expert type icon EXPERT

Dr. Dean George Gekas, D.D.S.

Dentist

Dr. Dean Gekas is a Dentist practicing in Lutherville Timonium, MD. Dr. Gekas specializes in preventing, diagnosing, and treating diseases and conditions associated with the mouth and overall dental health. Dentists are trained to carry out such treatment as professional cleaning, restorative, prosthodontic, and endodontic procedures, and performing examinations, among many others.
33 years Experience
Dr. Dean George Gekas, D.D.S.
  • Lutherville Timonium, MD
  • University of Maryland Dental
  • Accepting new patients

How long does it take for a tooth extraction gap to close with Invisalign?

The time for complete closure varies with each patient and which tooth was removed.  Molars being the largest, take more time while mandibular incisors may only take a month or READ MORE
The time for complete closure varies with each patient and which tooth was removed.  Molars being the largest, take more time while mandibular incisors may only take a month or two.  Don't take it too fast because damage can occur to the roots of the teeth if the movement occurs too quickly. Therefore, you shouldn't put new trays in until it is time, the results can be troublesome.
hope this helps, Dr. G.  

Can you repair broken partial dentures?

Yes, depending on the material used for your partial, often the appliance can be sent to a lab for repair.  Sometimes repairs can be made chairside without the need to be sent READ MORE
Yes, depending on the material used for your partial, often the appliance can be sent to a lab for repair.  Sometimes repairs can be made chairside without the need to be sent out, but again, it will depend on what materials were used for the fabrication.  Hope this helps, Dr. G.

Which is a good painkiller for a toothache?

Usually any of the anti-inflammatory meds work the best.  Taking 600mg of ibuprofen @ 6hrs or 800mg @8hrs. is the recommended dose.  Check with your doctor to be sure you can take READ MORE
Usually any of the anti-inflammatory meds work the best.  Taking 600mg of ibuprofen @ 6hrs or 800mg @8hrs. is the recommended dose.  Check with your doctor to be sure you can take with any other medications you may be on.  Patients on blood thinners and certain stomach conditions do not allow some people to take anti- inflammatory meds.  Hope this helps, Dr. G.

How long does tooth extraction anesthesia last?

Depending on the type and amount of local anesthetic used, numbness can last for up to 4-6 hrs.  Also, lower nerve blocks have a tendency to feel number for longer periods of time READ MORE
Depending on the type and amount of local anesthetic used, numbness can last for up to 4-6 hrs.  Also, lower nerve blocks have a tendency to feel number for longer periods of time than do upper nerve blocks.  Dr.G.

How do you stop partial dentures from moving?

Depending on the age of the denture, it is not uncommon for the clasps to loosen and need tightening.  If your partial is made of cast metal, you should see your dentist and see READ MORE
Depending on the age of the denture, it is not uncommon for the clasps to loosen and need tightening.  If your partial is made of cast metal, you should see your dentist and see if they can be tightened by crimping the clasps.  However, if your partial is beyond 7-8 year and older, it may be time for a new partial.  In the meantime, you can use denture adhesive and see if that can help.  Hope this helps, Dr. G. 

What is the best painkiller after tooth extraction?

The best pain relief comes from any of the NSAIDS, non-steroidal anti-inflammatory medications.  These include Ibuprofen or Advil/Motrin and naproxen or Aleve.  I personally recommend READ MORE
The best pain relief comes from any of the NSAIDS, non-steroidal anti-inflammatory medications.  These include Ibuprofen or Advil/Motrin and naproxen or Aleve.  I personally recommend Advil and the minimum dosage is 600mg every 6 hrs, or 800mg every 8hrs.   However, before starting these make sure with your primary care doctor that they will not be contraindicated with any meds you currently take.  Managing inflammation will reduce your pain very well as it is the primary reason for most pain.  As our head and neck areas swell, it causes more of the nerves in the region to be recruited in the sensation.  The more nerves involved, the greater the potential for discomfort.  So, using anti-inflammatories is the first line, and if these do not work then seeing the surgeon or dentist for prescription strength meds would be in order.Hope this helps, Dr.G. 

Is there a cosmetic procedure for receding gums?

Yes, there are plenty of cosmetic procedures that can be done, however without seeing exactly what teeth and how much recession, there is no way to give you any specific options.  READ MORE
Yes, there are plenty of cosmetic procedures that can be done, however without seeing exactly what teeth and how much recession, there is no way to give you any specific options.  The procedure could be as simple as bonding to the tooth, and it could also be a situation where a crown may be indicated.  I would get e few opinions before starting any treatment.  Dr.G.

How can I get rid of hardened plaque?

It's time for a professional cleaning.  Dr.G. 

Is it normal for gums to hurt after root canal?

Yes, there can be gum pain following a root canal for a few reasons. A rubber dam is used to isolate the tooth and the clamps used to secure the dam to the tooth sometimes cut READ MORE
Yes, there can be gum pain following a root canal for a few reasons. A rubber dam is used to isolate the tooth and the clamps used to secure the dam to the tooth sometimes cut the gum tissue surrounding the tooth. Also, residual infection around the tooth may cause the tissue to be uncomfortable. I recommend rinsing with salt water for a day or two to relieve mild gum irritation and if the problem persists, I would contact the doctor who performed the root canal and determine if an antibiotic is necessary. Hope this helps, Dr. G.

Do all cavities require root canals?

No, if detected early usually a simple restoration can solve the problem. Remember, the longer you wait, the deeper the cavity gets and if not addressed, then a root canal becomes READ MORE
No, if detected early usually a simple restoration can solve the problem. Remember, the longer you wait, the deeper the cavity gets and if not addressed, then a root canal becomes possible. I recommend addressing these issues right away for the least invasive procedures. Hope this helps, Dr. G.

Do you have to be put to sleep for tooth extraction?

Not always, but if you’re apprehensive and don’t want to realize what’s going on, it’s the way to go

What is the difference between sealants and fillings?

A sealant is placed in the grooves of the posterior teeth to prevent cavities. Fillings are placed to treat cavities that have already formed. Sometimes however, a plasty & READ MORE
A sealant is placed in the grooves of the posterior teeth to prevent cavities. Fillings are placed to treat cavities that have already formed. Sometimes however, a plasty & seal procedure can be done when a cavity is just starting. The decay is scuffed away using a drill, then the sealant is placed in that space. All without using local anesthesia. Conservative and effective.

What caused my TMJ?

Multiple potential reasons all which are not important at this point. Goal should be to protect from additional damage in the future to preserve your level of function. Several READ MORE
Multiple potential reasons all which are not important at this point. Goal should be to protect from additional damage in the future to preserve your level of function.
Several types of appliances can be made to protect your TMJ and stop the damage from continuing. These appliances are usually worn at night and protect the TMJ from receiving excessive pressure and destructive movements. They are relatively easy to wear and work quite well to alleviate any pain or muscle spasms that often occur with TMJ disorders.