Archive for October, 2009

What is a sedation dentist?

Wednesday, October 28th, 2009

I have not been to a dentist for many years, but recently I cracked a molar, and now I have to do something. I’m not ashamed to admit it - I am so scared! I have been scared to go to the dentist for as long as I can remember, and as an adult have only gone when I really, really have to. I hate everything about it - the scraping, the pain, the whine of the drill. I start sweating just thinking about it.

I’ve been trying to find out about dentists in my area who can knock you out during treatment - I think they are called sedation dentists? What kind of risks are involved with this kind of sedation? I know it is going to take some time to fix my broken tooth, and I can hardly stand the thought of it.
–Felicity in Scottsdale

Dear Felicity,

First of all, know that you are not alone. Many, many people are incredibly anxious when they visit the dentist. Our practice here in Plano is an especially friendly place for such “dental cowards” - our staff has special training, so we can provide sedation dentistry for people who are extremely anxious about dental care.

Some people mistakenly call this sleep dentistry, but you do not actually go to sleep during your procedure. There are different levels of sedation, and different kinds of medications that are appropriate for different patients. The key thing to remember is that your dentist should really listen to you, to make sure your experience is as comfortable and stress-free as possible.

The sedation techniques used in sedation dentistry are very safe, and carefully tailored to suit your individual needs. I can’t give you a specific answer about the risks, because they vary depending on the type of medication, but your dentist should carefully discuss what techniques and medications will be best for you, and go over the potential side effects thoroughly.

Sedation dentistry can help you overcome your fear. Hopefully, one good experience will lead to another, and you will be able to pursue regular dental care. Good luck!

How will my dental bridge look?

Thursday, October 15th, 2009

Hello, I am a 51 year old man who is concerned about having a decent smile in my later years. I have a problem tooth that needs root canal & a crown or bridge afterwards, my dentist who is not a board certified cosmetic dentist is steering me towards extracting the tooth & then putting in a porcelain bridge. My concern is grinding down the outside teeth to put the bridge in. He tells me its the best case scenario because the 2 teeth on both sides of the false tooth have fillings in them & at some point will become a problem & the bridge will eliminate that down the road. I am not so much concerned about the cost as I am about the appearance & durability of the dental work, please advise!
- Ray in Pennsylvania

Ray,

I recommend getting a second opinion.

If you have a concern about appearance, you need to choose your dentist very carefully. Very few dentists are artistic enough to make a beautiful and realistic dental bridge, if it shows when you smile.

But my main concern is the reasoning you seem to be presenting. If the tooth can be saved with a root canal and a crown, then I would save them. If the teeth on either side later need something additional, I would address that later when they actually need it.

When he puts in the dental bridge, that isn’t the end of the story with these teeth. A bridge doesn’t last forever. Now you’re committed to a bridge there forever. What if one of the teeth the bridge is attached to later breaks or gets infected or has some other problem. What then? You’ll need a longer bridge, or maybe a removable partial, or something else undesirable.
- Dr. Hall