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QUESTIONS & ANSWERS WITH THE EXPERTS
What are the pros and cons of veneers?
Veneers are often the most conservative way of resurfacing a tooth because of damage, color or inadequate shape. It is possible to have veneers placed with little to no preparation of the tooth! They can be just as durable as natural teeth if designed properly. However, veneers cannot solve every problem. They are not bullet-proof. They require proper hygiene. Although they tend to be stronger than natural teeth, they can’t withstand abuse (such as using your teeth as tools to open a container) and can chip or break. Veneers also require special planning and design, which can add cost and time.
Dr. Mikaela Frazier, Annapolis Smiles
What are Dental Implants?
When you are missing teeth, you may feel uncomfortable eating, speaking or worst of all SMILING. Dental implants offer a permanent solution to these problems. Dental implants are titanium replacements for missing teeth that act as a strong foundation to support new crowns, bridges or anchor slipping dentures. The implant procedure is painless and involves placing the implant under the gums and into the jawbone just like the roots of your own natural teeth. Recovery time is usually no more than 24 hours and total treatment time from the day of your implant placement to the time of attaching the new teeth range from 2 months to as little as 1 day. Dental implants are the next best thing to your own teeth...
IT’S TIME TO SMILE AGAIN!
Kurt Jones, DDS, Oral Surgery Specialists
How can I keep my pet safe on Halloween?
Halloween can be fun for families, but it often creates stress and hazards for pets. Costumes, decorations, and candy all pose risks you’ll want to avoid. Chocolate, raisins, and sugar-free treats containing xylitol are toxic to pets, so keep candy bowls out of reach. Wrappers can also cause dangerous intestinal blockages if swallowed. While costumes may look cute, not all pets tolerate them. If you dress up your pet, ensure the costume doesn’t restrict movement, breathing, or vision. Glow sticks and small decorations can be tempting to chew, but may cause irritation or choking. Trick-or-treaters at the door can frighten pets, leading to bolting or even aggression; a quiet place may be the safest place for your pet. With a bit of planning, Halloween can be safe and stress-free for your furry family members.
LISA BEAGAN, DVM, Mobile Pet Vet
How do I know if I have toenail fungus? What should I do?
1. Make an appointment with your Podiatrist.
2. They will take a culture of your toenail. Sometimes there are multiple organisms that affect the growth or color of the toenail.
3. Once your results are obtained, your Podiatrist will use the proper medications for treatment. These medications can be topical or oral. Typically, toenails take approximately one year to grow out. During this treatment period, your Podiatrist will see you often for debridements of the nails and to make sure the nails are growing out properly. It is not unusual to switch medications as what works well for some, may not work for others.
DIANE S. LEBEDEFF, DPM, President, Jacob Paige Medical
What new technology is guiding cancer care?
When tumor cells are shed into the bloodstream, their extracellular strands of DNA (termed circulating tumor DNA or ctDNA) can be detected and carry diagnostic, prognostic, and therapeutic implications. Through next-generation sequencing, ctDNA detection from a peripheral blood sample can report the presence of targetable mutations. From there, changes in variant allelic frequency or detection of new mutations can guide additional lines of therapy. More recently, we are seeing that the presence or absence of ctDNA following curative-intent treatment is not only prognostic but can also play a role in treatment escalation or de-escalation. This innovative, yet minimally invasive, technology aims to improve patient outcomes at multiple timepoints and will continue to play a role going forward with cancer treatment.
Dr. Ali Bukhari, Maryland Oncology Hematology
How do you cater to patients who are fearful or embarrassed about their dental health?
We understand that many people avoid dental visits due to fear or embarrassment. Our practice is dedicated to creating a supportive and non-judgmental atmosphere. We offer sedation options for any procedure to help you relax and feel at ease. Our team is skilled in handling complex cases, including hopeless and missing teeth, with customized treatment plans that restore both function and aesthetics. Additionally, we provide complimentary consultations with 3D imaging to discuss your needs and goals without any pressure. Our mission is to help you regain confidence in your smile with compassionate, expert care.
KIAN DJAWDAN, DMD, Djawdan Center for Implant & Restorative Dentistry
Is it time for me to consider a hearing aid?
If you’ve noticed it’s becoming harder to follow conversations-especially in places with background noise of poor acoustics-it may be time to explore the benefits of a hearing aid. Today’s hearing aids are discreet, comfortable, and highly effective. They don’t just improve hearing-they help you stay connected to the people and moments that matter most. Studies also suggest that maintaining good hearing can reduce the risk of social isolation and help preserve cognitive function. Taking the step toward better hearing can make a big difference in your quality of life.
Dr. Robert Meek, III, Anne Arundel ENT and Facial Plastic Surgery
What happens after a tooth is extracted?
After the extraction of a permanent tooth, bone and gingival tissue (gums) start to fill the extraction site. However, the body also starts to “melt away” the bone in a vertical and horizontal dimension. If implant tooth replacement is desired, a site preservation bone graft is usually required to prepare the surgical site, especially if bone loss occurred prior to the extraction. This recreates ideal bony contours, and makes dental implant success more predictable. The bone graft is usually performed at the time of extraction with no additional discomfort.
ZIAD BATROUNI, DDS, Maryland Oral Surgery Associates
How do I choose the right plastic surgeon?
Choosing the right plastic surgeon is a personal decision—and doing a little homework can go a long way. Start by researching surgeons who specialize in the procedure you’re considering. Explore their websites, social media, videos, and before-and-after photos to get a feel for their style and results. Ask people you trust—friends, neighbors, or your primary care doctor—for recommendations. Finally, schedule a consultation. Meeting in person helps you understand how the surgeon communicates, listens, and supports your goals. It also gives you a sense of how well you’ll be cared for by the entire team throughout your experience.
DR. HENRY D. SANDEL IV, Sandel Duggal Plastic Surgery
What do I need to know about acid reflux?
Acid reflux, or GERD (Gastro-Esophageal Reflux Disease), is common and affects people of all ages. GERD is when acid from the stomach backs up into the esophagus. This causes heartburn, a burning sensation in the chest. Many experience it in association with eating late, overeating, or with eating spicy, greasy, or tomato-based foods. But frequent heartburn, or other symptoms like nausea, stomach pain, or trouble swallowing suggest a need for further evaluation. Frequent GERD is even a risk factor for esophageal cancer. If GERD is troubling you, speak to your doctor or arrange a Gastroenterology consult.
Thomas L. Simcox, MD, Anne Arundel Gastroenterology Associates
What treatment is effective for anxiety, besides medication and psychotherapy?
Stellate Ganglion Block (SGB) has been shown to reduce anxiety symptoms by 50%. SGB is an injection of local anesthetic along the nerve in the neck that controls the sympathetic nervous system—the “fight-or-flight” system—which can be inappropriately elevated in many people with anxiety. This safe, simple injection has been used to treat pain since the 1920s and has been used to treat posttraumatic stress disorder (PTSD) for over 15 years and more recently to treat Long COVID and POTS symptoms. The SGB procedure takes about 10 minutes and can provide significant relief of anxiety symptoms such as feeling on edge, restlessness, and sleep problems.
James Lynch, MD, Stellate Ganglion Block (SGB)
Why have you continued to serve the people of Anne Arundel County for more than 20 years?
This incredible journey started for me in the old Anne Arundel hospital downtown, and I am now a clinical faculty member at University of Maryland Medical System, one of the premier medical systems in this state. Along the way, I have come to love being part of this community, and being the vascular surgeon it can depend on for great care, compassion and new technology. I am honored to be included on this Top Doctors list for 2 decades and grateful for the recognition.
JOHN D. MARTIN, MD, MBA, FACS, University of Maryland Vascular Center
What options do I have for my fillings and crowns?
Thankfully, we are long past the days of silver fillings, though I did plenty during my time in the U.S. Navy. Today, we use tooth-colored materials that blend seamlessly with your natural teeth for a more lifelike appearance. For anything larger, we use porcelain crowns and onlays for greater strength and longevity. Our practice incorporates new technology like 3D scanning, printing, and milling to ensure the best results. We know these advances will leave you smiling.
DR. ADAM GROYER, Chesapeake Dental Arts
Who should I see for non-surgical treatment options for orthopedic or spine injury or chronic pain such as arthritis?
Start with a physician with appropriate postresidency training, (i.e. a sports medicine or pain medicine fellowship). They should be an expert in both ultrasound-guided injections, (which are critical for both accurate diagnosis and treatment), and fluoroscopically guided injections, (which are critical for some spine treatments). The physician should use FDA approved equipment and orthobiologic techniques that utilize the patient’s own blood or cells. A physician with academic medicine credentials who is actively publishing and lecturing in this field will generally have the most up-to-date knowledge. Finally, check on-line reviews.
SEAN MULVANEY, MD, Regenerative Orthopedics and Sports Medicine Annapolis
When is it time to call a psychiatrist?
Many patients reach out for help during a period of transition, such as the death of a loved one, divorce, or becoming an empty nester. However, all of life’s transitions can be stressful, even the joyful ones, such as going off to college, starting a new career, moving to a new house, getting married, or starting a family. But for those experiencing mental health symptoms such as depression, anxiety, difficulty sleeping, panic attacks, etc., these transitions can be especially challenging. When your symptoms begin to affect your qualify of life, your job, relationships, or physical health, it may be time to consult with a psychiatrist.
NANCY C. WHEELER, MD, Psychiatrist
What conditions can be treated with regenerative medicine?
Common conditions treated with regenerative procedures are osteoarthritis, most commonly hip, knee, and shoulder, shoulder injuries, such as rotator cuff tear and labrum tear, tennis and golfer elbow, Achilles tendinitis and partial tears, plantar fasciitis, degenerative disc disease, hamstring injury. Certain types of ACL tears also respond well.
Dr. Zvezdomir Zamfirov, All Star Pain Management and Regenerative Medicine
Why should I choose Annapolis Plastic Surgery?
Annapolis Plastic Surgery prides itself on having a team of surgeons that specialize in both facial and body aesthetic and reconstructive procedures. Our nurse practitioner, nurse and aesthetician also perform cutting edge skin care, facial injections and myriad laser skin rejuvenation treatments. We are also very proud of our hair restoration services (PRP injections and NeoGraft) and have helped many patients feel more confident with a fuller, healthier head of hair.
BRYAN T. AMBRO, MD, MS, Annapolis Plastic Surgery
James E. Chappell, MD, FAC, Annapolis Plastic Surgery
What laser skin treatments should I book now for a post-summer skin reset?
Fall marks the start of Laser Season, making it the perfect time to give your skin a fresh start with a laser treatment. Whether you’re looking to tackle sun damage, Melasma, rosacea, or just want to rejuvenate your skin, we have the right solution for you. As Sciton Luminaries and Distinguished Training Partners, Dr. Ambro and I bring trusted expertise to help you choose the best option for your skin. Some of the top laser treatments I recommend for a post-summer skin reset include BBL HERO for reversing sun damage and Rosacea, Moxi for improving tone and texture, Halo for aging skin and radiance, and Contour TRL for dramatic wrinkle reduction and youthful results in a single session.
Caroline Simm, CRNP, Annapolis Plastic Surgery
Am I a good candidate for dental implants?
Most healthy adults are candidates for dental implants, especially if they have one or more missing teeth. Successful implants require adequate bone support, healthy gums, and good overall oral health. Factors like smoking, uncontrolled diabetes, or certain medications may affect healing, but many patients can still receive implants with proper planning. A consultation and 3D imaging help determine the best treatment plan.
MARC EUN, DMD, Davidsonville Dental Group
Who is a good candidate for ROSA® Robotic-Assisted Knee Replacement, and how can it impact recovery for active patients?
Ideal candidates are people with advanced knee arthritis that causes pain, stiffness, and limited function despite nonsurgical treatments such as therapy, injections, or medications.The ROSA system combines preoperative planning with real-time data during surgery to tailor implant positioning and ligament balance to each patient’s unique anatomy. This level of precision can minimize soft-tissue disruption and more accurately restore alignment and stability—often resulting in a knee that feels more “natural.” For active patients, that can mean earlier functional milestones and a more confident return to activities they enjoy, from golf to pickleball.Not every patient qualifies, as factors like bone quality, overall health, and fitness play an important role. I take time to thoroughly evaluate every patient, review treatment options, and formulate a plan together for best results.
Dr. Michael Anvari, Anne Arundel Orthopaedic Surgeons
I am interested in anti-aging treatments, but I am not ready or interested in surgery. Are Botox and filler my only options?
No! While the most well-known aesthetic treatments such as Botox and filler are great options for wrinkles and age-related volume changes, they do not optimally address the issue of skin laxity. Skin laxity is the major driver of one’s perception of looking tired or that their face is “falling”.
Two of the most innovative skin tightening technologies on the market, available exclusively at Current Dermatology, are Sofwave and Ellacor Micro-Coring. Sofwave is a no-downtime procedure which uses ultrasound technology to stimulate skin tightening at the eyelids, lower face, and neck. Ellacor uses a technology called micro-coring to remove excess skin at the lower face, without surgery or scarring. If you want to learn more about your anti-aging options, book a consult with one of our dermatologists who can help find the treatment that is right for you!
Dr. Molly Walterhoefer, Current Dermatology and Cosmetic Center
What are the benefits of cosmetic procedures?
Controlled movement of teeth in proper alignment, often results in a broader, more beautiful smile, requiring less reduction of tooth surface for crowns or veneers, and often reduces the need to treat more teeth. The advent of AI in dentistry and digital planning makes this planning smooth, fast and predictable.
Dr. Mikaela Frazier, Annapolis Smiles
How will I know if I am high risk for breast cancer?
There are several factors that increase your risk for breast cancer. One thing to consider is your age, as most breast cancers are diagnosed after age 50. If you have a first-degree relative such as a mother, sister or daughter who has breast or ovarian cancer, that increases your risk. Women who have inherited changes (mutations) to certain genes such as BRCA1 and BRCA2 are at a higher risk of developing breast cancer. If these factors apply to you, ask your doctor if a risk assessment and prevention program (RAPP) could be your next step. We offer RAPP at Luminis Health and our goal is to help you make an informed health care decision and personalized plan for breast cancer risk reduction and early detection.
Allison Bruff, MD, 301-552-7805, Luminis.Health/Breast
When is Your Heart Rate Too High?
A resting heart rate over 100 beats per minute is called tachycardia. The key is that this elevated rate occurs at rest, not during physical activity, which normally raises your heart rate. Tachycardia can lead to symptoms such as shortness of breath, sweating, fainting or even cardiac arrest. There are several types of tachycardia, and treatment may include medications, implanted devices or a procedure called ablation to correct abnormal heart rhythms. It’s important to note that not all elevated heart rates are due to a heart condition – heat, caffeine, stress and emotions can also temporarily increase your heart rate.
Abid Fakhri, MD, Cardiologist, umbwmc.org/heart
What are the early signs of vein disease patients often miss?
Many people dismiss leg heaviness, aching, swelling, or restlessness as simple fatigue or aging. In reality, these are common early symptoms of venous insufficiency. Skin discoloration or dryness around the ankles can also indicate underlying issues. Because visible varicose veins often appear later, patients may not realize they already have disease progression. Recognizing these subtle signs early allows for easier, minimally invasive treatments. I encourage patients to seek evaluation if they experience ongoing discomfort, as early diagnosis can significantly improve long-term outcomes.
KELLY O’DONNELL, MD, O’Donnell Vein & Laser
In addition to showing off a straight and beautiful smile, what are other benefits of orthodontics?
Orthodontic treatment aligns teeth, making daily brushing and flossing more effective and reducing the risk of cavities, gum disease and oral health issues caused by crowded or overlapping teeth. Misaligned bites will be corrected, addressing uneven wear on teeth, difficulty chewing, and unnecessary stress on jaw joints and muscles. Correcting these issues helps prevent more serious and costly dental problems down the road. And of course, having a straight, well-aligned smile boosts confidence and self-esteem! The advantages of orthodontic treatment are long-lasting. With options like clear ceramic braces and Invisalign®, patients of all ages can choose treatment to suit their lifestyle and goals.
DR. MARC WEBER, Family Orthodontics of Annapolis
I would like to look younger, but I’m not ready for surgery yet. What are my options?
I like to think of the changes that happen over time in our faces as having 3 components: skin (fine lines, pigment changes, laxity), wrinkles associated with repeated muscle movements (number “11’s” between the eyebrows, forehead lines, crowsfeet), and wrinkles or changes from losing fullness in areas of the face (around the mouth, the cheeks, and under the eyes). Each of these factors can be addressed separately in nonsurgical ways to restore youthful features without looking “done” or unnatural. A combination of medical-grade skincare, toxin (to soften movement-related wrinkles), conservative filler (to restore volume), and laser treatments (to improve skin texture and tone) can effectively address the three key signs of aging—without the need for surgery.
CLAIRE S. DUGGAL, MD, Sandel Duggal Plastic Surgery
I want my eyes done but I still want to look like myself. What is your secret?
Laser eyelid surgery allows me to carefully remove or reposition just the right amount of skin and/or fat to achieve a natural, youthful result. I then use the laser to reduce the wrinkles and improve the texture of the skin. This subtle approach rejuvenates your eyes, without changing their shape. This earned us the Best Oculoplastic Cosmetic Eyelid Surgeon vote.
Dr. Elba M. Pacheco, Adoro Medical Spa
What Does it Mean to be a “Trauma-Informed” Therapy and Business Practice?
The words “Trauma-Informed” is an approach to therapy and business grounded in 6-Guiding Principles. They are Trustworthiness and Transparency, Peer-Support, Collaboration and Mutuality, Empowerment and Choice, and Cultural, Historical and Gender Issues.
At Anchored Hope Therapy, we are intentional about every decision we make to support both our clients and our team of therapists. This includes promoting work-life balance and self-care for our team. We believe you cannot pour from an empty cup. In addition, it is about creating a therapy space that is inclusive and feels safe and a therapy culture that is authentic and supportive for our clients. We strive to partner with our clients in their journey to promote growth and recognize resilience. We are aware that mental health therapy has historically felt unsafe for many, including marginalized populations, and we aim to provide services that intersect with social justice efforts and are grounded in the above trauma-informed care principles.
Chelsea M. Haverly, LCSW-C
Christine Coyle, LCSW-C
Anchored Hope Therapy
My hands wake me up at night when I’m sleeping. Is this normal?
Getting up at night to use the bathroom can be normal, but being woken up by hand pain or numbness is not.In many cases, this is a sign of carpal tunnel syndrome (CTS)—a condition caused when a major nerve in your wrist is compressed as it passes from your forearm into your hand. When that nerve is squeezed, you may feel pain, tingling, or weakness. If left untreated, the damage can become permanent
The good news is CTS is highly treatable, especially when caught early.
Simple steps—like wearing a wrist splint at night or adjusting your work setup—may help at the beginning. If symptoms continue, options such as therapy, vitamin support, targeted injections, or surgery can bring relief.
At the Annapolis Hand to Shoulder Center, our specialists focus on conditions like carpal tunnel and other nerve entrapments every day.
DR. LEON NESTI, Annapolis Hand to Shoulder Center
Is it time for me to consider a hearing aid?
If you’ve noticed it’s becoming harder to follow conversations-especially in places with background noise of poor acoustics-it may be time to explore the benefits of a hearing aid. Today’s hearing aids are discreet, comfortable, and highly effective. They don’t just improve hearing-they help you stay connected to the people and moments that matter most. Studies also suggest that maintaining good hearing can reduce the risk of social isolation and help preserve cognitive function. Taking the step toward better hearing can make a big difference in your quality of life.
Dr. Robert Meek, III, Anne Arundel ENT and Facial Plastic Surgery
What age should you start having Full Body Skin Cancer Screenings?
There is no set guideline for when to begin seeing a dermatologist for a Full Body Skin Cancer Screening. For most people, we recommend starting in your early 20’s to establish care and to get a baseline evaluation. Earlier screening is recommended for an individual with many moles, a strong family history of melanoma or if there is a concern from another physician. At the baseline evaluation, the dermatologist will make a recommendation on how frequently to be seen. The Full Body Skin Exam allows skin cancer to be detected at its earliest and smallest stage and is an integral part of health maintenance. If you haven’t yet been evaluated by a dermatologist and you are past the recommended age, don’t worry, it is never too late to come in for your first visit.
Stephanie Clements, MD
Lesley Sutherland, MD, Dockside Dermatology
How do cataracts form?
A cataract occurs when there is a buildup of proteins in the lens, creating protein clumps. These clumps, or deposits, prevent light from passing clearly through the lens, thus disrupting normal vision. A patient with a cataract cannot see images clearly. Instead, images appear cloudy or blurry, especially at night. Cataracts can begin to affect the patient’s ability to perform simple, everyday tasks like reading and driving. Cataract surgery is the recommended treatment in these cases and has a 98% success rate.
DR. SAMUEL BOLES, Anne Arundel Eye Center
How would you handle a frightened or stressed patient in your dental chair?
Patients with dental phobia or anxiety are important to us and we strive to create the most comfortable environment by offering a comfort care menu. Consisting of ear pods, warm blankets, pillows, bottled water and coffee. Our doctors are understanding while learning about patient fears and creating an experience that builds confidence in each patient. Fears are usually derived from two things, fear of the unknown and fear of not being in control. We have found that implementing our comfort care menu allows our patients to look forward to returning and their dental fears are diminished.
Gurpreet Kaur, DDS, Soistman Family Dentistry & Associates
Are there any good alternatives to fluoride toothpaste?
Nanohydroxyapatite toothpaste is becoming a hot topic in dentistry because it can help remineralize teeth like fluoride. NASA researched hydroxyapatite in the 1970s for its potential to repair bones and teeth in space. It has been a popular ingredient in Japanese toothpaste for decades but is only recently gaining traction in the USA. Studies show that toothpaste with 10% nanohydroxyapatite can effectively strengthen enamel and reduce sensitivity. Ultimately, mechanical removal of biofilm with good brushing and flossing as well as eating a healthy diet are more important to optimal dental health than the type of toothpaste you use.
Meredith Todd, DDS, Harbor Dental Center
When should children begin using toothpaste?
There are many recent changes for toothpaste guidelines; current recommendations are to start brushing teeth shortly after birth! Before teeth erupt, brush gums with water using a soft toothbrush or cloth. Once teeth erupt, use toothpaste, a soft toothbrush, and brush twice daily. New AAPD guidelines state fluoride toothpaste should be used once teeth erupt, using smear/grain of rice-sized amount, and wiping teeth to prevent swallowing. Some parents prefer fluoride-free toothpaste for infants. By age two, definitely use fluoride toothpaste with the same grain of rice-sized amount. Parent supervision is required for all children to encourage spitting and prevent swallowing.
MARGARET C. MCGRATH, DMD, MPH, Kent Island Pediatric Dentistry
What are the latest technology advances in our office?
Our office is fully digital, integrating cameras and large-screen monitors in each operatory to enhance patient communication and understanding of treatment needs. We are especially excited about our three-dimensional scanner, which provides detailed views of complex anatomy and pathology. This advanced technology allows for greater precision in dental implant placement, improved accuracy in endodontic procedures, and supports the effective management of sleep apnea. By combining digital imaging with cutting-edge diagnostic tools, we are proud to deliver a higher standard of care and improve outcomes for our patients.
Jonathan T. Soistman, DDS, Soistman Family Dentistry & Associates
How can cancer patients know what to trust, and what’s the best way to approach making treatment decisions without feeling overwhelmed?
A cancer diagnosis can feel overwhelming, especially with so much information coming from the internet and loved ones. My advice is to take it step by step and remember you don’t have to process everything at once — or alone. Not all information you hear will apply to your unique situation. That’s why it’s important to lean on your oncology team, who knows your case and can guide you with clarity and care. Write down your questions, bring a trusted friend or family member to appointments, and never hesitate to ask the same question more than once. The best treatment plan is a partnership between science, your medical team, and you. When you feel heard and supported, hope grows — and that makes all the difference.
DR. ROOPA GUPTA, Lotus Oncology & Hematology
When is the best time to get a hip or knee replacement?
Some patients reach a point where pain and mobility issues disrupt daily life, and they’re ready for surgery right away. But if you’re able to plan ahead, timing can help. Autumn allows recovery before winter weather increases your risk of slips and falls. Winter offers time to heal before spring and summer activities. Spring and early summer work well with school breaks and recovery in time for mid-summer travel.The best time is when you’re healthy, supported and ready to recover. Whenever you choose, we’ll be here to guide you through it. Learn more at Luminis.Health/Joint-Surgery.
James macdonald, md, Luminis Health
What led you to specialize in pediatric urology, and what do you enjoy most about treating children?
I find it greatly rewarding with a pediatric population knowing that positive outcomes we achieve now will last a lifetime.
Dr. Adam Kern, Chesapeake Urology
