The use of sedation in dentistry has revolutionized the way patients view dental visits. Patients who once were afraid or anxious about even the most routine dental procedures now visit the dentist with confidence. Sedation is typically administered to healthy individuals who need help relaxing or managing treatment anxiety. Reasons for needing sedation may include lengthy procedure times, dental phobias, or fear caused by negative experiences in the past.
Did you know…
that here are three different types of sedation dentistry? You can opt for sedation administered in one of the following ways:
Oral Sedation – A pharmacological agent administered prior to treatment to alleviate anxiety and help patients relax.
Inhalation Sedation – Also known as laughing gas, nitrous oxide offers a euphoric feeling that makes dental treatments more pleasant.
IV Sedation – This is a deep sedation reserved for patients who want little or no memory of their dental visits.
Only you and your dentist can determine if sedation is right for you. Because sedation covers a spectrum of treatments, you will need to consult with your dentist to discuss whether light, moderate or deep sedation best meets your needs. Your eligibility for sedation will depend on your age, health, and any other medications you may be taking.
That depends on the type of sedation you undergo. Oral sedation is relatively simple and involves taking a prescribed medication about an hour prior to your procedure. You’ll feel more relaxed, yet completely aware of your surroundings during treatment. If you choose nitrous oxide, you’ll be instructed to inhale the gas at the beginning of your appointment. Additional nitrous can be administered throughout your procedure to keep you in a state of euphoria. At the conclusion of your treatment, you’ll be given oxygen to help ‘snap’ you out of your sedated state.
If IV sedation is right for you, you’ll be instructed to avoid foods and beverages the night before your treatment. A sedative will be administered to you intravenously prior to your procedure, causing you to fall into a deep sleep. A dental anesthesiologist will monitor you throughout the procedure and adjust dosage as needed.
Depending on the type of sedation you undergo, a licensed driver may need to drive you home from your dental appointment. If you undergo IV sedation, you may need to be supervised for several hours following the procedure.
Composite fillings – also known as tooth-colored fillings – are dental restorations designed to be inconspicuous and natural in appearance. They blend well with the teeth and appear more natural than amalgam fillings, which are darker and more easily seen by other people. Composite fillings are made of ceramic and plastic compounds that chemically bond to the teeth. They can be used to fill in decayed areas of the teeth, as well as to help repair chipped or broken teeth. Most dentists use composite restorations to treat the teeth closest to the front of the mouth, as they are more noticeable when patients smile. However, advancements in dental technology and the composition of composite fillings have made it possible for dentists to also use tooth-colored fillings on molars, which receive more wear than other teeth.
Did you know…
that composite fillings allow dentists to preserve more of the natural tooth structure? This is because composite materials chemically bond to the surface of the tooth like an adhesive. The process takes slightly longer to complete than traditional amalgam fillings, but patients can preserve more of the natural portion of the teeth while enjoying a restoration that is discreet and understated.
If you have a cavity, broken tooth, or a deteriorated filling, you may be a candidate for a tooth-colored filling. Schedule a dental consultation to find out if composites are right for you.
During your visit, your gums and teeth will be anesthetized with a local anesthetic near the site of the filling. Once the area is numb, the decayed or damaged portion of your teeth will be removed to make room for the new tooth-colored filling. A resin will be placed over the area and cured with a hand-held light for less than a minute. The new filling will then be shaped and polished before the procedure is complete.
Composite fillings are cured with light at your dentist’s office. You should be able to return to normal activity and oral care immediately after your visit. It’s normal for treated teeth to experience some sensitivity to hot and cold in the days following treatment, but sensitivity that persists beyond a week should be reported to your dentist.
Dental crowns and bridges are custom-fitted tooth prosthetics that are used to replace or restore damaged or missing teeth. Crowns – also known as caps – are fixed over the surfaces of natural tooth structures or dental implants. Bridges are used to fill in the gaps left by missing teeth and are anchored in place by the natural teeth or crowns nearest the empty space. Both crowns and bridges are non-removable and must be cemented in place by a licensed dentist. Patients who get crown or bridges to restore their smiles achieve both the function and appearance of natural, healthy teeth.
Did you know…
that the Etruscan civilization were the first to use crowns as a means of restoring damaged teeth? In fact, the materials they used – ivory, gold, and bones – were still the standard in dentistry as recently as the 20th century, when porcelain crowns were first invented. Today, crowns and bridges are customized specifically for the patient’s bite and can usually be placed in as little as one or two dental visits. With proper cleaning and regular dental check-ups, crowns and bridges can last many years, or even a lifetime.
If you have a tooth that is damaged or decayed, but still intact, a dental crown may be right for you. If your tooth is missing, but its former position is surrounded by other tooth structures, a bridge may be the solution for you. Schedule an office consultation to determine whether you could benefit from crowns or bridges.
If you are a candidate for a crown or bridge, your teeth will be reduced to ensure a proper fit. An impression will then be taken of your bite and used to fabricate a mold for the crown or bridge. If you are choosing porcelain prosthesis, its color will be matched to the natural shade of your other teeth. If a dental lab is making your crown or bridge, you may be fitted with a temporary restoration until the permanent one is ready for placement.
Your teeth will need time to heal following the crown and bridge placement process, so it is normal for you to experience some sensitivity – especially to hot and cold. Additionally, you may experience soreness in the gums surrounding your restorations, though this is usually manageable with ibuprofen and should subside within a few days.
Dentures are removable tooth prosthetics designed to look and function like natural teeth. For thousands of years, some form of denture has been used to fill in the gaps left by missing teeth, although today’s dentures are much more advanced and easier to care for. Most dentures are composed of replacement teeth attached to plastic bases that take on the appearance of the gums. They are used to compensate for one or more missing teeth, and are available as partials and complete sets of teeth. Many dental patients elect dentures for tooth replacement if they are not candidates for dental implants or are otherwise looking for a tooth replacement option that is more affordable and budget-friendly.
Did you know…
Your dentures are custom designed to fit your smile, but did you know that improperly caring for them can cause them to become distorted? Most removable dentures must maintain moisture to retain their shape. Be sure to wash them after eating, gently clean them once daily, and allow them to soak overnight in a denture soaking solution. This will keep your dentures clean and free of stains, which ultimately helps your smile look its best.
If you are missing one or more teeth and thinking of getting dentures, you will first need a professional consultation with a dentist experienced in denture placement. During this time, you can explore your tooth prosthetic options, ask questions, and make a decision as to whether dentures are right for you.
Your gums must first be prepared before you can begin wearing dentures. If you need one or more teeth removed, the process could take several months while you wait for your gums to heal from the extractions. An impression will then be taken of your gums and the supporting bones beneath the gum, which will be used to fabricate a complete or partial denture in a dental lab.
Once your dentures are ready, you can begin wearing them on a daily basis. Expect the first few weeks to be an adjustment period, during which time you will adapt to the feel of your new dentures, as well as learn how to manipulate your tongue and cheek muscles to keep them in place. You may also experience slight irritation or soreness from the initial denture wear although this should subside after a few days or weeks.
Dental implants are surgical-grade root devices that support permanent tooth prosthetics that are manufactured to last a lifetime. These artificial roots are anchored in the bone beneath the gums where they become fused into the jaw. A crown is mounted atop the implant for a long-lasting and natural looking smile. Many dentists and patients prefer dental implants because they offer the same function as natural teeth and also help prevent bone atrophy in the jaw. Dental implants may be used to replace a single missing or damaged tooth or to restore an entire smile.
Did you know…
that approximately 30 million people live with no natural teeth in one or both jaws? But more and more dental patients are opting for dental implants as a means of tooth replacement. The American Academy of Implant Dentistry reports that 3 million people currently have dental implants – a number that is rapidly growing by about 500,000 per year. Modern titanium implants were first developed in the 1950’s, but archeologists have determined that ancient Egyptians and Mayans were the first cultures to implant artificial teeth.
You may qualify for dental implants if you have missing, broken or severely decayed teeth and are in relatively good overall health. The only way of determining your eligibility for implants is to consult with an oral care provider to identify whether you have adequate bone support and healthy gums that will support the new tooth structure.
The placement of dental implants is a multi-step process that typically takes between 6 and 9 months to complete. It begins with a surgical procedure during which a titanium rod is placed where a previous natural tooth root once was. The gums are sutured shut over the implant, where is will stay for several months while it heals and begins fusing with the surrounding bone. Due to the nature of implant placement and its average procedure time of between 1 and 2 hours, you’ll be sedated and/or anesthetized for the duration of the treatment. At the conclusion of the healing period, you’ll return to be fitted for permanent crowns and have them placed.
It is normal to experience some discomfort, including bruising and swelling following a dental implant procedure. However, inflammation and pain may be managed with over-the-counter medications, hydrocodone, or codeine. You may be asked to eat only soft foods for approximately 2 weeks until the surgical site heals.
Inlays and onlays are dental restorations that are more extensive than dental fillings but less so than caps and crowns. They are typically formed in a dental lab and are made of gold, porcelain or resin depending on the patient’s needs and aesthetic goals. An inlay refers to a restoration that is formed to fit the center of a tooth, whereas an onlay refers to a restoration that encompasses at least, one cusp of the tooth. Both inlays and onlays are bonded to the surface of damaged teeth and matched to the color of the surrounding teeth.
Did you know…
that inlays and onlays can serve as alternative treatments to dental crowns when you have a broken or damaged tooth? When fillings are not enough to adequately repair a tooth, an inlay or onlay can be custom-created to fit securely onto the tooth’s surface. Depending on the materials used, the restoration can be created to appear natural and will have the same function of an organic tooth. Inlays and onlays have extremely high success rates and because they are custom made for each patient, most last longer than traditional fillings.
You could be a candidate for an inlay or onlay in if you have moderate tooth damage or decay and are in search of an alternative restoration option to a crown or cap. Schedule a dental consultation for a complete examination and to find out if an inlay or onlay is right for you.
Your inlay or onlay restoration will be completed over multiple dental treatments. First, your tooth will be prepared for treatment, and an impression will be taken to serve as a mold for your new restoration. You may be fitted with a temporary restoration while your permanent inlay or onlay is fabricated. Once completed, you will return to have the temporary restoration removed and the permanent one bonded to the surface of the teeth.
Special care needs to be given to your teeth while temporary restorations are in place. It is important to avoid sticky or hard foods that could cause significant damage to temporaries. Once you receive your permanent inlay or onlay, you can resume normal eating, brushing and flossing habits.
Root canals are valuable dental procedures used to treat and preserve teeth with badly infected roots. The pulp is the live portion of the tooth that extends into the root and contains nerve endings and tissues. When it becomes infected, patients can experience pain, swelling and even total tooth loss unless treated. Root canals remove the damaged parts of the tooth and infected root. In some cases, an antibiotic is prescribed to help prevent further infection within the tooth. The organic portion of the tooth that remains may be restored using a cap or crown that provides a natural appearance and normal tooth function.
Many patients associate root canals with pain and discomfort.
But local anesthetics and advancements in modern dentistry have made root canals highly tolerable procedures that are often no less comfortable than getting a standard filling. Upon completion, a restored tooth that has undergone a root canal will blend in with surrounding teeth – virtually undetectable to the average eye. More than 9 out of 10 root canal procedures are successful, and most treatments last many years or even a lifetime.
You could be a candidate for a root canal if decay or damage has allowed bacteria to infect the pulp inside your tooth. A root canal could also be the right treatment for you if you prefer to preserve as much of your natural tooth as possible instead of extracting both the healthy and diseased portions of your tooth. For more information about root canals and whether they are right for you, schedule a dental exam and consultation at your earliest convenience.
If you decide to undergo a root canal, the first step in your procedure will involve a local anesthetic. Once your tooth root is numb, the diseased portion of your tooth pulp will be removed and potentially treated for bacterial infection. The tooth will then be sealed and filled before being restored with a crown.
It is normal for teeth to become inflamed after a root canal, potentially causing sensitivity for the first several days following treatment. However, normal brushing and flossing habits can be resumed immediately after treatment and restoration is complete.
TMJ refers to the temporomandibular joint, which is the bone structure, muscles and connective tissues that surround the jaw and control chewing. When patients experience disorders of this joint, they are said to have a temporomandibular joint disorder or TMD. Symptoms of TMD include pain and tenderness near the jaw, as well as popping or clicking in the joint when speaking or chewing. There are many ways of treating TMJ disorders, ranging from non-invasive therapy and bite splints to injections or surgery. Left untreated, however, TMJ disorders can lead to headaches, muscle pain, malocclusion and tooth damage from grinding or clenching.
Did you know…
that TMD alone is not a disorder, but instead a collection of disorders that affect the temporomandibular joint? It is the second most common pain-causing musculoskeletal condition in the U.S. according to the U.S. National Institute of Dental and Craniofacial Research, as many as 12 percent of Americans may suffer from some type of TMD, with women twice as likely to be affected than men. But despite the prevalence and wide availability of treatment, only one out every three people with TMD fails to seek treatment.
You will first need to be formally examined and diagnosed with TMJ disorder. You dentist will evaluate the extent of the condition and determine what course of treatment is best for you. Usually, the initial approach involves conservative treatments, such as self-care, physical therapy and bite guards. Medications may also be used to relax the jaw or relieve pain. Patients who do not respond to conservative treatments may be considered for surgery or joint injections.
TMJ treatment varies from patient to patient, so your experience may be very different than someone else’s. You’ll probably be asked to adopt certain lifestyle changes to help facilitate rehabilitation in your jaw. For example, you may be asked to avoid sudden jaw movements, such as yelling or yawning. You may also need to begin sleeping on your back and take steps to reduce your stress levels.
Your post-treatment care instructions will vary according to the type of treatment you receive. If you undergo an aggressive treatment, such as surgery, you may be temporarily subject to an all-liquid diet. You’ll also need to apply ice to the face to minimize swelling and also keep the surgical site clean and dry.
Dental veneers – also known as laminates – are used to cosmetically enhance the appearance of one or more teeth. Veneers are very thin, porcelain or resin shells that are customized for a desirable color and shape. They are bonded to the surface of the teeth to reshape broken, misshapen or irregular teeth, as well as provide a solution for discolored teeth that do not respond to traditional whitening treatments. Patients with veneers typically achieve a natural tooth appearance that is well-tolerated by the gums and also resistant to future stains.
Did you know…
that dental veneers are a conservative way of completely making over your smile? In fact, veneers are a go-to cosmetic procedure that has become popular with celebrities who want a brighter and more symmetrical smile. Miley Cyrus, Hilary Duff and Ben Affleck are just some of Hollywood’s elite who have seen a cosmetic dentist for laminates. Fortunately, affordability and accessibility make it easy for anyone to get dental veneers – including patients.
Dental veneers may be right for you if you are looking for an alternative to crowns and caps. Veneers can help you if you have gaps between your teeth or teeth that are broken, chipped, irregularly shaped or misaligned. To find out more about whether dental veneers are right for you, contact a cosmetic dentist to schedule a consultation.
Before dental veneers can be placed on the teeth, the surface of the teeth must be prepared for bonding. After administering a local anesthetic, your dentist will buff away approximately half a millimeter from the surface of the teeth. You’ll then bite into a mold that will be used to form your veneers in a dental lab. When the veneers are ready, you’ll be asked to return to have them fitted, bonded and adjusted for shape and color.
There is no special care required for dental veneers, and normal brushing and flossing can be resumed immediately. Because veneers are usually placed over the course of two appointments, it is normal to experience some sensitivity between the first and second visit when the teeth have been reduced in preparation for bonding.
Teeth whitening procedures are used to brighten the appearance of a patient’s smile – sometimes by as many as 5 to 10 shades in a single session. According to the American Dental Association, teeth whitening procedures have become some of the most popular esthetic dental treatments among patients throughout the country, including. Professional teeth whitening services can be performed in an office setting or prescribed for take-home use by a patient. In comparison to over-the-counter teeth whitening treatments, professional whitening uses stronger whitening agents that deliver faster and more effective results.
Did you know…
that the teeth naturally darken as we age? Furthermore, certain foods, beverages, medications and habits can contribute to a darker, yellowed, or stained smile. However, it is possible to erase years of stains in a single professional whitening session and sustain those results for many years with proper maintenance. According to the American Academy of Cosmetic Dentistry, professional whitening is best maintained by a combination of good oral care and take-home whitening treatments as recommended by your dentist.
You may be a candidate for professional teeth whitening if you are experiencing discoloration, but otherwise have healthy teeth and healthy gums. Schedule a consultation with a dentist to find out if tooth whitening could be right for you. Some patients, such as those who are pregnant or sensitive to whitening agents, may not be candidates for professional whitening.
Teeth whitening consists of a thorough cleaning and polishing of the teeth, with all debris carefully removed. Your dentist will then protect your gums before applying a whitening agent to the surface of your teeth. The product will be activated and left on the teeth for several minutes before being washed off with water. Your results will vary according to the natural shade of your teeth and degree of discoloration, but it is normal for patients to experience a lightening of several shades in a single visit.
It is normal to experience some tooth sensitivity following a professional whitening treatment. You may be instructed to avoid consuming highly pigmented beverages for at least 24 hours to prevent the teeth from becoming stained again. Examples include tea, coffee and wine. Depending on your results and long-term teeth whitening goals, you may also be sent home from your procedure with an at-home whitening kit for later use.