Maintaining an honest and long-term relationship with our patients is what differentiates us from other dental practices. It is for this reason, we use a “co-diagnosis” approach in which the patient and her doctor together decide the most effective course of treatment. Treatment options, advantages, prognosis, material and fees are discussed before treatment begins in order to ensure complete transparency.

Dental Check-ups and Comprehensive Exams

Comprehensive dental exams are done on all new patients and on all adult patients who have not visited the dental office for a period of more than 12 months. The dental check-up is almost similar to the full medical check-up done by a physician and the American Dental Association regards this comprehensive examination procedure to be the latest in standard of care.

During this examination, Dr. Rouhanian maintains a complete record of his findings so that your dentist can identify any change in your dental health that may not be easily perceived otherwise and is able to diagnose and treat of oro-dental problems early. In addition to comprehensive dental check-ups, your dentist will also discuss dental findings during your routine maintenance visits.

Preventing Dental Problems and Home Care

Having a daily dental routine at home can help maintain a healthy and beautiful smile. Quince Orchard Dental Care’s friendly staff are always here to restore and improve your smile whenever you need it, but it will be you who has to preserve its beauty. By keeping your mouth clean and clear of bacteria you can prevent future dental problems.

It is quite common for us to forget the important role that our diet plays in our oral health.  To promote optimal oral health, eating nutritious foods and completely balanced meals are important. Avoiding too much sugar consumption can also prevent dental caries and tooth decay. You should also avoid eating snacks frequently because this may also lead to increased buildup between your teeth and around your gums. Remember that the food you eat first enters through your mouth and directly affects the health of your teeth and gums.

Creating attractive and healthy smiles is Quince Orchard Dental Care’s primary goal for all our patients. You can help us achieve this by maintaining excellent personal oral hygiene–brush your teeth twice a day and floss. Remember to use proper dental tools to help control plaque and bacteria that will cause dental disease.

You want your healthy and attractive smile to last long after your dental appointment. Your daily oral hygiene practices will help keep your smile as healthy, fresh, and beautiful as the day you left our office.

Regular Teeth Cleaning

Whether you need regular or deep teeth cleaning is determined by your dentist during the clinical examination. During the examination, your dentist will check the condition of the periodontium and the condition of oral hygiene.

During your teeth cleaning, the dentist will remove both the soft deposit layer (also called as plaque) and firm deposits (also called calculus) stuck on your teeth. These deposits have the potential to cause cavities and gum problems. The greatest benefit of regular teeth cleaning is that the development of gum disease is avoided or intercepted.

In some cases, scaling and root planning, or deep teeth cleaning, may be advised for the purpose of inhibiting infection and inflammation of gum tissue caused by oral bacteria and also for stimulating gingival growth. This procedure is generally invasive in nature and so local anesthesia is administered to reduce pain and uneasiness.

Fluoride and Sealants

Fluoride is a mineral that occurs naturally in many foods and water. Every day, minerals are added to and lost from a tooth’s enamel layer through two processes, demineralization and remineralization. Minerals are lost (demineralization) from a tooth’s enamel layer when acids — formed from plaque bacteria and sugars in the mouth — attack the enamel. Minerals such as fluoride, calcium, and phosphate are redeposited (remineralization) to the enamel layer from the foods and waters consumed. Too much demineralization without enough remineralization to repair the enamel layer leads to tooth decay.

Fluoride helps prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. It also reverses early decay. In children under 6 years of age, fluoride becomes incorporated into the development of permanent teeth, making it difficult for acids to demineralize the teeth. Fluoride also helps speed remineralization as well as disrupts acid production in already erupted teeth of both children and adults.

As mentioned, fluoride is found in foods and in water. It can also be directly applied to the teeth through fluoridated toothpastes and mouth rinses. Mouth rinses containing fluoride in lower strengths are available over-the-counter; stronger concentrations require one of our dentists are Quince orchard Dental Care to write a prescription.

At our Gaithersburg office we apply fluoride to the teeth as a varnish. This treatment contains a much higher level of fluoride than the amount found in toothpastes and mouth rinses. Varnishes are painted on the teeth. This method is effective at providing the developing teeth with the right amount of fluoride.

In addition, people with certain conditions may be at increased risk of tooth decay and would therefore benefit from additional fluoride treatment. They include people with:

  • Dry mouth: The lack of saliva makes it harder for food particles to be washed away and acids to be neutralized.
  • Gum disease: Gum disease, also called gingivitis, can expose more of your tooth and tooth roots to bacteria increasing the chance of tooth decay.
  • Frequent cavities: If you have one cavity every year or every other year, you might benefit from additional fluoride.
  • Crowns, bridges or braces: These treatments can put teeth at risk for decay at the point where the crown meets the underlying tooth structure or around the brackets of orthodontic appliances.

Ask Dr. Rouhanian and  Dr. Lewis if you could benefit from additional fluoride.


These are also called pit and fissure sealants because they are designed to fill in the pits and fissures that are part of a tooth’s natural anatomy. It is recommended to place sealants on the permanent molar teeth as soon as they come in. Most of the decay in the molar areas starts in the pits and grooves of the chewing surfaces. Because of the likelihood of developing decay in the depressions and grooves of the premolars and molars, children and teenagers are obvious candidates for sealants. However, adults without decay or fillings in their molars can also benefit from sealants.

When properly applied and maintained, sealants can successfully protect the chewing surfaces of teeth. By forming a thin covering over the pits and fissures, sealants keep out plaque and food, thus decreasing the risk of developing a cavity.  Since the covering is only over the biting surface of the tooth, areas on the side and between teeth are not protected by the sealant.

Drs. Rouhanian, Lewis, and Johnson at Quince Orchard Dental Care pride themselves in offering a comfortable, state-of-the-art facility staffed by helpful, highly-trained professionals. By working together, you can find the best treatments for your dental needs and the expertise that you expect from a dentist.