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Referring Providers

Overview

Kary Dental is an independently owned general and surgical dental practice in Bethesda, Maryland, located at 7700 Wisconsin Avenue, Suite C. We accept referrals for dental sleep medicine, oral appliance therapy, dental implants, bone grafting, surgical extractions, sedation dentistry, and restorative care.

 

Andrew L. Kary, DDS is a Qualified Dentist of the American Academy of Dental Sleep Medicine (AADSM). His training includes an Advanced Education in General Dentistry (AEGD) residency and an internship in Oral and Maxillofacial Surgery at Madigan Army Medical Center, with six years of active-duty service in the Army Dental Corps as an Advanced Clinical Practice General Dentist (63A9F).

To refer a patient:

Fax (301) 301-9670
Phone (301) 301-3148

Referral Portal

Dental Sleep Medicine Referrals

We provide custom oral appliance therapy (OAT) for patients with obstructive sleep apnea (OSA) and primary snoring.

Your patient comes to us for the appliance. They come back to you for ongoing sleep management.

We defer to the referring physician on diagnostic workup. Polysomnography remains the gold standard. If a patient presents to us without a current sleep study, we refer back for appropriate testing before fabricating an appliance.

What we handle:

  • Custom-fabricated mandibular advancement devices
  • Titration and follow-up to optimize jaw position
  • Combination therapy management (oral appliance + CPAP)
  • Medical insurance billing, prior authorizations, and claims

What we send back to you:

  • Treatment summaries after appliance delivery
  • Appliance titration records
  • Outcome documentation to support follow-up testing by the referring physician

We keep referring providers in the loop throughout treatment. The patient relationship remains yours.

Appropriate referrals include:

  • Patients diagnosed with mild to moderate OSA who are candidates for OAT
  • CPAP-intolerant patients seeking an alternative
  • Patients who may benefit from combination therapy (oral appliance + CPAP)
  • Patients with primary snoring

Surgical and Restorative Referrals

We accept referrals from general dentists and specialists for procedures including:

  • Dental implant placement (single-tooth through full-arch)
  • Guided implant surgery
  • Surgical extractions, including complete bony third-molar impactions
  • Bone grafting: socket preservation, ridge augmentation, sinus lifts
  • Soft tissue grafting
  • Frenectomy (laser, labial and lingual)
  • Sedation for patients who require anxiolysis or general anesthesia for dental care

For oral and maxillofacial surgeons: You place the implants and All-on-X however you prefer. We handle the entire restorative side: surgical and prosthetic planning, guide fabrication if preferred, provisional and final restorations, delivery, and follow-up.

For general dentists: When you refer implant cases to us, Dr. Kary handles surgical planning, guide design and fabrication, implant placement, and any necessary grafting or uncovering. Your patient returns to you ready for the final restoration. 

Equipment:
Cases are planned using a DEXIS OP 3D EX cone-beam CT (10×15 cm field of view). Digital impressions are captured with a Medit i900C intraoral scanner. Surgical guides and diagnostic models are fabricated in-house with a RapidShape Pro 20 3D printer.

Sedation options:

  • Nitrous oxide anxiolysis
  • Enteral sedation (oral benzodiazepines)
  • General anesthesia administered by a board-certified anesthesiologist in our office

How to Refer

Contact our office to refer a patient: 

Phone:(301) 301-3148 Fax: (301) 301-9670

Or refer online: 

Referral Portal