Dental Crowns & Bridges

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Why is Sedation Dentistry necessary for some patients?

It is common and perfectly normal to have some degree of apprehension or anxiety prior to receiving dental treatment. Some people, however, have stronger feelings in this regard than others. These feelings may be the result of less than pleasant past experiences, stories told by family and friends, or by the nature of the dental procedure itself (wisdom teeth removal). Dental treatment may be especially frightening to young children and patients with developmental disabilities. Whatever the cause, apprehension or anxiety can produce many unpleasant effects including heart palpitations, high blood pressure, upset stomach and trouble sleeping the night before the appointment. Many highly apprehensive patients avoid dental care for many years until their problems become so severe that they are forced to seek emergency care.

What is Sedation Dentistry?

Sedation can make practically all dental and oral surgical procedures more pleasant and safer for the apprehensive patients. During the procedure, the anxiety that many people have can be controlled by administering sedative medication. A sedated patient will not only be more relaxed but can also have potentially limited memory of the procedure performed. In either case local anesthesia (lidocaine) is also administered to block the pain sensations during the procedure and to keep the mouth numb during recovery.

How is the medication administered?

Sedative medication can be administered by breathing (nitrous oxide/laughing gas), orally (pill form) or intravenously (IV).

• Nitrous oxide is the most common agent used to treat apprehensive patients and can be used either by itself or in combination with Oral Sedation.
• Non- IV conscious sedation involves Nitrous Oxide in combination with an oral medication. Patients become very relaxed and potentially slightly sleepy but are still able to speak and answer questions. Some patients may experience an amnesic effect and don’t remember much of the visit the next day. Oral medication takes time to work (approximately 30-45 minutes) and has limits on how sedated you can safely become.
• IV sedation: Medication given intravenously (IV) has its effect rapidly so your dentist can give the precise amount needed for your level of anxiety. In addition, if more medication is needed during the procedure, the IV allows easy administration of additional medications. Patients are generally very sleepy and may experience more amnestic effects from IV sedation than through the other previously mentioned methods.

Which type of sedation is right for me?

The route selected by you and your dentist will depend on your current health status and your particular needs.

How am I monitored during the procedure?

Depending on the depth of sedation or anesthesia being used, as well as your own medical condition, various monitors will be used during your procedure to ensure your safety. These monitors vary from automatic blood pressure cuffs to the use of pulse oximeters which, through a light sensor, measure the oxygen concentration in your blood. For our conscious and IV sedation patients, an EKG monitor is also used to monitor your heart rhythm in addition to capnography (measuring carbon dioxide levels from the breath). In addition to the monitoring devices, your doctor along with trained staff will always be with you and will be observing you closely during your treatment.

Is Sedation Dentistry safe?

The use of sedation in dentistry has a commendable record of safety. This is due to the advanced training your doctor has and her commitment to your overall health. It is important to advise your doctor of all medications that you take as well as any changes in your health since your last visit. In Texas, a special permit is required to administer sedation and anesthesia.Dr. Dillon Patel is trained in Level 2 (Nitrous and Oral conscious sedation) and Level 3 (IVModerate sedation) and can administer IV sedation. The ability to handle emergency situations as well as having specific emergency medications and equipment is a mandatory part of the permitting process. Additionally, Dr. Dillon Patel is certified in Basic Life Support, AdvancedCardiac Life Support, and Advanced Trauma Life Support.

Source: the American Dental society of Anesthesiology

Any questions or concerns? Call to schedule an appointment at your nearest Enamel Dentistry Location.

If your gums start bleeding while you’re flossing, should you keep flossing? Absolutely!

Bleeding while flossing is often a sign that you need to be flossing your gums more thoroughly or frequently—not that they should be left alone. It might sound counterintuitive, but the more you floss, the less your gums will bleed, unless the bleeding is related to physical damage to your gum tissue or a systemic issue. Many patients will stop flossing an area that bleeds, but the best thing to do is to give that area more attention!

Other Reasons Why Your Gums Might Bleed During Flossing

For most patients, simply flossing more often is enough to stop bleeding gums. However, there are several other reasons why your gums could bleed while flossing, including:

• You could be using poor flossing techniques
• You may not be brushing your gums properly while brushing your teeth
• You may have an accumulation of plaque and tartar on your teeth
• You may have had your teeth cleaned recently and had a lot of build-up removed
• You may have gingivitis, the early stage of gum disease

If the bleeding hasn’t gone away within 3-10 days, schedule an appointment to have your dentist check it out. We’ll evaluate your flossing technique and determine whether you may need a cleaning or periodontal care. Gingivitis and gum disease are both very common, but the good news is that they can be reversed in the early stages.

How Often Should You Floss Your Teeth?

Flossing is very important because it can get into areas that your toothbrush bristles can’t. No matter how well you brush your teeth, if you’re not flossing, you’re essentially only cleaning about 50% of your mouth. If you only floss occasionally, your gums will probably bleed because the tissue isn’t used to the stimulation; regular flossing helps the gum tissue become more resilient.

Although some patients floss after every meal, simply flossing once a day will do wonders for your oral health! The best time to floss is typically before you brush your teeth at the end of the day. This will allow the fluoride to make the most contact with your teeth. If you have questions about how to floss your teeth properly, we’d be happy to give you a demonstration!

The bottom line: your gums may bleed from time to time, and generally, it’s not serious. Start flossing more often, and it should go away. But if your gums bleed regularly, it’s time to schedule an appointment with your dentist! Contact your closest Enamel location or book an appointment online.

Charcoal toothpaste (also called black toothpaste) has been marketed as a healthy, natural way to whiten your teeth—but does it really make good on that promise?

https://www.youtube.com/shorts/vgpXm7iyz30

Activated charcoal, which is one of the main ingredients in this kind of toothpaste, has long been used to bind toxins; in fact, that’s one of the ideas behind putting it in toothpaste—binding and pulling bacteria, tartar, and stains from your teeth. Charcoal dental care isn’t a new idea; Hippocrates of Ancient Greece believed it was an ideal treatment for black gums and bad breath, and it was advertised as a way to freshen your breath and remove tobacco stains in the late 19^th and early 20^th centuries.

Natural Isn’t Always Better

The first thing to know about whitening toothpaste is none of them actually whiten your teeth; all they do is remove stains. The second (and more important) thing to know about charcoal toothpaste is that it’s highly abrasive, so even if it does absorb harmful compounds on your teeth, it’s also scraping away at the surface of your teeth every time you brush. One study found that tooth surfaces became significantly rougher after only a month of using charcoal toothpaste compared to regular toothpaste.

If roughened tooth surfaces sound like bad news to you, you’re right! The roughened texture means enamel loss. Once enamel is gone, it can’t be replaced—even worse, it makes your teeth much more vulnerable to decay. Also, most brands of charcoal toothpaste don’t contain fluoride, which is essential for preventing cavities. Not to mention, charcoal dental products aren’t backed by the American Dental Association or the FDA. 

Although charcoal toothpaste can help get rid of surface stains, it’s probably best to avoid it altogether. 

For a Whiter Smile, Turn to the Experts

The most effective way to get a brighter, whiter smile is with professional teeth whitening at Enamel Dentistry. We use custom trays that protect your gums from sensitivity and harsh bleaching agents, and we can whiten your teeth by up to 5-10 shades in a single office visit. To learn more, contact Enamel Dentistry or talk to your dentist at your next appointment.