TMJ Disorders

TMJ is an abbreviation for temporomandibular joint, which is the joint that connects your mandible (lower jaw) to your skull at the temporal bone. While many call disorders associated with this joint, TMJ, those disorders are more appropriately called TMD (temporomandibular disorder), and TMD can have symptoms that range from teeth grinding and headaches to trouble chewing and pain when opening and closing your mouth. TMD is not only an annoying disorder; it is also a destructive one and can cause serious damage to your teeth if left untreated. At our office in Silver Spring, MD, Dr. David Bishop can determine if you suffer from TMD and offer ways to treat the disorder.

The TMJ controls an assortment of jaw functions, including chewing, so if you’re chewing muscles or the joint itself is in pain, it is possible that you have TMD. TMD is often caused by stress, which leads to unconscious clenching and teeth grinding while awake and asleep. TMD’s symptoms include pain, trouble chewing, lock jaw, headaches or ear pain and a popping or clicking sound when opening your mouth. However, these symptoms may be indicative of other health problems as well, so it is important to see a medical professional for a diagnosis.

Grinding your teeth is an especially worrisome TMD-associated behavior since it can lead to further problems with your mouth. If your teeth grinding is left unaddressed, you will cause serious wear to the enamel of your teeth and expose the dentin, which will make your teeth more sensitive to heat and cold and more susceptible to decay. However, you can work with Dr. Bishop to relieve symptoms with mouth guards or night guards.

If you think that you might be suffering from TMD or teeth grinding, schedule an appointment Bishop & Bishop Dental by calling (301) 608-9270. For more information, visit www.bishopdental.com.

Dental Phobia and Sedation Dentistry

If just the thought of going to the dentist for a procedure brings on fear and anxiety, sedation dentistry is probably the right choice for you. Between 5 and 8 percent of Americans avoid going to the dentist due to dental phobia, but you don’t need to let your oral health suffer because of fear. At our office in Silver Spring, MD, we offer a safe environment where we can comfort anxious patients through both oral sedation and nitrous oxide.

Sedation is mainly used when a patient has a high level of anxiety or dental phobia, not because of pain. At Bishop & Bishop Dental, we can sedate our patients through oral sedation or nitrous oxide. These methods will make sure you can tend to your oral health while avoiding the anxiety that accompanies visiting the dentist.

A common sedation method utilized in the dental industry is nitrous oxide (N20). Nitrous oxide works very rapidly, reaching the brain within 20 seconds. With this method, Dr. Bishop will place a small mask over your nose and ask you to breathe normally. Within a few short minutes, you will begin to feel the effects. Nitrous oxide wears off quickly, and there is no “hangover” effect.

The other method utilized by our office is known as oral conscious sedation. It is as simple as taking an aspirin. It is utilized for patients with mild to moderate anxiety as it is not as powerful as other sedation methods. With oral sedation, your dentist will provide you with an oral sedative, such as valium. You will not be “knocked out,” but you will feel more relaxed.

To schedule an appointment with Dr. David R. Bishop or Dr. Dorienne Taylor-Bishop, call (301) 608-9270. For more information, visit www.bishopdental.com.

KOR Teeth Whitening Special

October and November means one thing at Bishop & Bishop Dental: the holiday cosmetic special!
Right now, we are featuring a special on KOR power bleaching. If you act before November 25th, you can get drastically whiten your teeth at a 30 percent off discount!

Keeping your teeth white can be a lot harder than you might think. Even with regular brushing, flossing and dental cleanings, teeth can still lose their gleam and become dull and stained. This is due to our teeth’s constant exposure to the acid in food and drinks. But all is not lost. Teeth whitening services at our office can help you restore your teeth’s color and luster. With the KOR deep bleaching system, Dr. David Bishop can help you achieve a smile you will be happy to show off in Silver Spring, MD.    

KOR deep bleaching is often used on patients who are still not happy with the color of their teeth after using other teeth whitening systems. KOR is a take-home tray system that you use overnight, every night for two weeks. After two weeks, you will come back to our office to have KOR whitening gel applied for three sessions of 20 minutes each.

Not only will this deep bleaching significantly whiten your teeth, it will also restore your teeth’s ability to absorb oxygen, which dissolves stain molecules, making it incredibly effective for restoring teeth to a bright white state. The KOR system often whitens teeth 16 shades or more! And unlike other whitening methods, KOR’s results are permanent with easy, periodic home maintenance.

To schedule an appointment, call (301) 608-9270. For more information, visitwww.bishopdental.com.

Snap-On Smile

If you’re looking to improve your teeth and increase your confidence, Snap-On Smile provides a way for you to makeover your smile without extensive dental procedures. This procedure can solve your teeth insecurities and help you feel great about the way you look in only two visits to our office in Silver Spring, MD.

 

Without having to undergo extensive dental work, you can snap on a new smile with a custom set of teeth that fit right over your existing ones, covering up stains, chips, cracks and any crooked or missing teeth. During the first visit, you and Dr. David R. Bishop or Dr. Dorienne Taylor-Bishop will pick the shade and style of your new smile, and then he or she will take an impression of your teeth for proper fitting. Then the Snap-On Smile is made with a light and durable resin to create a set of teeth that are strong yet still thin enough to snap onto your smile. You need only wait three weeks between appointments, and when your new smile is snapped on, you will be able to leave our office with a grin you will love to show off.

 

With Snap-On Smile, you will be able to eat and drink normally, and the cosmetic device can easily be removed for cleaning your natural teeth, for participating in sporting events and for sleep. Snap-On Smile can last for three to five years with proper care.

 

Schedule an appointment with Bishop & Bishop Dental by calling (301) 608-9270. For more information, visit www.bishopdental.com. 

Gum Disease

Caring for your teeth is an essential part of maintaining good oral health, but your gums also play an important role in your health, and proper care is crucial. Gum disease can be a serious detriment to your oral health and overall wellness, and Dr. David R. Bishop and Dr. Dorienne Taylor-Bishop provide the type of regular periodontal care and checkups you need to maintain peak health and prevent gum disease.

 

With periodontal disease responsible for 75 percent of all adult tooth loss cases in the United States, it is critical to check for and treat periodontal issues when they first arise. Periodontal disease is an infection of the gums that starts when a build-up of plaque on your teeth hardens, providing the ideal enviornment for bacteria to collect and attactk surrounding gums. In its early stages, this gum disease is gingivitis, but if it is left untreated, it becomes periodontis. Periodontis can destroy your gum tissue and lead to tooth loss. Periodontis can even result in a loss of bone mass in your jawbone, and heart disease, diabetes and stroke have also been linked to poor periodontal health.

 

The state of your gums affects the health of your entire body, so come to our office in Silver Spring, MD to receive periodontal cleanings and treatment. It is easier to prevent gum disease or treat it early on than to reverse the effects of periodontis. Call (301) 608-9270 to schedule an appointment with Bishop & Bishop Dental. For more information, visit www.bishopdental.com. 

Wisdom Teeth Extractions

Your wisdom teeth are your last set of molars to emerge, and they usually come in when you are between 17 and 21 years old. Because these teeth can become impacted, which means they come in at an angle rather than straight through the gums, it is often necessary for them to be removed before they cause pain or crowd your other teeth. At our office in Silver Spring, MD, Dr. David R. Bishop and Dr. Dorienne Taylor-Bishop can determine if your wisdom teeth need to be removed and extract them if they do.

 

If a wisdom tooth is impacted and can only emerge partially, it is possible for an operculum to form over the tooth. This flap of skin makes the molar extremely hard to clean, which means you are susceptible to an infection called periocoronitis.

 

When a wisdom tooth is in danger of causing such problems, either Dr. Bishop will extract the tooth. Many times all four are removed at once. This is done either by using a local anesthetic to numb the area or a general anesthetic to sedate the patient. It depends on the preference of the doctor and patient, as well as how far the wisdom tooth has emerged. After an anesthetic is applied, the gum tissue over the wisdom tooth is cut and the tooth is loosened and pulled out. If necessary, the gums will be sutured.

 

After surgery, rest is required. You will also need to change the gauze applied to the incision every couple hours.

 

To see if your wisdom teeth may need to be removed, schedule an appointment with Bishop & Bishop Dental by calling (301) 608-9270. For more information, visit www.bishopdental.com. 

Crowns

In cases when a filling or bonding will not be sufficient, we use dental crowns. Crowns are a great restorative treatment used when teeth become weak due to decay, cracks, discoloration and other issues. We treat many of our patients suffering from weakened teeth with dental crowns.

 

A crown is essentially a “cap” that covers the damaged tooth. Unlike removable devices such as dentures or bridges, a crown is used to improve appearance, shape or alignment. Crowns are cemented onto existing teeth or implant and can be removed by the dentist if necessary. Dental crowns are used in many applications. Mostly, they are used to protect a weak tooth from a fracture and to restore a fractured tooth. Crowns are also used during the dental implant process to cover the abutment while the jaw bone grows around the implant. Temporary crowns help maintain proper chewing and speaking efficiency during the implant process.

 

Crowns are typically made from porcelain fused to metal or a full gold crown. A porcelain crown can be matched to the shade of your other teeth, allowing it to blend in and appear just as your natural teeth do. The process of installing a crown usually takes 2-3 visits. Dr. Bishop will start by reshaping the enamel of the broken tooth so the crown can be placed properly. Once the tooth has been reshaped, a mold will be created of that tooth and the surrounding teeth. A temporary crown will be set in place so the teeth do not shift while the permanent crown is being created. Once the crown is completed, it will be put in place and bonded with cement to assure it stays in place.