Posts for: July, 2018
While pediatric dentistry has made great strides in making young patients’ dental visit experiences more relaxing, some children and teenagers still have difficulty with anxiety. Their anxiety in turn can make necessary care much harder to provide.
For difficult cases, many dental providers for children now incorporate a technique known as conscious sedation to help ease anxiety. With this technique, they’re able to perform procedures like cavity-filling or tooth-extraction that are more difficult with an anxiety-prone patient.
While general anesthesia creates a total loss of consciousness, conscious sedation uses precise medications to suppress consciousness at different levels ranging from light to deep suppression, and create a relaxed state for the patient. A child under sedation can still breathe normally and respond to certain stimuli, including touch and verbal commands. For only a light or minimal effect, a dentist normally administers the sedation drug as a pill the child takes orally. For deeper sedation, the medication is most likely delivered through a vein (intravenously).
Sedation reduces fear and anxiety but not necessarily pain, so it’s often accompanied by some type of anesthesia, either a local anesthetic delivered by injection to the procedure site or with a nitrous oxide/oxygen gas combination that’s inhaled through a mask worn by the patient.
Even though the child isn’t completely unconscious, one of the dentist’s staff will monitor vital signs (heart and respiration rates, blood pressure and blood oxygen level) throughout the procedure. This continues even after the treatment is over until the child’s vital signs return to pre-sedation levels. Once released, they will need a ride home and should rest for the remainder of the day. They can then return to school and resume other normal activities the next day.
With the advent of newer and safer drugs, conscious sedation is becoming a more widespread technique in both medicine and dentistry. Using it to ease a child’s anxiety increases the chances they’ll receive all the dental care they need without unpleasant memories of their visit that could follow them into later life.
If you would like more information on the role of conscious sedation for children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Sedation Dentistry for Kids.”
Everyone loves a concert where there's plenty of audience participation… until it starts to get out of hand.Â Recently, the platinum-selling band Fifth Harmony was playing to a packed house in Atlanta when things went awry for vocalist Camila Cabello. Fans were batting around a big plastic ball, and one unfortunate swing sent the ball hurtling toward the stage — and directly into Cabello's face. Pushing the microphone into her mouth, it left the “Worth It” singer with a chipped front tooth.
Ouch! Cabello finished the show nevertheless, and didn't seem too upset. “Atlanta… u wild… love u,” she tweeted later that night. “Gotta get it fixed now tho lol.” Fortunately, dentistry offers a number of ways to make that chipped tooth look as good as new.
A small chip at the edge of the tooth can sometimes be polished with dental instruments to remove the sharp edges. If it's a little bigger, a procedure called dental bonding may be recommended. Here, the missing part is filled in with a mixture of plastic resin and glass fillers, which are then cured (hardened) with a special light. The tooth-colored bonding material provides a tough, lifelike restoration that's hard to tell apart from your natural teeth. While bonding can be performed in just one office visit, the material can stain over time and may eventually need to be replaced.
Porcelain veneers are a more long-lasting solution. These wafer-thin coverings go over the entire front surface of the tooth, and can resolve a number of defects — including chips, discoloration, and even minor size or spacing irregularities. You can get a single veneer or have your whole smile redone, in shades ranging from a pearly luster to an ultra-bright white; that's why veneers are a favorite of Hollywood stars. Getting veneers is a procedure that takes several office visits, but the beautiful results can last for many years.
If a chip or crack extends into the inner part of a tooth, you'll probably need a crown (or cap) to restore the tooth's function and appearance. As long as the roots are healthy, the entire part of the tooth above the gum line can be replaced with a natural-looking restoration. You may also need a root canal to remove the damaged pulp material and prevent infection if the fracture went too far. While small chips or cracks aren't usually an emergency (unless accompanied by pain), damage to the tooth's pulp requires prompt attention.
If you have questions about smile restoration, please contact us and schedule an appointment. You can read more in the Dear Doctor magazine articles “Porcelain Veneers: Strength & Beauty As Never Before” and “Porcelain Crowns & Veneers.”
What are you most looking forward to this summer? Maybe you’re planning a trip to the beach, or a getaway in the woods…maybe even a journey to a faraway city or a foreign land. Wherever your holiday travel leads you, we hope it’s enjoyable and safe. And while you’re packing your bags, don’t forget to take a trio of important items that can help keep your vacation trouble-free: namely, a soft-bristled toothbrush, a tube of fluoride toothpaste, and a roll of dental floss.
If you have been careful about keeping up your oral hygiene all year, you’ve probably already noticed the rewards it can bring—like a sparkling smile, fresh breath, and good dental checkups. But even if you’re planning to get away from it all this summer, don’t take a vacation from oral hygiene. And if your oral hygiene routine could stand some improvement, maybe this is the time to make a fresh start.
Maintaining good oral health while you’re on the go doesn’t have to be a high-tech pursuit. You don’t need broadband service or a good mobile signal; you don’t even need electric power. Running water is nice, but not essential. And all the tools you need can fit easily in a travel bag.
The benefits of good oral hygiene are clear. Brushing twice every day and flossing once a day can effectively fight the bacteria that cause tooth decay and periodontal disease. That’s important any time of year, but perhaps even more so when you’re traveling because it’s harder to keep a healthy diet. Grabbing a sugary drink or a snack to go is convenient, but it provides food for the bacteria that can cause dental diseases; also, the acid in some soft drinks (even diet sodas) can wear away tooth enamel, leaving you with less protection against cavities.
Summer vacations can bring welcome surprises and unforgettable experiences. But needing urgent dental care in an unfamiliar place is the kind of surprise you can do without. So even though you may be far away from the routines of home, don’t take a vacation from your oral hygiene routine. It takes just a few minutes, but it can keep your smile bright and healthy wherever you go.