Northern Virginia February 2025

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Vikram Chahaun, DDS Family Dentistry
Karl A. Smith, DDS, MS Periodontist
Naomi Gabrielle Will, DO Otolarynogologist
Jeffery L. Brown, DDS TMJ & Sleep Apnea
Michael Rogers, DDS and the Team at Fairlington Dental Complete Health Dentistry
Sylvie Lam, DDS, FAGD General Dentistry
Lynda Dean-Duru, DDS Children’s Dentistry

Hair loss can be a very emotional part of the natural aging process, and seeking ways to curb this process is a challenge. There are many products on the market that claim to re-grow hair, but the results are mixed. Some work for some people, and for others, not so well.

Surgically transplanting hair has come a long way over the past decade - to the point where follicular unit grafting (FUG) is now more widely accepted. It’s not like the old-style plugs people used to get.

These grafts are indistinguishable from your natural hair and are probably more durable than your natural hair in the long run.

While your natural hair still present on the top and front of your scalp may continue to thin or fall out, the grafted hairs from the sides and back of your head are more likely to be there permanently.

The latest procedure for hair transplantation is follicular unit extraction (FUE), where each hair is harvested and individually placed in a new location on your scalp. By doing this there are no scars to deal with, and the procedure is more tolerable and may even be a little safer.

One of the first FUE devices to be cleared by the FDA for follicular unit harvesting and implantation is the NeoGraft® system, which delivers automation of the FUE technique, the most advanced technique in the hair transplant industry.

This system uses pneumatic controls to precisely extract complete individual hair follicles, which can be immediately transplanted to the selected areas of the scalp. This automated hair transplantation system is the only complete harvesting system on the market and has the only “no touch” implantation technology.

It provides exact harvesting and placement, delivering natural looking results. This advanced technology offers a discrete solution to hair loss, allowing patients to achieve natural looking results with no linear scar-

Hair Loss? Time To Grow New Hair

ring, minimal downtime, and a shorter recovery period. Hair restoration with NeoGraft is unnoticeable, making it your secret to tell.

How the Procedure Works:

Step One: Donor Hair Removal

The procedure begins with hair being removed from the donor area in the back of your head where your hair is genetically programmed to resist testosterone.

Step Two: Separation of the Follicular Units

Each graft is extracted with the same consistency in diameter and length, resulting in a dramatically increased take rate.

Step Three: Creation of the Recipient Sites

The hair transplant surgeon creates recipient sites in the proper angle, direction and orientation according to

the artistic hair transplant plan he or she has designed specifically for you.

Step Four: Placement of the Hair Graft

The follicular units are then carefully separated by size. Grafts are transplanted into the balding and thinning areas of your scalp. Each graft is meticulously harvested as it naturally occurs and implanted individually to ensure the best results.

Need Hair Restoration?

Virginia Hair Transplant is excited to announce our newest offering, NeoGraft®. NeoGraft® introduces the “state-of-the-art” solution for hair loss. This game changing technology automates the Follicular Unit Extraction (FUE) method to give patients more natural looking results with minimal downtime, no linear scaring and no stitches.

• It is the least invasive procedure for hair transplantation

• Patients who receive NeoGraft® feel little to no discomfort

• No stitches or staples are used in the NeoGraft® procedure

• No unsightly linear scar

• No numbness where the donor hair is harvested

• Quick recovery time

• Natural looking results

• Less restrictions on your normal daily activities

• Patients can typically go back to work the next day

• Flexibility for any hair style of your choice, short or long

What Is Diabetic Eye Disease?

Approximately 20.8 million Americans have diabetes. More than half of these individuals are at risk for vision loss and other health problems, because they don’t know they have the disease.

Diabetic eye disease, a group of eye problems that affects those with diabetes, includes diabetic retinopathy, cataracts and glaucoma. The most common of these is diabetic retinopathy, which affects 5.3 million Americans age eighteen and older.

Diabetic retinopathy is a potentially vision threatening condition in which the blood vessels inside the retina become damaged from the high blood sugar levels associated with diabetes. This leads to the leakage of fluids into the retina and the obstruction of blood flow. Both may result in vision loss.

The National Eye Institute (NEI), the Federal Government’s lead agency for vision research, urges all people with diabetes to have an eye examination through dilated pupils at least once a year.

Blurred vision may occur when the macula – the part of the retina

that provides sharp, central vision –swells from the leaking fluid. This condition is called macular edema. If new vessels have grown on the surface of the retina, they can bleed into the eye and block vision. But, even in more advanced cases, the disease may progress a long way without symptoms. That is why regular eye examinations for people with diabetes are so important.

More than one third of those diagnosed with diabetes do not receive the recommended vision care and may be at risk for blindness. Because there are often no symptoms in the early stages of diabetic retinopathy, your vision may not be affected until the disease becomes severe.

Once diagnosed with diabetes, schedule a complete dilated eye examination with your eye doctor at least once a year. Make an appointment

promptly if you experience blurred vision and floaters that:

• Affect only one eye

• Last more than a few days

• Are not associated with a change in blood sugar

In advanced cases of diabetic retinopathy, laser treatment has been shown to reduce the loss of vision. This surgery does not cure diabetic retinopathy, nor does it prevent future vision loss, especially if diabetes or blood pressure is not well controlled.

Diabetes can also affect your vision by causing cataracts and glaucoma. If you have diabetes, you may get cataracts at a younger age and your chances of developing glaucoma are doubled.

Early diagnosis of diabetes and effective control of blood sugar and hypertension through proper diet, exercise and medication can help reduce your risk of developing eye diseases associated with diabetes. Finding and treating the disease early, before it causes vision loss or blindness, is the best way to control diabetic eye disease. So, if you have diabetes, make sure you get a dilated eye examination at least once a year.

Jacqueline D. Griffiths M.D. earned her undergraduate degree at Yale and her medical degree from the University of Michigan. Her Ophthalmology residency was completed at Georgetown University Medical Center.

Dr. Griffiths has been in private practice since 1994. She started her own practice and laser center, NewView Laser EyeTM in 1999 where she serves as the Medical Director. NewView’s Mission is to provide Excellence in Ophthalmologic services by giving personalized attention to every patient.

Dr. Griffiths is Board Certified and began performing laser vision correction practically from its inception in this country. She has performed thousands of cases and participated with the CRS-USA LASIK trials to get the LASIK procedure approved by the FDA.

In addition to offering Custom LASIK and PRK, NewView offers Laser Assisted Cataract Surgery, Multifocal IOLs, annual eye exams, glaucoma and diabetic screening exams, and cosmetic services including Botox, Restylane, Radiesse, Juvederm, and eyelid surgery. NewView Optical offers affordable high quality frames and lenses for the entire family (ages 5 and older).

Dr. Griffiths is the former Ophthalmology Section Chief of Reston Hospital Department of Surgery, the former Chief of Ophthalmology for the Reston Ambulatory Surgical Center in Reston, VA as well as Loudoun Hospital in Leesburg, VA, Diplomate of the American Board of Ophthalmology, a Fellow of the American Academy of Ophthalmology, a member of the American Society of Cataract and Refractive Surgery, the Washington National Eye Center and others.

Normal Vision Diabetic Retinopathy

In This Edition…

The articles below are provided by local health professionals for the benefit of the public. Please contact them for advice and services.

3 | Hair Loss? Time To Grow New Hair | By Craig E. Vigliante, MD, DMD

5 | What Is Diabetic Eye Disease? | By Jacqueline Girffiths, MD

7 | The Connection Between Oral Health, Gut Health, and Brain Function | Submitted By Let’s Smile Dental 11 | How to Beat Heart Disease: With a Periodontist, You Can Win | By Karl A. Smith, DDS, MS 13 | How People With Burn Injuries Should Deal With Pain | By Paul Samakow, Atty.

14 | TMD and Sleep the Connection | By Jeffrey L. Brown, DDS

15 | How a Hurricane Changed Fasting Rules For Plastic Surgery | By Mark Domanski, MD

16 | Should You Replace Your Old Silver Fillings? | By April Toyer, DDS, FAAPD

17 | How to Pursue Low- or No-Cost CDA Certification | Submitted by ScholarsHub.net

18 | A Highly Effective Treatment For Anxiety: Stellate Ganglion Block (SGB) | By James Lynch, MD

19 | Understanding Gender Differences: Heart Attacks In Women | By Alfred Chit Myaing, MD

20 | Oral Appliances For Sleep Apnea | By Michael Rogers, DDS

20 | Prioritizing Mental Health: Setting Goals In the New Year | By Dr. Angela C. Johnson, LPC

21 | Got the Winter Blues? | By Sarah Shores

23 | How Much Weight Can I Lose With GLP-1 Medication? | By Erik A. Ward, DC, CSCS, CCSP

| Diabetic Foot Care: Steps To Protect Your Health and Mobility | Submitted By Mina Sarbaz, DPM

25 | NightLase Laser Snoring Treatment | By E. Richard Hughes, DDS

27-37 | Featured Cardio Health, Diabetes and Storke Professionals + Mental Health

37 | Link Between Oral Health and Diabetes | By Marvette Thomas, DDS

40 | Seniors: Selling Your Home What You Should Know | By Jennifer Wong, Principal Broker & Owner

41 | What Is CEREC Dentistry? | By Zina Alathari, DMD

42 | Orthodontic Consultation: What To Expect | By Swathi Reddy, DMD

42 | Ensuring Healthy Smiles and Sound Sleep For Your Child | By Lynda

Articles and information about health professionals is available at www.YourHealthMagazine.net

Your Health Magazine is on a mission. There are far too many people, insured or not, who do not go to the doctor when they should, and in millions of cases, don’t know who they should go to, or why.

People are encouraged to buy a new house, car, cell phone or big screen TV, and those companies make themselves very visible and their products easily attainable.

Information about, and from, local healthcare providers is not easy to find, and many times those services are difficult to access.

Information and encouragement always lowers fear and trepidation about anything, and this is especially true in healthcare. While general information is available on web-sites, specific information from local providers is almost impossible for people to find. This is one of the key reasons chronic and episodic conditions are not cared for. It is our mission to:

Make A Difference By Empowering and Encouraging People To Live Healthier By Going To the Doctor When They Should.

Washington, DC

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EDITOR-IN-CHIEF

Gregory Scott Hunter

SALES & MARKETING CONSULTANT Mili Parra

MANAGING EDITOR

Heather L. Mahoney

PRODUCTION & DESIGN ADMIN ASSISTANT Alison Doner – MD

The Surprising Connection Between Oral Health, Gut Health, and Brain Function

Your oral health plays a significant role in your overall well-being, extending far beyond your teeth and gums. In recent years, research has uncovered a fascinating connection between the mouth, gut, and brain, revealing that maintaining good oral hygiene can contribute to a healthier digestive system and improved cognitive function.

Oral Health and Gut Health: A Vital Link

The journey of digestion begins in the mouth. Chewing not only breaks down food into smaller pieces but also mixes it with saliva, which contains enzymes that start the digestion process. Poor oral hygiene can disrupt this process, as bacteria in the mouth may proliferate, leading to gum disease or cavities. Harmful oral bacteria can travel down to the stomach, potentially disrupting the gut microbiome—the community of microorganisms in the digestive tract essential for digestion, nutrient absorption, and immune function.

Studies suggest that an imbalance in the gut microbiome can lead to various health issues, including inflammation, weakened immunity, and digestive disorders. By maintaining good oral health, you reduce the risk of introducing harmful bacteria into your digestive system, supporting a balanced and thriving gut microbiome.

The Gut-Brain Axis: How Oral Health Affects

the Brain

The gut and brain are intricately connected through what is known as the gut-brain axis—a two-way communication system involving neural, hormonal, and immune pathways. A healthy gut produces neurotransmitters like serotonin and dopamine, which influence mood, focus, and overall mental health. Conversely, a disrupted gut microbiome can contribute to stress, anxiety, and cognitive decline.

When oral health supports gut health, it indirectly supports the

brain. For example, reducing oral inflammation can lower systemic inflammation, a factor implicated in neurodegenerative diseases like Alzheimer’s. Furthermore, a healthy digestive system ensures that essential nutrients for brain health, such as omega-3 fatty acids and B vitamins, are absorbed efficiently.

How To Boost Oral Health For Overall Wellness

To harness the benefits of oral health for your gut and brain:

• Brush and floss daily to remove harmful bacteria.

• Eat a balanced diet rich in fiber, which promotes gut health and prevents plaque buildup.

• Stay hydrated to support saliva production and digestion.

• Visit your dentist regularly for check-ups and cleanings. By prioritizing oral hygiene, you’re not just protecting your smile—you’re contributing to a healthier gut, a sharper mind, and a more resilient body. It’s a simple way to enhance your overall well-being.

SMILE

Discover a world of comprehensive dental care at Let’s Smile Dental, your trusted destination for superior oral health in Northern Virginia. With nine conveniently located offices, our skilled team of professionals is dedicated to providing a spectrum of specialized services, all under one roof.

At Let’s Smile Dental, our providers share a common mission: delivering the highest quality care to our valued patients. Through seamless collaboration and a patient-centric approach, our doctors ensure a positive experience and ultimate smile satisfaction. Choose Let’s Smile Dental – where your smile is our priority!

VA 703-719-5828

VA 703-719-5828

Orthodontists: Ali Ghatri, DDS – Manhal Eliliwi, DDS Owais Naeem, DDS – John Ji, DMD
Pediatric Dentists: Abeer Zletni, DDS – Cindy Choi, DDS Ashley Kato, DDS – Zeina Estephan, DDS
Kevin Do, DDS – Jackie Liu, DDS
Family & Cosmetic Dentists: Oscar Dominguez, DDS
Joseph Alwan, DDS
Oral Surgeon: Inja Niloy, DDS – Paul Park, DDS
Dental Anesthesiologist: Babak Razmazma, DDS

How to Beat Heart Disease: With a Periodontist, You Can Win

February is American Heart Month. Heart disease is the leading cause of death in the United States. You can fight back by eating healthy; becoming physically active; controlling your high blood pressure or cholesterol; and getting a clean bill of health from your periodontist.

Periodontal disease, heart disease and stroke may seem to have an unlikely connection, but researchers have found that gum disease sufferers are nearly twice as likely to also suffer from coronary heart disease. Research studies have discovered that oral infection is indeed a risk factor for certain types of cancer, stroke and other serious heart and health problems.

The Connection Between Your Mouth and Heart:

There are several theories, which may explain the link between heart disease, stroke and periodontal disease, which include the following:

Bacteria In the Mouth – There are many different strains of bacteria. Researchers assert that some of these strains of bacteria enter the bloodstream through your mouth and attach to the fatty plaques in the blood vessels of the heart. This attachment then contributes to clot formation, causing grave danger to the individual.

Inflammation – Periodontal bacteria causes severe inflammation in the gum tissue, which elevates the white blood cell count.

Immune System Deficiency –Individuals who experience particularly high levels of oral bacteria may have weaker immune systems. These factors may induce specific vascular effects, which have previously been shown to contribute in the onset of certain forms of heart disease.

There is little doubt that the presence of periodontal disease can worsen existing heart conditions. In fact, for many patients periodontists and cardiologists work as a team in order to treat individuals experiencing both conditions.

Diagnosis and Treatment

Since periodontal disease appears to be a risk factor for both heart attack and stroke, it is extremely important to seek immediate treatment with an experienced periodontist. Dentists who specialize in the treatment and prevention of periodontal (gum) disease – periodontists – are experts in the treatment of oral inflammation, plaque and bacteria

as they receive extensive training in these areas during their three additional years of education beyond dental school. Periodontists are familiar with the latest techniques for diagnosing and treating periodontal disease, and are also trained in performing cosmetic periodontal procedures, and dental implants.

Initially, the periodontist will conduct thorough examinations to assess the exact condition of the teeth, gums and jawbone. X-rays can be helpful in determining whether bone loss is prev-

alent in the upper and lower jaw. The periodontist is also able to conduct deep cleaning treatments to remove hardened calculus (tartar) deposits from the gum pockets. An antibiotic may be prescribed to ensure that the bacteria is completely destroyed and the periodontal infection does not spread to the rest of the body. Antibiotics alone are not enough to treat periodontal conditions but dental treatment along with antibiotics can have the power to get

and keep your body healthy. Fortunately, you can fight back against heart disease. Visiting a periodontist today to remedy gum disease may be one of the best things you can do to help lower these overall health risks. If you are over the age of 45, have any health compromise, experience bleeding gums, or are interested in keeping your natural teeth for your lifetime call a periodontist right away. Get the answers to your questions about how good dental care might just save your life.

– Dental Implants To Restore Your Beautiful Smile

– Caring & Kind Dentist & Team

– State-of-the-Art Equipment

– Laser Periodontic Therapy

– Affordable Gum Treatment

– Insurance Accepted & Filed

– Ultra-Sterile Environment

– No Referral Needed

– Comfortable Sedation Dentistry

Our patients mean the world to us (and they love to refer to us as friends and family). My team works together to ensure your visit is enjoyable, and that your treatment is gentle and pain-free. We are deeply committed to help you prevent and treat periodontal (gum) disease, and to enhance your smile to improve your overall health.

Laser assisted treatments for bone regeneration and implant procedures.

Reducing chance of root canal by 90% and keeping the tooth nerve alive

Complete disinfection of surgical sites and clearing of jaw infections

Clearing the inflammation and infection of the gums

Obstructive sleep apnea treatment with NightLaser procedure reduces snoring and enhances upper airway soft tissue function.

TMJ joint and muscle inflammation reduction

No need for injections or numbing during the filling process.

Gum disease, Cold sore and ulcer elimination

Laser application reduces dentin sensitivity and disinfects tooth during tooth restoration.

TMD and Sleep the Connection

It may be hard to believe, but when you have a TMJ disorder (otherwise called TMD), this can correlate to sleep-disordered breathing (SDB). The way this works is that when the jaw joint discs are displaced – just like a kneecap can slip out of place – you get pain. Pain and inflammation are quite common with a displaced jaw

disc. When you are hurting, you just cannot sleep all that well. Also, the quality of sleep is compromised because it is now harder to get the good, deep, non-REM sleep that helps our body to heal.

It is unfortunate that TMD is so poorly understood because so many people really do need help in this area. It is actually fairly easy to get a handle on this disorder, however. One of the first signs of TMD is that

you have clicking and/or popping in the jaw joints. This is often a clear sign that the articular discs (jaw joint discs) are displaced and causing an inflammatory reaction.

Another very clear sign of TMD is that you cannot open your jaw widely. The “normal” range of motion is generally considered to be around 50 mm. This means measuring from the tip of the upper front teeth to the tip of the lower front teeth when opening

Typical Dental Office

wide, you should get around 50 mm. Some practitioners say that 35mm is around normal, but in general most agree that 50mm is a healthier way to be. This measurement can readily be done when you see your dentist or hygienist but most of the time it is not done.

So, now let’s get back to the link to sleep problems. If and when the articular discs in the jaw joints are displaced, they are going to rub around in the jaw sockets and will quite literally pinch or rub against nerves and blood vessels in the joint. Diagnosis: It just plain hurts. In the human body when a bone rubs against bone or other vessels, it just hurts, simple as that. This in turn begins an inflammatory reaction in which the body releases the mediators of inflammation called “cytokines”. Now these cytokines are floating around inside your body causing a chronic irritation. It’s kind of like being chronically sick all the time.

Dr. Jeffrey Brown has limited his practice to focus only on TMJ Disorders, Craniofacial Pain Management and Sleep Apnea. By fixing slipped discs in the jaw joints, Dr. Brown can significantly reduce the pain patients experience in the head/neck region and other symptoms associated with jaw joint problems. Sleep & TMJ Therapy may be able to improve the quality of life for you or a loved one – we encourage you to contact us with any questions or concerns.

“Dr. Brown and his staff are absolutely wonderful. I was diagnosed with Dystonia. I could not turn my head and had a ton of pain. My doctors offered no help and no advice besides Meds and Botox. Since having the appliance I have NO pain and I can turn my head. I would highly recommend them to anyone. I feel Dr. Brown and his staff really care about their patients and helping them to get better. They do not just numb the symptoms but fix the problem. Thank you from the bottom of my heart. I feel like the old me again!”

- D. Thomas

“My daughter has been treated by Dr. Stack and Dr. Brown for the last 2 1/2 years, and we are very fortunate to have found them. Prior to that she was being treated by a neurologist at a Children’s hospital. She was on medications for tics and associated muscle pain, OCD/repetitive thoughts, sleeplessness and more (all possibly associated with Tourettes). Drs. Stack and Brown installed spacers to alleviate pressure on nerve bundles in the jaw, and subsequently braces to complete the process. Her symptoms have diminished significantly. She is off medication, her tics have all but disappeared, she can concentrate better in school, and she is once again cheerful and relaxed.” - Susan

When the body is running in inflammation mode, it hurts, and this leads to sleep difficulties. What happens in so many people are the jaw joints ache, which in turn leads to the neck being irritated, and then it travels down the back as well. This makes the deep sleep – called non-REM III – unable to happen the way it should. Now you are sleep deprived and not able to heal the body like your body intended. This cycle just gets worse and worse over time. In so many people, this will lead to OSA – obstructive sleep apnea. So be safe, be smart, learn about TMD and how to treat it for a good night sleep.

Jeffrey L. Brown, DDS
Jeffrey L. Brown, DDS

How a Hurricane Changed Fasting Rules For Plastic Surgery

specifically state that alcohol is not considered a clear liquid.

Many of us have been told: “Do not drink or eat anything after midnight” the night before surgery. Is that still correct? If not, how did it change?

Hurricane Helene’s Unexpected Impact

In late September 2024, Hurricane Helene became the strongest hurricane on record to strike western Florida. As Hurricane Helene traveled northwards, it brought catastrophic flooding along its way, including western North Carolina. Marion, NC was home to one of Baxter International’s manufacturing plants. This factory produced 60% of the United States’ intravenous (IV) fluid. IV fluid is used to provide hydration when a patient cannot drink liquids – such as during surgery. Hurricane Helene put this Baxter’s IV fluid manufacturing plant offline, drastically reducing the IV fluid supplies to hospitals and medical offices throughout the country.

In addition to surgeries, intravenous fluids are used for treating dehydration, and in the resuscitation of accident victims. To avoid running out of IV fluids, some hospitals cancelled elective surgeries. Meanwhile, healthcare providers searched for ways to reduce the use of IV fluids.

The Science Behind Clear Liquids Before Surgery

Before surgery, a patient was often told to “Not drink or eat anything after midnight.” This is so a patient’s stomach is empty. An empty stomach makes anesthesia safer on the day of surgery. A side effect of not drinking was that patients were often dehydrated on the morning of surgery. Anesthesiologists would treat this dehydration during surgery – with IV fluids!

As it turns out, not drinking anything after midnight was antiquated. By March of 2017 the American Society of Anesthesiologists had already published a recommendation that most patients could drink clear liquids up to 2 hours before procedures requiring general anesthesia! Clear liquids include water, fruit juice without pulp, carbonated beverages, clear tea and black coffee (without milk). Interestingly, recommendations

However, organizational inertia is hard to change. For years, hospitals continued to advise patients to “Not drink or eat anything after midnight.” Now in the fall of 2024, with shortage of IV fluids, health care providers began to review fasting practices and decided to implement what the American Society of Anesthesiologists had recommended

7 years earlier!

Better Hydration, Better Recovery

The benefit of being able to drink clear liquids up to 2 hours before surgery has been transformative for my patients. Patients are less dehydrated going into surgery, which I believe improves their recovery. Furthermore, patients who are scheduled later in the day, being able to drink clear liquids makes waiting for surgery more comfortable. Fundamen-

tally, being hydrated before surgery makes sense. You would not want to be dehydrated before starting a workout. The same logic should work for surgery.

So, if you are contemplating surgery, ask your doctor if your procedure allows you to drink clear liquids up to two hours before surgery. In addition to conserving IV fluids, it will make the day of surgery easier on you and perhaps improve your recovery.

Should You Replace Your Old Silver Fillings?

Dental technology has changed dramatically over the last few decades and no doubt will continue to improve in the future. Many patients are concerned about the silver fillings that they or their children have had for years.

Dental amalgam is a mixture

of mercury, silver, tin, and copper. Mercury makes up about 50% of the compound and is used to bind the metals together and to provide a durable filling.

The current position of the ADA and FDA is that amalgam is a safe, restorative material and should not be removed due to health concerns regarding mercury content. When mercury is combined with other materials

in dental amalgam, its chemical nature changes, so it is essentially harmless.

The amount of mercury released in the mouth under the pressure of chewing and grinding is minuscule. It is less than what patients are exposed to in food, air and water.

In fact the highest exposure of mercury to patients is due to amalgam placement and removal. High-speed suction should be used when remov-

April Toyer, DDS, FAAPD

ing mercury-containing fillings to reduce excess mercury inhalation by the patient.

White (or composite) fillings are aesthetically appealing, but require a longer time to place the restoration and may come with an additional cost. Composites bond to the tooth to support the remaining tooth structure, which helps to prevent breakage and insulates the tooth from excessive temperature changes. Although not as strong as amalgam, the advances in composite resins make these restorations a durable option.

Composite fillings, which are more technique sensitive, require a saliva free environment. Your dentist may suggest amalgam in areas that are difficult to keep dry, such as molars (back teeth) or cavities below the gumline.

When To Consider Replacing a Silver Filling

Decay is present under filling. If decay is left untreated long term it could lead to further complications, such as fracture or potentially infection.

Filling is fractured or leaking. A chipped or fractured filling can lead to further breakage of the filling or of the surrounding natural tooth structure. Fillings that extend on multiple surfaces of a tooth may require a crown.

It was placed in a high cosmetic zone. Let’s face it – in 2022, no one wants to see silver in his/her front teeth. If you have a silver filling that is visible in an anterior region, replacement may be an option.

April Toyer, DDS

Dr. Toyer grew up as an “Army brat,” but resided many years in Bowie, Maryland. She attended the University of Virginia and received a degree in Biology and Bioethics in 2003. Dr. Toyer attended dental school at the University of Maryland and took part in the Pediatric Dentistry Clerkship program.

How to Pursue Low- or No-Cost CDA Certification In Maryland, Washington, DC, and Virginia

Submitted by ScholarsHub.net

The Child Development Associate (CDA) Credential is a nationally recognized certification in early childhood education. Residents of Maryland, Washington, DC, and Virginia can often access subsidized or fully covered training and assessment, provided they meet specific requirements.

Why Earn a CDA?

• Career Growth: Increase pay and leadership opportunities in child care centers

• Professional Recognition: Demonstrate expertise in child development

• Enhanced Skills: Improve classroom management and teaching strategies

Washington, DC

Southeast Children’s Fund (SCF) offers a 120-hour CDA training program with portfolio support for DC residents and those employed in DClicensed childcare facilities, subject to eligibility criteria and funding availability. CentroNía Institute also provides CDA coursework in multiple

languages, along with portfolio assistance for individuals who qualify.

Maryland

The Maryland State Department of Education (MSDE) reimburses application fees, renewal fees, and CDA Competency Standards books for registered family child care providers and licensed child care center employees. ChildCareEd offers self-paced training, often eligible for MSDE reimbursement, allowing participants to keep out-of-pocket costs low.

Virginia

Care Courses is recognized by the Council for Professional Recognition as meeting formal CDA education requirements and offers online training for Virginia childcare professionals. According to cumulative data from the Council, thousands of CDA Credentials have been awarded in Virginia over the years. SafeGard Classes Online and Virginia Wesleyan University also offer CDA preparation programs suited to Virginia’s licensing and reim-

bursement pathways.

Key Considerations

Free or subsidized programs typically require specific eligibility criteria, such as residency and employment in a licensed facility. The Council for Professional Recognition charges an assessment fee of around $425, which may be reimbursed by certain state programs.

Getting Started

• Verify eligibility for state-specific grants or reimbursements.

• Gather required documentation for funding applications.

• Choose a training format (online or in-person).

• Complete the mandatory 120 hours of training.

• Develop a professional portfolio.

• Schedule and complete the final assessment.

By leveraging the resources offered in DC, Maryland, and Virginia, early childhood educators can significantly reduce the cost of earning their CDA Credential while enhancing their professional skills.

Discolored Teeth?

For Anxiety That You May Not Be Familiar With Stellate Ganglion Block (SGB)

Anxiety disorders are the most common mental health issue in the United States, impacting approximately 40 million adults annually, or about 20% of the population. Anxiety can be debilitating and challenging to treat. Anxiety symptoms may include:

irritability, poor concentration, worry, and feeling tense, nervous, or on edge all the time. Due to individual variability in mental health conditions, standard anxiety treatments such as psychotherapy and pharmacotherapy may not be as effective for some who suffer from anxiety symptoms as others. This has prompted researchers and clinicians to explore adding alternative therapies, including the Stellate Ganglion Block (SGB) to standard treatment regimens. SGB has been used to treat posttraumatic stress disorder (PTSD) for over fifteen years and now demonstrates promising results for anxiety too.

SGB is a medical procedure that temporarily numbs a nerve cluster in the neck, the cervical sympathetic

Afreen Sayeed Services provided include: Implants, Implant Crowns, Invisalign, CEREC, Crowns, Root Canals, Cosmetic Dentistry, iTero Digital Scanner, Tooth-Colored Fillings and Extractions.

Heart attacks, medically known as myocardial infarctions, are often depicted as sudden, severe chest pain gripping a person’s left side. However, this classical portrayal predominantly reflects the male experience. Women, on the other hand, often exhibit symptoms that can be subtler and easily overlooked, leading to delayed treatment and potentially fatal consequences.

It’s crucial to recognize that heart disease is the leading cause of death in women globally. Despite this, there persists a misconception that heart attacks primarily affect men. Women are just as susceptible, albeit with differences in how symptoms manifest. Understanding these distinctions is paramount for timely intervention and improved outcomes.

One of the key differences lies in the variety and subtlety of symptoms experienced by women. While chest pain or discomfort can occur, it might not always be the predominant symptom. Women are more likely to present with atypical signs such as:

• Shortness of Breath: This could manifest as difficulty breathing, even without exertion, or feeling winded during routine activities.

• Nausea or Vomiting: Women may experience gastrointestinal symptoms like nausea, vomiting, indigestion, or abdominal discomfort, often mistaken for food poisoning or gastrointestinal issues.

• Back or Jaw Pain: Unexplained pain in the back, jaw, or neck, which may feel like pressure rather than sharp pain, is common among women experiencing heart attacks.

• Fatigue: Overwhelming fatigue, especially if it’s sudden and unrelated to physical or emotional exertion, can be a warning sign.

• Dizziness or Lightheadedness: Feeling dizzy or lightheaded, sometimes accompanied by clammy skin, can indicate compromised blood flow to the heart.

• Unexplained Sweating: Profuse sweating, often described as cold sweats, can occur during a heart attack episode.

These symptoms might appear

Understanding Gender Differences Heart Attacks In Women

gradually over days or weeks, rather than abruptly, which makes it easier to dismiss them as temporary discomforts. Moreover, women tend to delay seeking medical help, either due to downplaying their symptoms or attributing them to other causes like stress or aging.

The reasons behind these genderspecific differences are multifaceted. Biological factors such as hormonal

fluctuations, smaller coronary arteries, and plaque distribution play a role. Additionally, societal norms and healthcare biases contribute to the underestimation of heart disease risk in women.

Empowering women with knowledge about these unique symptoms is vital. Recognizing the signs of a heart attack and seeking prompt medical attention can significantly improve survival rates and reduce long-term complications.

Heart attacks in women often present differently from those in men. Familiarizing oneself with the varied symptoms beyond typical chest pain is crucial. By raising awareness and dispelling misconceptions, we can ensure that women receive timely and appropriate care, ultimately saving lives. Remember, when it comes to heart health, knowledge is indeed power.

Oral Appliances For Sleep Apnea

The Comfortable Alternative To CPAP

Obstructive Sleep Apnea (OSA) occurs when the airway is blocked during sleep, disrupting breathing and leading to poor rest. While Continuous Positive Airway Pressure (CPAP) therapy is the standard treatment, many patients find it difficult to use consistently. Oral appliances offer a

simpler, more comfortable alternative that effectively treats OSA while improving compliance.

What Are Oral Appliances?

Oral appliances are custom-fitted devices worn during sleep to keep the airway open. Instead of using airflow like CPAP, these devices reposition the jaw or stabilize the tongue to create more airway space. Portable, discreet, and easy to use, they are an attractive option for CPAP alternatives.

The Panthera D-SAD

The Panthera Digital Sleep Apnea Device (D-SAD) is a lightweight oral appliance made from durable, medical-grade nylon. Designed for long-term use, it offers:

Custom Fit: Tailored to your dental structure for comfort.

Please see “Oral Appliances,” page 46

Prioritizing Mental Health Setting Goals and Practicing Self-Care In the New Year

The start of a new year often brings a sense of renewal and the motivation to set goals. While it’s common to focus on physical health or career aspirations, taking care of one’s mental health is equally essential. Setting intentional, achievable goals that prioritize emotional well-being can lay the foundation

for a healthier and more balanced life.

To begin, it’s important to set realistic and specific goals. Instead of aiming for perfection, focus on manageable steps that promote progress. For example, someone who feels overwhelmed might commit to taking 10 minutes each day to practice mindfulness or deep breathing. These small, consistent actions can have a profound impact on reducing stress and improving emotional regulation.

Self-care is another critical component of maintaining mental health. Often misunderstood as indulgence, self-care is about meeting basic needs and finding practices that recharge your emotional reserves. This might include getting enough sleep, eating nourishing foods, or engaging in physical activity. For others, self-care could mean setting boundaries, saying “no” to overcom-

Please see “Setting Goals,” page 46

At Fairlington Dental, we understand the connection between a healthy smile and a healthy body. As a result, we look at the whole person to discover the reasons a patient may have gum disease or a bad bite. A number of studies link heart disease and other serious conditions to the presence of periodontal (gum) disease. This research makes it vital that we take a Complete Health approach to your dental care. Dr. Rogers will listen to you, conduct a careful assessment, and carefully explain your proposed customized wellness plan. He will then take the time to answer all of your questions. You become a partner in your oral health goals!

Our team has mastered the techniques of gentle dentistry and is skilled at helping patients with any level of apprehension relax and grow comfortable with visiting the dentist. Anxiety and tension have a variety of sources, so it’s important for us to listen to your concerns as well as your goals and history. Then we address your anxieties and proceed with gentle treatment only when you’re ready. We deliver all of this in an office that is environmentally aware, while you enjoy a variety of spa-like amenities during your visit.

One of our greatest joys is helping patients smile again, especially those who may not have seen a dentist in a while. You’ll be amazed at how the quality of life can change! We strive to create a partnership with you that starts the moment you walk through our door.

A, Arlington, VA 22206

Got the Winter Blues?

The cold weather and short days are here and that can negatively impact individuals as the ability to produce vitamin D naturally from the sun is not as easy as in the summer months.

There are two common maladies this time of year – seasonal affective disorder (SAD) and the flu. SAD can be identified as depressive symptoms and while experts don’t know the exact cause, the research shows that lack of

very much alive, as if it breathes like leaves waving in the wind.” To stay healthy, especially this time of year we need sunlight which in turn keeps our vitamin D levels up.

Sunlight helps with the symptoms of SAD, as has been shown in several studies. The UVB in sunlight and how it protects against severe respiratory disease has also been studied at the Trinity College in Dublin and the University of Edinburgh. This

landmark study found that individuals with regular ambient UVB exposure had a three times stronger immune response that protected them against respiratory disease and death. So, despite the cold, getting outside and enjoying the sun is a healthy pastime. If that is not possible, the UVB light that shines inside the Blu Room is also an option.

The Blu Room utilizes UVB light and sound to achieve the benefit of

vitally important vitamin D levels in a relaxed environment. In one session the Blu Room UVB light can generate up to 10,000 IU’s of vitamin D and a new state of mind. Users have reported Blu Room sessions helped them to experience elevated mood, improved sleep, increased energy, and relief from physical pain.

There are over 55 Blu Rooms worldwide. Warrenton Wellness has the only Blu Room on the east coast.

light is the main contributor to SAD

SAD can affect up to 10 million Americans a year, with women four times more likely to be diagnosed with it than men.

The flu season also corresponds to shorter days with lesser sunlight. Some researchers also tie the lower levels of vitamin D due to less sunlight with rising levels of the flu.

The importance of sunlight makes sense since scientists, such as physicist Fritz Albert Popp, believe that “incred ible as some may think, there is light in our cells. It pulsates and acts in a way

ECNV Welcomes Ifeoma Ude, MD

Dr. Ifeoma Ude is a comprehensive ophthalmologist specializing in medical eye care, cataract surgery, and emergency eye care. She trained at Morehouse School of Medicine and University of Maryland Medical Center.

Haresh Ailani, MD

Haresh Ailani, MD is a board-certified fellowship trained cornea and anterior segment ophthalmologist specializing in cornea, cataract and refractive surgery He specializes in refractive/laser cataract surgery with standard and advanced technology intraocular lenses, and in all forms of cornea surgery.

Jennifer Dao, MD

Jennifer Dao, MD is a board-certified fello wship trained ophthalmologist who specializes in pediatric ophthalmology and strabismus. Dr. Dao specializes in amblyopia, pediatric glaucoma, cataracts and performs an adjustable suture technique for adult strabismus.

Leah Fuchs, MD

Leah F uchs, M D i s a b oard-certified g eneral ophthalmologist. She specializes in comprehensive medical ophthalmology for adults, including medical eye exams, urgent and emergency eye care.

Sumeet Gupta, MD

Sumeet Gupta, MD is a board-certified fellowship trained ophthalmologist specializing in the management and treatment of glaucoma, including laser therapy, glaucoma surgery and cataract surgery, with or without minimally invasive glaucoma surgeries.

Marissa Albano, MD

Marissa Albano, MD is a board-certified fellowship trained glaucoma specialist and general ophthalmologist. She specializes in the latest glaucoma lasers and surgeries, as well as cataract surgery.

Jessica Van Looveren, MD

Jessica Van Loo veren, MD is a board-certified fellowship trained glaucoma specialist and general ophthalmologist. She specializes in the management and treatment of glaucoma, and provides comprehensive medical and emergency eye care.

Hampton Khanna, MD

Hampton Khanna, MD is a board certified fellowship trained ophthalmologist with specialized training in pediatric ophthalmology She specializes in strabismus surgery for children and adults.

Bethany Karwoski, MD

Bethany Karwoski, MD is a board-certified fellowship trained ophthalmologist with specialized training in pediatric ophthalmology Her clinical interests include strabismus, nasolacrimal duct obstruction and retinopathy of prematurity.

How Much Weight Can I Lose With GLP-1 Medication?

GLP-1 (glucagon-like peptide 1) agonists are well-known for their effectiveness with weight loss. GLP-1 medication stimulates the receptor for the hormone glucagon-like peptide 1, which increases insulin production and satiety (or feelings of fullness). A GLP-1 releases in the gastrointestinal tract after a meal and travels to the hunger center of the brain. It will also slow down the move-

ment of food through the stomach, a mechanism known as delayed gastric emptying, which makes us feel full longer.

How Much Weight Can You Lose?

GLP-1s typically promote more weight loss – around 15%20% of your current body weight. With other appetite suppressants, people lose an average of 3%-5%. You could lose more or less; everyone’s body is unique and responds differently to certain drugs. It’s unusual that you’d lose no weight, but dosages can always be adjusted.

Aside from the sheer amount of weight lost, any reduction in body mass can help improve your health. Taking GLP-1 weight loss medicine may help to reduce or even reverse the impact of diabetes, high blood pressure, high cholesterol, sleep apnea, acid reflux,

osteoarthritis pain and skin-related issues.

Key to success:

The key to success lies in the customization in the dosage of this medication. If you take too much, you will feel sick. If you do not take enough, you will not lose weight. Medical management of

this weight loss option is critical in its success. At NOVA Weight Loss Solutions, we offer customizable weight loss plans and provide week-to-week communication to make sure every patient is taking exactly the correct amount of medication to achieve the best weight loss outcome.

For individuals living with diabetes, foot care is a vital component of overall health management. Diabetes can lead to complications such as neuropathy and poor circulation, which increase the risk of foot injuries, infections, and in severe cases, ampu-

Diabetic Foot Care

Steps To Protect Your Health and Mobility

tations. Proactive and consistent foot care can help prevent these issues and preserve mobility and quality of life.

Understanding the Impact Of Diabetes On Foot Health

Diabetes affects the body in ways that make the feet particularly vulnerable:

Neuropathy: High blood sugar levels can damage nerves over time, leading to diabetic neuropathy. This condition often causes numbness or reduced sensation in the feet, making it difficult to detect injuries like cuts, blisters, or sores.

Poor Circulation: Diabetes also impairs blood flow, especially to the lower extremities. Reduced circulation slows the healing process, increasing the likelihood of infections.

Increased Risk Of Infections: When minor injuries go unnoticed or untreated, they can develop into serious infections or ulcers.

These factors emphasize the importance of daily foot care and regular check-ups with a professional.

Daily Foot Care Practices

We travel to nursing homes and handicap group homes and specialize in geriatric foot care. We offer personalized and caring attention to all our patients, so make sure to pay us a visit if you need any help with foot problems, discomfort, diabetic foot problems or pain.

From the moment you step into our practice, you will be greeted by a friendly and welcoming staff who make sure your appointments are on time and well organized for your convenience. We truly care about your wellbeing, which is why we make sure to listen to you and take a full patient’s history before approaching any course of treatment or diagnostic. Our feet are what keeps us going steady through life, and any issue with them can bring about a lot of pain and discomfort. We ensure your recovery and recuperation is done smoothly!

CONDITIONS TREATED

Proper foot care begins with a consistent daily routine. The following steps can help minimize the risk of complications:

Inspect Your Feet Daily: Check for cuts, blisters, redness, swelling, or any changes in skin texture or color. Use a mirror or ask for assistance if needed.

Wash and Dry Thoroughly: Clean your feet daily with lukewarm water and mild soap, avoiding hot water to prevent burns. Dry your feet carefully, paying special attention to the areas between the toes.

Moisturize with Care: Apply a gentle moisturizer to keep the skin soft and prevent cracking, but avoid the spaces between the toes to reduce the risk of fungal infections.

Trim Nails Safely: Trim toenails straight across and file any sharp edges to prevent ingrown nails. Seek professional help if you have difficulty doing this yourself.

Choose Proper Footwear: Wear shoes that fit well, provide support, and protect your feet from injuries. Avoid tight, high-heeled, or open-toed shoes.

When To See a Podiatrist

Regular visits to a podiatrist are essential for people with diabetes. These specialists can address specific concerns, such as:

• Treating foot ulcers or infections.

• Removing calluses or corns that may lead to pressure sores.

• Providing custom orthotics for better support and pressure distribution.

• Educating patients on foot care best practices tailored to their condition. Seek immediate medical attention if you notice any signs of infection, such as swelling, redness, warmth, or discharge.

Tips For Prevention

• Maintain blood sugar levels within the target range to support nerve and vascular health.

• Avoid smoking, as it reduces circulation and slows healing.

• Stay active to improve blood flow to your feet. Low-impact exercises like walking or swimming are excellent options.

Diabetic foot care is not just about protecting your feet—it’s about preserving your overall health and mobility. Following a consistent foot care routine, wearing appropriate footwear, and consulting a podiatrist regularly, you can minimize risks and live a more active, healthy life.

We all know some of the issues of snoring such as: sleep deprivation, negative impact on overall health and quality of life, tiredness, headaches, irritability, dry mouth and relationship difficulties.

Studies have shown a link between snoring and an increased risk of heart attack and stroke. NightLase® is a noninvasive way to treat snoring with a laser.

the treatment.

NightLase Laser Snoring Treatment

NightLase works by rejuvenation of the fibroblasts in the soft palate thus stimulating the formation of collagen. Each treatment takes from 15 to 20 minutes and no anesthesia is required. The procedure is comfortable and you can resume your daily routine immediately afterwards. Results are often seen after the first session.

1. Have You Lost One or More of Your Teeth?

2. Are You Embarrassed by Your Smile or Missing Teeth?

3. Are You Tired of the Daily Hassles of Denture Wear?

4. Do You Have Bone Loss Where Teeth Were Pulled?

5. Do You Have Pain of Discomfort When Chewing?

Dental Implants Replace Missing Teeth for Young and Old. Nearly Everyone Is a

It does not treat sleep apnea, specifically, which is usually treated with a CPAP device or oral appliances, but can reduce the effects of sleep apnea and decrease the amplitude of snoring by means of a gentle, laserinduced tightening effect caused by the contraction of collagen in the oral mucosa tissue.

NightLase does not require surgery of the soft palate or uvula. The treatment takes usually three office visits over two months. An examination and radiographs are required prior to treatment for your evaluation. Dental and medical insurance does not cover the cost of

Prior to entering private practice, he served a general practice residency at Sepulveda Veteran’s Hospital. Dr. Rogers has invested significant time into ongoing education, seeking to learn emerging dental technologies and techniques in the areas of cosmetic dentistry, implant dentistry, sleep apnea treatment, orthodontics, temporomandibular joint (TMJ) disorders, and safe amalgam replacement. His most recent training in airway management has allowed him to offer a cure for sleep apnea using an intraoral device known as the DNA appliance. He is a member of the International Academy of Oral Medicine and Toxicology, American Academy of Dental Sleep Medicine, American Academy of Craniofacial Pain, and also of Mercury-Free Dentists. He has served as a guest author for TMJ News & Views, and when that publication ceased, began his own quarterly newsletter. You may have seen one of his television interviews on “A New Me” or the local PBS station, or seen his articles and features in Ladies’ Home Journal, Arlington Magazine, and New Beauty. Dr. Rogers is an active participant in the community as a sponsor for Encore Theater, Little League of Alexandria, Abingdon Elementary, and the local Fairlington Farmer’s Market. He and his wife Terri enjoy spending time with their daughter Megan and her husband Corey traveling around the country and the Caribbean.

Karl A. Smith, DDS, MS

Meet Periodontist, Karl A. Smith, DDS, MS

Dr. Smith is a dentist who also specializes in treatment of gum disease, cosmetic smile enhancement procedures, and dental implants to replace teeth that are missing. Although no one likes to go to the dentist, he strives to make your visits as comfortable and pleasant as possible. He strongly believes that value and comfort is an important part of quality dental care. The right to choose a dentist and provider of care is an important freedom. Referrals from patients and friends of the practice are welcome. We also work closely on referral from your family dentist, but a referral is not required to visit our office. Everyone that is interested in keeping their teeth for a lifetime should see a periodontist for screening.

Dr. Smith’s colleagues describe him as a gentle, easy-going person that provides expert care to patients. People come from near and far to experience the comfort of his office and patient-oriented team. He has been consistently voted by his peers a Top Dentist in Washingtonian Magazine , and Northern Virginia Magazine

WHAT TO EXPECT ON A VISIT

WITH DR. SMITH:

Dr. Smith says that “From the first phone call you will be treated with care and concern for your unique dental condition. Every question you have ever had about your dental health will be covered as well as any financial considerations you may have. It is my goal to care for each and every person that comes through my doors and to exceed your expectations from a dental office. I promise to always give you honesty and accuracy when it comes to your treatment. I will never start treatment without your full knowledge, understanding, and acceptance of your condition.”

Degrees, Training and Certificates:

Doctor of Dental Surgery Degree from the University of California, Los Angeles 1981. General Practice in the U.S. Air Force Dental Corps.. Successfully completed three additional years of advanced training in the specialty of Periodontics, Dental Anesthesia and Implants in 1992 at the University of Texas Health Science Center, San Antonio and Wilford Hall USAF Medical Center. Retired from the U.S. Air Force as a Lieutenant Colonel in 1996. Fellowship in the Academy of General Dentistry and in DOCS, a sedation organization for dentists.

Meet Sylvie Lam

Dr. Sylvie Lam is dedicated to delivering high-quality, personalized care, influenced by her military and civilian training, emphasizing excellence and integrity. With 13 years of experience in government and private practices, patients appreciate her genuine commitment, upbeat personality, and energy. She graduated from the University of Maryland School of Dental Surgery in 2008 and completed an Advanced Education General Dentistry (AEGD) Residency at Wright Patterson Air Force Base in 2009, followed by service as a dental officer at the Pentagon Tri-Care Clinic. Dr. Lam has spent the last ten years in private practice, focusing on cosmetic, restorative, and rehabilitation treatments.

Before becoming a dentist, she was a licensed CPA, working for national and regional accounting firms. Dr. Lam holds dual B.S. and B.A. degrees in Biology and Accounting from the University of Richmond. She also earned an MBA and a DDS from the University of Maryland College of Dental Surgery in 2008.

In 2019, Dr. Lam received the Fellow Distinction from the Academy of General Dentistry (FAGD), achieved by only 5% of dentists nationwide, signifying her commitment to lifelong learning. She is passionate about enhancing oral health and creating beautiful smiles as an art, as seen in her portfolio of cosmetic and restorative cases.

Dr. Lam is a member of the Academy of General Dentistry (AGD), American Dental Association (ADA), Academy of Cosmetic Dentistry (ACD), and Northern Virginia Dental Association (NVDA). She volunteers her time with dental missions and not-for-profit organizations, including Operation Smile, HOPE for Tomorrow, and the Northern Virginia Dental Clinic.

Featured Health Professionals

Local Professionals Empowering and Encouraging People To Live Healthier

Jeffrey L. Brown, DDS

TMJ & Sleep Apnea Treatment

Meet Jeffrey L. Brown

Dr. Brown’s practice focuses on TMJ, sleep apnea and orthodontics. This allows Dr. Brown and his team to provide individualized, focused care for patients dealing with these specific issues. Every day, his practice helps patients of all ages with facial development, sleep issues, chronic headaches, migraines, neck pain, movement disorders, and much more. His training also includes multiple disciplines involving the cranial bones in the skull, and the discs in the jaw joints. Through treatment, Dr. Brown is able to reduce these symptoms, align cranial bones, avoid extractions, and greatly reduce the need for traditional braces. His expertise allows him to identify issues early on which promotes proper facial development using dental appliances. If there is an internal imbalance, whether an adult or child, the body does not develop or function properly. When the cranial bones are lined up correctly, patients are able to function, sleep and generally live better.

With that in mind, the team at Sleep & TMJ Therapy takes a whole-body approach when treatment planning. They work hand in hand with physical therapists and osteopathic doctors for a better success rate. Dr. Brown is devoted to helping patients of all ages live a symptom free life.

Degrees & Certifications

Dr. Brown earned his degree from Georgetown Dental School and completed residencies with Emory University Hospital for Dental Sleep Medicine and the ALF Appliance Therapy Institute.

Outside the Office

When not seeing patients, Dr. Brown is a sought-after speaker. He has lectured all over the world, including D.C., Dubai, Seoul, London, Norway and Toronto. He has also been featured on Channel 9’s Good Morning Washington, several podcasts, and numerous magazines and journals.

Professional Affiliations

Dr. Brown is a diplomate of the American Academy of Craniofacial Pain, a member of the American Academy of Dental Sleep Medicine, American Academy of Gnathological Orthopedic, Academy of Integrative Pain Management American Dental Association, a Fellow of the American Academy of Craniofacial Pain, and Legacy Provider for the ALF Interface Academy.

Do you have TMD or Sleep Apnea?

TMD Symptoms: Noise in the jaw joints when opening and closing your mouth, difficulty chewing, limited opening, tender facial muscles, ear ringing, uncomfortable bite, jaw locking, headaches, migraines, dizziness, vision issues as well as pain in the jaw area which can radiate to the ears, head, neck, shoulders, and back.

Sleep Apnea Symptoms: Snoring, waking up gasping for air, feeling tired and irritable in the morning, difficulty controlling weight, concentration problems, morning headaches, episodes of not breathing, waking with a sore throat, forgetfulness and mood changes. If you believe you may be suffering from TMD or Sleep Apnea, don't wait... Call today to schedule a consultation with Dr. Brown: 703-821-1103.

Vikram Chauhan, DMD

Dental Services You Can Rely On

Meet Dr. Vikram Chauhan

Dr. Vikram Chauhan offers a patient-centric approach at a state-ofthe-art dental facility, creating beautiful smiles that are both aesthetically pleasing and functional. From dental implants, Teeth-in-a-Day, and full-mouth reconstruction to crowns and veneers, Dr. Chauhan is uniquely qualified to meet all your dental needs at his beautiful office in Vienna, VA.

Your Cosmetic, Restorative, and Implant Dentist in Vienna, VA, Dr. Vikram Chauhan, was born in Fairfax, Virginia. After completing his undergraduate degree in biology, he enrolled in the dental program at the Tufts University School of Dental Medicine, where he earned his Doctor of Medical Dentistry in 2018. He then attended the general dentistry residency program at Cabell Huntington Hospital through Marshall University in Huntington, WV. After completing his residency, Dr. Chauhan returned to Virginia and, in 2022, purchased his first practice in Vienna.

Dr. Vikram Chauhan takes pride in his expertise in implant dentistry. He has completed over 500 hours of implant-focused continuing education, including the 300-hour American Academy of Implant Dentistry-affiliated DC Maxicourse.

Additionally, Dr. Chauhan is licensed by the Virginia Dental Board to provide IV conscious sedation, making him one of the select few restorative dentists in Virginia certified and licensed to administer IV sedation.

Where Did You Study Dentistry?

When it comes to dental technology, we spare no expense. Dentistry in all its forms is continually changing, and we desire to remain abreast of the latest changes and advancements. This is why we proudly offer an array of technologies to improve the patient experience. Intraoral cameras, digital impression systems, digital X-rays, and even cone beam scanners are just a few of the state-of-the-art instruments and technologies offered in our dental office.

Featured Health

Naomi Gabrielle Will, DO

Board-Certified Otolarynogologist

Virginia Head & Neck Surgeons, PC

19455 Deerfield Avenue Suite #301 Leesburg, VA

Naomi Gabrielle Will, DO,

A Louisiana native, Dr. Naomi G. Will, graduated from Centenary College of Louisiana where she received her Bachelor of Science degree in Mathematics with a minor in Chemistry. She subsequently accepted a US ARMY Health Professions Scholarship and attended Rowan University in New Jersey for medical school training. She entered active duty in 2014 and completed residency training in Otolaryngology –Head & Neck Surgery at Walter Reed National Military Medical Center in Bethesda, MD. She graduated from Residency in 2019. MAJ Will completed active duty service after 10 years in June of 2024. She served as Chief of Otolaryngology from 2021 through 2023 and was an Associate Professor at Uniformed Services University. She is now a member of the Loudoun community and looks forward to creating a community with patients and local physicians alike. Dr. Will currently lives in Loudoun County with her husband, three children and Shiba Inu, Lola.

Interests include: INSPIRE

sleep apnea implantation, botox/ filler, thyroidectomy for thyroid disorders, and sinus surgery.

Learn More About Our Practice

Founded by Dr Andrew Silva, Virginia Head and Neck Surgeons & Specialized Hearing Center is family-owned and operated in Leesburg, VA. Since opening in 2006, we’ve treated every patient like they were a part of our family Dr Silva has been named as a Washingtonian Top Doctor for Otolaryngology Head and Neck Surgery multiple times. In addition, we are pleased that our surgeons have been recognized by Guide to American Top Physicians, Northern Virginia Magazine, Patient Choice Awards, Posh7 Best of Suburbia and Loudoun Times Best of Loudoun.

We provide ENT (Ear/Nose/Throat) and Audiology care for all ages.

Our practitioners include Andrew Silva, MD (Pediatric Otolaryngologist), Naomi Gabrielle Will, DO (Otolaryngologist), Dr. Linda Himler, AuD (Audiologist), Ambrosia Santana, PA-C (Physician Associate), and Kathryn Racke, AuD (Audiologist).

To schedule an appointment, call us today: 703-858-4439

Lynda Dean-Duru, DDS

Now Accepting New Patients. 44025 Pipeline Plaza Suite #225, Ashburn, VA

About Lynda Dean-Duru

Dr. Lynda Dean-Duru pursues pediatric dentistry with a passion rooted in her fascinating personal story.

For Doctor Lynda, the pathway to dentistry started during her own childhood experience with a dentist’s impact in her native Nigeria. As the eldest of nine children (including seven brothers), she witnessed a total transformation in the health of one of her little brothers after his aches and pains were totally resolved under the care of a well-trained dentist. As a result of this transformative experience, young Lynda determined to extend that kind of care to others as her life’s calling. She went on to earn her dentistry degree from the University of Benin, her General Practice residency from Howard University Hospital, her Pediatric Dentistry Specialty Training from Children’s National Medical Center, Board Certification from the American Board of Pediatric Dentistry, and her Fellowship Laser Certification from the Academy of Laser Dentistry.

Doctor Lynda has undertaken much continuing education in Orthodontic training and is a fellow of the United States Dental Institute and a member of the prestigious Gnathos education group in Atlanta, Georgia. She holds a certification in Oral Myology from the International Association of Oral Myology (IAOM). She has completed levels 1 and 2 of the Advanced Light force functionals (ALF) therapy, ALF Interface Academy Foundations, Genesis, and other courses.

Doctor Lynda is part of an Integrative team of healthcare providers seeking to deliver optimal health to our pediatric population by education, awareness, and collaborative care. She also has a special interest in treatment that focuses on infants’ breastfeeding and prevention of sleep apnea in children.

She is a member of numerous professional and civic associations and provides tens of thousands of dollars in pro bono screenings and procedures along with other community service in Northern Virginia every year.

Krystle Dean-Duru, DDS

Ashburn Children’s Dentistry

info@kidzsmile.com

About Krystle Dean-Duru

Family dentistry has been a way of life for me, and the passion for caring for children is in my genes. My mother, Dr. Lynda Dean-Duru, also a pediatric dentist, was my first inspiration towards family dentistry. Having started my journey in family care working as a pediatric dental assistant at Ashburn Children’s Dentistry, I spent many summers as my mother’s mentee. Watching what seemed like magical healing art she deployed while treating her patients and knowing the need and the power of proactive preventive dental health for children, I chose a career specializing in pediatric dentistry.

It is an honor to join my mother in practice at Ashburn Children’s Dentistry where I get to fulfill my commitment to helping each child and parent have a positive and transformative dental experience, with compassion and fun! Having matured as an integrative laser pediatric dental surgeon and absorbing the ethos of Ashburn Children’s Dentistry, I work tirelessly to stay abreast of emerging research, and improve the quality of life for children by learning from the world’s leading researchers and clinicians. Through these means, we are continually integrating critical aspects of oral structure, craniofacial development, and its impact on the pediatric airway in the service of providing optimal patient outcomes. Caring for children is so powerful and rewarding and with that, understanding the importance of utilizing gentle and minimal intervention therapies. Treating the source of their issues—instead of the symptoms—and focusing on early prevention, has been critical to my role in educating parents and assisting their blossoming child’s development into a healthy and resilient adult.

I hold an undergraduate degree from Columbia University in New York, where I studied Psychology. I received a Doctorate of Dental Surgery from Virginia Commonwealth University in Richmond, Virginia and completed my Pediatric Residency at Interfaith Department of Dental Medicine in Brooklyn, New York, where I served in a leadership role as Chief Resident. Board certified, I am a proud Diplomate of the American Board of Pediatric Dentistry.

When not helping my young patients build happy smiles, I enjoy spending time with family and friends, growing in my faith, improving my dancing skills, learning boxing moves, traveling — and cheering on Washington sports teams!

“Dr. Krystle,” as she is known by her patients, is thrilled to join her mom, Dr. Lynda, in practice. Patients and parents compliment her fun, compassionate approach. They are also impressed by her commitment to helping each child and parent have a positive dental experience. Having matured as a dental surgeon, she is constantly working to enhance her capabilities in the field.

Meet Daphne King

Are you struggling to connect with your partner, feeling unappreciated, or spending more time arguing than enjoying each other? Are mood swings, depression, or self-esteem issues affecting your life? Do you feel isolated or like your life is spinning out of control?

Dr. Daphne King, a licensed clinical social worker in Virginia, specializes in marriage, couples, and relationship counseling, as well as treating depression, anxiety, self-esteem issues, and suicidal ideation. She works with adolescents, adults, and families using Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and trauma-informed care.

Dr. King’s compassionate, holistic approach helps clients achieve their healthiest lives by addressing all environmental factors. With extensive experience in crisis intervention, foster care, and psychiatric settings, she’s committed to empowering individuals and families to thrive.

Featured Health Professionals

Beverley Boothe, PhD, MSW,

Meet Dr. Beverley Boothe

Dr. Beverley Boothe is the President and CEO of Life Enrichment Counseling Center, Inc., based in Northern Virginia. Founded in April 2005, Life Enrichment Counseling Center is dedicated to providing exceptional counseling and therapy services to children, adolescents, adults, and families throughout the DMV. With office locations in Gainesville, Alexandria, and Haymarket, VA, the center offers convenient access to both in-person and telehealth services tailored to individual needs.

As a Licensed Clinical Social Worker in Virginia, Dr. Boothe brings a wealth of knowledge and expertise to her practice. She holds a Ph.D. in Counseling and Psychological Studies from Regent University, a Master’s degree in Social Work from Howard University, and undergraduate degrees in Social Work and Psychology from York University. Her diverse experience encompasses roles in private, nonprofit, and government agencies, allowing her to serve clients from a comprehensive and holistic perspective.

Dr. Boothe is deeply committed to fostering a nurturing and empathetic environment, ensuring that her team of highly skilled clinicians empowers clients on their healing journeys. She believes in the transformative power of therapy to help individuals lead fulfilling and meaningful lives.

FEATURED CLINICIANS:

MARIA FAHRION, MA, LPC (Bilingual)

Maria Fahrion, LPC, provides bilingual telehealth counseling in English and Spanish for teens and adults at Life Enrichment Counseling Center. With a holistic approach, she draws from diverse experience in mental health, substance abuse, and post-hospitalization care. Maria holds advanced degrees in clinical mental health counseling and elementary education.

LIDIA MENGISTU, ME.D.

Lidia Mengistu, a therapist at Life Enrichment Counseling Center, specializes in trauma-informed, holistic care for adolescents and adults. With degrees from Old Dominion and George Mason Universities, she uses evidence-based approaches like CBT, solution-focused therapy, and somatic therapy, emphasizing person-centered care and faith-based perspectives when requested.

LifeEnrichmentCounseling.com

1050 Connecticut Ave., NW Suite #500, Washington, DC 1101 Wilson Boulevard Arlington, VA

Meet Dr. Angela C. Johnson

I believe that by mastering our past we have the power to change our future. I use integrative approaches to assist clients with identifying their strengths and overcoming barriers that may impede their happiness and emotional well being. I firmly believe that if we change our thoughts we can change our lives. My goal is to assist you through the process towards lasting change.

I received my Master’s in Counseling Psychology from Wayne State University in Detroit, MI and my Doctorate in Counselor Education and Supervision from Argosy University. I utilize Cognitive-Behavior Therapy to bring about self-awareness and change through exploring thoughts, feelings, emotions, and behavior patterns to bring about personal growth and insight. My areas of focus includes: Anxiety, Depression, Grief/Loss, Relationship Issues, Life Changes, Domestic Violence, Sexual Abuse/Assault, PTSD, and Adjustment Disorders.

My office is located at 1050 Connecticut Ave., NW, Suite #500 inside the Washington Square Building, which has direct access from the Farragut North Metro station. I am located one block from the Farragut West Metro station and centrally located near Capitol Hill, Judiciary Square, Dupont Circle, Metro Center, and Gallery Place.

MASTERS LEVEL CLINICIANS:

Christa Jenkins

christa@aspirecounselingdc.com

I believe counseling is a personalized experience, tailoring the relationship to each client’s needs. Using an integrative approach combining person-centered and cognitive behavioral theories, I adapt as I learn more about my clients. I hold a B.A. in Psychology from Argosy University and am completing my M.A. at the Chicago School.

Esther Logah

esther@aspirecounselingdc.com

As a counselor at Aspire Counseling, I provide tailored, evidence-based support using CBT and Person-Centered approaches. With an M.A. in Counseling Psychology and over four years of experience, I specialize in ADHD, depression, anxiety, and couples counseling, fostering resilience and personal growth in a compassionate, supportive environment.

Laura Deter, Alcohol Freedom Coach

Meet Laura Deter

Drinking too much is NOT your fault!

Are you tired of lying about your alcohol use?

Are you tired of worrying about making it through the holidays without losing control of your drinking?

Are you tired of wondering if others know you don’t remember what happened the night before?

Are you tired of wondering if you made a fool of yourself or sent an inappropriate text, phone message, or email?

Will someone find out?

Our society pushes alcohol for every occasion - weddings, funerals, births, sporting events, relaxing after work, dealing with stress . . . I know there are more . . . And it’s even worse around the Holidays when we’re around family members who trigger us.

Then - when you are into the habit of drinking often, and you slip down into addiction, . . .

You’re told you have a disease or a moral failure and will have to quit immediately, abstain completely, and attend meetings in church basements for the rest of your life.

And you’re powerless.

No wonder you’re keeping your drinking a secret!

I’ve been there - and it’s hard. I’m here to give you hope. I have a better way.

What Does “Drink Responsibly” Mean Anyway

Not being honest with your doctor about alcohol use can be life threatening! You are NOT an alcoholic and you DON’T have to quit immediately or forever.

I’ve been where you are - not at “rock bottom” but knowing that my drinking was harming my life and my relationships.

Less than a year after my last drink, I was able to attend a wedding and not want a drink.

I could go to a Football Game Watching Party at a bar and not be triggered.

I’ve dealt with physical pain from multiple knee surgeries and the emotional pain of losing a parent - without drinking a drop of alcohol.

My husband and friends will tell you that I’m an empathic, highly sensitive and very emotional woman.

I was using alcohol to numb all the hard things in my life that I couldn’t handle. Life still gets hard, AND I KNOW in my gut and head that alcohol WON’T help me get through it.

I love being clear-headed!me get through it.

I love being clear headed!

Muge R. Kesen, MD

Meet Muge R. Kesen

Dr. Kesen is a clinical-researcher with over 10 years of experience both in academic and private practice settings with exceptional commitment to patient care and dedication to clinical research. She specializes in vitreoretinal and inflammatory diseases of the eye. She is board certified by the American Board of Ophthalmology (ABO) and is a member of the American Society of Retina Specialists (ASRS) and the American Academy of Ophthalmology (AAO).

FELLOWSHIPS

Vitreoretinal Diseases and Surgery 2009-2011

John Hopkins Medicine, Wilmer Eye Institute, Baltimore, MD

Medical Retina - 2008-2009

Duke University School of Medicine, Durham, NC

Ocular Inflammatory Diseases and Immunology - 2006-2008

University of Illinois at Chicago, Chicago, IL RESIDENCY

Ophthalmology - 2003-2006

Temple University, Lewis Katz School of Medicine, Philadelphia, PA MEDICAL SCHOOL

Hacettepe University, Faculty of Medicine, Ankara, Turkey - 1999

Featured Health Professionals

Gregory Cardinal, DPM

House Call

Foot Doctor Comes to You!

Degrees, Training & Certifications: Dr. Cardinal is a Midwest native and finished his undergraduate studies at the University of Minnesota. He pursued his doctoral education at Scholl College of Podiatric Medicine in North Chicago, IL and graduated with a dual degree of Doctor of Podiatric Medicine and Master of Science in Healthcare Administration and Management. Dr. Cardinal went on to complete a 3-year medical and surgical Residency with the VA Maryland Healthcare System with a focus in wound care, general podiatry and surgery. Dr. Cardinal is Board Certified by the American Board of Podiatric Medicine and is a Fellow of the American College of Foot and Ankle Orthopedics.

Special Interests/Services: Podiatrist in Motion is a unique practice whose primary focus is house calls for foot and ankle concerns. Dr. Cardinal will come to you, to your home or office; meaning no waiting rooms, no traffic and no rushed visits. He treats all ages specializing in many general podiatric concerns such as heel pain, medical pedicures, ingrown nails, warts and pediatric podiatry. He performs biomechanical exams and casting for custom orthotics. Dr. Cardinal also offers cutting-edge treatments such as laser therapy for fungal nails and musculoskeletal pain.

Personal Interests & Hobbies: In his free time, Dr. Cardinal enjoys playing tennis, running, spending time with family and friends and playing the guitar.

Practice Philosophy: Podiatrist in Motion’s mission is to bring the foot care clinic to you, in the comfort of your own home, office or wherever you may need care. Private-pay only.

Her state-of-the-art facilities in Asburn and Leesburg

Featured Health Professionals

Jacqueline D. Griffiths, MD

Meet Jacqueline D. Griffiths

Dr. Griffiths is one of this area's most experienced surgeons and offers stateof-the-art Laser Vision Correction, Cataract Removal, Multifocal Lens Implants, and Comprehensive Ophthalmology. She has helped thousands of patients who struggle with their vision. Her knowledge, compassion, and attention to detail are the reasons she was voted by her peers to be one of this area’s most elite physicians.

Degrees, Training & Certifications

Dr. Griffiths is a Board Certified Ophthalmologist. She received her undergraduate degree from Yale and her medical degree from the University of Michigan. She then completed her Ophthalmology residency at Georgetown University Medical Center.

Professional Memberships & Affiliations

Dr. Griffiths is the immediate past Ophthalmology Section Chief of Reston Hos

A native of Leesburg, VA, Claiborne M. Callahan, MD graduated with distinction from The University of Virginia in 1996. In 2000, she graduated from The University of Virginia School of Medicine. She completed her Ophthalmology Residency at Tulane University in 2004.

Prior to joining NewView Eye Center, Dr. Callahan was in private practice in Virginia, Florida, and Alabama. Her knowledge, experience and patientcentered focus allows her to spend quality time with each patient to diagnose, educate and treat them. She understands that patients have a choice with whom to entrust their eye care needs, and she prides herself on adhering to the highest ethical standards in the practice of medicine.

pital Department of Surgery, the former Chief of Ophthalmology for the Reston Ambulatory Surgical Center in Reston, VA as well as Loudoun Hospital in Leesburg, VA, Diplomate of the American Board of Ophthalmology, a Fellow of the American Academy of Ophthalmology, a member of the American Society of Cataract and Refractive Surgery, the Washington National Eye Center and others.

Dr. Callahan has performed thousands of cataract surgeries, as well as laser, glaucoma and eyelid plastic surgeries. She has treated a myriad of eye conditions throughout her career. She is committed to ongoing education and stays current with diagnoses and treatments. She attends several educational and training meetings yearly to remain in the forefront of ophthalmology advancements.

She is a Diplomate of the America Board of Ophthalmology, a Fellow of the American Academy of Ophthalmology, and others. • Custom LASIK & PRK

Laser Floater Removal

Meet Claiborne M. Callahan

Featured Health Professionals

Link Between Oral Health and Diabetes

The Dental Spa

Diabetes is a group of chronic inflammatory diseases that affect the body’s ability to process sugar. It is important for diabetics to maintain oral health because they are more prone to oral infections such as periodontal (gum) disease. Conversely, the presence of gum disease can make it harder for diabetics to control blood sugar levels.

Periodontal disease is a chronic ailment associated with elevated levels of systemic (whole-body) inflammation. It may increase a person’s chance of major cardio-vascular events (heart attack or stroke) or adverse pregnancy outcomes (low birth weight and pre-term delivery). It’s not surprising that a growing body of evidence suggests the two diseases are related.

Two Diseases With a Lot In Common

Diabetes is a risk factor likely to increase the severity of periodontal disease because diabetes reduces the body’s resistance to infection, making diabetics more susceptible to bacterial and fungal infections. Having serious gum disease (periodontitis) is likely to result in worsening blood glucose control in diabetics. It can also increase the risk of diabetic complications.

So, what’s the connection?

Both diseases are associated with the process of inflammation and immune response, attempting to fight, repair, and prevent disease from spreading. Prolonged inflammation can lead to serious problems.

What does this mean to you?

According to one large study, the risk of dying from a heart attack is twice as likely for diabetics with severe periodontitis – and for kidney disease, your risk is 8.5 times higher. Uncontrolled periodontal disease makes it six times more likely that the ability to control blood sugar levels will worsen over time. Having both can cause a significant deterioration in your overall health.

A Two-Way Street

Diabetes can’t be cured but is manageable. Diabetics who get effective treatment for periodontal disease also receive significant general health benefits. Many exhibit better blood glucose control and improved metabolic functioning.

What kinds of treatments might be needed? Some typical procedures might include: scaling and root planing (deep cleaning that removes plaque bacteria from teeth, above and below the gum line), antibiotic therapy, and oral hygiene self-care instruction.

If you’re at risk for diabetes you can prevent it. While there is a significant genetic component, a major risk factor is being overweight – weight control improves your chance of avoiding it. High levels of triglycerides or low levels of HDL (good) cholesterol are also risk factors. Cut out sugary drinks and eat healthier. Moderate exercise also helps.

Marvette Thomas, DDS

Cosmetic Dentistry, Invisalign® Platinum Provider

Meet Marvette Thomas

Dr. Marv Thomas established the Dental Spa in 2002. She earned an undergraduate degree in Chemical Engineering and later worked as a Nuclear Systems Engineer for three years. Driven towards her passion, she graduated from Howard University College of Dentistry with honors and did an internship at Sloan Kettering Cancer Center in Manhattan, New York in Oral Cancer Reconstruction.

PROFESSIONAL MEMBERSHIPS

Fellowship in Sedation Dentistry, The American Dental Association, The Academy of General Dentistry, The Virginia Dental Association, The Northern Virginia Dental Society, The American Orthodontic Society, The Dental Organization of Conscious Sedation. THE DENTAL SPA

The Dental Spa of Virginia has received several awards over the years and was one of the first Dental Spas worldwide and Dr. Thomas has helped other Dental Spas globally in becoming established. Dr. Thomas created this concept to take the fear out of dentistry and to transform the traditional ideas and perceptions of dentistry into a pleasant experience. The Dental Spa concept was written about on the front page of the Business section of the Washington Post in May 2007 for the unique services that it gives.

The Dental Spa is not only known for its tranquil environment and anti-anxiety atmosphere, but it is a state of the art modernized facility. It is where Feng Sui and technology comes together. When visiting our office, you will be greeted with sights, sounds, smells, taste and the feel of natural elements. But the operation of the facility does include many of the latest technology devices known in dentistry today to diagnose and treat our patients.

It's Never Too Late For a Straight Smile

When you hear the word “orthodontics,” what comes to mind? Probably a young teenager whose teeth are covered by a latticework of metal. There are indeed many orthodontic patients who fit that description. However, there now exists an increasingly popular alternative to traditional metal braces: Invisalign® clear aligners.

• Improved Oral Hygiene

• A Discreet Look

• More Dietary Choices

Comfort

Scan this QR Code to instantly discover your new Invisalign smile!

For the month of February only, The Dental Spa is offering $800 OFF your Invisalign treatment. Call 703-580-8288 to learn more!

SCAN THE CODE to instantly discover your new Invisalign® smile

One of the most frequent

Selling Your Home What You Should Know

questions seniors ask is what they should know about selling their home. Below we are going to share with you some of the most important things to note as a senior considering the sale of your home.

Prepare Your Home For Selling With an Inspection

One of the biggest pieces of advice we provide seniors looking to sell their home is to ensure the home itself is properly prepared for sale. If you have lived in your home for

From

many years, there may be unseen issues that you have overlooked. By having a home inspection prior to putting your house on the market you can identify any problems that could hinder the sale of your home such as minor issues with the roof, electrical or boiler. By doing this prior to placing your house up for sale you can ensure any issues are managed in advance, and you can get the best value for your home.

Understand the Value Of Your Home

Understanding the value of your property is one of the key factors when considering selling your home. One mistake that many seniors make is placing the home up for sale for much less than what it is worth in the hopes that they might receive a quick sale.

With this said, it’s imperative to understand the value of not only your home, but homes in your neighborhood so that you can properly assess the sale price of your home. Contact a local realtor for a property market analysis, which can help ensure that your home is valued correctly, and get the most out of your sale.

Work With a Realtor Who Is Experienced In Senior Selling Services

It might sound surprising, but not all realtors are experienced in senior selling. Working with a realtor who has experience in your circumstance can be incredibly valuable. Not only are they knowledgeable about the laws and benefits you might be entitled to as a senior selling your home, they can assist in providing advice and moral support when it comes to downsizing, staging, home renovations and selecting your new property.

Choosing to sell your home as a senior is no small feat, by utilizing the few tips above you can ensure the transition into the next phase of your life is as smooth as possible. For more questions, reach out to your local senior selling specialist realtor.

What Is CEREC Dentistry?

CEREC stands for “chairside economical restoration of esthetic ceramics” and is a computer-aided design and manufacturing system for dentists. CEREC combines a camera, computer, and milling instrument into one machine allowing tooth restorations to be created in the dentist office, all within a single visit.

In 1985 Serona launched CEREC, which marked the beginning of digitalization in dentistry.

CEREC crowns are more efficient and technologically advanced and have become the preferred option. While it can take weeks to receive a traditional dental crown, a CEREC crown uses computer-aided design (CAD) and computer-aided manufacturing (CAM) to create crowns in a single appointment. Not only that, but they allow for a better bite and more natural teeth for patients.

CEREC crowns fit perfectly. They look and feel like a real tooth thanks to computer-aided technology.

At your appointment, your dentist will use a small camera to create a 3D digital impression of your mouth. A milling unit is then utilized to create the ceramic crown. The dentist will then paint and glaze each tooth to match the rest of your mouth. Once this is complete, the dentist can bond the tooth into your mouth in a matter of minutes. It’s that quick and easy.

The entire process should only take about two hours. The CEREC crowns are created with advanced accuracy and precision, look and feel like a real tooth, and every step of the process is much more comfortable for the patient.

You won’t need to wear a temporary crown or have uncomfortable impressions of your mouth taken. Plus, you will experience much less post-operative sensitivity. And don’t forget, you only need to schedule a single appointment.

Crowns and Veneersby CEREC

If you believe that you or your child could potentially benefit from

Orthodontic Consultation What To Expect

orthodontic treatment, the first step would be to schedule an appointment for a consultation with an orthodontist. Orthodontists are simply dentists who have received an extra 2-3 years of specialized education beyond dental school to learn the proper way to straighten teeth and correct bite problems.

Children, teenagers, young adults, middle-aged men and women as well as seniors are taking advantage of the

Great Smiles Start Here

simplicity that distinguishes today’s orthodontics.

Although many patients are referred by their family dentist, you can still make an appointment without a referral from your dentist. During this first consultation appointment the doctor will conduct a thorough examination of teeth, bite, TMJ and facial soft tissue. This information is used to outline the problems that are present.

The doctor also presents you with a tentative treatment plan, an estimate of the length of treatment and any alternative treatment options such as Invisalign. If you have any further questions or concerns they may also be discussed at this appointment.

re-evaluation.

If treatment is recommended and you would like to get started, the next step is to schedule an appointment for full diagnostic records. Diagnostic records comprise photographs, radiographs, bite registration and models of your teeth. These records will give the doctor all the information needed to develop a detailed custom treatment plan that will give an optimal bite and smile for each patient.

*we offer complimentary consultations*

Specializing in treatments for adults and children. Our office offers a wide range of appliances including traditional braces, clear braces and Invisalign. We are equipped with state of the art technology to ensure our patients receive the best treatment. 9010 Lorton Station Blvd., Suite 260, Lorton, VA 22079

When all your questions have been answered a treatment coordinator will cover payment plans, insurance matters, and appointment scheduling. Some patients (especially kids) are not ready for treatment when examined. In those cases, the patients are placed on a recall program (observation) and the family is sent a reminder in the future to come back for an orthodontic

Diagnostic records are also helpful in tracking the progress of treatment as the teeth move into their corrected positions. Mostly, records may be taken during the initial consultation appointment, if not you may choose to schedule a second appointment. Records appointments take about 2030 minutes.

After the final diagnosis and treatment plan are developed, you will be ready to begin your orthodontic treatment. If you are interested in learning more about braces, or about your specific orthodontic needs, call us to schedule a free consultation appointment.

Ensuring Healthy Smiles and Sound Sleep For Your Child

Proper breathing during sleep is crucial for the overall well-being of children, yet many parents may not be fully aware of potential issues related to Sleep-Related Breathing Disorders (SRBD), which includes pediatric obstructive sleep apnea (OSA).

SRBD refer to disturbances in normal breathing patterns during sleep, ranging from common snoring to more severe pauses in breathing known as

apnea events. These interruptions can lead to sleep deprivation and a variety of health complications. In the case of children, untreated SRDB can result in developmental, behavioral, and emotional challenges, potentially leading to conditions like allergies, ADD/ADHD, and depression.

Pediatric OSA, a condition where the airway is partially or completely blocked during sleep, is often caused by enlarged tonsils or adenoids and a lack of tongue space. It differs from adult OSA, as it may manifest alongside behavioral issues and daytime sleepiness in children.

The Importance Of Proper Sleep and Open Airways For Children

During the first 18 months of a child’s life, crucial growth and developmental milestones occur, many of which are related to facial development. Ensuring proper breathing is essential for a child’s health and development, impact-

Please see “Healthy Smiles,” page 46

Upper Arm Liposuction / Upper Arm Lift

Many patients who have been successful in their weight loss journey, once the weight is gone, are disappointed to find that their upper arms do not look the way they expected. Weight loss is a major contributing factor to sagging excess skin on your upper arm. When you gain weight, the skin stretches to accommodate more fat. Unfortunately, skin doesn’t contract as easily as it expands. Loose

skin and remaining pockets of fat on the upper arm are very common after weight loss.

An Arm lift or Upper Arm Liposuction are both surgical procedures that can improve the appearance of your upper arms; however, they have different focuses and approaches.

An arm lift, or brachioplasty, will tighten, lift, and smooth the skin and tis-

sues of your arm for a more sleek and sculpted shape. The focus is on removing the excess sagging skin and attached fat to improve both the upper arm size and contour. An arm lift has a longer incision extending from the underarm to the elbow.

Arm Liposuction is a minimally invasive procedure for removing pockets of fat from the upper arm. It requires few,

Considering Plastic Surgery?

smaller incisions and doesn’t tighten the skin.

In many cases, both procedures are performed together for the best results. An arm lift can be helpful for people who have lost a significant amount of weight and whose skin can’t contract over their smaller arms. Arm liposuction effectively removes fat deposits that don’t respond to diet and exercise.

H ealtH y Smile S

ing facial features, jaw development, and overall growth. Mouth breathing can set off a chain reaction of issues, altering the growth of the lower and upper jaws, midface, and nasal bones, ultimately affecting the child’s facial balance.

Pediatric Sleep-Related Breathing Disorders (SRBD) and OSA Symptoms

Children with SRDB may present a range of symptoms, including:

• Difficulty falling or staying asleep

• Sleepwalking, night terrors, and other parasomnias

• Excessive daytime sleepiness

• Mou th breathing, dry lips, bad breath

• Dark circles under the eyes

• Tonsil and adenoid problems

• Snoring

• Teeth grinding

• Bed-wetting

• Inner ear infections

• Limited tongue/lip mobility

• Hyperactivity

• Difficulty concentrating

• Selective eating habits

• Bedwetting

In the case of pediatric OSA, symptoms may involve snoring, breath-

From page 38

ing pauses, restlessness, and coughing or choking episodes during sleep. Dentist’s Role

Contrary to conventional belief, pediatric dentists with specialized training are well-equipped to address symptoms related to sleep and airway conditions. The airway, mode of breathing, and malocclusion are closely interconnected and should be addressed early and holistically by dentists. Advanced technology, such as cone beam 3D imaging, allows dentists to effectively diagnose airway issues and guide proper growth and development. Early intervention is essential in guiding proper growth and development.

Convenient at-home sleep study tests are now available to diagnose pediatric sleep apnea and breathing issues. These tests provide comprehensive, accurate data for proper diagnoses.

Treatment goals encompass the elimination of detrimental habits, guiding optimal cranial, jaw, and facial development, preventing dental misalignment, and enhancing airway health and oxygen sufficiency. Various therapies, including oral appliances, myofunctional therapy and positive airway pressure therapy, can effectively alleviate symptoms.

Setting goalS

mitments, or carving out time for hobbies that bring joy and fulfillment.

It’s also important to acknowledge and process emotions rather than suppressing them. Grief, anxiety, or sadness may surface at different points during the year, and allowing oneself to sit with these feelings is an act of self-compassion. Journaling, talking with trusted friends, or seeking professional support can provide an outlet for these emotions and foster healing.

Connection plays a pivotal role in mental health, especially when dealing with challenges like depression, loss, or major life transitions. Building or strengthening relationships with supportive people can provide a sense of belonging and reduce feelings of isola-

oral a ppliance S

Bruxism Resistance: A rod system resists wear from teeth grinding.

Minimal TMJ Stress: Applies gentle force, reducing jaw discomfort.

Known for precision and effectiveness, the Panthera D-SAD is an ideal choice for patients seeking a CPAP alternative.

The Vivos DNA Appliance

The Vivos DNA (Daytime-Nighttime Appliance) addresses OSA by stimulating natural growth and airway remodeling. It provides:

Airway Expansion: Gradual widening reduces obstructions and enhances airflow.

Dual Purpose: Treats OSA while alleviating TMJ pain and craniofacial issues.

Comfortable Design: Similar to a retainer, it’s easy to wear and maintain.

Unlike symptom-managing devices, the Vivos DNA focuses on long-term improvements in airway function.

Benefits Of Oral Appliances Over CPAP

Many patients struggle with CPAP due to its discomfort and in-

From page 20

tion. Whether through family, friends, or support groups, sharing experiences can remind individuals that they are not alone.

Finally, be patient with yourself. Progress is not always linear, and setbacks are a natural part of growth. Instead of focusing on what hasn’t been accomplished, celebrate the small victories and use them as motivation to keep moving forward.

Taking care of mental health in the new year is not just a resolution— it’s a commitment to living a life that values balance, emotional resilience, and self-kindness. By setting intentional goals and prioritizing self-care, individuals can create a foundation for lasting well-being.

a nxiety

chain, which regulates the body’s fight-or-flight response. This nerve pathway transmits stress signals between the brain and the body. When this system becomes overactive, individuals may experience persistent symptoms such as nervousness, irritability, and difficulty relaxing. SGB interrupts these signals, providing a “reset” to the system and reducing anxiety symptoms.

Developed in the 1920s to treat pain, SGB has also proven effective in treating anxiety disorders. A study involving 285 patients demonstrated that SGB significantly reduced anxiety symptoms, as measured by the Generalized Anxiety Disorder-7 (GAD-7) scale. Patients treated with a single SGB showed an average reduction of 7 points on the scale, while those undergoing bilateral treatments (on both sides of the neck) experienced

convenience. Oral appliances provide advantages such as:

Comfort and Compliance: Easier to tolerate, leading to better adherence.

Portability: Small and discreet, perfect for travel.

No Electricity Needed: Operates without power, ideal for outages or trips.

Who Can Benefit?

Oral appliances are effective for mild to moderate OSA and for those unable to tolerate CPAP therapy. A trained dental professional can recommend the best option for you, such as the Panthera D-SAD or the Vivos DNA.

A Better Night’s Sleep Without CPAP

Struggling with CPAP? Oral appliances like the Panthera D-SAD and Vivos DNA provide effective, comfortable solutions that improve sleep quality and treatment adherence. Schedule a consultation with our office to explore your options and take the first step toward restful nights and refreshed mornings.

From page 18

a decrease of about 10 points. These results persisted at least one month after treatment, representing a substantial improvement well beyond the threshold for clinical significance.

The potential of SGB lies in its ability to directly address the physiological underpinnings of anxiety. By calming the overactive fight-orflight system, SGB may augment (not replace) traditional treatments like therapy and medication. While not a cure, this innovative approach offers hope to individuals for whom standard treatments have been inadequate.

Further research is necessary to confirm these findings and establish SGB as a standard option for anxiety treatment. However, the initial results are encouraging, providing a foundation for clinicians to consider SGB as part of a comprehensive approach to managing anxiety disorders.

HEALTH DIRECTORY

ACUPUNCTURE

Wholelife Chinese Medicine & Acupuncture – 301-526-9898 –416 Hungerford Drive, Rockville, MD – www.WholelifeHerb.com.

BEAUTY & SKIN CARE

Healthydermis – 571-502-0202 – www.MyHealthydermis.com –Locations in Oakton and Gainesville, VA.

COSMETIC SURGERY

Bitar Cosmetic Surgery Institute – George John Bitar, MD – 703206-0506 (VA, DC, MD).

COUNSELING

Loudoun Counseling & Coaching, LLC – 21155 Whitfield Place, Suite #202, Sterling, VA – 571-3750668 – www.LoudounCounselingCoaching.com.

DENTAL CARE

Richard Hughes, DDS – 703-4441152 – 46440 Benedict Drive, Suite #201 Sterling, VA – www.SterlingImplantDentist.com

Dental Dynamic Wellness –703-775-0002 – 20755 Williamsport Place, Suite #300, Ashburn, VA 20147 – For more info please visit our website today at www.DynamicDentalWellness. com.

Karl A Smith, DDS – 2550 N. Van Dorn Street, Suite #128 Alexandria, VA – Call 703-894-4867 –Visit www.DrKarlSmith.com.

Samfar Dentistry – 11213 Lee Highway, Suite A, Fairfax, VA 22030 – 703-591-4111 – SamfarfamilyDentistry.com

DENTAL CARE

Let’s Smile Dental – Fairfax, VA 703-719-5828 – Fredericksburg, VA 540-785-4494 – Herndon, VA 703-719-5828 – Faifax Cosmetic

Dentistry 703-968-4300 – Alexandria, VA 703-658-3000 – Reston, VA

703-719-5828 – Centreville, VA

703-719-5828 – Purcellville, VA

540-338-9400 – Springfield, VA

703-719-5828 – LetsSmile.com

Ike V. Lans, DDS – 44110 Ashburn Shopping Plaza, Suite #166, Ashburn, VA 20147 – 703-7291400 – LansFamilyDentistry.com

Smile Wonders – 11790 Sunrise Valley Drive, Suite #105, Reston, VA 20191 – 571-350-3663 – www.SmileWonders.com.

The Dental Spa – 12351 Dillingham Square Woodbridge, VA 22192 – 703580-8288 – www.TheDentalSpaOfVirginia.com.

Fairlington Dental – Michael Rogers, DDS – 703-671-1001 – 4850 31st Street South, Suite A, Arlington, VA 22206 – www. fairlingtondental.com

Vienna Implant & Family Dentistry – VIkram Chauhan, DDS – 703281-2111 – 112 Pleasant Street, NW, Suite H, Vienna, VA 22180 – viennadentalexperts.com.

Esthetique Dentistry – Garima K. Talwar, DDS, MS – 703-729-6222 – 44345 Premier Plaza, Suite #220, Ashburn, VA 20147 – www. esthetiquedentistry.com.

HAIR RESTORATION

Bravadas Wig & Hair Restoration – 10560 Main Street, Penthouse #12, Fairfax, VA 22030 – 703-3524247 – www.bravadas.com

HEARING

Hearing Doctors – 571-999-8359 – 1320 Old Chain Bridge, Suite #185, McLean, VA 22101 – hearingdoctors.com.

HYPERBARIC & WOUND CARE

Holistic Family Health – Thermal Imaging, Herndon, VA – 703-6356324 – For More information visit www.fhtid.com.

LAW OFFICE

Samakow Law – Paul Samakow – 833-MY-BURNS – www.nationalburnattorney.com

NEUROLOGY

Loudoun Neurology Associates, PC – 703-729-1900 – 19420 Golf Vista Plaza, Suite #340, Leesburg, VA 20176 – www.loudounneuro. com.

OPHTHALMOLOGY

NewView Laser Eye Center – Jacqueline D. Griffiths, MD – Reston 703-834-9777 or 800-294-1001 – For more information visit us at www.NewViewEye.com

ORTHODONTICS

All Smiles Orthodontics – 9010 Lorton Station Bouleard, Suite #260, Lorton, VA 22079 – www.AllSmilesBraces.com – For nore information call us at 703-337-4414

Order Information: 3 line listing $30.00 for 6 months, $5.00 for each additional line. 10 line listing for 6 months is $65.00. (Each line approximately 3-4 words)

To Order: Include you NAME, ADDRESS, PHONE, EMAIL AND WHAT HEADING YOU WISH TO BE LISTED UNDER, AND ANY SPECIAL OFFER OR TEXT TO INCLUDE. We will prepare a proof and email to you for approval.

Email your information to: info@yourhealthmagazine.net or Fax to: (301) 805-6808. Call (703) 288-6805 for assistance.

NORTHERN VIRGINIA EDITION

MARYLAND/WASHINGTON, DC OFFICE

4201 Northview Drive, Suite #401, Bowie, MD 20716 phone: (301) 805-6805 • fax: (301) 805-6808 • email: Info@YourHealthMagazine.net VIRGINIA OFFICE phone: (703) 288-3130 • fax: (703) 288-3174 • email: Publish@YourHealthMagazine.net

PEDIATRIC DENTISTRY

Ashburn Children’s Dentistry – Lynda Dean-Duru, DDS and Krystal Dean-Duru, DDS – 703810-7673 – 44025 Pipeline Plaza, Suite #225, Ashburn, VA 20147 – kidzsmile.com.

Lifetime Dental Care – April

Toyer, DDS – 14573 Potomac Mills Road, Woodbridge, VA 22192 – 703-499-9779 –www.LifetimeDentalCareVA.com

PLASTIC SURGERY

Bluemont Plastic Surgery – Mark Domanski, MD – 8316 Arlington Boulevard, Suite #630, Faifax, VA 22031 – 703-596-1660 – www. bluemontmd.com.

PLASTIC SURGERY

Sheilah A. Lynch, MD – 301-6525933 – 5530 Wisconsin Avenue, Suite #1440, Chevy Chase, MD 20815 – lynchplasticsurgery.com.

SENIORS

Chevy Chase Home Care – Help at time you need it most – Any Ages – Any situations – Any shifts – MD, DC, VA – 202-374-1240 –www.CHCHHomecare.com

SLEEP & TMJ THERAPY

Sleep & TMJ Therapy – Jeffrey L. Brown, DDS – 2841 Hartland Road, #301, Falls Church, VA –www.Sleepandtmjtherapy.com – 703-821-1103.

Sleep Disorders and Holistic Health

Exploring Oxygen Therapy, Red Light Therapy, and Salt Caves

Sleep is the foundation of health and wellness, yet millions of people struggle with sleep disorders such as insomnia, sleep apnea, and restless leg syndrome. Chronic sleep deprivation affects mental and physical health, leading to fatigue, impaired concentra-

tion, and a higher risk of conditions like heart disease and diabetes. While conventional treatments like medication and CPAP machines are widely used, holistic approaches are gaining traction for their ability to improve sleep quality by addressing underlying stress and promoting relaxation.

Oxygen Therapy & Sleep Health

Oxygen therapy, commonly used

for

Beyond its clinical use, oxygen therapy supports relaxation by improving cellular oxygenation, which promotes better circulation and energy levels. Regular sessions can enhance overall sleep quality, especially for those who experience fragmented sleep due to

poor breathing patterns.

Red Light Therapy For Stress Relief and Better Sleep

Red light therapy is a non-invasive treatment that uses low wavelengths of light to promote relaxation and improve sleep quality. By stimulating melatonin production—the hormone responsible for regulating sleep—red light helps the body transition into a restful state. Additionally, red light therapy reduces inflammation and muscle tension, common culprits of poor sleep. Many individuals report feeling calmer and more refreshed after consistent sessions, making it a valuable tool for those battling insomnia or stress-induced sleep disturbances.

Salt Caves: A Natural Remedy For Better Sleep

Salt caves, also known as halotherapy, offer a serene environment where individuals breathe in microscopic salt particles. This therapy is known for its respiratory benefits, helping to clear airways and reduce symptoms of asthma and allergies, which can disrupt sleep. The calming atmosphere of a salt cave promotes deep relaxation, lowering stress levels and improving sleep patterns. The negative ions in the salt are believed to enhance mood and boost serotonin, further contributing to restful sleep.

Holistic Health and Sleep Quality

Sleep and overall wellness are deeply interconnected. Stress, poor circulation, and inflammation can all disrupt sleep, but therapies like oxygen, red light, and salt caves offer natural, supportive solutions. By reducing stress, improving respiratory function, and fostering relaxation, these holistic treatments promote better sleep and overall health, helping individuals wake up refreshed and ready to face the day.

Elambert Richardson

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