Dr. Fischer graduated from Georgetown University School of Dentistry where he then served as Clinical Instructor in the Department of Dental Materials. He currently serves on the faculty of The American College of Integrative Medicine and Dentistry. In his post-graduate education he has participated in over 5000 hours of professional training in various aspects of dentistry, as well as other health care sciences, including clinical nutrition, immunology, toxicology, cranial osteopathy, TMJ orthopedics, sleep medicine, homeopathy and acupuncture.
Dr. Fischer was the first dentist ever to be invited as expert witness before Congress (2002, 2004, 2008) to testify on the potential health and environmental risks of mercury from dental fillings. In addition to testifying before Congress on 3 occasions, he has alsotestified before NIH, the FDA, the EPA, the National Academies of Science, and the U.S. State Department.
He was awarded Board Certification by the American Naturopathic Medical Board (1990), The National Board of Homeopathy in Dentistry (1984), and became one of only two dentists in Virginia ever to have been awarded the Diplomate of the American Board of Dental Sleep Medicine by the American Board of Dental Sleep Medicine (2011) for his advanced achievements in treating patients with sleep apnea and snoring.
METAL-FREE DENTAL IMPLANTS
A dental bridge sits on top of gum tissue, with an artificial tooth affixed in place by, and a denture is removable. While these prosthetics complete the smile and restore some level of function, they do not help to preserve facial bone. Only a dental implant can do that.
An implant replicates the root of a missing tooth. The device is placed into jawbone, where it becomes solidly fused, and continues to provide stimulation that keeps bone strong. The implant is topped with a crown or used to anchor a bridge or denture.
Replacement of dentition with techniques that are both functional and aesthetic has presented a challenge to dentistry. Titanium dental implants have a history of success. However, as they became more popular, a wider variety of titanium alloys is used. Each patient has a unique physiology, and some simply cannot tolerate even this purportedly bio-friendly metal.
For decades, researchers sought a suitable, alternative material. They found it in the form of dental ceramics. This type of material has proven adaptable to the changing needs of modern dentistry. Today, new ceramic oxides broaden the applications of ceramics in metal-free dentistry and dental implantology.
Zirconia polycrystalline non-metal dental implants have emerged as a strong and viable alternative to titanium. With meticulous manufacturing protocols and advanced formulations, zirconia bioceramics are superior to titanium in the areas of:
- Biocompatibility – The body accepts zirconia, and it does not contribute to oral galvanism (electrical current created by multiple metals in the mouth).
- Bioinert properties – Chance of allergic reaction is virtually nil, and zirconia does not irritate gum tissue.
- Structural stability – Excellent biomechanical properties and one-piece design add strength and create fewer points where failure could occur.
- Aesthetics – Because the implant is white, the restoration does not have a gray cast. There is no dark line if gums recede from aging.
Holistic or biological dentistry blends the best of conventional dental practice, complementary, and alternative medicine together with modern technologies and leading-edge dental materials and techniques. As a highly-credentialed holistic and biological general dentist, Dr. Richard Fischer delivers this overarching level of care to patients in the Annandale, VA area.
Richard D. Fischer, DDS provides a broad range of services to help you enjoy optimal wellness and a winning smile. That is accomplished with biologically friendly techniques and non-toxic materials. For example, he has been a mercury-safe and mercury-free dentist since 1982 – the practice places no “silver amalgam” mercury fillings and adheres to strict IAOMT protocols for the safest possible mercury fillings removal. We test for and carefully select the safest materials that are the most biocompatible, for each of the procedures we perform. Plus, natural ozone therapy, clinical nutritional approaches, and homeopathic support help avoid the need for harsh anti-bacterial chemicals
Cosmetic dentistry is basically any treatment primarily intended to improve appearance. However, there is a lot of crossover – some cosmetic treatments have structural benefits, and aesthetics is a concern with virtually every restorative procedure.
At Evergreen Dental Wellness, a smile enhancement program is tailored to your specific needs. You are assured of receiving information necessary to make sensible treatment decisions, from benefits and expected longevity to cosmetic dentistry cost.
Your personalized plan may include one or a combination of these options:
- Dental Implants– Dr. Fischer uses strong, metal-free zirconia implants. They do not give the tooth a gray cast or show a dark line at the gum.
- Porcelain veneers – Thin layers of lustrous porcelain are expertly crafted to hide a multitude of imperfections – discoloration, unusual shape or size, minor misalignment, cracks and chips in enamel, and more.
- Teeth bonding – Cosmetic bonding may be an economical alternative to porcelain veneers. One tooth can be addressed in about an hour, usually without numbing.
- Teeth whitening – Professional whitening products safely penetrate pores in enamel, lifting pigments that cause discoloration – without harm to teeth or soft tissues, and with minimal risk of sensitivity.
The first step in your Invisalign journey is to schedule an initial consultation at Evergreen Dental Wellness. At this appointment, we will talk with you about your goals for your teeth, including what you like and don’t like about them, and what your preferences for treatment are. In addition we will perform a comprehensive evaluation to determine if Invisalign is the right treatment option for your specific needs. In some cases, such as when crowding or bite issues are severe, traditional orthodontic treatment options are better suited for patients and will deliver better results. If Invisalign is appropriate for you, we will also inform you of your Invisalign treatment cost, and will answer any questions that you have about the treatment process and whether it is right for you.
After your treatment has been planned out, your series of clear aligners will be fabricated in the state-of-the-art Invisalign laboratory. Invisalign aligners are made from BPA-free plastic that is designed for your comfort, and the aligners are individually trimmed to perfectly match your gumline, so they are not poking your gums or causing pain when you wear them.
Once your aligners are ready, you will come into the office and we will go over everything you need to know about wearing and caring for them. Patients achieve the best results when they wear their aligners for a minimum of 20-22 hours per day, but you are free to take them out to enjoy all your favorite foods and beverages without restriction and to brush and floss your teeth. Every two weeks, you will switch out your current set of aligners for the next set in the series, progressively shifting your teeth into the ideal position for a straight and healthy smile.
The temporomandibular joint (TMJ) gets its name from the two bones which comprise it. The temporal bone of the skull and the mandible (lower jaw) fit together just in front of the ear to form a hinge-like jaw joint. When simply opening and closing the mouth, the TMJ acts as a fulcrum. However, when chewing there is a more complex movement allowing for the grinding action of teeth.
You can observe or palpate this by placing your fingers on these joints and moving your jaw side to side. There should be smooth movement with no unusual sounds as the TMJ moves through its complete range of motion. If clicking, popping, or grating sounds are felt or heard, this indicates the joint is not functioning normally. Such jaw disarticulations can occur from accidents and facial traumas. More commonly, TMJ disorders result from malocclusion (improper bite) due to a disturbed eruption pattern of teeth in children (be sure to visit the Healthy Start page on this website for more information), or to missing or worn-down teeth in adults. Eruption of teeth can be impeded by clenching and bruxing as a reaction to stress – even in young children!