Dear patients.

We are happy to say that we are now open and operating under our full schedule.

COVID-19 has been a very difficult time for all of us. Many of you have been forced to wait for dental care, and we deeply appreciate your understanding while we kept our office closed to help control the spread of the coronavirus.

Your health and well-being continue to be our highest priority, and we opened with carefully planned and revised office procedures to greatly minimize the risk of infection for our patients and our team members. Our own families are also patients here, so you can be assured that we’ll be taking care of you just as well as we’ll be taking care of them.

For your peace of mind, the measures we are taking to provide a safe dental treatment experience include, but are not limited to, the following:

Upon Your Arrival at the Office

●     Patients will be screened BEFORE treatment and temperatures will be checked. Any patients showing signs of a fever or other symptoms of illness will be asked to reschedule their appointment.

●     ONLY patients will be allowed entry into the office. Parents and other family members will be asked to wait outside whenever possible.

●     Patients are asked to wait in their cars or outside the office until their scheduled appointment time.

●     The waiting area chairs will be spaced apart to allow for 6 feet of distancing.

●     We will ask that you continue to practice social distancing measures in common areas of the office, including the front desk.

●     The front door and the door between the waiting area and operatories will be propped open all day.

●     There will be no physical contact with patients with the exception of treatment.

During Treatment

●     All rooms will be COMPLETELY sterilized before each patient is seated, and public areas, including restrooms, will be cleaned and sterilized frequently throughout the day.

●     All operatories have high-volume air filtration and we have installed a whole office purification system. This system will kill the Covid virus along with other contaminates

●     Our team will STRICTLY follow guidelines set forth by the CDC, OSHA, and ADA in regards to personal protective equipment (PPE) and office sterilization.

●     During patient care, goggles or face shields will be worn by everyone and changed between patients.

●     All surfaces that came in contact with the patient will be wiped with disinfectant including the patient chair.

Checking Out After Your Appointment

●    We will be requesting prepayments when we know the amount of payment which will expidite your visit 

●     All efforts will be made to complete scheduling in the back of the office so you can leave without stopping at the front desk

We are proceeding with an abundance of caution, but we want you to feel as confident as we do that any visit you make to our office will be a safe one.

We also realize that many of you have been impacted financially during this outbreak, and we have solutions to keep dental care affordable for you and your family.

To discuss these payment options, schedule an appointment, or ask us any questions you may have about your next visit, please don’t hesitate to contact us at 757-473-8482

We look forward to seeing you soon!

Dr. Parr, Dr. Frey and the Smile Center Team

Bone Loss in the Jaw

The jawbone is an essential part of your face. It provides structure to your facial features and allows you to chew and speak properly. When you experience bone loss in the jaw, it can affect numerous other aspects of your oral and overall health. Atrophy in the jaw can stem from a variety of causes, including tooth loss, gum disease, and certain medical conditions. Left untreated, jawbone loss can result in issues with your remaining teeth, collapse or distortion of facial features, and a range of other concerns. The most common treatment for jawbone atrophy is a dental bone graft. If you are concerned about potential bone loss in your jaw, speak to your dentist right away. They can recommend the best treatment route for you. 

Signs of Dental Bone Loss

Many patients with periodontal disease or missing teeth will experience bone loss in their jaw as a result. In general, the process is gradual and you may not immediately notice that your jawbone is atrophying. The most effective way to diagnose tissue loss in your jaw is to visit your dentist. They can use x-rays and cone beam imaging to assess the density of your jaw and determine if you need treatment.

While the most common causes are tooth loss and gum disease, a range of other issues can lead to tissue loss in your jaw.

Certain changes in your facial features and bite can indicate jawbone loss. When tissue volume decrease in your jaw, you may notice that your mouth seems to collapse into your face, your chin becomes more pointed, or wrinkles begin to form around the mouth. In addition, denture-wearers often experience changes in the fit and comfort of their restorations due to bone loss. Your teeth may also begin to shift forward in your mouth. 

What Causes Bone Loss in the Jaw?

Jawbone loss can stem from many causes. While the most common causes are tooth loss and gum disease, a range of other issues can lead to tissue loss in your jaw. For example, smoking can affect the density of bone in all areas of the body, including the jaw. 

Missing Teeth

Your teeth help maintain the natural height and thickness of your jawbone. The section of bone surrounding the roots of your teeth is known as the alveolar bone. Throughout your daily life, the roots stimulate this section of the bone, indicating to the brain that resources are necessary in a particular area of the jaw. Based on this stimulation, the body sends calcium and other nutrients to the jaw, encouraging continued bone growth. 

When a tooth is extracted or lost due to trauma, there are no longer roots to stimulate the alveolar bone. Over time, the body stops sending resources to the area where the tooth was and that section of the jaw will slowly deteriorate. The longer missing teeth are left untreated, the more tissue is lost until the bone beneath neighboring teeth is affected, which can cause further tooth loss. 

Periodontal Disease

Chronic infection in the gum tissue, known as periodontal disease, affects tooth-supporting structures, such as the alveolar bone and other ligaments. In advanced stages, the bacteria associated with periodontal disease begins to eat away at supporting gum and bone tissue, causing tooth loss and bone loss in the jaw.

Since many of the symptoms of gum disease are painless, this condition often goes unnoticed for long periods of time. When periodontal disease is left untreated, it can cause serious damage to the strength and stability of your jaw. 

Dentures and Bridgework

Traditional methods of replacing lost teeth include dentures and dental bridges. These restorations can replace missing teeth to create a more natural smile and improve your ability to eat and speak naturally. However, dentures and bridges do not protect your jaw against bone loss. 

Bridges consist of artificial teeth supported by dental crowns. Since the crowns are placed over natural teeth, the jawbone beneath these teeth remains in tact. Unfortunately, the areas of jaw where teeth were lost will continue to lose tissue. 

Dentures, on the other hand, can actually exacerbate jawbone loss. Traditional full dentures rest directly on the gum tissues without support from teeth or dental implants. They do not provide sufficient stimulation to prevent tissue deterioration. In addition, dentures tend to shift against the gum tissue and rub. Over time, this process can speed the loss of tissue in the jaw. 

Medical Conditions

Certain medical conditions increase your likelihood of jawbone atrophy. Osteoporosis, a conditions which causes the bones to become weak and brittle, can affect the jaw and lead to deterioration of the tissue. Paget’s disease of bone (PDB), a disease that disrupts the natural replacement of old bone tissue with new, and osteomyelitis, a type of inflammation of the bone caused by infection, can lead to dental bone loss. Tumors are another common cause of jawbone deterioration. 


Injury to the jaw and trauma to teeth are also associated with bone loss. If a tooth is knocked out or broken, bone stimulation to the jaw stops, leading to tissue deterioration. In addition, jaw fractures or a history of trauma affecting certain teeth can cause tissue to die and lead to bone loss years after the initial injury. 

Losing tissue in your jawbone can greatly affect your appearance as well as your oral health.


Abnormal physical forces and other misalignment issues can affect the ability of your teeth to grind and chew properly. In these situations, lack of opposing force limits the natural stimulation of the jaw leading to bone loss. Issues which can create abnormal force include problems with the temporomandibular joint (TMJ), normal wear and tear to the surface of teeth, and crooked teeth

Additional Causes

Infections, birth defects, and smoking are other causes which can lead to bone loss in the jaw. Certain prescription drugs, such as bisphosphonates, also affect the density and volume of the jawbone. 

Consequences of Jawbone Loss

Losing tissue in your jawbone can greatly affect your appearance as well as your oral health. Significant jawbone loss can alter your facial features in several ways. When jawbone atrophy is left untreated for a long period of time, a condition known as facial collapse can occur. 

In someone experiencing facial collapse, the mouth seems to fall backwards into the face. The chin becomes more pointed. Facial muscles weaken as well, leading to premature wrinkling around the mouth and a thinning of the lips. All of these changes work together to make you appear much older than your chronological age. 

Jawbone loss can also affect the stability your remaining teeth and cause them to shift out of place. Other issues that can result from atrophy include:

  • Headaches
  • Facial and jaw pain
  • Difficulty speaking and eating
  • Inadequate nutrition
  • Sinus expansion

In some cases, bone loss in the jaw can also limit your ability to undergo certain types of dental work, including dental implants. Dental implants are small titanium posts embedded into the jawbone to support a range of restoration types, including crowns and dentures. They are the most effective method for restoring missing teeth. However, implants rely on surrounding bone tissue for support. If you have lost significant amounts of tissue in the jaw, you may not qualify for dental implants.

Treating Dental Bone Loss

The most common and effective method for restoring lost jawbone tissue is bone grafting. During a dental bone graft, your dentist or surgeon replaces lost tissue with grafting material. Over a few months, your body absorbs the material and replaces it with healthy, natural tissue, restoring the density and volume of your jaw. A bone graft can use your own bone, donor bone, or synthetic grafting material. 

There have been some studies into alternative treatment for jawbone loss. In some cases, researchers have experienced success with a drug for osteoporosis known as teriparatide. Studies into this drug are still ongoing.

How to Prevent Jawbone Loss

There are certain treatment options available to help prevent your jawbone from deteriorating. By taking action early, you can avoid the need for bone grafts and other expensive procedures in the future. 

Avoiding smoking and maintaining a healthy lifestyle can help protect both your overall health and the health of your jaw.

Dental Implants

The most effective tooth replacement solution is dental implants. These small titanium posts mimic the qualities of a natural tooth root and provide necessary stimulation to your jawbone. By stimulating the surrounding tissue, the implants encourage your brain to send resources to the jaw and maintain the strength and stability of your jaw. 

Socket Preservation Grafts

If you are undergoing a tooth extraction and do not qualify for immediate placement of a dental implant, a socket preservation graft can help prevent tissue loss in the area. This type of graft is performed at the same time as an extraction. Your dentist can pack the socket left by the removed tooth with grafting material, encouraging your body to continue providing resources to this section of your jaw. 

Lifestyles Changes

As with any other bone in your body, your jaw requires certain nutrients. Bones need calcium, vitamin D, protein, and phosphorus, as well as other essential nutrients. Eating a well-balanced diet and plenty of whole fruits and vegetables can increase bone health. If you are not receiving the necessary nutrients from your food, daily supplements can help. 

Smoking and tobacco use are detrimental for bone health. Avoiding smoking and maintaining a healthy lifestyle can help protect both your overall health and the health of your jaw.

The Smile Center

The Smile Center

The Smile Center in Virginia Beach has been providing high-quality dental care since 1988. We are proud to be affiliated with:

  • American Academy of Facial Esthetics
  • The American Orthodontic Society
  • American Academy of Cosmetic Dentistry

For more information about our services, contact us online or call (757) 473-8482 today.

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200 Grayson Rd
Ste 100
Virginia Beach, VA 23462

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