Dr. Selen Tolu, DDS

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Welcome to the premier family dental practice of Greenbelt, Maryland.  Our dental practice is led by Dr. Selen Tolu, DDS. Our team services patients with the latest advancements in dental health care technology and delivers unmatched patient care.

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Dr. Selen Tolu, DDS

Welcome to the premier family dental practice of Greenbelt, Maryland.  Our dental practice is led by Dr. Selen Tolu, DDS. Our team services patients with the latest advancements in dental health care technology and delivers unmatched patient care.

Dr. Tolu’s office provides a comfortable, sterile, and unconditionally nonjudgmental setting that enables the effective treatment of any type of outpatient dental procedure.  Our mission is to create the most comfortable patient experience within the dental industry. Our team is comprised of credentialed and seasoned dental professionals, equipped with the latest dental technology and needed skills to provide outstanding service to families and individuals within the Greenbelt community. Dr. Tolu specializes in general, cosmetic, and restorative dentistry. At our practice, we pride ourselves in preserving the optimum environment for your oral and dental health.

Dr. Tolu is committed to staying current with the latest technology available. In fact, she is a certified Invisalign® provider and a member of the Academy of Laser Dentistry. Dr. Tolu’s certification in laser dentistry allows her to provide the most minimally invasive treatment options to all patients.

Dr. Tolu’s office is conveniently located in Belle Point Business Park in Greenbelt, Maryland.

Thank you for giving Dr. Tolu the privilege to care for you and your family. Schedule an appointment today and start your journey toward a beautiful smile!

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Custom-made mouthguards:

The American Dental Association (ADA) recommends custom-fitted mouthguards, as these provide the most effective protection.

A custom made mouthguard should:

Fit snugly and be comfortable

Allow normal breathing and swallowing

Allow the wearer to speak

Be odourless and tasteless

Be thick enough (4mm) to provide protection against impact.

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Types of mouthguards:

Custom-fitted – constructed and fitted to the shape of your mouth by a dental professional. These mouthguards have been proven to reduce the number and severity of mouth injuries in sport and during training.

Boil-and-bite – once the lining is softened in boiling water, the person bites on the mouthguard to help it take the shape of their mouth. The process of biting down onto the softened lining can decrease the guard thickness and therefore its effectiveness. These mouthguards can be uncomfortable to wear.

Ready-made – these are ready-to-wear mouthguards available over the counter at sports shops and pharmacies. While these are the cheapest mouthguard, they also offer the least amount of protection. They are bulky and hard to keep in the mouth due to their poor fit.

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Dental Mouthguards

A mouthguard, properly fitted, should be worn during any contact sport or activities where there is risk of an injury to the face e.g. footy, hockey, volleyball, soccer etc. Without a mouthguard, sports injuries and accidents can result in damage and injury to the gum, lips or teeth, tooth fractures, avulsed teeth or jaw fractures.

Significant trauma to permanent (adult) teeth is also common with falls from skateboards, roller-blades, trampolines or scooters.

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Root Canal Therapy

Root canal treatment is a procedure to relieve dental pain and prevent extraction. Patients typically need a root canal when there is inflammation or infection in the pulp tissue of a tooth. The most common causes of inflammation to the pulp are profound dental caries, large restorations, or cracks in the tooth structure. Usually, an inflamed pulp can cause discomfort, pain and swelling. If a root canal procedure is not initiated, the tooth may have to be removed.

During a root canal procedure, your dentist carefully removes the diseased pulp tissues. Afterwards, the canals are of the inner tooth are cleaned and shaped. The root canal and pulp chamber are subsequently filled. A crown placement will proceed the root canal procedure.

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TMJ

Tempromandibular Joint Dysfunction

Sonography – Measures vibrations from the joint when you open and close your mouth to identify joint derangements.

Electromyography (EMG) – Involves placing surface electrodes over the jaw muscles that pick up electrical impulses and send them to the recording instrument. It is used to measure the activity in the muscles during various movements.

Jaw Tracking (Electrognathograph, Kinesiography) – Analyzes mandibular movements three dimensionally. A headset is placed on the patient and a magnet is attached to the lower front teeth. Recording of the lower jaw movement is then made.

TENS – Ultra-low frequency electrical stimulation of the muscles to relieve muscle spasms and pain and help establish a “physiologic” jaw position.

Once the rest position of the jaw is determined, the patient undergoes extensive restorative dental procedures or orthodontics to maintain this new position.

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TMJ Tempromandibular Joint Dysfunction

Tempromandibular joint dysfunction (TMJ) can be characterized by pain and compromised movement of the jaw and surrounding muscles. Common symptoms include clicking and locking of the jaw,  difficulty chewing, and jaw pain. Also common are headache, muscle spasms, and joint locking.  In the United States, more than 3 million cases a year are diagnosed.  Treatment for TMJ includes stress management, relaxation, physical therapy, mouth guard, NSAIDs, and analgesics.

Neuromuscular dentistry is a dental treatment philosophy intended to correct a “malalignment”of the jaw at the temporomandibular joint and produce a balanced bite. The neuromuscular dentist uses several computerized instruments to measure your jaw movements and jaw muscle activity to determine the extent of your problem and to establish a “physiologic rest position” for the jaw. Here are some of the measurement techniques and procedures used:

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Bruxism “Teeth Grinding” – Treatment Options

Alleviating the effects of bruxism is easily attained through any number of oral devices, such as mouth guards. These can be purchased at drug stores and then self molded at home to give a proper fit. More personalized ones, that ideally fit the shape of the mouth and teeth can be acquired through a dentist or a dental lab, though these are understandably more costly.

Many cases have been found of individuals who only experience bruxism when sleeping in a specific position. The jaw being set in a certain position during sleep may trigger the natural eating reflexes of the brain, which are not turned off during sleep, and cause the bruxism. In these scenarios, refraining from sleeping in the position may decrease the incidents.

Though bruxism, like most sleep disorders, has no cure, if it’s suspected that stress or other similar factors may be causing the disorder, eliminating those problems may help alleviate the condition. In these cases, a doctor should again be consulted.

Relaxation techniques should also be used at night to calm the mind before sleep. This includes yoga, listening to gentle music, taking a hot bath or drinking green tea. Eating before sleep may also limit the natural reflexes of the jaw, though results of this method are unverified, and eating before sleep may lead to other problems.

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Bruxism Causes

Bruxism is often caused by stress or anxiety, and is also found with increased regularity in highly determined people. Bruxism may also be higher when caffeine or nicotine is consumed before sleep.

If bruxism is suspected, you may need to take steps to prevent or nullify it, depending on its severity. One step to detection is the BiteStrip, an overnight detection device that monitors jaw activity. An overnight sleep study can also be used to detect bruxism.

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Bruxism “Teeth Grinding” – Who gets it?

Bruxism is a common sleep finding, affecting 10% of people and as many as 15% of children. The bruxism rates decrease with age, and this may be due to the reflexive action that often causes bruxism. Bruxism rates are also higher in people with a family history of the disorder, with rates as high as 50%. Males and females are affected at about the same rate. Bruxism is often undetected. The first indication that there may be a problem often comes from the dentist who recognizes the damage done to the teeth.

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Bruxism Symptoms

Bruxism usually involves the incisors and canines moving laterally against each other, which can lead to tooth decay of the enamel, and the loss of their sharp biting surfaces. Bruxism is also damaging to any dental work done. It may also be due to the molars grinding together. In some people, bruxism will occur through clenching of the jaw, with little side to side movement. This can result in pain, and will likely disturb sleep. The sound of the teeth grinding together is not loud enough to disturb sleep in most cases.

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Bruxism

“Teeth Grinding”

Bruxism is a finding during sleep that is characterized by clenching and grinding of the teeth. This can occur numerous times during a sleep session, and can cause sleep disruptions, as well as damage to the teeth. Bruxism most often occurs in the early stages of sleep before deep sleep.

Bruxism can also happen unintentionally during waking hours, often as the result of stress or anger, but this is usually noticed within a few seconds by the subject.

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Periodontal ‘gum’ Therapy

The periodontium is the specialized structure surrounding and supporting the tooth. Periodontitis is when these supporting structures have disease and inflammation. If this condition is left untreated, then periodontal disease may result in the loss of teeth.

The earliest stage of periodontitis is gingivitis. Gingivitis is the inflammation of the soft tissues surrounding your teeth and is characterized by irritation, redness, and swelling of gums. Bleeding gums are a major indicator of gingivitis. Gingivitis can be caused by poor oral hygiene, including the lack of brushing and flossing. Other causes of gingivitis can include medications, hormonal changes, trauma, stress and pregnancy.

If gingivitis is left untreated, it can progress to periodontitis. Periodontitis is more specifically the inflammation and subsequent loss of bone surrounding the tooth. The effects of periodontitis are usually not reversible, and can ultimately result in tooth loss. Oral malodor , moving and shifting teeth, receding gums and toothache are all signs of periodontitis. Periodontitis is not a disease that can be cured, but can maintained and stabilized with regular care from your dentist.

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Full Mouth Rehabilitation

Teeth can become damaged or fall out for a number of reasons, including disease and trauma. Ideal candidates for full mouth rehabilitation need to be in good general health but have multiple missing or badly damaged teeth. Many full mouth rehabilitation patients also require the replacement of existing dental restorations that have worn over time. Although most full mouth rehabilitation plans require extensive work over multiple appointments, the result is a fully functioning mouth and excellent oral health that can last for decades.

In addition to providing full mouth rehabilitation, My Greenbelt dentist can meet your family’s needs for general dentistry services. We promise you the best in professional, friendly service.

To explore the possibility of a new set of teeth and the resulting surge in self-confidence and quality of life, make an appointment to discuss full mouth rehabilitation at My Greenbelt dentist today. Call our office in Greenbelt, MD at 443.360.5842 to learn more about the difference that full mouth rehabilitation could make in your life.

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Reasons for dental implants:

Replace one or more missing teeth without affecting adjacent teeth.

Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.

Restore a patient’s confident smile.

Restore chewing, speech, and digestion.

Restore or enhance facial tissues.

Support a bridge or denture, making them more secure and comfortable.

If you feel as though you would be a good candidate for a dental implant therapy, contact us today at 443.360.5842 for your caring and compassionate Greenbelt dentist.

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How is a dental implant placed?

Many people can feel extremely nervous about the idea of dental surgery, especially when it comes to dental implants. The process of placing a dental implant is actually much easier than many patients may think. The benefit of implant therapy over denture teeth is that they are able to offer much more stability, allowing your chewing ability to be restored. They can feel quite natural after the healing process is completed. Here are some of the basic steps involved in dental implant placement:

Implants are typically fabricated from titanium. Titanium is a biocompatible material that is not rejected by the jawbone, and serves as a sturdy replacement for your teeth. Your natural bone fuses with the implant surface, creating a solid interface capable of withstanding jaw forces.

The abutment is then crafted to sit on top of the implant. This will be the connecting piece between the tooth and the top crown which will resemble the natural tooth. This section is usually made of porcelain, titanium or gold and it will be attached directly to the implant with a screw.

The restoration section: This crown section is generally made out of a porcelain that is used directly with metal alloys. The crown will be cemented or screwed directly into the abutment and then covered with tooth material or composite.

Generally this entire process takes around 5 to 6 months depending on healing and implant placement site.  After the implant surgery takes place, your doctor needs to first make sure that the bone has properly integrated with the implant before the crown is installed. The dental implant can resembling your natural tooth and provide the same type of support and stability that you would receive from a natural tooth.

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