Dental Services

Complete care for every age, from a child's first checkup to crowns, Invisalign and Botox.

Cleaning & prevention Root canal therapy Crowns & bridges Periodontal care Pediatric dentistry Dental veneers Teeth whitening Implant restoration Invisalign Botox

General dentistry

Cleaning & prevention

Regular exams and professional cleanings that keep your mouth healthy and catch problems while they are small.

The American Dental Association recommends visiting your dentist regularly, usually about twice a year, for a full cleaning and examination.

Even with careful brushing and flossing, plaque builds up in tiny grooves and pits that a toothbrush cannot reach. A professional cleaning removes it before it causes decay or gum disease.

Your dentist can also spot problems you cannot yet see or feel, which is what keeps treatment small and simple.

What to expect

1
Examination
A careful look at your teeth and gums, with X-rays if it has been a while since your last visit.
2
Conversation
We talk through any concerns or questions you have.
3
Cleaning
A hygienist removes hardened plaque using special instruments.
4
Polish and plan
Your teeth are polished and your dentist explains any recommendations.

Good to know

Do I really need a professional cleaning?

Yes. Even with good brushing and flossing, plaque collects in small crevices and hardens. Over time those areas begin to decay.

Book a visit

General dentistry

Root canal therapy

Treatment that removes infection from inside a tooth, relieves pain and lets you keep your natural tooth.

Inside every tooth is soft tissue called pulp. When deep decay, a crack or an injury lets bacteria reach it, the pulp can become inflamed or infected, which is often painful.

Root canal therapy removes the affected pulp, cleans and seals the inside of the tooth, and stops the infection from spreading.

With modern anesthetic it is usually no more uncomfortable than having a filling, and it avoids losing the tooth.

What to expect

1
Diagnosis
We examine the tooth and take an X-ray to see the roots and the extent of the infection.
2
Numbing
The area is fully numbed before any treatment begins.
3
Clean and seal
The pulp is removed, and the canals are cleaned, shaped and sealed.
4
Restore
The tooth is rebuilt with a filling or, more often, a crown to protect it.

Good to know

Does a root canal hurt?

The tooth is numbed throughout. Most patients find it similar to having a filling, and it relieves the pain the infection was causing.

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Restorative dentistry

Crowns & bridges

Custom-fitted restorations that repair a damaged tooth or replace missing ones, restoring both function and appearance.

A crown, sometimes called a cap, is placed over a natural tooth or an implant to protect it and restore its shape. A bridge fills the gap left by one or more missing teeth by anchoring to the teeth on either side.

Both are fixed in place by your dentist, so they look, feel and work like your own teeth.

A crown suits a tooth that is damaged but still intact. A bridge suits a gap that has healthy teeth or implants next to it.

What to expect

1
Examination
We assess the tooth or gap, take any X-rays needed and talk through your options.
2
Preparation
The tooth is gently reshaped for a proper fit and an impression is taken. Porcelain is matched to the color of your teeth.
3
Temporary
A temporary restoration may be placed to protect the tooth while your permanent one is made.
4
Placement
Your crown or bridge is checked for fit and bite, then cemented in place.

Good to know

Do I need a crown or a bridge?

A crown restores a single damaged tooth. A bridge replaces one or more missing teeth using the neighbouring teeth as anchors. We will recommend one after examining you.

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General dentistry

Periodontal care

Diagnosis and treatment of gum disease, to protect the gums and bone that hold your teeth in place.

Gum disease starts when plaque builds up along and under the gumline. Early on it causes red, swollen or bleeding gums and is reversible with good care.

Left untreated it can progress, damaging the bone that supports your teeth and eventually leading to loose teeth or tooth loss.

Treatment focuses on removing the bacteria, helping the gums heal and keeping the condition stable with regular maintenance.

What to expect

1
Assessment
We measure the gums around each tooth and take X-rays where needed to check bone levels.
2
Deep cleaning
Plaque and tartar are removed from above and below the gumline, with the area numbed for comfort.
3
Review
We check how your gums have healed and whether any areas need further care.
4
Maintenance
Regular cleanings, usually more frequent than standard checkups, keep things stable.

Good to know

How do I know if I have gum disease?

Common signs are gums that bleed when you brush, redness or swelling, bad breath that persists, receding gums or teeth that feel loose.

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Family dentistry

Pediatric dentistry

Gentle, friendly dental care for children, from the first tooth through the teenage years.

Early childhood tooth decay is the most common chronic disease in American children, more common than asthma. The good news is that it is largely preventable.

The American Academy of Pediatric Dentistry recommends a first dental visit no later than a child’s first birthday, when most children already have a first tooth.

Our dentists are experienced with children and adolescents and take time to make each visit calm and positive, so going to the dentist becomes something familiar rather than something to fear.

What to expect

1
A relaxed welcome
We let your child look around, meet the team and get comfortable before anything else.
2
Gentle check
We examine teeth and gums and look at how the bite is developing.
3
Clean and protect
A gentle cleaning, with preventive care such as sealants where they would help.
4
Guidance for home
We talk with you about brushing, diet and habits that keep young teeth healthy.

Good to know

When should my child first see a dentist?

No later than the first birthday, or when the first tooth appears.

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Cosmetic dentistry

Dental veneers

Very thin porcelain or resin shells, customized for color and shape and bonded to the front of your teeth for a natural-looking smile.

Veneers, also known as laminates, cosmetically enhance one or more teeth. Each one is a thin shell made to the color and shape you and your dentist choose together.

They reshape broken, chipped, misshapen or irregular teeth, close small gaps, and offer a solution for discoloration that does not respond to whitening.

Patients typically achieve a natural tooth appearance that is well tolerated by the gums and resistant to future stains. Veneers can also be an alternative to crowns in the right case.

What to expect

1
Consultation
We look at your teeth, talk through what you would like to change and confirm that veneers are the right choice.
2
Preparation
After a local anesthetic, about half a millimeter is gently buffed from the tooth surface so the veneer sits flush.
3
Impression
We take an impression of your teeth, which the dental lab uses to make your custom veneers.
4
Fitting
At your second visit the veneers are fitted, bonded and adjusted for shape and color.

Good to know

Am I a candidate for veneers?

Veneers may suit you if you have gaps between your teeth, or teeth that are broken, chipped, irregularly shaped or slightly misaligned. A consultation is the best way to find out.

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Cosmetic dentistry

Teeth whitening

Professional whitening that can brighten your smile by several shades in a single visit.

Teeth naturally darken with age, and staining builds up from food, drinks, some medications and habits such as smoking.

Professional whitening uses stronger whitening agents than over-the-counter products, applied under supervision, which is why results are faster and more even.

It suits patients with healthy teeth and gums who are bothered by discoloration. A short consultation confirms whether it is right for you.

What to expect

1
Clean and polish
Your teeth are thoroughly cleaned so the whitening agent can work evenly.
2
Protect
Your gums are covered and protected before treatment starts.
3
Whiten
The whitening agent is applied and activated for several minutes, then rinsed away.
4
Maintain
You may be given a take-home kit to keep your new shade topped up.

Good to know

How much whiter will my teeth be?

It is normal to see a lightening of several shades in a single visit. Results vary with the type of staining.

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Restorative dentistry

Implant restoration

Natural-looking crowns and bridges fitted onto dental implants to replace missing teeth.

A dental implant is a small titanium post that acts as an artificial tooth root. It is placed beneath the gum and fuses with the jawbone over several months.

Once it has healed, we restore it with a custom crown, or a bridge when several teeth are missing, made to match your smile.

Implants function like natural teeth and help prevent the bone loss that follows a missing tooth. They can replace a single tooth or restore a whole smile.

What to expect

1
Assessment
We check your gums, bone support and general health to confirm implants are suitable.
2
Placement and healing
The implant is placed and left to fuse with the bone, which takes several months.
3
Impressions
We take impressions so your crown or bridge can be made to fit and match.
4
Final restoration
Your permanent crown or bridge is fitted onto the implant and adjusted for a comfortable bite.

Good to know

Am I a candidate for implants?

Candidates typically have missing, broken or severely decayed teeth, are in good general health and have healthy gums and enough bone to support the implant.

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Orthodontics

Invisalign

Clear, removable aligners that straighten teeth gradually, without metal braces.

Invisalign uses a series of clear, custom-made aligners. Each set moves your teeth a little, and you change to the next set every week or two.

The aligners are removable, so you take them out to eat, brush and floss as normal. Most people will not notice you are wearing them.

Invisalign treats many cases of crowding, spacing and bite problems.

What to expect

1
Consultation
We examine your teeth and bite and confirm that aligners are a good fit for you.
2
Digital plan
Scans or impressions are used to map out each stage of tooth movement.
3
Wear your aligners
You wear each set for most of the day and move to the next as directed.
4
Retain
When treatment is complete, a retainer keeps your teeth in their new position.

Good to know

How long does treatment take?

It depends on the case. Many adults finish in around a year, and simpler cases can be shorter. We will give you an estimate at your consultation. Convenient payment plans are available.

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Facial esthetics

Botox

Therapeutic and esthetic Botox, provided by a dentist certified in facial esthetics.

Dentists train extensively in the anatomy of the face, jaw and mouth, which makes them well placed to provide Botox safely and precisely.

Esthetic Botox softens lines such as frown lines and crow’s feet. Therapeutic Botox can help relax overactive jaw muscles associated with clenching and grinding.

Botox is provided at Pikesville Dental Associates by Dr. Chaviva Golombeck, who is certified in therapeutic and esthetic Botox and a member of the American Academy of Facial Esthetics.

What to expect

1
Consultation
We discuss what you would like to achieve, review your medical history and confirm Botox is appropriate.
2
Plan
We agree the areas to be treated and what result to expect.
3
Treatment
A series of small injections, which takes only a few minutes.
4
Follow-up
Results develop over several days. We review how you are doing and plan any future treatment.

Good to know

Does it hurt?

Most people describe a brief pinch. The needles used are very fine.

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Ready for a healthier smile?

New patients are always welcome at both offices.

Book an appointment Pikesville (443) 898-6788 Eldersburg (410) 781-7188