Common questions answered by our local professionals.
Is it better to have a facelift on its own, or can I combine it with other facial rejuvenation procedures?
A facelift can be performed as a standalone procedure or combined with other facial rejuvenation techniques to achieve optimal results tailored to your goals. During your consultation, your plastic surgeon will discuss these options with you, as combining procedures can lead to a number of benefits, including quicker results. Since a facelift targets the lower third of your face, it is common to complement it with eyelid surgery or a brow lift. Other procedures that can enhance the outcome of a facelift include: BOTOX® Cosmetic to relax wrinkles and maintain results, Laser resurfacing to improve skin texture, reduce wrinkles, and promote collagen production, Autologous fat transfers to re-contour the facial structure, Microdermabrasion or chemical peels to improve the tone and texture of facial skin.
Dr. Robert T. Howard, Plastic Surgery Specialists
What are the benefits of Artificial Intelligence (AI) in imaging interpretation?
Computer analysis has advanced from assisting with lesion detection to offering quantitative probabilistic assessment. AI provides objective data to guide radiologist interpretation. We now use these tools for MRI and PET dementia diagnosis as well as MRI based multiple sclerosis longitudinal change analysis. By leveraging AI based tools which we have helped develop with industry partners and advanced imaging equipment, CMI has become a national leader in dementia diagnosis (PET and MRI) and Parkinson’s diagnosis (DaT scans).
Dr. Kevin Berger, Chesapeake Medical Imaging
What sets your physical therapy office apart from other physical therapy offices?
Fyzical has equipment not available at other outpatient physical therapy offices. We use a Safety Overhead Support System which uses a harness suspended from ceiling mounted rails making it the safest and most effective way to exercise without falling. We also utilize CDP technology (Computerized Dynamic Posturography) to individualize your treatment and determine the most effective way to improve your balance.
Erica Hood, PT, DPT, CDNT, Physical Therapist; Annapolis Fyzical Therapy & Balance
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
When should I start getting mammograms?
Most women should start receiving mammograms at 40-years-old. Talk to your doctor about your risk factors for breast cancer to determine if you should start mammograms sooner or if you would benefit from any additional screening options. Annual mammograms are the best way to detect breast cancer early and give you the opportunity to start treatment when it will be the most effective. At Luminis Health, we offer mammograms at several locations, with convenient hours during evenings and weekends. Visit Luminis.Health/Breast to schedule your mammogram today.
Marit Duffy, MD, 888-909-9729 Luminis.Health/Breast
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 skin care, Botox® (for movement-related wrinkles), and conservative use of fillers such as Juvederm® and Restylane® (for restoring fullness) can target the 3 aspects of aging when you are not yet ready for surgery.
CLAIRE S. DUGGAL, MD, Sandel Duggal Plastic Surgery
Plastic teeth aligners are much less expensive by mail order. Why would I go to an orthodontist to have my teeth straightened?
Mail-order orthodontic companies make it sound easy – take a selfie, receive your aligners – and then……. straight teeth! However, aligners are meant to move teeth within the confines of each patient’s specific anatomy: muscles, bones, lips, and cheeks. A computer doesn’t know 1) where your bones and muscles are, 2) if the underlying foundation is healthy, 3) how your lips/cheeks are influencing your tooth positioning. A computer is programmed only to make the teeth look straight, regardless of the patient’s anatomy. Without an Orthodontist’s in-person evaluation and supervision, movement of teeth done incorrectly can lead to irreversible damage to your teeth, gums, and underlying bone, and to changes in your bite, which will contribute to jaw-joint dysfunction. Remember there’s so much more to creating a healthy, beautiful smile than moving only the visible part of your teeth.
Mairead M. O’Reilly, DDS, MS; Dr. Mairead M. O’Reilly Orthodontics
When is it time to call a psychiatrist?
When occasional symptoms of depression, anxiety, or distractability become persistent and interfere with your ability to function at work, school, or in your relationship, or interfere with your quality of life, it may be time to seek help. Psychiatrists specialize in using medication to treat mental illness, and this option is usually recommended after other alternatives such as therapy, proper diet and exercise, plenty of sleep, and limiting alcohol consumption, have not improved symptoms. If your symptoms persist despite these recommendations, it is time to call a psychiatrist.
NANCY C. WHEELER, MD, Psychiatrist
What should people know about bladder cancer?
Bladder cancer is more common than people think; in fact, it is the sixth most common type of cancer in the U.S. Bladder cancer, however, is not as well-known or talked about as other urologic cancers such as prostate cancer, which is why awareness is critical. There may be very few or no symptoms in the early stages of this disease. Your first warning sign may be hematuria (blood in the urine that may be visible or only evident under a microscope). Anyone experiencing unusual urinary symptoms or pelvic pain should be evaluated by a urologist.
Dr. Rian Dickstein, Chesapeake Urology
How has your industry changed over the years?
People are spending more time on their phones and tech devices. Not only does this harmful blue light accelerate aging, but the rise of video calls has made our patients seek us out to look their best on-screen without the need for the perfect lighting. The growing acceptance of aesthetic treatments has empowered both men and women to consider our services as an investment in themselves to Look and Feel better for longer.
Dr. George Gavrila, ProMD Health
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
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
What options besides surgery are there for my arthritis or musculoskeletal injuries?
For many musculoskeletal conditions, several options exist instead of steroid injections and anti-inflammatory medications to treat pain and restore function. Your body has the ability to repair itself! Sometimes, you just need a little help from a Sports Medicine physician to harness your healing abilities and precisely direct them to the injured area.
An evidence-based example of restorative treatments is platelet rich plasma (PRP). PRP is created by drawing your blood and concentrating it in a special centrifuge. We then inject your own platelets into your damaged tissue using precise ultrasound guidance. This procedure optimizes your body’s own ability to heal without surgery and is performed in conjunction with physical therapy.
James H. Lynch, MD, Sports Medicine, ROSM Annapolis
What is a spinal cord stimulator and what conditions does it treat?
A spinal cord stimulator is an implantable battery, similar to a pacemaker, which sends electrical signals to select areas of the spinal cord, resulting in blocking pain signals from reaching the brain. As a result, the pain sensation is replaced by a pleasant sensation generated by the SCS battery.
SCS is used to treat chronic pain due to a variety of conditions, including failed back surgery, neuropathic pain, peripheral neuropathy, complex regional pain syndrome/reflex sympathetic dystrophy, etc.
Dr. Zvezdomir Zamfirov, All Star Pain Management
What are you most requested facial plastic procedures?
At AAENT, our facial plastic surgeons perform aging face procedures such as face lifts, upper and lower blepharoplasties (AKA eye lift), and liposuction surgeries tailored to the individual. We perform many aesthetic and functional rhinoplasties, sometimes in combination with sinus surgery, if indicated. We often combine our MediSpa and laser services to some cosmetic procedures. Most importantly, we are advocates of skin cancer prevention with SPF and anti-aging products and procedures.
Lee A. Kleiman, MD, FACS,; Anne Arundel ENT & Facial Plastic Surgery
What does it mean to have an irregular heart beat?
Heartbeats can stray from their regular rates and rhythms for several reasons. Arrhythmias, palpations and atrial fibrillation are common heartbeat changes that can occur. Arrhythmias happen when the heart fires too fast, too slow or irregularly due to flaws in its usual electrical signals. Palpitations are feelings that one’s heart is beating rapidly, fluttering or skipping beats. Atrial fibrillation occurs when the heart beats at an irregular, often rapid pace. While not all heartbeat changes are harmful, some can be life-threatening. If you experience persistent symptoms, contact your doctor. To learn more about our cardiology services and to find a provider, visit umbwmc.org/heart.
Asghar Fakhri, MD, Cardiologist at University of Maryland Baltimore Washington Heart Associates
How can my family and I prevent sports injuries?
Proper equipment, including footwear, is a must. Helmets, pads and other protective gear must fit well, be in good condition and sized appropriately. Remember to always stretch before practices and games. If you need cleats for the game, you need to wear them in practice too. Do not use regular running shoes on the field or court, as this can lead to injury. If you’re returning to sport after a break, ease back into physical activity before starting practice multiple days a week.
Lauren Newnam, DPM, FACFAS, Chair of Podiatry, Department of Orthopedics at University of Maryland Baltimore Washington Medical Center
How do I choose the right plastic surgeon?
There are 3 steps to take in order to find the right surgeon for you.
First, do your research online. Look for plastic surgeons in your area that specialize in the procedure you’re most interested in. Learn about them from their website and look at their videos and before and after photos. Second, ask your friends and neighbors, or even your family doctor, about the surgeon’s professional reputation. Third, schedule a consultation and meet your surgeon personally. This face- to- face meeting will reveal how well you will be taken care of by your surgeon as well as the nurses and staff in the office.
DR. HENRY D. SANDEL IV, Sandel Duggal Plastic Surgery
Who is a candidate for sedation dentistry?
Sedation dentistry is a great option for patients who have anxiety or fear about going to the dentist. Dental sedation can also be helpful for patients with issues such as a sensitive gag reflex, fear of needles or difficulty getting numb. Just about any procedure can be performed with sedation – even a dental cleaning. There are several sedation options including inhalation sedation (laughing gas), oral medications and IV sedation. Sedation dentistry makes it possible to have multiple procedures done in one visit – meaning fewer visits to the dentist!
KIAN DJAWDAN, DMD; Djawdan Center for Implant & Restorative Dentistry
What are the most common cosmetic procedures?
The trifecta of the common cosmetic dental procedures is the combination of Invisalign, Whitening and Veneers. 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.
SCOTT FINLAY, DDS, FAGD, FAACD, Annapolis Smiles
How long do dental implants last?
Under the best of conditions, dental implants can last a lifetime. They have changed our treatment decisions because of their predictability and the positive effect they have on the quality of life for patients who need them. However, they are susceptible to disease if they are not maintained with proper hygiene, or subjected to heavy smoking or patients with uncontrolled diabetes. The crowns or dentures that they do support, can be subject to wear and tear, and may require replacement after 15-20 years.
SCOTT FINLAY, DDS, FAGD, FAACD, Annapolis Smiles
Why would I take my child to the orthodontist at age 7 or before, when they still have mostly baby teeth?
Orthodontists will recommend your child be seen by age 7 to prevent problems with jaw growth, spacing for permanent teeth, protruding teeth, bite issues and deleterious habits like thumb/finger sucking or tongue thrusting. Failure to recognize and treat misaligned jaws early will undoubtedly lead to long term bite anomalies and TMJ dysfunction, often requiring surgical correction. Making enough room at an early age for the permanent teeth before they come in can reduce the need for braces or clear aligners later on. Uncorrected thumb, finger or tongue habits can seriously affect the position of erupting permanent teeth, leading to damage of the teeth as well as periodontal and gum issues later in life. As the saying goes “an ounce of prevention is worth a pound of cure”!
Mairead M. O’Reilly, DDS, MS; Dr. Mairead M. O’Reilly Orthodontics
Can you share an industry secret?
Practice makes perfect. The best injectors are constantly improving their techniques with experience and refining their skills both in and out of the office. Did we mention that ProMD Health does 5 times the national average of cosmetic injections per provider?
Dr. AMY FLEMING, PA-C, ProMD Health
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 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
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 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 type of sunscreen do you recommend?
I like to recommend sunscreens that are at least SPF 30 or higher, offers broad-spectrum protection against both UVA (primary cause of skin aging/wrinkles) and UVB (main cause of sunburn) rays, and are water resistant (meaning the sunscreen will maintain its SPF level for 40 or 80 minutes while swimming or sweating). Physical sunscreens (which contain zinc oxide or titanium dioxide) may be better for young children or those with sensitive skin. The most important thing to remember is re-application! Sunscreen does not last all day, so I recommend reapplying at least every 2-3 hours throughout the day, and sooner while swimming or sweating.
Dr. Alice He, Annapolis Dermatology
I’d love to get rid of the excess skin in my neck. Is there a way to do this with minimal downtime?
Facelift or necklift surgery is different than it was in the past. We now have techniques that are less invasive with downtimes of about a week. Droopy skin in the neck simply has to be lifted into its’ natural position and the excess removed with minimal incisions hidden around the ears. Virtually no scars are visible and the results are very natural. Unfortunately, despite the marketing you may see on the internet, there is no way to remove this extra skin without surgery. But thankfully, it’s now a very simple procedure to undergo.
DR. HENRY D. SANDEL IV, Sandel Duggal Plastic Surgery
What is Neuro-Muscular Dentistry and how does it affect my treatment?
How your bite is aligned translates throughout your posture. For most patients, it is not top of mind when they visit the dentist with imminent pain, noticeable dental condition, oral discomfort, or cosmetic goals. This limits the dental service to simple, symptomdriven treatment. Neuro-muscular dentistry is an advanced area in dentistry that takes an integrated approach to teeth, muscles (and associated nerves), and joints. It brings together different tools and treatments to investigate the root cause of occluso-postural abnormalities. The treatment goal is to restore dental form and function as well as bring postural balance and harmony.
DR. ISHITA RAHMAN, West Annapolis Family Dentistry
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!
NEIL SULLIVAN, DMD, Oral Surgery Specialists
What are stem cells and platelet rich plasma (PRP)?
Stem cells and PRP are components found in your body’s blood that have capabilities to stimulate the natural healing processes in your body. These cells are vital for tissue regeneration and repair. Whether you are obtaining stem cells from adipose tissue or bone marrow or using platelet rich plasma (PRP) from your vein the basic concept is to accumulate a heavy concentration of growth factors and relocate them to a targeted area such as your knee joint, back or shoulder to regenerate tissue. Platelet rich plasma (PRP) is FDA approved for utilization in humans. Call today to heal yourself with PRP, or visit our website at www.chesapeakeregenerativemedicine.com for price information.
DR. BRIAN KAHAN, DO, The Kahan Center for Pain Management
When is the right time for a Mommy Makeover?
We generally recommend waiting until you’ve finished having children. For women who have just had a baby, it’s best to wait until you’ve fully healed from childbirth and have concluded breastfeeding. Ultimately the right time is unique to you – there’s no one-size-fits-all answer. A Mommy Makeover is a personalized combination of procedures, carefully tailored to address the specific physical changes that came with your pregnancy in order to help you to regain your pre-pregnancy body confidence. Some of the procedures to consider may include: Breast Enhancement - Lift and/or augmentation to restore volume and shape. Tummy Tuck - Address excess skin and muscle separation in the abdominal area. Liposuction - Target stubborn fat deposits that may persist after pregnancy.
DR. CHRISTOPHER J. SPITTLER, Plastic Surgery Specialists
At what age should I take my child to their first orthodontist appointment?
As the American Association of Orthodontist recommends, we’d like to see children come in for their first appointment around the age of 7. By that time, children have a good mix of primary and permanent teeth. This initial visit is important because it can prevent issues further down the road - getting ahead of any orthodontic issues before they even have a chance to start. Whether there’s an existing problem or if one is developing, we will come up with a treatment plan that best suits your child.
Dr. Ora Reinheimer, Reinheimer Orthodontics
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
Who can shop for cannabis and can users smoke in public?
Cannabis can be purchased by any adult 21 years or older with valid ID. We caution people from openly consuming any form of it within view of the public. Additionally, cannabis smoking is prohibited in certain private areas such as universities, workplaces, and rental properties. Cannabis may never be consumed on dispensary premises in any form. Companies can still prohibit their employees from cannabis usage and can still drug test. Read your company’s employee manual to know your rights.
GOLD LEAF MEDICAL CANNABIS DISPENSARY
What is new in the treatment of acne?
AviClear! Aviclear is incredibly unique when it comes to acne solutions. Historically, dermatologists have relied on medications to treat acne, and while these medications can be very effective, they often require long-term treatment until the patient “grows out” of their acne. These drugs can also come with a host of side effects and potential risks.
AviClear works differently as it is not a topical or oral medication, but a laser that uses a specific wavelength of light to selectively target and shrink the oil glands in our skin. By targeting acne at its source, AviClear can effectively and safely treat any type of acne at any age without risking significant skin irritation or systemic side effects. It is also unique in that it can provide complete clearance of acne for years after treatment. If you’re interested in learning more about this safe and permanent solution to acne, book an appointment with one of our dermatologists to see if AviClear is right for you!
Dr. Megan Casady Flahive, Current Dermatology and Cosmetic Center
What is your current favorite aesthetic treatment offered at Annapolis Plastic Surgery?
My current favorite aesthetic treatment has to be the BBL Hero (Broad Band Light) and Moxi laser combination treatment. These treatments have been scientifically proven to reverse gene expression and reverse aging on a cellular level. While the BBL addresses sun damage, hyperpigmentation, rosacea, acne, and more, the Moxi will improve pore size, reduce fine lines, and give you that radiant glow. Healthy glowing skin is always in fashion, and that is why I love these treatments; they’re even more incredible when combined.
CAROLINE SIMM, CRNP, Annapolis Plastic Surgery
What are you most excited for as far as the future of Annapolis Plastic Surgery?
I strongly believe the future of aesthetics is in the science of biostimulation and prevention. Collagen is the building block of healthy, beautiful skin, and we are so lucky to have several noninvasive or minimally invasive treatments with little to no downtime that can stimulate your own ability to create collagen. These treatments include lasers, but also injectables like Sculptra and Protein Rich Plasma. A combination of these treatments done regularly can help you maintain your natural youthful appearance, and even reverse signs of aging.
CAROLINE SIMM, CRNP, Annapolis Plastic Surgery
When Should I See a Vascular Specialist?
When your swollen feet and ankles persist for more than just a few days, something more serious could be going on. See a vascular specialist if your swollen legs have lasted a while or if they are accompanied by fever, redness, pain, or open sores.
KAPIL SIMLOTE, MD, Maryland Vascular Specialists
What is the purpose of a dermatologist?
A board certified dermatologist purpose is to help maintain the health and integrity of the largest organ of the body — the skin. There are over 2,500 medical skin conditions. Some skin conditions provide clues about our general health. The most important dermatology visit is a yearly skin examination to monitor for cutaneous cancers. Diseases such as acne is often minimized and considered a frivolous nuisance. However research has shown that acne, eczema, psoriasis are all conditions that cause significant distress, can affect self esteem and lead to time missed time from work and school. Treatment of skin conditions boost confidence and helps to alleviate the daily symptoms of pain and itching that can be associated with these conditions. Dermatologist are also specially trained to perform cutaneous surgery to remove skin cancers, atypical moles, and cysts to name a few. Dermatologist also receives extensive training during residency to perform and cosmetic procedures such as laser hair removal, fillers, Botox, hair loss restoration, and laser skin rejuvenation. Your dermatologist goal is to help you look and feel your best by providing comprehensive medical, cosmetic and surgical dermatologic care.
KATINA BYRD MILES, MD, FAAD, Skin Oasis Dermatology
What are the latest technology advances in our office?
Our practice is all digital, including digital cameras and large screen monitors in each operatory for patients to see their teeth up close. Conversations about treatment are much easier when patients can see the condition of their teeth. Our new three-dimensional scanner allows us to view complex anatomy and pathology. Additionally, we can use this scanner for precise placement of dental implants, endodontic treatment, and treating sleep apnea patients. We are excited about the level of care we are able to offer with this digital technology.
Jonathan T. Soistman, DDS, Soistman Family Dentistry & Associates
Why choose a dental implant?
Dental implants are an ideal solution to replace missing teeth. Placing an implant does not disturb the adjacent teeth and, when integrated completely, there is minimal risk of the restoration failing. Implants and implant crowns replicate teeth naturally and effectively.
DR. ALYSSA WOLFE, Eastern Shore Dental Care
Is it safe to use over the counter skin tag and mole removers?
No. Most over the counter cosmetic skin tag removers contain high concentrations of salicylic acid. Using them to remove skin tags can result in irritation and possible skin infection.
Removing moles on your own can result in delayed or missed diagnosis of skin cancer. If left untreated or partially removed, these skin cancers continue to grow with the possibility of spreading throughout your body. Due to these risks, the FDA warns against using these products. Seeing a Board Certified Dermatologist or other trained skin specialist is your best line of defense in the prevention and management of unwanted skin growths.
Michael Del Torto, MD, FAAD; Donald Stranahan Jr., MD, FAAD; Easton Dermatology
Why do I grind my teeth?
Are you aware of clenching and grinding your teeth at night? Grinding is not only severely damaging to you teeth but may be a sign of a much bigger health problem, sleep apnea. The theory is that tooth grinding helps the body to increase oxygen when it is low. We encourage every patient with significant tooth damage from grinding to get screened for sleep apnea.
MEREDITH TODD, DDS, Harbor Dental 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
What is Pain Management?
Why do I hurt? That is the question I answer for my patients. Pain is defined as an emotional and physical response to injury. I have always looked for the source of one’s pain before treating it. Once the source is determined, treatment is easier. Unfortunately, when we think of pain treatment, many assume we are just prescribing pills. However, pills usually will not fix the problem. Most patients will receive therapy to help support their joints and therapeutic spine injections to help alleviate inflammation and pain, or radiofrequency lesioning. Lastly some might require pharmacological management. So, when I think of pain management, I must find the source. Once that is determined I can begin to improve one’s quality of life.
DR. BRIAN KAHAN, DO, The Kahan Center for Pain Management
Why Do Infant and Children need Chiropractic Care?
Infants and children may need chiropractic care for several reasons, such as physical complications from childbirth, difficulty breastfeeding, torticollis, and colic. Infants may also develop spine curvatures when they begin to lift their heads and sit up. Correcting misalignments in infants and children helps reduce or eliminate problems and improves their overall health and wellbeing. Chiropractic Care can also improve a child’s mobility, enhance bodily functions, and boost immune systems by releasing disease-fighting cells.
Dr. Alicia Kovach, D.C.; Kovach Chiropractic and Wellness 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’s special about our practice relative to treatments?
We customize our treatment plans based on the individual person and their individual complexity. We all have the same emotions, but have different values and objectives. We get to know our patients and we comprehensively evaluate their oral health based on the diagnoses of both hard and soft tissues, paired with the patient’s interests and goals. We offer a treatment plan that sequences around what the patient wants to achieve. Using the technology in our office, the patient gets to see their teeth, see what the doctor is describing and then they get to make a decision themselves.
SCOTT STEWART, DDS; Soistman Family Dentistry & Associates
