Modern vs Historical Dental Practices

Did you know barbers were the go-to people for concerns about your teeth? In the past, they not only groomed your face but also extracted and whitened your teeth. It wasn’t until 1840 that the first college Baltimore College of Dental Surgery opened. Today, the United States has over 60 schools and dentistry is considered a specialized practice. Let’s take a look back and see how modern dentistry came to be.

Toothbrushes, Toothpaste, and Floss

  • In ancient times chew sticks were used to help keep the mouth clean, they believed that it would get rid of unwanted particles.
  • The first toothbrush was made in China in 1498, handles were made from animal bones or bamboo, and the bristles came from the back of a pigs neck.
  • In 1824 soap was put into toothpaste and in the 1850s chalk was added.

Nowadays toothbrushes are available in different sizes, shapes, and colors. The handles are plastic and the bristles are made of nylon. Which is a long way from bones and pig hair!

Toothbrush

In 1873, Colgate produced the first toothpaste in a jar and by the 1890’s toothpaste was packaged in tubes. Imagine dipping your toothbrush into a jar. Now imagine everyone in your house dipping their toothbrush into that same jar. Doesn’t it just make you appreciate the growth in this field?

Source: Colgate

In 1815 silk thread was recommended for cleaning in between teeth and by the 1940’s nylon became the standard.

Source: Oral-B

Modern Dental Techniques

Modernized dentistry has greatly reduced the risk for infections and implants, crowns, and bridges, are now common cosmetic procedures.  Modern crowns are made of composite, porcelain, and metals. They strengthen damaged teeth and can improve your tooth’s overall shape. Bridges are used to fill the tooth gaps and are secured with a neighboring crown on each side. Today, dentistry is a specialized practice and after earning a dental degree, dentists are required to annually continue their education.

Dental implants are now the standard of care for missing teeth. These titanium roots are placed into your jawbone and fuse over time. Implants can anchor crowns, bridges, and dentures. They’ve gained popularity as they look and feel natural like your own teeth.

Implants

  • Crowns/Bridges
    • Crowns were made of human teeth, gold, ivory, and bone.
    • Bridges were gold and a sign of wealth.

Gold Crown

  • Implants
    • Whole tooth implants were from deceased lower class citizens, slaves or animals, and infections were common.
    • Seashells, sculpted bamboo, and copper were also used.
    • Iron pins supported a gold tooth to showcase your riches.

Putting on someone else’s teeth to replace yours is unheard of today because of our modern resources and technologies. Would you consider using people’s teeth to replace yours as resourceful or gross?

In the 1970’s orthodontists said goodbye to headgear and wiring and hello to stainless steel brackets. To fix your bite hooks are placed in your mouth and you will get a pack of rubber bands, slowly adjusting your jaw position with tension over many months.

Giving thanks to new technology we have another option called Invisalign. Packaged as a set of clear plastic aligners, every two weeks you change the tray. There are slight changes to each aligner and your teeth will slowly adjust into the perfect smile of your dreams. Besides not having metal in your mouth, Invisalign is taken out before every meal and snack. Is remembering to take them on and off too much of a hassle?

Ortho

  • Orthodontics
    • One of the first forms of teeth straightening had animal intestines as cords and it wrapped around each individual tooth.
    • Gold bands were also used and preferred because they didn’t rust. Silver was also used and wasn’t as expensive.
    • Ivory and wood were also used.

Can you believe that current teeth whitening procedures were accidentally discovered? In the past, peroxide was used to help strengthen patient’s gums but they got whiter teeth. Today teeth whitening can be done in office or with a take-home whitening kit from your dentist.

  • Whitening
    • Ancient Romans used human urine because the ammonia is an amazing stain remover.
    • Ancient Egyptians used ground pumice stone and white vinegar to make a whitening paste.
    • Barbers could file your teeth down and spread acid on them to help you have a whiter smile.

We have come a long way from pig hair, cadaver teeth and animal intestines in our dental care. Our dentists are highly trained with years of specialized education. And we continually work to improve your overall health along with your dental and oral health. Reflecting back to where dentistry once was, we can remember where this field started and appreciate its success.  Call us to schedule your appointment today.

 

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

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While most of us love a good horror story, in the world of dentistry, sometimes the truth is more frightening than any Hollywood flick! Curl up and dig in to 10 of the creepiest dental ailments you have ever heard of:

  1. Amelogenesis Imperfecta: Tooth Enamel Disease

10Amelogenesis Imperfecta is a congenital disease. Causing small teeth with very thin tooth enamel, a discolored smile is the tip of the iceberg here. These tiny chompers often suffer from painful sensitivity and lots of breakage. Diagnosed by your dentist, treatments are available for every level of severity.

Source: Genetic and Rare Diseases Information Center

  1. Hyperdontia: Extra Teeth

This rare condition affects a very small percentage of children. Sometimes tied to a genetic disorder, but can also occur for unknown reasons, a child develops extra teeth hidden in their gums. With extraction often the best course of action, left unattended these extra teeth can prevent or delay the eruption of permanent teeth and wreak havoc on the child’s bite. Yes, even those suffering from hyperdontia should still brush and floss twice a day!

Source: Colgate

  1. Papillon-Lefevre Syndrome (PLS): Premature Tooth Loss

8By the age of five, kids with PLS usually have many loose primary teeth. This can become a severe issue without regular dental care. But what’s the cause? The root of the problem stems from a missing enzyme causing a connective tissue issue. As skin infections are also common with PLS, routine care requires a team of specialists; usually including pediatricians, surgeons, dermatologists, among of course, dentists, periodontist and prosthodontists.

What’s even more frightening is the possibility of losing all permanent teeth… as a teenager! Such is so, as teens often choose to have any remaining teeth removed and wear dentures.

Source: National Organization for Rare Disorders

  1. Talon Cusps: Claw-Like Teeth

7Just as it sounds, these abnormal tooth sprouts look like the shape of an eagle’s talon at the back of a child’s tooth.  If left to fester, potential problems include crowding, gum irritation, bad bite, and of course the accumulation of plaque.

Dare not scrape these off! Talon cusps require common treatment from your dentist, such as grinding down or a root canal.

Source: Journal of the Canadian Dental Association

  1. Geminated Teeth: Mega Tooth

This is as if the tooth root has had twins. This anomaly manifests itself when two teeth develop from a single tooth bud. Turning into an oversized and disfigured tooth, your dentist will be on the lookout for the trouble it’s causing to nearby teeth.

Your dentist will be on the lookout for a bad bite, tooth decay in the area and overcrowding of neighboring teeth. Depending on size, it’s possible the tooth could cause little impact. However, most cases need extraction or other procedures to bring it down to normal size. Beware! These teeth aren’t easily flossed so using anti-bacterial mouthwash is advised.

Source: National Institute of Health

  1. Tonsilloliths: Tonsil Debris

Ever heard of tonsil stones? When this buildup of bacteria and debris gets trapped in and around your tonsils it’s no joke. Especially considering they range in size from a grain of rice to that of a large grape!

What causes this troublesome throat rubble? Chronic tonsillitis and poor dental hygiene are the usual culprits.  While not always visible, if they’re lurking you’ll likely smell it first! Bad breath, sore throat, and trouble swallowing as the most reported symptoms. Tonsils are delicate, and removing the stones requires the expert hand of a true professional.

Source:  Live Scicence

  1. Black Hairy Tongue: Like. It. Sounds…

Harmless as it may be, this fearsome condition will attract unwanted attention. If not from looks, the radiating smell will turn heads… and your stomach with a metallic taste. Caused by the building up of dead skin cells, this creepy accumulation does offer some relief in how it’s treated. Oral hygiene. Brush your tongue or using a tongue scraper daily should clear things up. If it persists, visit your dentist as reoccurrence risk runs high.

Source: WebMD

  1. Salivary Gland Stones: Clogged Salivary Glands

3Think kidney stones in your mouth. They’re painful and can cause neck swelling. As saliva is full of calcium, these startling stones store up in salivary ducts. The remedy is as easy as sucking on sour candy to get the saliva juices flowing again. Caution! Stones can grow large enough for surgical removal.

Source: National Center for Biotechnology Information

  1. Tooth Brush Abrasion: Damage caused by a tooth brush

Oct Blog images

Incorrect brushing technique can do amazing harm, especially if you use a brush that is “medium” or harder.  All tooth brushes should be ultra-soft, to reduce risk of damage.  You should always do a “roll” technique, without small “circles” or “scrubbing”.  Poor technique will cause the gum to recede, and a brush can cut deeply into the root surface, causing permanent damage, as shown in the photo on the right.  Consider using mouthwash instead of toothpaste, or one with very low abrasive qualities.  I often tell patients that if they floss well, I don’t care if they ever brush.  I never completely discourage brushing, but insist on no scrubbing motions, and focusing on flossing.

If you have any questions, I have a video on post-treatment instructions on my web site, www.rodroggedds.com.  It demonstrates correct brushing technique, and helps avoid the damage of tooth

brush abrasion.

  1. Hand-Foot-and-Mouth disease: Virus

1

Imagine having sores in your mouth, on your hands, feet, and even your legs. A very unpleasant condition, hand-foot-and-mouth disease is easily spread through coughing and sneezing. So, halt the spread with frequent hand washing, and while infected, keep the kisses under wraps.

This nasty virus is most common among children under 10 but adults can contract it as well. With symptoms lasting about a week, see a physician if the sore mouth and throat prevent drinking.

Source: Mayo Clinic

Spook ‘Em in Style!

When was your last Periodontal exam? Call today or schedule your appointment online!

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Don’t Let Dental Anxiety Stop You.

We’ve all been nervous at some point in our life. Some fears are irrational while others are well earned from negative experiences. We understand what it’s like to feel uneasy and anxious. That’s why your comfort is always at the top of our mind! With sedation, you can have a more relaxing visit while taking care of your oral health needs.

Types of Sedation

Nitrous Oxide Sedation – Nitrous oxide, also known as laughing gas, is most often used for patients who are mildly or moderately anxious. It’s administered by placing a small mask over the patient’s nose. As the gas begins to work, the patient becomes calm, but is still awake and can communicate. When the gas is turned off, the effects of sedation wear off almost immediately.

Oral Sedation –Patients who are more anxious may require something stronger than nitrous oxide. With oral sedation, the patient may be sleepy but can also be aroused if necessary and can respond to simple commands.  Minor side effects such as nausea or vomiting can occur with some medications. You may need assistance to get home after sedation, and patients may need to stay for a short observation after dental treatment has been completed.

While we do not perform IV Conscious Sedation or General Anesthesia we like our patients to be fully informed and are always happy to answer all of your dental questions.

Body ImageIV Conscious Sedation – IV conscious sedation is usually used to help patients relax during surgery or more advanced dental procedures that take a longer to complete. During this form of conscious sedation an IV is placed in the patient’s vein in order to give the sedative medication. A patient is still able to respond to verbal commands and is aware of what is going on but the patient will not remember much of what happened during their procedure. This helps when dealing with a long procedure or patients that have a great deal of anxiety about surgery or their specific procedure.

General Anesthesia (IV Sedation) – General anesthesia puts a patient into a deep sleep. He or she is unable to feel pain or to move around. General anesthesia may be recommended if the patient:

  • Can’t relax or calm down enough for treatment to be performed safely, even with conscious sedation and other behavior management techniques
  • Needs oral surgery or other dental treatment that would be difficult for the patient to tolerate while awake
  • Needs a lot of dental work that can best be done in one long appointment rather than many shorter visits
  • Has a medical, physical or emotional disability that limits his or her ability to understand directions and be treated safely as an outpatient

We have many years of experience, and will use the safest and most effective medications appropriate for you. So, if you’re ready to relax in the chair with sleep dentistry, give us a call and schedule today.

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

The Pin-Hole Procedure

Alexander
Alexander Before

Many patients have called and asked about the “pin-hole procedure” to repair defects and recession in the gingiva (gum).  There is a national advertising program for this patented procedure, which was developed by Dr. John Chao, who is a general dentist and a lawyer.  It is most unusual for clinical procedures to be given a patent, since medical and dental information is extended freely through journals and research.

Alexander
Alexander After

Legally, no one who performs this type of gingiva (gum) repair can call it a “pin-hole procedure”, unless the clinician attends Dr. Chao’s fairly expensive class, and buys his (also expensive) patented instruments.  Although Dr. Chao has some very nice cases, his techniques and instruments are not terribly different from what periodontists have been using since 1985.

 

Dr. Rogge performs a variety of procedures for recession and cosmetics.  Please visit our website, to look at photos of cases he has treated.  The Pin Hole Technique may or may not be appropriate for all cases and that is why he is well trained in a variety of procedures. He can take a look and help you determine the option that fits your needs best. If you are concerned about the recession and appearance you see in your gum around your teeth, consider calling our office to schedule an evaluation for you and help you with that.

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

4 Tasty Foods to Avoid with Gum Disease

Gum Disease can be painful at any stage. If you have Stage 2 or Stage 3 periodontitis dietary changes will be bittersweet. You may already be finding yourself naturally gravitating to softer foods in effort to avoid discomfort. Here are a few surprises that could aggravate your condition.

  1. Pickles and Relish

PicklingWhile not typically considered something to avoid for oral health, vinegar is the prime suspect here.  As you may know, it’s highly acidic, and acid is notorious for quickly wearing down tooth enamel. So, it’s important to keep this in mind when eating anything pickled while your tooth roots are exposed.

  1. Peanut Butter

You either love it or hate it. You may even be particular in how you eat it, straight from the jar or only in a sandwich… Have you ever tried it with pickles? This easy to digest, childhood staple can be a healthy snack when opting for the “no added sugar” variety. While it may take some getting used to, it’s the sugar that helps peanut butter better stick to your teeth and tooth roots.

  1. Dried Fruit

Dried FruitLoaded with sugar, the stickiness in dried fruit may or may not be something you’re still able to enjoy. Even in small doses, there’s a high chance of this sweet treat getting stuck deep in your teeth and gums. Once lodged, it feeds the bacteria and can further dental erosion.

  1. Crackers

There’s crackers for every occasion, and this appetizer favorite is not typically associated with dental problems. However, consuming an abundant amount of refined carbohydrates is a known cause of inflammation. Avoid exacerbating your situation by limiting carbs.

Having a perio treatment plan with a dedicated hygiene routine will keep your smile on a healthy track. Periodontitis is treatable. Avoiding sticky, sugary and pickled foods is best for patients suffering from gum disease. If you have any questions about what dietary changes are necessary for your oral health, speak with your periodontist directly. We have the best understanding of your unique situation.

 

Rod M. Rogge, DDS

762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

4 Risk Factors of Gum Disease

Have you ever had something caught in your teeth for days? It’s likely because it was lodged deep between a tooth and your gums. That gum tissue is what keeps our chompers in place. There are three stages of gum disease. They’re all are treatable and it starts with an infection of bacteria under the gum line.

gingivitis_2The mild form of gum disease is Gingivitis. This is where plaque and other byproducts irritate the gums. It makes them swollen, tender, and more likely to bleed. Periodontitis is stage two. The gum tissue starts deteriorating as it detaches from the teeth forming pockets around the roots. These pockets can have a depth up to 7 millimeters. Finally, Advanced Periodontitis can set in. Tooth pockets get deeper as the severe gum recession leads to bone loss impacting your total well-being. Depending on how quickly and destructive your case is determines if surgical or non-surgical treatment is the best option for you.

Common Risk Factors of Periodontal Disease

  • Genetics – it’s hereditary and some of us are just unlucky! While you may be more susceptible to periodontitis, having a good oral hygiene routine with regular dental visits can help your smile stay healthy. Talk to us about finding the right balance for your needs.
  • Health – underlying medical conditions like diabetes and Crohn’s disease, as well as lowered immunity from illnesses and treatments often affect gum tissue. Medications, hormonal changes and obesity are also culprits and should be discussed.
  • Bad Habits – chewing on ice, not brushing or flossing daily and using tobacco are the most common behavior changes we encourage you to ditch. However, substance abuse and a diet lacking in vitamin C will also impact your smile.
  • Stress – it’s inevitable. But keep an eye on exactly how much it’s weighing you down. High levels or chronic stress can lead to poor hygiene habits. Anxiety can also lower your immune system from effectively fighting off bacteria that causes gingivitis (stage 1).

When to Seek Help

Common red flags of gum disease include:

  • Bleeding gums
  • Swollen or tender gums
  • Gums look bright red
  • Teeth wiggle

There’s no home remedy to cure gum disease. If not stopped quickly, serious damage to your gum and supporting bone will require much more aggressive treatment to save your teeth. Only professional treatment can help, so call today for a consultation (757) 333-7444.

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Who Needs a Frenectomy?

Frenectomy - imageBefore the “who”, let’s start with the “what”— what’s a frenectomy? The short answer: a frenectomy is a minor dental procedure where excessive gum tissue is removed. Specifically gum tissue around the gum line. A frenectomy can be performed on one of two areas in the mouth: the lingual frenum or the labial frenum. Both are common and highly effective.

Lingual Frenectomy

The lingual frenum is beneath the tongue. Depending on growth, you’re likely just fine or may be a bit tongue tied. This is when the lingual frenum is tight enough to impede speech, and is really most common in children. In cases like these, having a lingual frenectomy will loosen your tongue to a greater range of motion allowing for clearer speaking. In some cases, it will also improve appetite if the excessive tissue was hindrance when eating.

Labial Frenectomy

Frenectomy

The second type of frenectomy is on the labial frenum. It is much more visible as it’s the skin that’s attached to the middle of your upper gums. If there’s excess, it will pull your gums away from the bone. This often causes a gap between the two front teeth along with gum recession. If you’re undergoing orthodontic treatment, you may be recommended to have a frenectomy to help close gaps in your smile zone. While denture patients may consider the procedure to have a more secure fit, as the frenum may rub against the prosthetic causing discomfort.

Am I a Candidate for a Frenectomy?

A frenectomy is a quick procedure that can take as little as 15-minutes to fix a life-long problem. As with any dental treatment, we can only be sure you’re a candidate based on your unique case. If you’re tongue tied, feel like your tongue has limited range of motion, getting ready for orthodontic treatment, or if you have dentures, call for a consultation.

 

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

5 Tips for Creating Healthy Oral Hygiene Habits

Lead by Example

Family BrushingKids look to their parents to set standards in all things, including oral hygiene. How you behave is how they will act. Since the best way to teach children is by example, it is important that your child sees you brushing twice a day and flossing. Include your child in the process. Do it together, allowing them to help by putting toothpaste on your brush. Your demeanor in the dentist office will also influence how your little one behaves during their own visit. Remaining calm demonstrates that going to the dentist isn’t scary, and they’ll be much more cooperative during their own chair time.

Make Brushing Fun

Making brushing and flossing a game rather than a chore can be a great way to engage with your kids and get them excited about maintaining their oral health. Pretending the tooth brush is a hiker exploring a cave (their mouth) and the floss is a rope is one idea. Older kids can benefit from a reward system. Every time they brush their teeth they receive a gold star to add to a sticker chart. Once they get a certain number they’re rewarded with something like staying up an extra half hour past bedtime or an extra 15-minutes of electronics time.

Make a Visual Statement

plaqueDisclosingFind plaque disclosing products. These usually come in tablet form or mouthwash that turns plaque buildup bright colors. This is a great visual to help kids understand that even though they don’t see the plaque, it’s certainly there!

Teach Responsibility

Older kids get excited about the idea of having more responsibility. Provide them with the necessary tools to structure their oral hygiene routine. Have them set an alarm to alert them when it’s time to brush for bed and in the morning. They can even keep a brushing and flossing log to track the times and duration of their sessions.

Start Dental Visits Early

Finger-Family-No-BackgroundTeaching kids proper dental practices wouldn’t be complete without bi-annual exams. By visiting your dentist regularly, you instill the importance of consistent exams.  Your dentist loves working with children, and they work hard to make the experience stress free and fun for the whole family.

 

 

 

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Periodontics and Untreated Cavities in the US

shutterstock_14313997With the vast advancements in the dental field this last decade, it may be surprising to learn that untreated cavities stemming from gum disease are still a prevalent and persistent issue for many people in the United States. More than one in five Americans has untreated cavities and periodontitis, according to Dr. Bruce Dye, an epidemiologist at the U.S. Center for Disease Control and Prevention. “It appears that we haven’t been able to make any significant strides during the last decade to reduce untreated cavities” (Dye.) 

How do cavities relate to periodontal health?

shutterstock_125978177 Bacterial plaque continually accumulates on your teeth at the gum line. The same bacterial acids that destroy tooth enamel can cause an infection of your gum tissue and the bone surrounding your teeth. When the plaque is not fully removed, it hardens in to tartar – giving the bacteria a place to thrive, in turn leading to cavities and gum disease that gradually breaks down tooth and bone.

Mother Daughter BrushingYou can reduce your odds of developing gum disease and cavities through engaging in healthy lifestyle choices. Practicing good dental hygiene by regularly brushing and flossing is essential.   Limiting sugary drinks and unhealthy snacks that feed the bacteria that lead to tooth decay and periodontitis is another controllable element in cavity and gum disease prevention.  Regular periodontal cleanings are also paramount. When problems are identified and treated early, it prevents the necessity for further costly and invasive procedures.  If you are experiencing sensitivity or pain, schedule an appointment today.

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444

Do You Have a Dental Disorder?

The range of possible dental disorders is wide and some are more easily recognized than others. It could be a bit perplexing to consider you may have a dental disorder without realizing it, but it’s actually more common than you might think. Some disorders have obvious symptoms that may have you running to our office. Others can be more subtle. Do you feel tired, easily irritable, or have difficulty focusing? Do you have facial soreness or pain? Surprisingly, these may be the result of a dental disorder. Our goal is to educate our patients on common and uncommon symptoms that may be a sign to visit our office and receive the required care to remedy these conditions.

shutterstock_115032628-VECTOR

A dental disorder is a disruption of your body’s natural process relating to your oral health. Despite its origins, it is important to understand symptoms may be experienced elsewhere in the body. For this reason, many suffer from ailments they don’t consider relevant to tell their dentist. However, as we are a medical provider we encourage you to share things that may not seem related – you never know! Here are a few to keep on the lookout, so you can better identify signs should something be amiss.

Redness and swelling of the gums may indicate the presence of gingivitis, or early-stage gum disease. Left untreated, it can progress into full blown periodontitis that can threaten your smile and even cause tooth loss. Bleeding from the gums, tooth mobility, and soreness are all signs of periodontitis and should be checked.

Simple bad breath, or halitosis, is very common among adults and teens. While it usually isn’t cause for too much concern, we understand it can weigh on your self-esteem. We care about your health and happiness, and would love to work with you to address the root of the issue. Restoring healthy smiles is what we do; restoring confidence is a happy side effect.

Additionally, a dry mouth may not seem like a dire situation. However, if your mouth constantly feels dry it can lead to an increased risk of tooth decay. Saliva plays an important role in ridding your mouth of bacteria, it also aids in digestion meaning it can evolve into issues that transcend the health of your smile.

Dentist Looking Glass Teeth

While scary to confront, oral growths are a condition that can emerge as serious. It is possible for oral growths to be completely benign and harmless, but in other cases they can be the beginning stages of cancer. For this reason it’s important a medical professional diagnose and treat the growths accordingly. Even if you are certain it’s harmless (for example, perhaps you suffered trauma to the face that injured your mouth), it’s still worth an appointment to ensure you’re not at an increased risk for infection or other potential issues.

We understand some conditions may seem complex. Rest assured we are here to work with you to find a solution to your unique needs. If you feel one or more of these conditions may apply to you or a family member, call our office to begin seeking relief today. We are here for you.­­

Rod M. Rogge, DDS
762 Independence Blvd., Ste. 500
Virginia Beach, VA 23455 (map)
(757) 333-7444