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Root Canal Preparation

root canal preparationHow Long Does a Root Canal Take?

The era of the dreaded dentist is over. Today, more and more people are realizing the significant importance of visiting a dentist and having access to professional dental health care. Unlike in the past wherein dental visits were feared (if not totally shunned), now an increasing number of people embrace the fact that investing in dental hygiene and expert care is a must, and may even be a pleasant experience under the care of the right dental team.

Is a Root Canal Really Something to Be Worried About?

One of the treatments that best illustrates this new perspective and experience in modern dentistry is the root canal. In the past, the root canal was one of the most anxiety-inducing procedures of all, since old methods could not contain or reduce the amount of pain involved during the process. Not anymore. Thanks to sophisticated technology and anesthesia, patients today will feel only very minimal to zero pain during a root canal procedure. And if you go to an endodontist who has advanced training, skills and specialized techniques, the experience will not be only painless, but also swift and comfortable.

How Fast is a Root Canal?

If you’re wondering how swift, or asking “how long does a root canal take?” the honest answer is that it can still take a longer time compared to other common procedures such as dental cleaning or application of dental fillings. But the timeframe has become considerably shorter due to modern techniques. Leading endodontists today can complete a root canal treatment in 90 to 120 minutes if no complications arise – or just about as long as your lunch hour.

However, just like any other medical process, the length of time and outcome of the procedure will still depend on the unique condition and circumstances of the patient. Some patients, for instance, may have their dental roots wrapped around a delicate area such as the sinuses. The procedure will then be much more complicated and therefore will take longer than usual.

Root Canal Preparation

That’s why proper root canal preparation is critical. Clinic consultations, X-rays and examinations are important before the actual root canal procedure. This way, your dentist can develop a specific treatment plan for you and provide complete information that will allow you to prepare well for your root canal treatment. Allow a bit more time than your scheduled period to cover unforeseeable changes and events. It’s best to pencil in important appointments such as meetings and gatherings the day or days after your root canal.

The Healing Process

To hasten your healing process and avoid pain after your treatment, take the anti-pain medications as prescribed by your dentist. Eat only the recommended food, and chew only using the untreated side. Lastly, show up for your follow-up treatments and check-up to ensure complete healing. 

If you have questions about root canal preparation, contact a dental professional in Burtonsville, MD today!

Oral Health – The Beginning of Gum Disease

oral health
Understanding the Importance of Oral Health

Gum disease is an umbrella term that refers to different types of diseases which ultimately lead to gum inflammation or gingivitis, destruction of the periodontal ligament, loss of supporting bone mass, and (if left untreated) tooth loss.

Almost anyone with poor oral hygiene can succumb to gingivitis. However, only 10 percent to 15 percent of people will go on to suffer from advanced periodontal disease and tooth loss. Of this number, 70 percent develop chronic gum disease while the rest tend to develop different forms of the disease.

When Does Gum Disease Begin?

But when does gum disease begin? A landmark study carried out by Danish Professor Harold Loe provides a deep insight on the beginning of gum disease.

In 1965, Loe conducted a series of clinical studies involving dental students who had healthy teeth and gums. The dental students who participated in the studies were asked to stop performing all good oral hygiene habits, including brushing and flossing, for three weeks.

During this three-week period, the dental students all developed gingivitis. During Loe’s analysis, he discovered that the dental plaque of the participants changed and became more complex. After ending the studies, the students’ gum health returned to normal as they went back to their good oral hygiene habits.

What this series of studies indicates is that oral hygiene, or the lack thereof, has a direct correlation to gum health

What Causes Gum Disease

In order to better understand this concept, it is worthwhile to think of your mouth as an ecosystem inhabited both by good and bad bacteria. And like any ecosystem, a fine balance should be maintained. Under good circumstances, the bacteria pose little harm to your oral health, and some can even be beneficial. But if the balance in the ecosystem is disturbed, oral health problems, including gum disease, may arise.

According to experts, there are 600 types of bacteria that can be found in the mouth. Of this number, about 400 have been identified. Apart from that, the bacteria that cause gum disease may account for a small segment of this number but they can wreak serious havoc on your oral health.

The bacteria that cause diseases often grow in number when these are not disturbed through brushing and flossing. In turn, this leads to gum disease as the bad bacteria move into the periodontal pockets which surround the teeth. When these bacteria move into the periodontal pockets, they can be difficult to remove.


Invisalign vs. Braces

braces vs invisalign

Invisalign vs. Braces: Finding the Best Option

When your teeth (or your child’s teeth) require straightening, you know right away that you’re going to have to invest time and money to get the positive results you seek. Today’s dentists have two different solutions that they can recommend, depending on your specific dental condition: traditional metal braces and Invisalign aligners.

With braces, metal brackets are glued to teeth and held together by wires and rubber bands. Invisalign, on the other hand, makes use of clear, smooth and BPA-free plastic aligners to correct teeth.

Each option has its own pros and cons, and you’ll have to consider all of them carefully so you can decide on the best one to use for your particular situation.

To help you determine which option is the clear winner in the Invisalign vs. braces debate, provided below are key things you need to know about each one so you can arrive at an informed decision:



  • They usually come in silver, but you can pay extra to have them in color or match your enamel color.
  • They are not removable and must be worn 24/7 for about two years, so patients can expect results at the end of the treatment period, even for complex dental issues.
  • They must be cleaned thoroughly while you brush your teeth, but otherwise no other special cleaning methods are required.
  • You must pay follow-up visits every month and once done with the treatment, you may require a positioner or retainer (maybe used only at night).


  • Most patients report experiencing pain, discomfort and even sores because of the brackets or wires, or the way the teeth move with braces.
  • Some tooth discoloration and even breakage is possible.
  • You won’t be able to eat foods that are hard or sticky.



  • The clear plastic aligners are designed to be invisible so you won’t have to be self-conscious about your appearance.
  • You will need to wear the aligners for 22-24 hours per day, and treatment periods typically fall between 6 and 18 months (depending on the dental issue).
  • The aligners have to be brushed and rinsed in lukewarm water after every single meal to prevent staining.
  • Visits to the dentist are required every 4 to 6 weeks.
  • The aligners can be removed before eating, while engaging in physical activities, and while speaking in public, for greater comfort.


  • Some patients may lack the discipline to keep the aligners on for the prescribed amount of time, extending the treatment period.
  • They are not ideal for more complex dental issues.

Call Nicholas Dental Care today to determine the ideal dental solution to go with for your individual dental condition. 

Denture Procedure | Nicholas Dental Care In Maryland

denture procedure

Denture Procedure – What Should You Expect?

There are many reasons why people choose to wear dentures. You yourself may find that they’re the best solution for your missing teeth. After all, for the longest time, they were the logical recourse for remedying loss of teeth.

The Most Important Points About Dentures

What are some of the most important points you need to know about dentures? The first is that they are fairly inexpensive up front. Besides this, they can be made very quickly (a matter of hours, at times); they are usually available from many sources; they are a proven dental solution, having been in existence for centuries, and they are made of readily available materials.

Denture Procedure

Let’s say you’ve decided on dentures; what can you expect from a denture procedure appointment? Basically, a dental procedure is about eliminating errors. Its objective is to perfect the adaptation of the dentures so that the necessary adjustments can be made to achieve correct occlusion. The appointment typically involves:

  • Perfecting adaptation with the use of pressure indicating paste (PIP).
  • Adjusting the denture borders with the use of disclosing wax.
  • Refining the occlusion with the use of clinical remount records.
  • Testing and rating chewing until there’s no longer pain.
  • Checking aesthetics and phonetics.
  • Polishing small areas using a Brasseler polishing kit.

Denture Aftercare

Your new dentures will need several adjustments before they become a complete and comfortable fit for your mouth. Nonetheless, even with the effort to ensure that your dentures fit you just right, there will be some discomfort. Dentures are like new shoes; even when they’re perfect for you, they have to be broken in. You might want to refrain from participating in feasts or accepting speaking engagements while your dentures are new.

Denture Maintenance

When it comes to maintaining your dentures, you need to remember to take them out at night and put them in a clean container with water or denture cleaning solution. You need to let your gums rest for a certain period each day. Before you return the dentures into your mouth, you have to thoroughly clean them first with a toothbrush and water.

What else can you expect when you have new dentures? Nicholas Dental Care says since you’re still getting used to them, you may find that’s a bit hard to talk normally, but the difficulty should disappear after a few days. If you want to speed up the process, practice reading out loud with a book or the paper. This will help your tongue and muscles get used to the new dentures faster so you can talk normally sooner.

If you have any additional questions about denture deliver, contact your local Maryland dentist at Nicholas Dental Care. Let the dental professionals give you more information and answer any questions you may have.



Announcement for Nicholas Dental Care Patients

Dear Nicholas Dental Care Patients,

I have been searching high and low to find a partner to add to our Burtonsville family dental practice. After over a year of interviewing Dentists, I feel that I have found a doctor that will treat my patients the way that I treat my patients.

Nicholas Dental Care Dr WongSo, before you walk in and see a new face, I’d like to introduce him to you. Dr. Wang was born in China and moved to Canada when he was very young. After graduating Cum Laude from the University of Toronto, he came in 2005 to the United States to pursue his dental education. In 2009 he graduated with honors from the University of Pittsburgh becoming a Doctor of Dental Medicine. He subsequently completed his residency at the Allegheny General Hospital before embarking on his career in dentistry. For the last 5 years, Dr. Wang has been working as a general practitioner at a large group practice in Fairfax, Virginia. He regularly receives five star reviews from his patients. And the staff thinks he’s pretty great too!

New Dentist Burtonsville MDDr. Wang furthered his dental education by completing numerous continuing education classes in orthodontics, implant dentistry, cosmetic dentistry and other advanced disciplines. These have helped him expand his knowledge and skills. Dr. Wang has volunteered on several dental trips to Jamaica with the goal of helping the poor and needy with their oral care. The donated time and resources have helped him in satisfying his desire to give back, and he hopes it’s made a difference in their local community.

We are excited about having Dr. Wang with us. We know you’ll like him too. And to be very clear, I have NO plans to retire any time in the near future.

Aaron Nicholas DDS and Staff

Have You Thought About A Smile Makeover?

Smile MakeoverRegain Your Confidence with a Smile Makeover

In an ideal world, people would pay attention to their teeth and overall oral health by mindfully practicing good habits and seeing their dentists on a regular basis.

However, a lot of things can undermine one’s oral health. Even if you adhere to good oral hygiene habits, factors like aging, trauma and diet can leave your teeth looking less than stellar.


Your Smile Makeover 

One good way to overcome this challenge is to undergo a smile makeover.

A comprehensive dental makeover is a suite of treatments that are customized to suit a patient’s unique needs and circumstances. This makeover begins with a consultation with your dentist who will discuss the state of your oral health, what your available options are, and the answers to questions that you may have about your oral health and the appearance of your teeth.

After this consultation, your dentist will have a good idea of what needs to be done and will issue recommendations based on these.

In most instances, this initial consultation will be complemented with imaging of your teeth and mouth. This enables the dentist to create prosthetics, if necessary, and to gain a better perspective of your teeth.


The Most Common Goals In A Smile Makeover

Smile makeovers are highly. However, a lot of patients share a few common goals when it comes to their oral health and cosmetic needs. Among the most common treatments utilized to achieve these goals are crowns, bridges, implants, bonding, teeth whitening, dentures, inlays and onlays, laser gum reshaping, orthodontics and endodontics.


Comprehensive Full Mouth Reconstuction

A comprehensive full mouth reconstruction is ideal for patients who have diseases or have teeth that are severely decayed. Through this comprehensive treatment, a badly damaged smile can be repaired and restored. Similarly, if your teeth have been badly damaged or no longer function optimally, a smile makeover may be the answer you are looking for.


The Advantages of a Smile Makeover 

A dental makeover offers several advantages. For one, you can regain normal function of your teeth, which can then lead to greater comfort. As your smile is restored, your self-confidence will receive a big boost, with benefits potentially spilling over to your personal and professional lives.

If the appearance and condition of your teeth have held you back from enjoying life to the fullest, a smile makeover can help you regain normalcy in the appearance and function of your teeth.
Schedule a consultation with your dentist today in order to have a comprehensive evaluation of your oral health; this is important in determining which treatments you will require.

Invisalign Facts | Nicholas Dental Care

Invisalign Facts

Your dentist may have recommended conventional braces for your current dental problem. However, you are having reservations based on what you have read and heard about these.

Now, your dentist has broached the idea of Invisalign as an alternative to traditional braces. What makes Invisalign different from its conventional counterpart? What can you expect from the treatment? What are its advantages?

Here’s what you need to know about in Invisalign in Burtonsville, MD.


How does it work?

Instead of using metal brackets and wires, Invisalign utilizes aligners which are made out of thermoplastic material. These aligners are virtually invisible.

In straightening teeth using Invisalign, you will be given different sets of aligners throughout the treatment process. Each set of aligners will slightly adjust the position of your teeth based on the treatment plan designed by your dentist. These aligners will gradually shift your teeth to the desired position. On average, you will need to change your aligners every two weeks.

Invisalign can shift your teeth toward the desired position by using controlled force and the proper timing for the application of that force. For each treatment stage, only a certain set of teeth are moved.


Overview of Treatment Process

The length of the treatment process will depend on a few variables, including the severity of your dental problem. However, on average, most adults finish the treatment process in just one year.

In order to get started with your Invisalign treatment, your dentist will first subject you to a smile assessment in order to determine whether you are an ideal candidate for the treatment or not.

Although one of the advantages of Invisalign is that you can remove the aligners any time you want to, you are required to wear the aligners for up to 22 hours per day. The aligners should only be removed when eating, brushing or flossing.

Another advantage of Invisalign is you get to pay fewer visits to the dentist. For an Invisalign treatment, you will only need to see your dentist every four to six weeks.


The Invisalign Advantage

Unlike conventional braces, Invisalign is practically invisible. You do not have to worry about how awkward it looks.

The aligners can also be removed, allowing you to eat anything you want to. This also makes brushing and flossing easier. The absence of metal brackets and wires ensures that you do not have to worry about irritating your cheeks and gums.

Finally, you know exactly what the end results are. Before your treatment starts, your dentist can give you a virtual tour of the progress you can expect from the treatment.


Dental Implant Benefits

Dental Implants

Dental Implant Benefits | The Impact On Your Quality Of Life

Your smile is one of the first things people will notice about you. When you have missing or broken teeth it can be hard to for you to show others a genuine smile and it can leave you with a lack of self confidence. Whether you have lost a tooth due to natural causing or outside trauma or disease a dental implant could be an easy solution that can provide with with a number of benefits. In Burtonsville, MD, dental implants are a highly recommended option for those wishing to replace a missing tooth with a realistic and fully functional implant. Let’s take a look at some of the dental implant benefits. 

Just how can dental implants improve your quality of life?

1.) They can give your increase your self- esteem.

Teeth help assist in some regular daily functions like proper pronunciation, supporting the lips and help keeps your face from looking saggy. Burtonsville, MD, dental implants feel like real teeth and function as such also. You retain a more youthful appearance, preserve your natural smile and be able to speak and pronounce words with ease.

2.) Long Lasting.

Dental implants are designed to last longer than dentures or support bridges. With the proper regular care such as brushing, flossing and dental check up your implants are the permanent solution for tooth loss and replacement.

3.) Easy To Maintain.

You take care of your dental implants the same way you would take care of your regular teeth. Regular brushing, flossing and visits to your dental implant office are enough to keep your implants clean and healthy. Your dental implants cannot develop cavities and therefore will also not decay.

4.) Healthy Option.

Dental implants are placed in the missing spaces in your mouth and are rooted to the jawbone. This allows the jawbone to retain bone density, as well as the implant provide necessary support to the surround teeth instead of needed support from them. Your teeth are less likely to shift and are less likely to be infected by the damages of tooth decay caused from your missing teeth.

5.) They Stay In Place.

Dentures can often fall out or shift around in your mouth as you talk or eat. Bridge supports can loosen and make it difficult and painful to chew. Missing teeth can greatly limit the types of food you can eat. With dental implants you do not need to worry about embarrassing teeth slipping, avoid your favorite foods or even laughing. Dental implants are designed to stay in place and allow you to go about your daily life as usual.

Nicholas dental Care can help assist you in your dental implant option. Dental implants can get your confidence back by providing you with an almost identical tooth replacement option. If you want to get back to enjoying your favorite foods without having to feel self conscience about your teeth then you want to consider dental implants. For more details about Burtonsville, MD, dental implants contact Nicholas Dental Care at; (301) 989-0088.