Get To Know Dr. Mike

Everyone who meets Dr. Mike comes away thinking: ‘what a great guy’.  But you know there is a story to how this genuinely kind, talented dentist ended up in the US. Quite a story, indeed. Many thanks to Hilary Holladay at Media General’s Orange County Review for finding out a fascinating story of risking all for your family and your faith.  Double click on the image below to “Get To Know Dr. Mike”.

Dr. Mike is at PRDC Monday, Tuesdays and Thursdays.  On Tuesdays he offers a walk-in extraction clinic. No appointment needed, just come on in and we’ll see about getting that tooth out.  PRDC waives exam fees on Tuesdays for same day extractions; patients only pay for the extraction.  If this is your first visit at PRDC, please bring proof of income so we can give you the lowest possible fee.


Fourth Year PRDC provides free dental care for income-qualified US veterans.


If you know any Virginia veterans who need dental care? Please spread the word that for income-qualified US veterans living in Virginia, Piedmont Regional Dental Clinic is providing free dental care on Saturday, November 11th (Veterans Day).  The care is totally free for veterans who qualify; income threshold is 200% of the Federal Poverty level, or $49,200 for a family of four.  We have four volunteer dentists, the majority of them veterans themselves, and four experienced dental hygienists (plus all the dental assistance and administrative staff) working nonstop that day to provide care. If interested, call (540)661-0008 for more information and an appointment.

This day of free dental care for veterans is made possible through the generosity of Linda and David Gibson, Hintermann Family Foundation, Dominion Foundation, Virginia National Bank, Wells Fargo Foundation, McLean Faulconer Realtors, Rappahannock Electic Cooperative, Mason Insurance, Tech Box, SL Williamson and Co, Women’s Club of Madison County, Orange Pharmacy and the Virginia Dental Association Foundation.

It’s Our Turn To Serve!


Extraction Clinic on Thursdays in September and October

To welcome our new dentist, Dr. Mike, PRDC is offering a walk-in extraction clinic for  Virginians without dental insurance on Thursdays in September and October.

The details

We’ll waive the exam fee and all you pay is the fee for the extraction (your fee will depend on your household income).

No appointment necessary. Just walk-in!

If you’ve not seen us before, please bring proof of household income so we can give you the lowest possible rates.

We look forward to seeing you next Thursday!


Nueva ruta de transporte que conecta Orange y Culpeper de Lunes a Viernes

Las tarifas son de $0.50 por trayecto.

Para mas informacion contacte Virginia Regional Transit at (540)825-2456 o visite


There is a new transportation option between Culpeper and Orange, just 50 cents per ride, thanks to Foothills Area Mobility Service and the Virginia Regional Transit.  Go to  to check it out!


“Safe Water, Safe Dentistry, Safe Kids”


PRDC staff were pleased to attend an American Academy of Pediatric Dentistry (AAPD) webinar on what it takes to ensure that the water flowing through those narrow tubes in dental operatories is safe. Headlines in California and Georgia about multiple children being hospitalized because of abscesses caused by bacteria they picked up from water at their dentists’ offices. The CDC in the past six months has issued recommendations  about ‘dental water asepsis’ aka safe dental water.

Children and the elderly seem particularly susceptible to complications from dental water bacterium. But no matter how you look at it, no one wants their mouth irrigated with scummy water.  PRDC, with support from the Culpeper Wellness Foundation, has modified all the water lines in all nine operatories to dispense continuous chemical decontamination (tasteless but effective) which will guarantee that harmful bacteria don’t live in our water systems.  This type of decontamination is one of the methods recommended by the CDC.

The attached flyer from AAPD and the Organization for Asepsis, Safety and Prevention (OASP) provides background and details.  If you have any questions, please ask your dentist next time you visit PRDC!


Down Syndrome and Dental Care

Dental Care for Children with Down Syndrome

Special Dental Special Dental Considerations:
Down Syndrome affects many different parts of your child’s body, including the teeth and gums. Here are a few things that parents of a child with Down Syndrome need to be aware of:

Delayed eruption
Baby teeth and adult teeth may erupt later than expected. Baby teeth may not erupt until age 2. Some baby teeth may still be present until 14 or 15-years-old.
Small Teeth
Teeth may be smaller in size and conically shaped.
Missing Teeth
People with Down Syndrome are 50% more likely to having missing teeth.
Large tongues
The tongue may be large and have fissures (“cracks”). It is important to brush the tongue well because food and bacteria can get caught in these cracks.
Periodontal Disease
Gum disease is one of the most common oral conditions in people with Down Syndrome. If not controlled, infections can be rapid and destructive, leading to loss of permanent teeth. Regular dental care is important for healthy gums, bones, and teeth.
People with Down Syndrome have a lower risk of caries. Regular dental care is still very important in order to maintain a healthy mouth.
Heart defects
Congenital heart defects are common in Down Syndrome. Families should consult with their physician to determine if their child may require an antibiotic prior to dental treatment (including cleanings).

How should I care for my child’s teeth?
Establish a dental home by age 1.

The American Academy of Pediatric Dentistry recommends all children should have their first dental visit by age 1. Regular cleanings every 6 months (or more frequently if recommended by your dentist) will help to maintain excellent oral health. Pediatric dentists have specialized training in treating infants and children with Down Syndrome. It may be helpful to establish a dental home with a Pediatric Dentist.
Brush your child’s teeth 2 times per day.

Teeth should be brushed in the morning and at bedtime. Your child should not eat or drink after brushing at night.
Use fluoride toothpaste as soon as the first teeth erupt.

Avoid using “Training Toothpaste” as these often do not contain fluoride, an important vitamin for healthy cavity-free mouths.
How Much Toothpaste?

Until your child can reliably spit out toothpaste, use the size of a grain of rice.
Limit sweetened beverages to 4-6oz, one time per day, with meals.

Encourage drinking water between meals.


by. Erica Brecher, DMD
BrecherPhotoDr. Erica Brecher is a Pediatric Dentist at Piedmont Regional Dental Clinic. She has completed a three-year residency in Pediatric Dentistry at the University of North Carolina where her studies included care of infants and children with Down Syndrome.  Dr. Brecher is accepting new patients.  Call (540)661-0008 for an appointment.  PRDC accepts Medicaid and most commercial insurance.  The Clinic uses a sliding scale fee schedule so patients fees are based on household size and income.

PRDC is a nonprofit dental safety net clinic located in Orange, Virginia.


Our Turn To Serve – Free Dental Care for Income Qualified Veterans on Veterans Day

prdc-veterans-postcard-hr-11PRDC is holding its annual Our Turn To Serve Clinic on Friday, November 11th, to provide fee dental care to income-qualified Virginia veterans. Double Click on the image above or go to  for a video about the event.

For more information, also please visit our event webpage by clicking here.  If you are a veteran and wish to be seen by our dentists on Veterans Day be sure to call (540)661-0008 and sign up today!  Appointments are limited and going fast.


Weekly Pediatric Dentistry Returns To PRDC!

Pediatric Dentistry Returns To PRDC!

PRDC is pleased to announce we have two new Pediatric Dentists at PRDC-which means we have appointments available every week with a pediatric specialist!! Like Dr. Jeff, these dentists have completed a residency program in Pediatric Dentistry to obtain special training in providing dental care for children including those who are very young, have special needs, or who have challenging dental issues.

PRDC serves patients of all ages and income levels and new patients are warmly welcome. PRDC accepts Medicaid/Smiles For Children and Delta Dental Premier insurance. We also accept out of network benefits with other PPO’s and will file your insurance claims for you.  Appointments with a Pediatric Dentist are available every week so call (540)661-0008 today to secure your child’s place on the schedule.

BrecherPhotoDr. Erica Brecher

Edwards pictureDr. Justin Edwards


Madison Boys and Girls Club Health Fair

Boys & Girls Club Health FairMadison, VAPRDC was happy to participate in the 2016 Health Fair put on last Friday by the Boys and Girls Club of Madison, Virginia. Thank you for the opportunity to talk with all the Mountaineers about what they can do NOW to have a great smile when they grow up! We’ll be at the Boys and Girls Club of Orange health fair later this week.

Yay for lots of Reasons To Smile!