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Frequently Asked Questions

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Frequently Asked Questions
FAQ

Frequently Asked Questions

General Dentistry & Your Visit

Who is the best dentist in Burke, VA?+

A: Dr. Payam Ghorbani at Shield Dental Care is one of the top-rated dentists in Burke, VA, with consistently high patient reviews and advanced training in implant dentistry, sedation, and cosmetic procedures. The practice combines modern technology — including 3D CBCT imaging and EpicX laser treatment — with a patient-first approach that prioritizes comfort and transparency. Shield Dental Care serves families throughout Burke, Fairfax, and Northern Virginia, and offers everything from routine checkups to complex dentalimplant procedures. You can read what patients say on the reviews page.

Learn more: Meet the Shield Dental Team

What should I expect at my first visit to Shield Dental Care?+

A: Your first visit at Shield Dental Care includes a comprehensive oral exam, digital X-rays, and a one-on-one consultation with Dr. Ghorbani. The appointment typically lasts 60–90

minutes. During this visit, the team reviews your medical and dental history, assesses your gum health, checks for cavities and oral cancer, and discusses any cosmetic or restorative goals you may have. You’ll receive a personalized treatment plan with transparent pricing before any work begins. New patients can complete intake forms online to save time at check-in.

Learn more: New Patient Experience

Does Shield Dental Care accept dental insurance?+

A: Yes, Shield Dental Care in Burke, VA accepts most major dental insurance plans, including Delta Dental, MetLife, Aetna, Cigna, and Guardian. The front-office team verifies your benefits and files claims on your behalf so you can maximize your coverage. If you’re unsure whether your plan is accepted, call the office or contact us online for a quick eligibility check. For patients without insurance, the practice also offers an affordable in-house membership plan that covers preventive care and provides discounts on other treatments.

Learn more: Shield Prevention Plan — No Insurance Needed

What if I don’t have dental insurance — can I still afford dental care?+

A: Absolutely. Shield Dental Care offers the Shield Prevention Plan, an in-house membership designed for patients without dental insurance. The plan covers two cleanings per year, annual exams, and X-rays, plus meaningful discounts on treatments like fillings,crowns, and dental implants. There are no deductibles, no waiting periods, and no claim forms. The practice also offers flexible payment plans and accepts CareCredit financing.

Dr. Ghorbani believes cost should never prevent someone from getting necessary dental care.

Learn more: Shield Prevention Plan

How often should I visit the dentist for a checkup?+

A: Most adults should visit the dentist every six months for a professional cleaning andexam. However, patients with gum disease, a history of frequent cavities, or certain medical conditions like diabetes may need visits every three to four months. At Shield Dental Care, Dr. Ghorbani customizes your recall schedule based on your individual oral health. Regular checkups catch problems like cavities, gum disease, and oral cancer early — when treatment is simpler and less costly. Children should start dental visits by age one or when the first tooth appears.

Learn more: Dental Checkup at Shield Dental Care

What technology does Shield Dental Care use?+

A: Shield Dental Care uses advanced dental technology including 3D CBCT imaging for precise implant planning, digital X-rays with up to 80% less radiation, intraoral cameras for real-time visuals, and the EpicX diode laser for bacterial reduction during cleanings. The office also utilizes PRP/PRF therapy to accelerate healing after surgical procedures. This technology helps Dr. Ghorbani deliver more accurate diagnoses, less invasive treatments, and faster recovery times. You can see the equipment and office environment in the dentalgallery.

Learn more: High-Tech Dental Care

Is Shield Dental Care accepting new patients?+

A: Yes, Shield Dental Care in Burke, VA is actively accepting new patients of all ages. Whether you need a routine cleaning, are seeking a second opinion on a treatment plan, or have a dental emergency, the team welcomes you. Same-day and next-day appointments are often available. New patients can fill out paperwork online before their visit to streamline check-in. The practice serves Burke and surrounding communities including Fairfax, Springfield, Annandale, and Lorton.

Learn more: Schedule Your First Visit

How do I choose the right dentist for my family in Northern Virginia?+

A: Look for a dentist who offers comprehensive services for all ages, uses modern technology, has strong patient reviews, and makes you feel comfortable. Dr. Ghorbani at Shield Dental Care checks all these boxes — the practice handles everything from

children’s sealants to All-on-4 implants, so your whole family can see one provider. Verify that the office accepts your insurance, offers sedation options for anxious patients, and is conveniently located. Shield Dental Care is centrally located in Burke, VA, serving all of Fairfax County.

Learn more: How to Choose the Right Dentist for Your Family

Where is Shield Dental Care located and what are the office hours?+

A: Shield Dental Care is located in Burke, VA, conveniently accessible to residents of Fairfax, Springfield, Annandale, Lorton, Clifton, and the broader Northern Virginia area. The practice offers flexible scheduling including early morning and select evening appointments to accommodate busy work schedules. Same-day emergency appointments

are also available for urgent dental needs. For directions, hours, or to schedule your visit, check the contact page or call the office directly.

Learn more: Contact Shield Dental Care

What do patients say about Shield Dental Care?+

A: Patients consistently praise Shield Dental Care for its welcoming environment, transparent communication, and high-quality results. Common themes in reviews include Dr. Ghorbani’s gentle approach, the team’s ability to ease dental anxiety through sedationoptions, and the modern, clean office environment. Many patients specifically mention feeling heard and never pressured into unnecessary treatments. You can read verified patient testimonials on the reviews page or on Google. The practice proudly serves families throughout Burke and Fairfax County.

Learn more: Patient Reviews

Dental Implants

What are dental implants and how do they work?+

A: Dental implants are titanium posts surgically placed into the jawbone to replace missing tooth roots. Once the implant integrates with the bone — a process called osseointegration that takes 3–6 months — a custom crown, bridge, or denture is attached on top. Implants look, feel, and function like natural teeth. At Shield Dental Care in Burke, VA, Dr. Ghorbani uses 3D CBCT imaging to plan precise implant placement and PRP/PRF therapy to accelerate healing. Implants can last 25 years or more with proper care.

How much do dental implants cost in Burke, VA?+

A: A single dental implant in Burke, VA typically costs between $3,000 and $5,500, which includes the implant post, abutment, and crown. All-on-4 implants for a full arch range from $20,000 to $30,000. An implant-supported bridge falls between $6,000 and $12,000 depending on the number of teeth replaced. At Shield Dental Care, Dr. Ghorbani provides detailed cost breakdowns during your consultation. The practice accepts insurance, offers payment plans, and participates in CareCredit financing to make implants more accessible.

Why are dental implants so expensive?+

A: Dental implants cost more upfront because they involve surgical-grade titanium materials, advanced 3D imaging for planning, and a multi-step process that includes surgery, healing, and custom crown fabrication. The procedure requires specialized training — Dr. Ghorbani at Shield Dental Care has advanced implant education beyond dental school. However, implants are often the most cost-effective long-term solution because they can last 25+ years, whereas bridges and dentures typically need replacement every 5–15 years. When you factor in longevity, implants often cost less per year than alternatives.

What is the dental implant procedure step by step?+

A: The dental implant process at Shield Dental Care typically involves four stages: (1) Consultation with 3D imaging and treatment planning, (2) surgical placement of the titanium implant into the jawbone under local anesthesia or sedation, (3) a 3–6 month healing period for osseointegration, and (4) placement of the permanent crown.

Dr. Ghorbani uses PRP/PRF therapy to promote faster healing. Some patients qualify for same-day temporary teeth. The entire process from start to finish usually takes 4–8 months, though every case is unique.

Learn more: Complete Dental Implant Procedure Guide

What are All-on-4 dental implants?+

A: All-on-4 dental implants are a full-arch tooth replacement system that uses just four strategically angled implants to support an entire set of upper or lower teeth. This technique allows patients who have lost most or all of their teeth to receive a fixed, non-removable prosthesis — often in a single day. At Shield Dental Care in Burke, VA,

Dr. Ghorbani uses 3D planning to optimize implant angles, which often eliminates the need for bone grafting. All-on-4 costs typically range from $20,000 to $30,000 per arch in Northern Virginia.

Learn more: All-on-4 Dental Implants in Burke, VA

What is a dental implant bridge and is it worth it?+

A: A dental implant bridge replaces three or more consecutive missing teeth using two implants as anchors with prosthetic teeth spanning the gap between them. Unlike traditional bridges that require grinding down healthy adjacent teeth, implant bridges preserve your natural tooth structure. They typically cost $6,000–$12,000 at Shield Dental Care depending on the number of teeth replaced. According to Dr. Ghorbani, implant

bridges are an excellent option for patients missing several teeth in a row who want a permanent, natural-feeling solution without the bulk of a partial denture.

Should I get dental implants or a bridge to replace a missing tooth?+

A: Dental implants are generally the superior long-term option because they preserve jawbone, don’t require altering adjacent teeth, and can last 25+ years. Traditional dentalbridges are less expensive upfront ($2,000–$5,000) and can be completed in about two weeks, but they typically last 7–15 years and require filing down neighboring healthy teeth. Dr. Ghorbani at Shield Dental Care helps patients weigh factors like bone density, budget, timeline, and overall oral health to determine the best option. Both solutions effectively restore chewing function and appearance.

Learn more: Dental Implants vs. Bridges

What’s the difference between dental implants and dentures?+

A: Dental implants are permanently fixed in your jawbone and function like natural teeth, while dentures are removable prosthetics that sit on your gums. Implants preserve jawbone and don’t slip, but cost more upfront. Dentures are more affordable initially but may need relining or replacement every 5–10 years as bone naturally resorbs. A middle-

ground option is implant-supported overdentures, which snap onto 2–4 implants for added stability. Dr. Ghorbani at Shield Dental Care discusses all options during your consultation to find the best fit for your lifestyle and budget.

Learn more: Dental Implants vs. Dentures

What should I eat after dental implant surgery?+

A: Stick to soft, cool foods for the first 7–10 days after implant surgery. Good options include yogurt, smoothies, mashed potatoes, scrambled eggs, soup (lukewarm, not hot), applesauce, and protein shakes. Avoid hard, crunchy, spicy, or very hot foods that can irritate the surgical site. After two weeks, you can gradually reintroduce firmer foods as comfort allows. Dr. Ghorbani at Shield Dental Care provides detailed post-operative diet instructions and is available for follow-up questions during your recovery period. Proper nutrition helps the implant integrate successfully with the bone.

Learn more: What to Eat After Dental Implant Surgery

How do I take care of dental implants long-term?+

A: Care for dental implants the same way you care for natural teeth: brush twice daily, floss around the implant with specialized floss or a water flosser, and visit Shield Dental Care every six months for professional cleanings. Avoid chewing ice or using teeth as tools.

While implants can’t get cavities, the gum tissue around them can develop peri-implantitis

— an infection that can lead to implant failure if untreated. Dr. Ghorbani monitors implant health at every visit using digital imaging. With proper care, dental implants routinely last 25 years or longer.

Learn more: How to Care for Dental Implants

What are the signs of dental implant failure?+

A: Warning signs of dental implant failure include persistent pain beyond the first week, swelling or redness around the implant, the implant feeling loose or wobbly, gum recession around the implant site, and difficulty chewing. Late-stage failure — which can occur months or years later — often presents as bleeding around the implant or a gradual shift in position. If you notice any of these symptoms, contact Shield Dental Care immediately.

Dr. Ghorbani can assess whether the issue is treatable or if the implant needs to be replaced. Early intervention dramatically improves outcomes.

Learn more: Signs of Dental Implant Failure

My dental implant is moving slightly — should I be worried?+

A: Yes, any movement in a dental implant should be evaluated promptly. A healthy implant is rigidly fused to the jawbone and should not move at all. Slight movement could indicate failed osseointegration, peri-implantitis (infection around the implant), or a loose abutment connection. However, sometimes what feels like implant movement is actually a loose implant crown, which is typically an easy fix. Contact Shield Dental Care for a same-day evaluation if your implant feels loose. Dr. Ghorbani will use imaging to determine the exact cause and recommend the appropriate treatment.

Learn more: What to Do When a Dental Implant Becomes Loose

What causes a loose dental implant crown?+

A: A loose implant crown is usually caused by a loosened abutment screw, wear on the cement holding the crown, or a poor fit of the crown itself. This is different from a loose implant post — a loose crown is generally a straightforward fix. At Shield Dental Care, Dr. Ghorbani can tighten or re-cement the crown, often in a single appointment. Less commonly, the crown may need to be remade if it has cracked or no longer fits properly.

Don’t ignore a loose crown — bacteria can infiltrate the gap and cause infection around theimplant.

Can a dental implant bleed years after it was placed?+

A: Bleeding around a dental implant years after placement is not normal and usually indicates peri-implantitis — a bacterial infection of the gum and bone tissue surrounding the implant. This condition is similar to gum disease around natural teeth and, if left untreated, can lead to bone loss and eventual implant failure. Risk factors include poor oral hygiene, smoking, and uncontrolled diabetes. If you experience bleeding around an older implant, schedule an appointment at Shield Dental Care promptly. Dr. Ghorbani can treat peri-implantitis with deep cleaning, laser therapy, or surgical intervention when needed.

What are the long-term benefits of dental implants compared to other options?+

A: Dental implants offer several unique long-term advantages: they prevent jawbone deterioration that occurs after tooth loss, maintain facial structure, don’t require altering adjacent healthy teeth, and can last 25+ years with proper care. Unlike dentures, implants restore nearly 100% of natural biting force. According to Dr. Ghorbani at Shield Dental Care, patients who choose implants report higher satisfaction and quality of life compared to those with traditional bridges or dentures. While the upfront investment is greater, the per-year cost is often lower than alternatives that need periodic replacement.

Learn more: Long-Term Benefits of Dental Implants

Emergency Dentistry

What counts as a dental emergency?+

A: A dental emergency is any situation involving severe tooth pain, uncontrollable bleeding, a knocked-out or broken tooth, a dental abscess, facial swelling, or a jaw injury. These conditions require urgent care — waiting can lead to permanent damage or systemic infection. Shield Dental Care in Burke, VA offers same-day emergency appointments so you don’t have to wait in an ER. Common emergencies include cracked teeth, lost fillings or

crowns, and severe toothaches. If you’re unsure whether your situation is urgent, call the office — the team will help you decide.

Learn more: 10 Most Common Dental Emergencies

What should I do if I have a dental abscess?+

A: A dental abscess is a serious bacterial infection that requires professional treatment — it will not resolve on its own. Symptoms include throbbing pain, facial swelling, fever, and a foul taste in your mouth. Do not attempt to pop or drain the abscess yourself. Take over-the-counter pain relief, rinse with warm salt water, and contact an emergency dentist immediately. At Shield Dental Care, Dr. Ghorbani typically treats abscesses by draining the infection, prescribing antibiotics, and addressing the source — which may require a rootcanal or extraction.

Is a dental abscess a medical emergency?+

A: Yes, a dental abscess can become a life-threatening medical emergency if the infection spreads to the jaw, neck, or brain. Signs that an abscess needs immediate attention include high fever, difficulty breathing or swallowing, rapid heart rate, or severe facial swelling. If you experience these symptoms, go to the nearest emergency room. For a contained abscess with localized pain and swelling, contact Shield Dental Care for a same-dayappointment — Dr. Ghorbani can drain and treat the infection before it worsens. Never ignore an abscess hoping it will go away.

Learn more: Why Ignoring a Dental Infection Is Dangerous

What should I do if my tooth gets knocked out?+

A: Pick up the tooth by the crown (not the root), gently rinse it with water without

scrubbing, and try to place it back in the socket. If reinsertion isn’t possible, store the tooth in milk or saliva — not water. Then get to a dentist within 30 minutes for the best chance of saving the tooth. Shield Dental Care offers emergency appointments in Burke, VA for knocked-out teeth. Dr. Ghorbani can splint the tooth in place if reimplanted quickly. If the tooth cannot be saved, a dental implant is the best permanent replacement.

Learn more: What to Do With a Knocked-Out Tooth

I cracked or broke my tooth — what should I do?+

A: Rinse your mouth with warm water, apply a cold compress to reduce swelling, and save any broken tooth fragments. Avoid chewing on that side. A cracked or broken tooth needs professional evaluation as soon as possible — even if pain is minimal, the nerve or root may be compromised. Contact Shield Dental Care for an urgent appointment. Depending on the severity, Dr. Ghorbani may repair the tooth with bonding, a dental crown, a root canal, or in severe cases, an extraction.

Learn more: Broken or Cracked Tooth Guide

Should I go to the ER or an emergency dentist for a toothache?+

A: For most dental emergencies, an emergency dentist is the better choice. Hospital ERs can manage pain and prescribe antibiotics, but they typically cannot perform dental procedures like extractions, root canals, or abscess drainage. An emergency dentist inBurke, VA like Dr. Ghorbani can diagnose the root cause and provide definitive treatment

— often the same day. Go to the ER only if you have uncontrolled bleeding, difficulty breathing, high fever with facial swelling, or a suspected jaw fracture. For everything else, Shield Dental Care will get you seen quickly.

Learn more: Dental Emergency Care

Can I get a same-day dental appointment in Burke, VA?+

A: Yes, Shield Dental Care offers same-day dental appointments for emergencies and urgent care needs in Burke, VA. If you’re experiencing severe tooth pain, swelling, a broken tooth, or any dental emergency, call the office as early as possible to secure a same-day slot.

Dr. Ghorbani and the team prioritize emergency patients to prevent conditions from worsening. The practice also accommodates walk-ins when possible. Same-day availability extends to patients from Fairfax,Springfield, and surrounding areas.

Learn more: Same-Day Dental Appointments in Burke

What is a silent tooth infection and how do I know if I have one?+

A: A silent tooth infection is a dental infection that produces no pain in its early stages, making it easy to miss. You may have one if you notice persistent bad breath, a small pimple-like bump on your gums, a slightly discolored tooth, or intermittent mild sensitivity. Silent infections often develop when the tooth’s nerve has died, so there’s no pain signal — but the bacteria continue spreading. Left untreated, a silent infection can become adangerous abscess. Regular dental checkups at Shield Dental Care include X-rays that can detect these hidden infections before they become emergencies.

What happens if I ignore a dental infection?+

A: Ignoring a dental infection can lead to a painful abscess, bone loss in the jaw, tooth loss, and in rare but serious cases, the infection can spread to the bloodstream (sepsis), heart, or brain. A dental infection will not heal on its own — it requires professional treatment such as a root canal, drainage, or extraction. The longer you wait, the more extensive (and

expensive) the treatment becomes. Dr. Ghorbani at Shield Dental Care urges patients to seek care at the first sign of infection — even mild, intermittent symptoms warrant evaluation.

How can I relieve dental pain at home before seeing a dentist?+

A: Over-the-counter ibuprofen (Advil) is the most effective pain reliever for dental pain because it reduces both pain and inflammation — take 400–600 mg every 6 hours. You can also alternate with acetaminophen (Tylenol). Apply a cold compress to the outside of your cheek for 15 minutes on, 15 minutes off. Rinsing with warm salt water (½ teaspoon salt in 8 oz water) can reduce bacteria and soothe gum irritation. These are temporary measures

— they don’t treat the underlying cause. Schedule an appointment at Shield Dental Care as soon as possible for proper diagnosis and treatment.

Learn more: How to Relieve Dental Pain

Sedation Dentistry & Dental Anxiety

What is sedation dentistry and who is it for?+

A: Sedation dentistry uses medication to help patients relax during dental procedures. It’s ideal for people with dental anxiety or phobia, a strong gag reflex, sensitivity to pain, or those undergoing lengthy or complex treatments like implant surgery. At Shield DentalCare, Dr. Ghorbani offers multiple levels of sedation — from mild relaxation to deep sedation — so the approach is tailored to your comfort level and procedure. You remain safe and monitored throughout. Sedation dentistry has made it possible for thousands of anxious patients to receive the care they need.

Learn more: Sedation Dentistry at Shield Dental Care

What types of dental sedation does Shield Dental Care offer?+

A: Shield Dental Care in Burke, VA offers three levels of sedation: nitrous oxide (laughing gas) for mild relaxation, oral sedation (a prescription pill taken before your appointment) for moderate anxiety, and IV sedation for deep relaxation during complex or lengthy procedures. Dr. Ghorbani is trained in all three methods and recommends the best option based on your anxiety level, medical history, and the procedure being performed. Nitrous oxide wears off in minutes, while oral and IV sedation require a driver to bring you home afterward.

Learn more: Sedation Dentist in Burke, VA

What is the difference between IV sedation and general anesthesia for dental work?+

A: IV sedation keeps you in a deeply relaxed, semi-conscious state where you can still breathe on your own and respond to verbal cues, while general anesthesia renders you completely unconscious and requires a breathing tube and an anesthesiologist. IV sedation is safer, has fewer side effects, and allows for faster recovery — most patients feel normal within a few hours. General anesthesia is typically reserved for hospital-based oral surgery. At Shield Dental Care, Dr. Ghorbani uses IV sedation for complex procedures because it provides deep comfort with a significantly better safety profile.

Learn more: General vs. IV Sedation Dentistry

Is IV sedation safe for dental procedures?+

A: Yes, IV sedation is very safe when administered by a trained provider. Dr. Ghorbani at Shield Dental Care is certified in IV sedation and monitors your vital signs — heart rate, blood pressure, and oxygen levels — continuously throughout the procedure. The medication dosage is precisely controlled and can be adjusted in real time based on your response. Side effects are typically limited to mild grogginess that wears off within a few hours. Patients with certain medical conditions, such as severe respiratory disorders, will be evaluated individually. A pre-sedation health screening ensures IV sedation is appropriate for you.

Learn more: Sedation Dentistry Safety

How much does sedation dentistry cost?+

A: Sedation costs at Shield Dental Care in Burke, VA vary by type: nitrous oxide (laughing gas) typically adds $50–$150 to your visit, oral sedation ranges from $150–$500, and IV sedation ranges from $250–$800 depending on the length of the procedure. Some dental insurance plans cover sedation when it’s medically necessary, such as for patients with documented anxiety disorders or special needs. The team at Shield Dental Care will check your insurance benefits and discuss costs upfront. For patients without coverage, the Shield Prevention Plan offers discounts on additional services.

Learn more: Sedation Dentistry Options

Where can I find sedation dentistry near Burke, VA?+

A: Shield Dental Care, located in Burke, VA, is one of the few dental practices in Fairfax County that offers all three levels of sedation: nitrous oxide, oral sedation, and IV sedation. Dr. Ghorbani provides sedation for everything from routine cleanings to dental implant

surgery and wisdom tooth extractions. The practice serves patients from Fairfax,Springfield,Annandale,Lorton, and throughout Northern Virginia.

What is nitrous oxide (laughing gas) and is it safe?+

A: Nitrous oxide is a colorless gas mixed with oxygen that you inhale through a small nose mask during your dental procedure. It produces a calm, relaxed feeling while keeping you fully conscious and responsive. Nitrous oxide is extremely safe — it’s been used in dentistry for over 150 years and is appropriate for both adults and children. The effects wear off within 3–5 minutes after the mask is removed, so you can drive yourself home. At Shield Dental Care, Dr. Ghorbani often recommends nitrous oxide for patients with mild anxiety or for shorter procedures like fillings and cleanings.

How does oral sedation work for dental procedures?+

A: Oral sedation involves taking a prescription anti-anxiety medication — typically a benzodiazepine like triazolam (Halcion) — about an hour before your dental appointment. The medication produces moderate relaxation and drowsiness. You’ll remain conscious but feel deeply calm, and many patients report little memory of the procedure afterward. Oral sedation is a great middle ground between nitrous oxide and IV sedation for patients with moderate dental anxiety. At Shield Dental Care, Dr. Ghorbani provides detailed pre-appointment instructions. You will need a responsible adult to drive you to and from your appointment.

Learn more: Sedation Dentistry

Will I be completely unconscious during IV sedation at the dentist?+

A: No, IV sedation produces a state of deep relaxation but not complete unconsciousness. You may drift in and out of light sleep and typically won’t remember much of the procedure afterward, but you can still breathe independently and respond to Dr. Ghorbani’s verbal cues if needed. This “twilight” state is what makes IV sedation safer than general anesthesia

— you get the comfort of feeling “asleep” without the risks of full unconsciousness. Most patients at Shield Dental Care say it feels like the procedure lasted only a few minutes, even for longer treatments like All-on-4 implants.

Who is a good candidate for sedation dentistry?+

A: Good candidates for sedation dentistry include patients with dental anxiety or phobia, a severe gag reflex, difficulty getting numb with local anesthesia, TMJ issues that make it painful to keep the mouth open, or anyone undergoing a complex procedure like implantplacement or periodontal surgery. Sedation is also helpful for patients with special needs or those who need multiple procedures completed in one visit. Dr. Ghorbani at ShieldDental Care evaluates your medical history to confirm sedation is safe for your specific situation before recommending a sedation level.

How can I overcome dental anxiety and fear of the dentist?+

A: Start by choosing a dentist who specializes in treating anxious patients. At Shield Dental Care, Dr. Ghorbani and the team create a judgment-free environment and explain every step before it happens, giving you full control. Practical strategies include visiting the office for a consultation before any treatment, using headphones or music during procedures, and practicing deep breathing techniques. For more significant anxiety, sedation options — from nitrous oxide to IV sedation — ensure you’re comfortable throughout. Many patients who once avoided the dentist for years now visit Shield Dental Care regularly after their first positive experience.

Can children receive sedation during dental procedures?+

A: Yes, children can safely receive certain types of dental sedation. Nitrous oxide (laughing gas) is the most common form of pediatric sedation and is very safe for kids — it keeps them relaxed and wears off within minutes. Oral sedation may be used for more anxious children or longer procedures, while IV sedation is generally reserved for older children undergoing extensive treatment. At Shield Dental Care in Burke, VA, Dr. Ghorbani evaluates each child’s age, weight, medical history, and anxiety level before recommending sedation. Preventive care visits with a gentle approach help build positive associations with dental care early on.

Learn more: Dental Cleaning for All Ages

Cosmetic Dentistry

What cosmetic dental procedures are available at Shield Dental Care?+

A: Shield Dental Care in Burke, VA offers a full range of cosmetic dental procedures including porcelain veneers, professional teeth whitening, smile makeovers, dental

bonding, gummy smile correction, Botox for TMJ and facial aesthetics, and tooth-colored restorations. Dr. Ghorbani combines artistic skill with advanced technology to design natural-looking results tailored to each patient’s facial features and goals. Whether you want to fix a single chipped tooth or transform your entire smile, a consultation at Shield Dental Care will help you explore your options with realistic before-and-after expectations.

Learn more: Cosmetic Dental Procedures

How much do dental veneers cost in Burke, VA?+

A: Dental veneers in Burke, VA typically cost between $1,000 and $2,500 per tooth, depending on the material (porcelain vs. composite) and the complexity of the case. A full set of 6–10 veneers for a complete smile transformation ranges from $6,000 to $25,000. Porcelain veneers cost more but last 15–20 years and resist staining better than composite. At Shield Dental Care, Dr. Ghorbani provides a detailed cost breakdown during your consultation and offers financing options including CareCredit. Most cosmetic veneers are not covered by insurance, but the investment pays off in confidence and durability.

Learn more: Cost of Dental Veneers

What is the dental veneer procedure like?+

A: The veneer procedure at Shield Dental Care typically requires two visits. During the first visit, Dr. Ghorbani removes a thin layer of enamel (about 0.5 mm), takes impressions or digital scans, and places temporary veneers. A dental lab then crafts your custom porcelain veneers over 1–2 weeks. At the second visit, the permanent veneers are bonded to your teeth, adjusted for fit and bite, and polished. The process is minimally painful — most patients need only local anesthesia. Sedation options are available for anxious patients.

Results are immediate and dramatic.

Learn more: Dental Veneer Procedure

How does professional teeth whitening work?+

A: Professional teeth whitening at Shield Dental Care uses a high-concentration peroxide gel applied to your teeth, sometimes activated with a special light, to break down deep stains from coffee, wine, tea, and aging. In-office whitening takes about 60–90 minutes and can lighten teeth by 5–10 shades in a single session. Dr. Ghorbani also offers custom take-home whitening trays for gradual brightening over 1–2 weeks. Professional whitening is significantly more effective than over-the-counter strips because the gel concentration is stronger and the treatment is customized to your teeth’s sensitivity level. Results typically last 1–3 years with proper care.

Learn more: Teeth Whitening in Burke, VA

Where can I get professional teeth whitening in Burke, VA?+

A: Shield Dental Care offers professional teeth whitening in Burke, VA with both in-office and take-home options. In-office whitening delivers dramatic results in about one hour, while custom take-home trays allow you to whiten at your own pace. Professional whitening costs between $300 and $600 in Northern Virginia — significantly more effective than drugstore products. Dr. Ghorbani evaluates your teeth before whitening to ensure you’re a good candidate and that any existing dental work like crowns or fillings is accounted for, since restorations don’t respond to bleaching agents.

What is a smile makeover and what does it include?+

A: A smile makeover is a customized combination of cosmetic procedures designed to comprehensively transform your smile. It may include veneers,teeth whitening, dental bonding, gummy smile treatment,dental crowns,Invisalign, and even dental implants for missing teeth. At Shield Dental Care, Dr. Ghorbani develops a personalized plan based on your facial structure, skin tone, lip line, and smile goals. The process begins with a comprehensive consultation and may use digital smile design to preview your results before treatment begins.

Learn more: Perfect Smile Makeover

Can Botox be used for dental and TMJ issues?+

A: Yes, Botox is an effective treatment for TMJ disorder, jaw clenching (bruxism), and tension headaches caused by overactive jaw muscles. When injected into the masseter and temporalis muscles, Botox relaxes them, reducing pain, grinding, and jaw tension. Dentists like Dr. Ghorbani are uniquely qualified to administer facial Botox because of their detailed knowledge of facial anatomy and musculature. At Shield Dental Care, Botox treatment forTMJ typically takes 15–20 minutes, with results lasting 3–4 months. Botox can also be used for cosmetic purposes such as reducing fine lines around the mouth and forehead.

Learn more: Relieve TMD with Botox

Where can I get Botox in Burke, VA?+

A: Shield Dental Care offers both therapeutic and cosmetic Botox in Burke, VA. Dr. Ghorbani administers Botox for TMJ pain relief, jaw clenching, chronic headaches, and facial aesthetics. Dental professionals have an advanced understanding of facial anatomy that makes them excellent Botox providers. Costs typically range from $10 to $15 per unit in

Northern Virginia, with a TMJ treatment session averaging 25–50 units per side. Cosmetic Botox for forehead lines, crow’s feet, or lip lines is also available. Schedule a consultation to discuss whether Botox is right for your needs.

Learn more: Botox for TMJ at Shield Dental Care

What is gummy smile treatment?+

A: Gummy smile treatment corrects a smile that shows an excessive amount of gum tissue above the upper teeth. Treatment options include gum recontouring (using a laser or scalpel to reshape the gum line), Botox to relax the upper lip muscle, veneers or crowns to lengthen the visible tooth, or orthognathic surgery in severe cases. At Shield Dental Care, Dr. Ghorbani evaluates the underlying cause — which may be excess gum tissue, short teeth, a hyperactive lip, or jawbone positioning — and recommends the least invasive effective approach. Most laser gum recontouring procedures take under an hour with minimal downtime.

Learn more: Gummy Smile Treatment

How can a cosmetic dentist treat receding gums?+

A: Cosmetic dentists treat receding gums through several approaches depending on severity. Mild recession may be managed with dental bonding or porcelain veneers to camouflage exposed root surfaces. Moderate to severe recession often requires a gum graft

— a periodontal surgical procedure where tissue is taken from the palate or a donor source and placed over the exposed root. At Shield Dental Care, Dr. Ghorbani also addresses the

underlying cause of recession, whether it’s aggressive brushing, gum disease, or bite misalignment, to prevent further progression. PRP/PRF therapy can accelerate healing after graft surgery.

Learn more: How Cosmetic Dentists Can Treat Receding Gums

Preventive Care & Oral Hygiene

How often should I get a professional dental cleaning?+

A: Most adults should get a professional dental cleaning every six months. However, patients with gum disease, diabetes, or a history of heavy plaque buildup may benefit from cleanings every 3–4 months. At Shield Dental Care, Dr. Ghorbani customizes your cleaning schedule based on your oral health status. Regular professional cleanings remove tartar

(hardened plaque) that can’t be removed by brushing alone, reducing your risk of cavities, gum disease, and tooth loss. Cleanings also give the team an opportunity to catch potential problems early during your routine exam.

Learn more: Dental Cleaning for All Ages in Burke, VA

What happens during a dental cleaning and checkup?+

A: A dental cleaning and checkup at Shield Dental Care includes several steps: the hygienist removes plaque and tartar using specialized instruments, polishes your teeth, and flosses between each tooth. For eligible patients, EpicX laser bacterial reduction may be performed to reduce harmful bacteria below the gum line. Dr. Ghorbani then conducts a comprehensive exam — checking for cavities, gum disease, oral cancer, bite issues, and signs of grinding. Digital X-rays are taken as needed (typically annually). The visit concludes with a discussion of any findings and a personalized care plan.

Are dental sealants worth it for preventing cavities?+

A: Yes, dental sealants reduce the risk of cavities on back teeth (molars) by up to 80%, according to the CDC. Sealants are thin, protective coatings applied to the chewing surfaces of molars, sealing the deep grooves where bacteria and food particles get trapped. The application is painless, takes just a few minutes per tooth, and requires no drilling. At Shield Dental Care, Dr. Ghorbani recommends sealants for children as soon as their permanent molars come in (usually ages 6 and 12), though adults with cavity-prone teeth can benefit too. Sealants last 5–10 years with normal wear.

Learn more: Dental Sealants Prevent Tooth Decay

How does fluoride protect teeth from decay?+

A: Fluoride strengthens tooth enamel through a process called remineralization, where it helps redeposit calcium and phosphate minerals into enamel that has been weakened by acid-producing bacteria. Fluoride also makes enamel more resistant to future acid attacks and can even reverse very early cavities before they require a filling. Professional fluoride treatments at Shield Dental Care are more concentrated than toothpaste and provide protection for several months. Dr. Ghorbani recommends professional fluoride application for both children and adults who are at elevated risk for decay.

Learn more: The Science Behind Fluoride

Is coffee bad for your gums?+

A: Coffee can negatively affect gum health in several ways. It’s acidic, which can irritate gum tissue over time, and it reduces saliva production, creating a drier mouth where bacteria thrive. Coffee also stains teeth and can mask early signs of gum problems.

However, moderate coffee consumption (1–2 cups per day) is unlikely to cause significant gum damage in someone with good oral hygiene. According to Dr. Ghorbani at Shield Dental Care, the key is to rinse with water after drinking coffee, avoid adding excessive sugar, and maintain regular dental cleanings to prevent plaque buildup from compounding the effects.

Can coffee cause gum recession?+

A: Coffee alone is unlikely to directly cause gum recession, but it can contribute to conditions that lead to it. The acidity in coffee can weaken enamel and irritate gum tissue, while its drying effect reduces saliva — your mouth’s natural defense against bacteria. Over time, this can accelerate plaque buildup and gum inflammation, which are precursors to recession. If you already have gum disease or thin gum tissue, heavy coffee consumption may worsen the progression. Dr. Ghorbani at Shield Dental Care recommends drinking coffee through a straw, rinsing with water afterward, and scheduling regular periodontalevaluations.

Does coffee stain your teeth, and how can I prevent it?+

A: Yes, coffee is one of the most common causes of tooth staining. The dark pigments (chromogens) in coffee bind to tooth enamel, causing yellow or brown discoloration over time. To minimize staining, drink coffee through a straw, rinse your mouth with water immediately after, and brush your teeth 30 minutes later (not immediately — the acidity temporarily softens enamel). Regular professional cleanings at Shield Dental Care remove surface stains, and professional teeth whitening can reverse deeper discoloration.

Dr. Ghorbani advises patients that prevention is easier than correction.

Is sugar really the main cause of tooth decay?+

A: Sugar itself doesn’t cause cavities — but the bacteria in your mouth feed on sugar and produce acids that erode tooth enamel, leading to decay. The more frequently you consume sugary foods and drinks, the more acid attacks your teeth endure throughout the day.

Starchy foods like chips and crackers can be just as harmful because they break down into sugars. At Shield Dental Care, Dr. Ghorbani emphasizes that it’s the frequency of sugar exposure, not just the quantity, that matters most. Rinsing with water after snacking, limiting sugary beverages, and maintaining regular checkups are your best defenses.

What causes canker sores and how do I treat them?+

A: Canker sores (aphthous ulcers) are small, painful lesions inside the mouth caused by stress, minor tissue injury, acidic foods, vitamin deficiencies (B12, iron, zinc), or immune system factors. They are not contagious and are different from cold sores, which appear outside the mouth. Most canker sores heal on their own within 1–2 weeks. To speed healing, rinse with warm salt water, avoid spicy or acidic foods, and use over-the-counter topical gels like Orajel. If you experience frequent or unusually large canker sores, consult Dr. Ghorbani at Shield Dental Care to rule out underlying nutritional deficiencies or autoimmune conditions.

Learn more: Schedule a Checkup

What is the correct way to brush my teeth?+

A: Use a soft-bristled toothbrush at a 45-degree angle to your gum line and brush in gentle, short circular or sweeping motions — not aggressive back-and-forth scrubbing, which can cause gum recession and enamel wear. Brush all surfaces (outer, inner, and chewing) of every tooth for at least two minutes, twice daily. Replace your toothbrush every 3 months or sooner if bristles are frayed. Dr. Ghorbani at Shield Dental Care recommends an electric toothbrush with a pressure sensor for patients who tend to brush too hard. Don’t forget to brush your tongue to remove bacteria that cause bad breath. Pair brushing with daily flossing for complete preventive care.

Is flossing really necessary if I brush twice a day?+

A: Yes, flossing is essential because brushing alone only cleans about 60% of your tooth surfaces. The areas between teeth and just below the gum line are where cavities and gum disease frequently develop, and a toothbrush can’t reach these spots effectively. Flossing removes plaque and food debris from these tight spaces. Dr. Ghorbani at Shield Dental Care recommends flossing at least once daily — water flossers are an excellent alternative for patients who find traditional floss difficult to use. Skipping flossing significantly increases your risk of gum disease and interproximal cavities (cavities between teeth).

Learn more: Preventive Dental Care

What is EpicX laser bacterial reduction in dentistry?+

A: EpicX laser bacterial reduction is an advanced treatment that uses a diode laser to eliminate harmful bacteria deep within gum pockets during a dental cleaning. The laser

targets bacteria that traditional scaling and brushing can’t reach, reducing inflammation and promoting healthier gum tissue. It’s painless, requires no anesthesia, and takes only a few minutes per quadrant. At Shield Dental Care, Dr. Ghorbani incorporates EpicX laser therapy into cleanings for patients with early-stage gum disease or those at higher risk for periodontal problems. This technology is part of Shield Dental Care’s commitment to proactive preventive care.

At what age should my child start seeing a dentist?+

A: Children should have their first dental visit by age one or within six months of their first tooth erupting, whichever comes first. Early visits establish a baseline for oral health, allow the dentist to check for developmental issues, and help children become comfortable with the dental environment. At Shield Dental Care in Burke, VA, Dr. Ghorbani and the team make children’s visits fun and stress-free. Early preventive care — including fluoridetreatments and dental sealants when appropriate — can dramatically reduce your child’s risk of cavities and dental anxiety later in life.

How can I prevent cavities without fluoride or chemicals?+

A: While fluoride is the most evidence-based cavity prevention tool, you can reduce cavity risk naturally by minimizing sugar intake, drinking plenty of water throughout the day, eating crunchy vegetables that stimulate saliva production, and consuming dairy products rich in calcium and phosphate. Xylitol gum has been shown to reduce cavity-causing bacteria. However, Dr. Ghorbani at Shield Dental Care notes that natural methods alone may not be sufficient for patients at high risk for decay. The best approach combines good home hygiene with regular professional cleanings and dental exams to catch problems early.

What foods are best and worst for my teeth?+

A: The best foods for teeth include dairy (cheese, yogurt) which provides calcium, crunchy fruits and vegetables (apples, carrots, celery) that stimulate saliva, leafy greens rich in vitamins, and lean proteins. The worst offenders are sticky candies, sodas and sports drinks (high in sugar and acid), citrus fruits in excess, dried fruits, and starchy chips that cling to teeth. Dr. Ghorbani at Shield Dental Care advises patients to snack less frequently, drink water between meals, and wait 30 minutes after acidic foods before brushing to avoid enamel damage. Regular dental checkups help catch early signs of diet-related decay.

Restorative Dentistry

What are dental crowns and when do I need one?+

A: A dental crown is a custom-made cap that fits over a damaged tooth to restore its shape, size, strength, and appearance. You may need a crown if you have a large cavity too big for a filling, a cracked or broken tooth, a tooth that’s had a root canal, or significant wear from grinding. At Shield Dental Care in Burke, VA, Dr. Ghorbani uses porcelain and zirconia crowns that match the color of your natural teeth. The process typically takes two visits — one for preparation and impressions, and one for placement. Crowns last 10–15 years with proper care.

Learn more: Dental Crowns in Burke, VA

What are the benefits of getting a dental crown?+

A: Dental crowns protect weakened teeth from further damage, restore full chewing function, improve the appearance of discolored or misshapen teeth, and can last 10–15+ years with proper care. Crowns are one of the most versatile restorative treatments in dentistry. At Shield Dental Care, Dr. Ghorbani uses high-quality porcelain and zirconia materials that are durable, biocompatible, and virtually indistinguishable from natural teeth. Crowns also protect teeth after root canal therapy and serve as anchors for dentalbridges. They’re a reliable, long-lasting solution for compromised teeth.

Learn more: Benefits of Dental Crowns

What types of dental bridges are available?+

A: There are four main types of dental bridges: traditional bridges (anchored by crowns on adjacent teeth), cantilever bridges (supported by a crown on one side only), Maryland bridges (bonded with a metal or porcelain framework to the backs of adjacent teeth), and implant-supported bridges (anchored by dental implants instead of natural teeth). At Shield Dental Care, Dr. Ghorbani recommends the type based on the location of the missing teeth, the health of surrounding teeth, and your budget. Traditional and implant-supported bridges are the most common — implant bridges are ideal when you want to avoid altering healthy teeth.

Learn more: Types of Dental Bridges

When do I need a root canal and how do I know?+

A: You may need a root canal if you experience severe, lingering tooth pain (especially to hot or cold), spontaneous throbbing, darkening of a tooth, swelling or tenderness in the nearby gums, or a pimple-like bump (fistula) on the gum. These symptoms indicate that the tooth’s inner pulp — which contains nerves and blood vessels — has become infected or inflamed. At Shield Dental Care, Dr. Ghorbani uses digital X-rays to confirm the diagnosis. A root canal saves the natural tooth by removing infected tissue, cleaning the canals, and sealing them. Sedation options are available for anxious patients.

Learn more: Root Canal Therapy in Burke, VA

Is a root canal painful?+

A: Modern root canals are not painful — most patients compare the experience to getting a routine filling. Dr. Ghorbani at Shield Dental Care uses local anesthesia to completely numb the tooth and surrounding area before beginning. For patients with dental anxiety, sedationoptions including nitrous oxide, oral sedation, and IV sedation are available. The pain you feel before a root canal — from the infection — is far worse than the procedure itself. Post-treatment discomfort is typically mild and manageable with over-the-counter ibuprofen for 2–3 days. A crown is usually placed afterward to protect the treated tooth.

Learn more: Emergency Root Canal Treatment

What are tooth-colored fillings and are they better than silver fillings?+

A: Tooth-colored (composite resin) fillings match the shade of your natural teeth, making them virtually invisible. They bond directly to the tooth structure, which allows

Dr. Ghorbani to preserve more of the healthy tooth compared to silver (amalgam) fillings, which require more drilling to create a mechanical hold. Composite fillings are mercury-free and less sensitive to temperature changes. At Shield Dental Care in Burke, VA,

Dr. Ghorbani uses tooth-colored fillings exclusively for both aesthetic and functional reasons. They are suitable for small to medium cavities and typically last 7–15 years with proper oral hygiene and regular dental checkups.

Learn more: Dental Fillings in Burke, VA

When is a tooth extraction necessary?+

A: Tooth extraction becomes necessary when a tooth is too severely damaged, decayed, or infected to be saved with a filling,crown, or root canal. Other common reasons include advanced gum disease that has loosened the tooth, impacted wisdom teeth, overcrowding before orthodontic treatment, or a cracked root. Dr. Ghorbani at Shield Dental Care always explores every option to save the tooth first — extraction is a last resort. When extraction

is needed, sedation is available for comfort, and the team discusses replacement options like dental implants to prevent complications from missing teeth.

Learn more: Tooth Extraction in Burke, VA

What should I expect during wisdom tooth extraction?+

A: Wisdom tooth extraction at Shield Dental Care begins with digital X-rays or 3D imaging to assess the position of your wisdom teeth. Dr. Ghorbani administers local anesthesia and offers sedation options for patient comfort. The extraction itself takes 20–45 minutes depending on whether the teeth are impacted (trapped beneath the gum or bone). After surgery, you’ll receive gauze to control bleeding and detailed post-operative instructions. Expect mild to moderate swelling for 2–3 days, managed with ice packs and prescribed or over-the-counter pain medication. Most patients return to normal activities within 3–5 days. PRP/PRF therapy can accelerate healing.

Learn more: Wisdom Tooth Extraction

What problems can a missing tooth cause if I don’t replace it?+

A: A missing tooth causes a cascade of oral health problems over time. Adjacent teeth shift into the gap, creating bite misalignment and increasing the risk of decay in newly difficult-to-clean areas. The jawbone beneath the missing tooth begins to resorb (shrink), which can change your facial appearance and make future tooth replacement more complicated.

Opposing teeth may over-erupt, and chewing efficiency decreases, potentially affecting nutrition. According to Dr. Ghorbani at Shield Dental Care, the sooner you replace a missing tooth — with a dental implant,bridge, or denture — the fewer complications you’ll face.

Learn more: Missing Tooth Problems

What is restorative dentistry and what does it include?+

A: Restorative dentistry focuses on repairing or replacing damaged, decayed, or missing teeth to restore function, health, and aesthetics. Common restorative treatments at ShieldDental Care include dental fillings,crowns,bridges,root canals,dental implants, and dentures. Dr. Ghorbani takes a conservative approach — preserving as much natural tooth structure as possible while using modern materials that look and function like real teeth. Whether you need a single filling or a full-mouth reconstruction, restorative dentistry at Shield Dental Care in Burke, VA can rebuild your smile.

Learn more: Restorative Dentistry at Shield Dental Care

Periodontal / Gum Disease

What is periodontal (gum) disease and what causes it?+

A: Periodontal disease is a bacterial infection of the gum tissue and bone that support your teeth. It’s caused primarily by the buildup of plaque — a sticky film of bacteria — that hardens into tartar when not removed through regular brushing, flossing, and professionalcleanings. Risk factors include smoking, diabetes, genetics, hormonal changes, and certain medications. Left untreated, gum disease progresses from mild gingivitis to advanced periodontitis, which can result in tooth loss. At Shield Dental Care, Dr. Ghorbani screens for gum disease at every checkup and offers treatments ranging from deep cleaning to surgicalintervention.

Learn more: Scaling and Root Planing

What’s the difference between gingivitis and periodontitis?+

A: Gingivitis is the earliest stage of gum disease, characterized by red, swollen gums that bleed when you brush or floss. It affects only the gum tissue and is fully reversible with improved oral hygiene and professional cleaning. Periodontitis is the advanced stage where infection has spread to the bone and connective tissue supporting the teeth, causing irreversible bone loss, gum recession, and eventually tooth loss. At Shield Dental Care,

Dr. Ghorbani uses probing measurements and digital X-rays to diagnose the stage and severity, then recommends treatment — from scaling and root planing for moderate cases to gum surgery for advanced disease.

Learn more: Periodontal Maintenance

What is scaling and root planing (deep cleaning)?+

A: Scaling and root planing is a non-surgical deep cleaning procedure that treats gum disease by removing plaque and tartar from below the gum line (scaling) and smoothing the tooth root surfaces (planing) so gums can reattach to the teeth. The procedure is typically performed under local anesthesia and may be completed in one or two visits depending on severity. At Shield Dental Care, Dr. Ghorbani may combine deep cleaning with EpicX laser bacterial reduction to further eliminate bacteria and promote healing. Follow-up periodontal maintenance visits every 3–4 months help prevent reinfection.

When is periodontal gum surgery necessary?+

A: Periodontal surgery becomes necessary when non-surgical treatments like scaling androot planing cannot adequately address deep gum pockets (typically 5 mm or greater),

significant bone loss, or persistent infection. Surgical options include flap surgery (to access and clean deep pockets), bone grafting (to regenerate lost bone), and gum grafting (to cover exposed roots from recession). At Shield Dental Care, Dr. Ghorbani uses PRP/PRFtherapy to accelerate healing after periodontal surgery. Early intervention is always preferable — regular dental checkups catch gum disease before it reaches the surgical stage.

Learn more: Periodontal Gum Surgery in Burke, VA

What is periodontal maintenance and how often do I need it?+

A: Periodontal maintenance is a specialized cleaning schedule for patients who have been treated for gum disease. Unlike a standard cleaning, periodontal maintenance includes deeper scaling around and below the gum line, measurement of gum pocket depths, and assessment of bone levels. Patients typically need periodontal maintenance every 3–4 months — more frequently than the standard six-month cleaning — because gum disease bacteria can repopulate within 9–11 weeks. At Shield Dental Care, Dr. Ghorbani and the hygiene team monitor your progress at each visit and adjust the frequency as your gum health improves.

What causes gum recession and can it be treated?+

A: Gum recession — where the gum tissue pulls away from the tooth, exposing the root — is caused by aggressive brushing, gum disease, genetics, teeth grinding, misaligned bite, tobacco use, or hormonal changes. Exposed roots are sensitive to temperature, more prone to decay, and aesthetically concerning. Treatment depends on severity: mild cases may be managed with desensitizing agents and improved brushing technique, while moderate to severe recession often requires gum grafting surgery. At Shield Dental Care, Dr. Ghorbani addresses both the recession and its underlying cause through periodontal treatment and, when appropriate, cosmetic solutions.

Can gum disease be reversed?+

A: Gingivitis — the earliest stage of gum disease — is fully reversible with improved oral hygiene, professional cleaning, and consistent flossing. Once gum disease progresses to periodontitis, it cannot be fully reversed, but it can be effectively managed and controlled to prevent further bone and tooth loss. Treatment at Shield Dental Care may include scalingand root planing,laser bacterial reduction, and periodontal maintenance every 3–4 months. In advanced cases, periodontal surgery can regenerate some lost bone.

Dr. Ghorbani emphasizes that early detection is the best strategy — don’t wait until you notice symptoms.

What are the warning signs that I might need gum surgery?+

A: Warning signs that suggest you may need periodontal gum surgery include deep gum pockets (5 mm or deeper), persistent gum bleeding even with good oral hygiene, gum recession exposing tooth roots, loose teeth, persistent bad breath that doesn’t improve with brushing, and bone loss visible on dental X-rays. If scaling and root planing hasn’t sufficiently controlled your gum disease, Dr. Ghorbani at Shield Dental Care may recommend surgical intervention. The goal of gum surgery is to reduce pocket depth, regenerate lost bone, and create an environment that’s easier to maintain long-term through regular periodontal maintenance.

Orthodontics & Alignment

Does Shield Dental Care offer Invisalign?+

A: Yes, Shield Dental Care in Burke, VA offers Invisalign clear aligner therapy for teens and adults. Invisalign uses a series of custom-made, virtually invisible plastic trays to gradually straighten teeth without metal brackets or wires. Dr. Ghorbani creates a digital treatment plan that shows your projected results before you begin. Invisalign trays are removable for eating and brushing, making them more convenient and hygienic than traditional braces.

Treatment is available for mild to moderate crowding, spacing, overbites, underbites, and crossbites. Schedule a consultation to find out if you’re a candidate.

Learn more: Orthodontist in Burke, VA — Invisalign

How much does Invisalign cost in Burke, VA?+

A: Invisalign treatment in Burke, VA typically costs between $3,500 and $7,000, depending on the complexity and duration of your case. Simple cases (mild crowding or spacing) may fall on the lower end, while more complex bite corrections cost more. Many dental insurance plans that cover orthodontics will apply toward Invisalign just as they would for braces. At Shield Dental Care, Dr. Ghorbani provides a detailed cost estimate after your initial consultation and digital scan. The practice also offers payment plans and CareCredit financing to make treatment affordable. Invisalign costs are generally comparable to traditional braces.

Learn more: Invisalign at Shield Dental Care

What’s the difference between Invisalign and traditional braces?+

A: Invisalign uses clear, removable plastic aligners that are nearly invisible, while traditional braces use metal brackets and wires permanently bonded to teeth. Invisalign allows you to eat whatever you want (trays are removed for meals), brush and floss normally, and smile without visible hardware. Traditional braces may be more effective for severe misalignment or complex bite issues. Treatment times are comparable — typically 6–18 months for Invisalign and 12–24 months for braces. Dr. Ghorbani at Shield DentalCare evaluates your specific alignment needs during a consultation to recommend the most effective approach for your smile goals.

Learn more: Orthodontist in Burke, VA

How long does Invisalign treatment take?+

A: Invisalign treatment typically takes 6–18 months, depending on the complexity of your case. Mild crowding or spacing issues may be corrected in as little as 6 months, while more significant alignment or bite issues can take 12–18 months. Compliance is key — you must wear the aligners 20–22 hours per day for treatment to stay on schedule. At Shield Dental Care, Dr. Ghorbani monitors your progress with regular check-in appointments every 6–8 weeks and provides new sets of aligners as your teeth shift. After treatment, a retainer is essential to maintain your results. Contact the office for a free Invisalign consultation.

Is there an orthodontist near Burke, VA who offers Invisalign?+

A: Yes, Dr. Ghorbani at Shield Dental Care provides Invisalign treatment in Burke, VA. Having your Invisalign treatment at a comprehensive dental practice offers an advantage

— Dr. Ghorbani can coordinate orthodontic alignment with other cosmetic or restorative needs such as veneers,whitening, or dental implant placement for a complete smile transformation. The practice serves patients from Burke and surrounding Northern Virginia communities including Fairfax,Springfield, and Clifton.

Special Topics & Burke, VA Specific

What makes Shield Dental Care different from other dental offices in Burke, VA?+

A: Shield Dental Care stands out in Burke, VA for several reasons: Dr. Ghorbani offers allthree levels of sedation (nitrous, oral, and IV) under one roof — rare for a general practice.

The office features advanced technology including 3D CBCT, EpicX laser, and PRP/PRF therapy. The practice handles everything from children’s cleanings to full-arch implants, so families don’t need multiple specialists. Same-day emergency appointments and a patient-first philosophy — with transparent pricing and no pressure — consistently earn top patient reviews.

Learn more: Why Choose Shield Dental Care

What areas in Northern Virginia does Shield Dental Care serve?+

A: Shield Dental Care is located in Burke, VA and serves patients throughout Northern Virginia and Fairfax County, including Burke,Fairfax,Springfield,Annandale,Lorton,Clifton,Fairfax Station, and Woodbridge. The centrally located office is easily accessible via Burke Centre Parkway and is just minutes from major routes including Route 123 and the Fairfax County Parkway. Patients regularly travel from across the region for Dr. Ghorbani’s expertise in implants and sedation dentistry.

Does Shield Dental Care use PRP/PRF therapy and what is it?+

A: Yes, Shield Dental Care uses PRP/PRF (Platelet-Rich Plasma/Platelet-Rich Fibrin)therapy to accelerate healing after surgical procedures. PRP/PRF is derived from a small sample of your own blood, which is processed to concentrate growth factors and healing proteins. When placed at a surgical site — such as after an implant placement,toothextraction, or gum surgery — PRP/PRF reduces pain, swelling, and infection risk while promoting faster tissue regeneration. Dr. Ghorbani integrates this biologic therapy into surgical protocols as part of Shield Dental Care’s commitment to advanced, evidence-based treatment.

Learn more: Platelet-Rich Plasma & Fibrin Therapy

What is a night guard and do I need one for TMJ or teeth grinding?+

A: A night guard is a custom-fitted oral appliance worn while sleeping to protect teeth from the damage caused by grinding (bruxism) and clenching. If you wake up with jaw pain, headaches, earaches, or notice worn, chipped, or flattened teeth, you may be grinding at night without realizing it. A custom night guard from Shield Dental Care is fabricated from impressions of your teeth for a precise, comfortable fit — far superior to over-the-counter boil-and-bite options. Dr. Ghorbani may also recommend Botox for TMJ to relax overactive jaw muscles in conjunction with a night guard. Custom night guards typically cost $300–

$600.

Learn more: Night Guards in Burke, VA

How can I see before-and-after photos of dental work at Shield Dental Care?+

A: You can view before-and-after photos of real patient results on the Shield Dental Gallery page on the website. The gallery showcases transformations including veneers,dentalimplants,smile makeovers, teeth whitening, and other cosmetic and restorative work performed by Dr. Ghorbani. Seeing real results from actual patients helps set realistic expectations for your own treatment. You can also read patient reviews describing their experiences. For a personalized preview, ask about digital smile design during your consultation.

Learn more: Shield Dental Gallery

Begin Your Journey

Book A Dental Appointment Today

At Shield Dental Care, Dr. Ghorbani is committed to providing the top dental services in Burke, Fairfax, & Springfield, VA.

Preventive Dentistry

Dental Cleaning, Scaling & Root Planing, Dental Sealants, Night Guards

Restorative Dentistry

Dental Fillings, Crowns & Bridges, Root Canal Therapy, Dentures