It's estimated that over 5 million teeth are lost every year to sports injuries at all levels of play. As more players wear mouthguards and other protective shields, the number of dental and other facial injuries has been on the decline.

If you or your child plans to engage in any kind of sports activity, we encourage you to contact us at Fine Dentistry by Design at 301-984-2200. We can advise you on the best type of mouth guard to protect your teeth and mouth. Be sure to call us with all of your other dental needs too. We're here for you!

May 2015

At Fine Dentistry by Design, we are accustomed to questions like “How much does my insurance cover?” and “What can I expect after a crown is placed?” But we get some real doozies as well!

The Chicago Dental Society once surveyed more than 300 members to find out the strangest dental requests they'd ever received from patients. Below, you can find the top ten things that have been said to our fellow dentists:

10) "Can you extract my tooth without anesthesia?"

9) "Please wire my mouth shut to aid in my diet."

8) "Can you ID this set of dentures left in the bathroom of the bar I work at?"

7) "I will pay you or your hygienist to floss my teeth at my office every day."

6) "If I have a tooth growing out of my back, should I see a dentist or a chiropractor?"

5) "I just broke off my engagement. Can you cement the diamond into my tooth so that I can keep it?”

4) "Will you give me local anesthesia in my lips? I'm going in for permanent lipstick tattoos and would like to avoid the pain."

3) "May I have an emergency cleaning visit? It's my high school reunion and I need a bright, white smile to face my old boyfriend."

2) "Can I keep the teeth you pull out of my mouth? I'd like to make a necklace out of them."

And the number one strangest dental request ever received...

1) "Can you give my dog braces?"

At Fine Dentistry by Design, we may not offer services like braces for your dog, but we do love to help with human teeth. We also encourage you to ask questions – even silly ones - about the health of your teeth, mouth, and gums! Call us at 301-984-2200 with any questions, concerns, or to make an appointment.

We look forward to hearing from you!

Are You Grinding Your Teeth Into Sawdust?

March 2015

Work on the weekend? Speak in front of people? Go out with you? Hopefully, you've never been told that last one….

The poor root canal gets a bad rap, but it's a procedure that can be quite beneficial in improving dental health. Often root canals are performed instead of tooth extractions, and are needed when the blood or nerve supply of the tooth is injured or decayed. Millions of teeth have been saved from this relatively routine procedure! Now, don't you feel bad about talking smack about root canals?

During a root canal procedure, the infected tooth material is carefully removed, and then we disinfect the area around the tooth. Next, we fill and seal the tooth with a rubber-like material. Finally, we will restore the tooth with a crown or filling. Once the root canal is complete, your tooth will be fully functional and should look great!

Admittedly, there are many things in life that are more enjoyable than getting a root canal. Still, the procedure doesn't have to be painful at all. At Fine Dentistry by Design, we will ensure that you're as comfortable as possible as we work to save your tooth. Having a root canal won’t feel much different than getting a routine filling for a cavity. Depending on the tooth’s condition, the procedure can be completed in 1-2 appointments.

If you still hate the term "root canal", you can use the term "endodontic therapy." However, "I'd rather have endodontic therapy than go to the prom with you" doesn't quite have the same bite to it (pun absolutely intended).

Whether it’s time for your next examination and cleaning or you have any other dental concern, at Fine Dentistry by Design, we are here for you! Please call 301-984-2200 to schedule your next appointment.

February 2015

Everyone wants a bright, gleamingly-white smile! However, it's common for teeth to get discolored over time, due to the enamel becoming thinner and more transparent. Teeth also get stained from drinks like red wine, coffee, tea, and cola.

While getting your teeth professionally whitened by a dentist is the safest and most effective way to get a cleaner, brighter smile, home-whitening methods continue to be popular among consumers. If you do go the home-whitening route, be sure to have us perform a professional cleaning and mouth exam first. At Fine Dentistry by Design, we can let you know if you're a good candidate for teeth-whitening - and a cleaning will help maximize your results.

Whitening products come in pastes, gels, pens, and strips. Be sure that the whitening products you use are approved by the American Dental Association (ADA). Peroxide, which is a bleaching agent that is generally safe for teeth, is the main ingredient in most whitening products. You'll want to choose a product that has no more than a ten percent concentration of bleach.

Do not attempt to whiten your teeth if you have dental crowns or veneers, as they won't whiten properly and thus will not match the rest of your teeth. In addition, you shouldn’t try whitening if your teeth are especially sensitive.

Don’t go too overboard with whitening…you don’t want to start looking like the Cheshire Cat where all you see is blindingly bright teeth when you walk into the room….Too much bleach can even give your teeth a bluish tint! Be sure to carefully follow the instructions on whichever product you choose.

You really will get faster and more effective teeth-whitening results in our office, but as long as you use safe products that are approved by the ADA, you'll be okay doing the whitening at home. If at-home whitening doesn’t get you where you want to be, we can help you get that Hollywood smile!

Please remember that at Fine Dentistry by Design, we are here for you! If you have any questions about this or anything else concerning your dental health, please give us a call at 301-984-2200

January 2015

There’s no question that chewing sugary candy and gum wages quite an assault on your teeth. The sugar combines with the bacteria in your mouth and forms acid, providing the ideal environment for cavities to form. But what about sugar-free foods? Are they good for your teeth?

Not necessarily.

Remember, Cheetos are low in sugar content -- that doesn’t make them a health food! Sugar-free foods can be a preferable alternative to sugary foods, but that doesn’t mean it’s okay to eat them with reckless abandon. It’s true that sugar-free products do not promote tooth decay, and, in fact, can actually help to prevent cavities. Xylitol, a common ingredient in sugar-free gum, has been found to help fight tooth decay. Some research has shown that xylitol can inhibit the growth of Streptococcus mutans, the oral bacteria that cause cavities.

But beware - sugar-free foods can actually cause other dental problems. Many sugar-free products often contain preservatives and flavors that are highly acidic, thus contributing to erosion of your teeth. Diet soda (just like regular soda) also contains phosphorous and carbonation, which wear away the enamel on your teeth.

So it is true that advertisers can accurately say that sugar-free foods do not cause tooth decay. They could also accurately say their products don’t cause blindness or leprosy…it still does not mean they are healthy for your teeth, and may actually contribute to enamel erosion!

Overall, it’s probably a good idea to swap out sugared gum with a sugar-free alternative. But don’t assume that “sugar-free” means tooth friendly! And let’s face it – it’s tough to go wrong with fresh fruits and vegetables, plenty of water, and brushing after every meal and snack!

At Fine Dentistry by Design, we care about your health! If you have any questions about this or any other dental issues, or would like to make an appointment for a dental exam, cleaning, or consultation, please give us a call at 301-984-2200. We are here for you!

December 2014

As the holiday season is upon us, bringing with it all kinds of sugar dreams which can beget dental nightmares, it’s not a bad idea to brush up on your brushing techniques. Brushing, like any habit, can be good or bad. It’s a daily chore, so it’s easy to slide into a lazy routine that’s not benefiting your dental health as much as you think.

Here are some quick and easy reminders to get the most out of your brushing routine:

BE SURE TO CHOOSE THE RIGHT BRUSH –The ideal brush is one with soft bristles, which will remove plaque effectively without being too rough on your teeth and gums. A toothbrush with a small head is also advisable so that it fits well in your mouth and can get to those hard-to-reach places.

THREE IS THE MAGIC NUMBER –Aim to brush your teeth two to three times daily, but no more! Twice is probably ideal to keep your teeth healthy without overdoing it. Brushing too much can damage gums and wear away your tooth enamel.

USE A SMALL AMOUNT OF TOOTHPASTE – A pea-sized amount works just fine. Remember, the actors in television commercials who squeeze a big blob on there are just trying to sell more paste. You don’t need to cover the whole brush!

DON’T BRUSH TOO HARD – Brushing too hard can push back your gums and damage your teeth. It’s fairly easy to remove plaque, so a gentle touch will do it.

DON’T RUSH YOUR BRUSH – If you brush too quickly, you’re bound to miss important spots. Again, mindless brushing habits will ensure you keep missing the same teeth every time! Two minutes ensure that you’ll have time to clean each and every tooth thoroughly.

LET IT GO –That ubiquitous earworm from FROZEN provides good advice as far as replacing your toothbrush. After 3-4 months, it’s time to let it go! By then, the bristles will have worn down considerably and will no longer clean your teeth properly.

Practice these good brushing techniques and you can indulge in holiday treats without getting coal in your stocking (or stains on your teeth). Keep in mind that brushing should not be painful or cause bleeding. If you are experiencing those or any other issues or simply need a dental cleaning or checkup, please give us a call at 301-984-2200. We are here for you!

November 2014

Your teeth have – hopefully – survived the sweet, sticky, sugar-coated event that was Halloween. Time for the next holiday to potentially put a dent in your dentin – Thanksgiving! We here at Smith Dental have put together a list of the good, the bad, and the starchy foods of this all-American foodfest.

Foods That Are Good to Gobble

Turkey - Protein-rich foods, like good old Tom Turkey, can actually be good for your teeth. Turkey contains phosphorus, which can help foster strong teeth and bones when mixed with Vitamin D and calcium.

Yams - Yams are naturally sweet, so hold the gooey, sticky marshmallows, please. Served baked or roasted, yams are nutrient-rich and don’t stick to the surfaces of teeth. If you must sweeten them up, a touch of brown sugar or molasses will suffice.

Veggies - Vegetables like beets, broccoli, carrots and celery contain high amounts of Vitamins A and C which are instrumental in repairing gums from periodontal disease.

Pumpkin - Pumpkin is loaded with vitamin C and calcium, a great combination for strengthening bones and teeth. Be sure to brush your teeth after eating Grandma’s delicious pumpkin pie, though.

Cranberry Sauce – Cranberry gets the Gold Star of Dental Health as far as Thanksgiving goes! Recent research has indicated that cranberries contain special compounds that disrupt the development of plaque-causing bacteria. Be sure to make your cranberry sauce with real cranberries and not the stuff that keeps the shape of the can…

Turkey Day Hall of Shame Foods

Pecan Pie - A sticky, sugary, chewy disaster for teeth. At least pumpkin pie has some vitamins to offer!

Popcorn balls - The popcorn and caramel can easily get stuck in your teeth promoting tooth decay, not to mention discomfort!

White Wine - Although it won’t stain your teeth like red wine, white wine has a high pH level and packs an acidic punch that can erode your teeth.

Stuffing, cakes, and rolls - That’s right. Pretty much all the good stuff! These carb-loaded, starchy treats are great for causing tooth decay.

Okay, we don’t want to ruin all your holiday fun. Go ahead and indulge – in moderation – in some of these forbidden treats. We won’t tell! Just be sure to rinse your mouth with warm water or, better yet, brush your teeth after your big holiday meal.

Bon Appetit!

As always, to schedule a cleaning, examination, or consultation, give us a call at 301-984-2200. At Fine Dentistry by Design, we are here for you!!

October 2014

With autumn in full swing, this month seems like a good time for some potpourri, not just for your home, but for your teeth as well!! Here are some random, non-related dental items of interest for your enjoyment.

Am I brushing long enough?

You no longer have to leave this question up to chance. The toothbrush company Oral B has a new iPhone app that you launch every time you brush! It encourages you to brush for a full two minutes. Just don’t drop the phone in the toilet!

Is Halloween bad for my child’s teeth?

We don’t want to discourage costumes and trick-or-treating, but the fact is the typically sticky and chewy candy given out on Halloween are some of the worst foods possible when it comes to cavity prevention. If your children indulge, please make sure their teeth are thoroughly cleaned before they go to bed. That’s when most of the damage is done.

Why does my breath stink in the morning?

At night, the saliva flow slows down considerably, causing normal mouth bacteria to have a party. As gross as it may be, when you wake up your tongue is littered with bacteria poop! Make sure to do a meticulous oral hygiene routine at night and upon arising, including brushing, flossing, rinsing, and yes – tongue cleaning! This will help to eliminate morning breath and make the world a better place.

If dental x-rays are so safe, why do you run out of the room when taking them?

At Fine Dentistry by Design, we use the latest in technology – digital x-rays. This decreases the amount of radiation by ninety percent or so; a level that we feel is perfectly safe. The lead apron we have you wear makes the amount of radiation you receive almost imperceptible. However, being exposed to that every day for months and years is a different story. That’s why we take extra precautions.

Chewing gum – is it good or bad?

Good question – and a tough one! The motion of chewing is believed to help rinse particles and debris from your teeth and gums, so that is good. Sugar-free gum contains xylitol, which can actually reduce cavities; that’s good as well. But for some people the chewing action causes a painful inflammation of the jaw joint, and of course gum that contains sugar is a major no-no. And in case you’re wondering, swallowed gum does NOT stay in your stomach for seven years!!

Any more questions?

At Fine Dentistry by Design, we are here for you! If you have any questions about your dental health, are in need of an examination and cleaning, or would like to refer someone to our growing family of happy dental patients, please give us a call at 301-984-2200. We accept most insurance plans, and offer free consultations!!

September 2014

If you are like most people, you always enjoy the opportunity to save money! And we all know that health care can be expensive. So we are frequently asked by our patients how they can receive the highest quality care in the most cost-efficient manner. Here are some suggestions for you – and we’ll save the best for last!

1. Dental Insurance

If you are fortunate enough to have dental insurance, be sure to thank your employer! However, unlike medical insurance, most dental plans are designed to assist in paying for dental treatment, not cover most or all of it.

At Fine Dentistry by Design, we will work closely with your plan to maximize your benefits and give you the best estimate possible. Mei, our insurance expert, will be glad to assist you with any questions you have and help make your dental care as affordable as possible.

2. Payment Plans

If you don’t have insurance, or if your dental needs are not well covered by your plan, we are glad to offer you monthly payment options to make your arrangements much more affordable! We work closely with Care Credit, the country’s top provider of health care financing. Many times we can offer payments that are interest free!!

3. Refer A Friend!

The nicest compliment you can give us is a referral of a friend or family member. We promise to give them the same high level of care you are accustomed to at Fine Dentistry by Design. To show our thanks, when your friend makes an appointment we will give you a gift card for fifty dollars off your next dental services! (Alternatively it could be a grocery card, gas card, dining card, etc… Please check with your state laws before offering this!! )

4. The BEST Way To Save On Dental Treatment!

Believe it or not, the absolute best way to save money on dental treatment is to commit to taking care of your teeth and gums in the best way possible! Proper brushing, flossing, and regular dental cleanings and examinations will save you more money than anything else you can do!

According to American Dental Association advisor Dr. Matt Messina,

“The absolute cheapest way to make your own dental experience better is to commit to brushing, flossing your teeth and eating a healthy diet. Those are pennies a day that breed dollars of savings later on. The cheapest cavity is the one you never get.”

At Fine Dentistry by Design, it is our goal to provide you with the highest quality dental care in the most affordable way possible. We will work closely with your dental insurance and always provide a thorough estimate before any treatment is performed.

If you have any questions or would like to schedule an appointment, give us a call today at 301-984-2200. We are here for you!

August 2014

Thomas Corley, the author of “Rich Habits: The Daily Success Habits of Wealthy People,” spent five years studying what rich people do differently than everyone else. (For his study he defined “rich” as someone with an annual income over $160,000 and a liquid net worth of $3.2 million or more – not too shabby!)

He then went on to define nine habits that rich people had and the non-rich didn’t. He explained that just about everyone had a few rich habits, but it would be a good idea to increase that to fifty percent. Here they are!

1. Rich people always keep their goals in sight.

67% of the wealthy actually put their goals in writing.

2. Rich people maintain a daily “to-do” list.

Not only do the wealthy keep to-do lists, but two-thirds of them complete 70% or more of those listed tasks each day.

3. TV is not important to the rich.

Most wealthy people watch one hour or less of the boob-tube per day, and only 6% watch reality shows!

4. Rich people read … but not necessarily for fun.

86% of rich people love to read, and most read for self-improvement every day!

5. They like to listen to books too.

63% of the wealthy spend their commute listening to audio books.

6. They make a point of going above and beyond at the office.

81% of the rich agree with this statement: "I do more than my job requires." They tend to enjoy their work as well.

7. They aren't hoping to win the jackpot.

Only 6% of the rich people play the lottery on a regular basis, but they are willing to take financial risks with their money when the time is right.

8. Rich people watch their waistline.

Wealthy people value their health, and over 60% count calories every day.

9. And they take care of their smiles.

"I floss every day."

Rich people who agree: 62%

Others who agree: 16%

After all, what good is all that money if you can’t smile every single day?

At Fine Dentistry by Design, we may not be able to make you rich, but we can certainly help you get a “Million Dollar Smile!”

If you are due for an appointment, have a question, need help with flossing (after all, why not get some assistance with this “rich habit??”) or are concerned about any other dental needs, we are here for you!

Please give us a call at 301-984-2200 today!

July 2014

We wash our clothes, we change the oil in our cars, and we keep the dust off of our furniture. But how many of us show any TLC to one of the most important hygiene items in the house – our toothbrush?

Legend has it that a dog’s mouth is cleaner than a human’s. And, while that is only true in severe cases, our mouths, and therefore our toothbrushes, do harbor all kinds of bugs.

"The oral cavity is home to hundreds of different types of microorganisms, which can be transferred to a toothbrush during use," said Dr. Maria L. Geisinger, assistant professor of periodontology in the School of Dentistry at the University of Alabama at Birmingham.

Here are some recommendations to make sure your toothbrush is safe to you and those around you:

• Don't share toothbrushes and store different family members' toothbrushes at least an inch apart.
• Rinse thoroughly after using.
• Allow toothbrush to air dry after each use, preferably in an upright position. This will keep bacteria from breeding. Don't store in a small, moist, closed container.
• Replace your toothbrush after having a cold or the flu.
• If you have a compromised immune system, rinse your mouth with an antibacterial mouthwash before you clean your teeth. This can reduce the germs passed to your toothbrush.
• Get a new toothbrush every 3 to 4 months or more frequently if you notice the bristles breaking down. While this won't reduce bacteria, it will ensure the best cleaning power.

And if that’s not enough, here’s one more thing for the list: Keep your toothbrush as far from the toilet as possible, or you may be brushing with something you don’t want!

"If you have your toothbrush too close to the toilet," microbiologist Charles Gerba, PhD, explains, "you are brushing your teeth with what’s in your toilet!” He explains that when you flush with the lid open, contaminated water vapor settles on surfaces in your bathroom, toothbrush included.

Having a clean toothbrush and brushing and flossing on a regular basis, are an important part of our overall health. If you have any questions about how to keep your teeth and gums healthy, or any other dental issues, we’re here for you!

To schedule an appointment, refer a friend or family member, or ask us about the latest advances in giving you the smile of your dreams, please give us a call at 301-984-2200. At the office of Dr. Lisa Wang, your health and comfort are our primary concerns!