(703) 689-4442
Reston, VA

Frequently Asked Questions

You may have some questions about periodontics and dental implants. Here you will find answers to some frequently asked questions, as well as a glossary of terms to help you understand more about oral health care.

If you can’t find an answer to your question here, please call us!


Does the doctor participate with my insurance?

We work for patients, as a fee for service practice, as an out-of-network provider, as well as participating with some select insurance plans in-network. Insurance guidelines and/or reimbursement levels are never used to determine your planned care. Your care is ultimately decided by you. Feel free to call our office to see which insurance plans we work with directly, keeping in mind that many of our patients come here by choice, out-of-network.


Why do I need a consult before treatment? Can’t we just start?

Generally, a consultation is needed to assure you receive the proper treatment, to receive all your options, and, if necessary, to coordinate care with your referring doctor.


How long does the consult take?

Typically 30-60 minutes, depending on complexity.


How much does Dr. Fields charge for a consultation?

Implant consultations and periodontal examination fees can range from $105-160. An additional fee may apply for necessary radiographs.


I’m anxious. How do you help me?

We provide IV conscious sedation for those patients requesting it.


What is the recovery time after treatment?

Typically, people are surprised at just how easy it is, usually 1-2 days of some soreness. That's it! You can generally continue regular activities after any procedure.

If you choose IV sedation, you will take the remainder of the day off.


What are the advantages of dental implants over dentures or a bridge?
  • Esthetic - Dental implants look and feel like your own teeth.
  • Teeth-saving - Dental implants don’t sacrifice the quality of your adjacent teeth.
  • Confidence - Dental implants will allow you to speak and eat with confidence

What can dental implants do for me?

Dental implants can:

  • Replace one or more teeth without affecting bordering teeth
  • Support a bridge and eliminate the need for a removable partial denture
  • Provide support for a denture making it more secure and comfortable

What is a dental implant?

A dental implant is a small titanium fixture that replaces the root portion of a missing or natural tooth. The implant is placed in the upper or lower jaw and bonds with your bone. It also serves as an anchor for a crown, bridge or denture. Dental implants support crowns or dentures that look, feel, and function like natural teeth.


What services does Dr. Fields provide for his patients?

Dr. Fields provides a number of periodontal treatments, including:

  • Minimally Invasive laser surgical (LANAP) procedures
  • Crown Lengthening
  • Gingival (Gum) Grafting
  • Bone Regeneration: around teeth and in preparation for dental implants
  • Dental implant placement
  • 100% digital X-Ray technology, including 3D imaging 

How is periodontal disease treated?

Periodontal disease may be treated through scaling and root planning. Periodontal surgery may be needed, and sometimes bone grafting can be done to regenerate some of the lost supporting tissues.


What can contribute to developing periodontal disease?

Any of the following factors can contribute to periodontal disease:

  • POOR ORAL HYGIENE
  • Smoking and tobacco use
  • Stress
  • Medications
  • Diabetes
  • Poor nutrition
  • Clenching or grinding teeth
  • Hormonal fluctuations
  • Genetic predisposition

What else should I know about periodontal disease and my overall health?

***An article (July 2009) jointly produced by the editors of the American Journal of Cardiology and the Journal of Periodontology again advised doctors to alert patients to the possible association between periodontal disease and cardiovascular events. This article reiterates what we've been telling patients for several years now.

Your oral health IS important to your overall health ! ! ***


What are the signs of Periodontal Disease?

The following are some notable symptoms of periodontal disease:

  • Bleeding gums during brushing
  • Red, swollen or tender gums
  • Gums that have pulled away from the teeth
  • Persistent bad breath
  • Pus between the teeth and gums (leaving a bad taste)
  • Loose or separating tissue
  • A change in the way your teeth fit together when you bite
  • A change in the fit of partial dentures

In many cases, periodontal disease has no apparent symptoms.