Dental anxiety is a common concern, and for many patients, the idea of undergoing dental procedures can be overwhelming. To help alleviate this fear and ensure a comfortable experience, sedation dentistry offers two popular options: oral sedation and nitrous oxide. These methods are designed to help patients relax during dental treatments, but they work in different ways and are suitable for different situations.

In this article, we’ll explore the unique aspects of oral sedation and nitrous oxide, providing you with the insights you need to make an informed choice for your next dental visit.

What Is Oral Sedation?

Oral sedation is a method used in dentistry to help patients relax during procedures. It involves the administration of sedative medications in pill form, typically taken an hour before the appointment. The most commonly used drugs for oral sedation belong to the benzodiazepine family, such as diazepam or triazolam. These medications work by depressing the central nervous system, which induces a state of calm and reduces anxiety.

What’s unique about oral sedation is that it allows patients to remain conscious and responsive, but in a deeply relaxed state. This level of sedation is often referred to as “conscious sedation.” Unlike general anesthesia, where the patient is completely unconscious, oral sedation keeps you aware enough to follow instructions, yet comfortable enough to not feel distressed by the dental procedure.

The effects of oral sedation can vary based on the dosage and the patient’s individual response. Some patients may feel drowsy and even fall asleep, although they can be easily awakened. This method is particularly beneficial for longer or more invasive procedures, as it helps maintain a steady level of sedation over an extended period.

Oral sedation is also advantageous because it’s non-invasive—there’s no need for needles or IVs, which can be a significant concern for those with needle phobias. However, because the medication takes time to take effect and wear off, patients will need to arrange for someone to drive them home after the procedure.

What Is Nitrous Oxide?

Nitrous oxide, commonly known as “laughing gas,” is a mild sedative used in dentistry to help patients relax during procedures. Administered through a small mask placed over the nose, nitrous oxide is inhaled in combination with oxygen. The gas works quickly, typically taking effect within minutes, and induces a feeling of euphoria or light-headedness. Patients often report a sense of calm and well-being, with a slight tingling sensation in the arms and legs.

One of the key benefits of nitrous oxide is its versatility and control. The dentist can easily adjust the level of sedation throughout the procedure, ensuring the patient remains comfortable without becoming overly sedated. Unlike oral sedation, the effects of nitrous oxide wear off rapidly once the mask is removed, allowing patients to resume normal activities, including driving, shortly after their appointment.

Nitrous oxide is particularly beneficial for short procedures or for patients who experience mild anxiety. It provides a level of sedation that is less intense than oral sedation, making it a preferred option for those who need just a little help relaxing. Additionally, because it doesn’t require premedication, nitrous oxide can be administered on an as-needed basis, offering flexibility for both the patient and the dentist.

Key Differences Between Oral Sedation and Nitrous Oxide

While both oral sedation and nitrous oxide serve to ease dental anxiety, they differ significantly in their administration, effects, and suitability for various patients and procedures.

Oral sedation is taken in pill form, typically before the dental visit, and provides a deeper level of relaxation that can last for several hours. This method is ideal for longer, more invasive procedures or for patients with significant anxiety. However, because the sedative effects linger, patients must arrange transportation home after their appointment. Oral sedation also requires some planning, as it needs to be taken well in advance of the procedure.

Nitrous oxide, on the other hand, is inhaled through a mask during the procedure, offering a lighter, more flexible sedation. The effects are almost immediate and can be adjusted by the dentist in real-time, making it suitable for shorter, less complex procedures or for patients with mild anxiety. One of the main advantages of nitrous oxide is its rapid recovery time—patients can often resume normal activities, including driving, soon after their appointment.

The choice between oral sedation and nitrous oxide often depends on the individual patient’s needs, the nature of the dental procedure, and personal preferences. Understanding these key differences allows patients to make informed decisions about their sedation options, ensuring a more comfortable and stress-free dental experience.

Benefits of Oral Sedation

Oral sedation offers several unique benefits that make it an appealing option for patients with dental anxiety or those undergoing more complex procedures:

Deeper Relaxation: Oral sedation provides a more profound level of relaxation, making it ideal for patients with severe anxiety or those requiring longer treatments.
Ease of Administration: Taking a pill is simple and non-invasive, eliminating the need for needles or gas masks, which can be unsettling for some patients.
Amnesia Effect: Many patients report little to no memory of the procedure, reducing the stress associated with future dental visits.
Prolonged Sedation: The effects last longer, making it suitable for extensive procedures where consistent sedation is necessary.

These benefits collectively make oral sedation a versatile and effective option for a wide range of dental patients.

Benefits of Nitrous Oxide

Nitrous oxide, or laughing gas, offers several benefits that make it a preferred choice for many patients:

Rapid Onset: Nitrous oxide works almost immediately, providing quick relief from anxiety as soon as the gas is inhaled.
Adjustable Levels: The dentist can easily control the level of sedation, ensuring optimal comfort without over-sedation.
Quick Recovery: The effects wear off rapidly once the gas is stopped, allowing patients to resume normal activities, including driving, shortly after their appointment.
Minimal Side Effects: Nitrous oxide is well-tolerated with few side effects, making it a safe option for a wide range of patients.

These benefits highlight why nitrous oxide is a popular choice for patients needing mild sedation during dental procedures.

Safety Considerations: Is Sedation Right for You?

When considering sedation, safety is paramount. Both oral sedation and nitrous oxide are generally safe when administered by a qualified dentist, but they may not be suitable for everyone. Patients with certain medical conditions, such as respiratory issues, severe allergies, or heart conditions, may face higher risks with sedation. It’s crucial to discuss your full medical history with your dentist to determine the most appropriate sedation method.

For oral sedation, patients should be aware of potential side effects, such as prolonged drowsiness, dry mouth, or mild memory loss. Additionally, oral sedation requires someone to drive you home after the procedure due to its lingering effects.

Nitrous oxide is known for its safety and minimal side effects, but it’s not recommended for patients with chronic obstructive pulmonary disease (COPD) or those in the first trimester of pregnancy. The gas is quickly expelled from the body, making it a safer option for patients who need to return to normal activities shortly after their dental visit.

Ultimately, your dentist will evaluate your overall health, the nature of the dental procedure, and your personal comfort level to recommend the safest and most effective sedation option for you.

Conclusion

Choosing between oral sedation and nitrous oxide depends on your individual needs and the specific dental procedure you’re undergoing. Both options offer effective ways to manage anxiety and ensure comfort during treatment, but they work differently and suit different situations. It’s important to discuss your concerns and medical history with your dentist to determine the best option for you.

At Bridge Dental Charleston, we prioritize your comfort and safety. To learn more about sedation options or to schedule an appointment, call us at (843) 225-0111. Your comfort is our priority, and we’re here to help you smile with confidence.

We Place and Restore Dental Implants.

Dr. Pratt has taken hundreds of hours in continueing education in placing and restoring dental implants including the MAXI Course in Atlanta, GA, the Engel Institute in Charlotte, NC, and The Implant Pathway course in Phoenix, AZ.

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DERMAL FILLERS

If you are looking for a non- surgical face lift or you just want to smooth out a few fine lines or fill in deep set wrinkles, injectables are for you. Millions of people use dermal fillers to achieve a more relaxed and smooth facial appearance while still having the freedom of expression.

Dermal fillers are smooth injectable gels made from naturally occurring hyaluronic acid. Dermal fillers add volume to weakened facial features and can stimulate collagen growth. Each dermal filler is unique in its own way but similar in two. First, they plump skin and gently lift it to restore collagen loss due to the normal aging process. Secondly, dermal fillers motivate the body to create its own natural collagen and restore your face to a more natural, youthful appearance.

Dermal fillers approved by the FDA are minimally invasive and very safe. As with any procedure, there are possible risks, the most common being post-procedure bruising and swelling which are usually very minimal and resolve quickly.

Dermal filler treatments typically take 20-40 minutes and the amount of dermal filler needed will depend on volume loss and the areas you would like to restore to its natural beauty. You will see maximum results in aproximately two weeks after treatment.

Oral Sedation

Anti-Anxiety Medication

Most commonly, oral sedation (usually in the form of anti-anxiety pills also known as “happy pills”) is prescribed for relieving anxiety in the hours immediately before a dental appointment. An anti-anxiety or a sleeping pill taken the night before the appointment, an hour before going to bed, can help with falling asleep and getting some rest.

Anti-Anxiety Pills

In dentistry, the most commonly prescribed drugs for (or rather against!) anxiety belong to the “benzodiazepine” family. You’ve probably heard of them by their tradenames – for example, Valium, Halcion, Xanax, or Ativan.

Benzos decrease anxiety by binding with receptors in the brain which tone down activity in those parts of the brain responsible for fear.

Travel Warning!

You shouldn’t travel on your own after you’ve taken benzodiazepines in the doses mentioned here – make sure you have an escort, even if you’re walking there! It’s easy to become disorientated and miss your stop if going by bus or train, or walk straight in front of a car – or you might even forget that you’re on your way to your dentist’s (“hey cool” I hear you say :wink:)… So find someone to accompany you. And please don’t pop pills and drive!

Nitrous Oxide Sedation

Nitrous Oxide Relaxes You

Nitrous oxide, also called laughing gas, is a colorless gas that is often used for its calming effect. After reviewing your health history, we determine if nitrous oxide is right for you. Nitrous oxide is safe, effective and helps you feel more relaxed during your dental appointment.

A typical visit with nitrous oxide

To use nitrous oxide, we place a small mask over your nose, and you simply breathe in normally. It takes just a few minutes for you to notice the effects. People most often describe the feeling as being relaxed, unconcerned, happy, slightly numb, and disconnected from what is happening around them. Since nitrous oxide does not numb the teeth, we may also recommend anesthetic for some dental procedures.

Controlling the effects

During the procedure, let us know if you want us to adjust the dosage of the nitrous oxide gas to fit your needs. You can also control the dosage by your breathing. The more deeply you breathe through your nose, the more you feel nitrous oxide’s effect. After a dental appointment with nitrous oxide, it is safe for you to drive because there are no long-lasting effects.

Root Canals

Root Canal Therapy

When the pulp of a tooth becomes infected or dies, root canal therapy is necessary to save the tooth. It is generally comfortable treatment that can save your tooth and keep your mouth healthy.

Symptoms of infection

You may realize that you have an infected tooth when—

The tooth is sensitive to hot or cold.
The tooth hurts with biting or pressure.
There is throbbing, severe tooth pain.
The area is swollen.
You have a bad taste in your mouth.

You may also be unaware of the problem because there are no symptoms at all.

Causes of infection

The pulp becomes infected when bacteria invade the inner layers of the tooth. The tooth pulp is a soft tissue made up of nerves and blood vessels. It is contained in the pulp chamber that extends from the middle of the tooth down through the tooth roots.
Infection occurs most commonly through a deep cavity that allows bacteria through the enamel and dentin layers and into the pulp. Sometimes the pulp simply dies due to a fracture or a blow to the tooth.

Diagnosis and treatment

To determine if your tooth has an infected pulp, we do a thorough examination. The exam often includes x-rays and sometimes includes checking the health of the pulp with a pulp tester. We may also apply heat or cold, tap lightly on the tooth to see if it is sensitive, look for changes in the tooth’s color, or press gently on the gums next to the tooth to check for pain. If we determine that you have an infected tooth, we talk with you about root canal therapy to remove the infection and save the tooth. It is important to treat an infected tooth in order to prevent the infection from traveling through the root tips and causing a painful abscess in the jawbone.

When tooth extraction is needed

Generally, we recommend treatments that will save teeth, but when a tooth is so damaged that it cannot be saved, extraction is the best choice. Extraction might be best for

Teeth that are fractured below the gum line.
Severe tooth decay.
Advanced periodontal disease.
Primary teeth that are too crowded or not falling out properly.
An impacted wisdom tooth.

Taking care of yourself after the extraction

To minimize problems after your tooth is removed, you’ll need to follow our post-operative instructions carefully, especially for the first 24 hours. These instructions will explain how to control bleeding, how to relieve pain and minimize swelling, how to prevent dry socket, and what to eat and not eat.

The benefits of extracting teeth

An extraction is sometimes the best treatment choice for preventing many future dental problems. Depending on your situation, these problems might include the risk of infection, the spread of periodontal disease, cysts in the jawbone, or severely crowded or misaligned teeth.

Gold Crowns

When a tooth needs a restoration, sometimes the best choice is a gold crown. A gold crown is precision-crafted in a dental laboratory, so it may take two or more appointments to restore your tooth with a gold crown.

Placing a gold crown

On your first visit, we numb the area to make you comfortable. We may also use a rubber dam to protect your mouth and the back of your throat while we work. Using the handpiece, we remove any decay and shape the tooth, so it will securely hold the crown. Next, we take an impression of your teeth. The dental lab uses this impression to make an accurate model of your mouth; then they use the model to create a crown that precisely fits your tooth and bite. In the meantime, we often place a temporary crown to protect your tooth. On your next visit, we remove the temporary crown and try in your new gold crown. We check the fit and your bite, and when everything is right, we cement the crown in place.

The benefits of a gold crown

A gold crown has several benefits. Like all crowns, it covers and protects your tooth. But in addition, a gold crown is

Gentle on opposing teeth when you chew.
Very strong, so it withstands heavy biting forces.
Durable and long-lasting.

Composite Fillings

Composite resins, or tooth-colored fillings, provide good durability and resistance to fracture in small- to mid-size fillings that need to withstand moderate pressure from the constant stress of chewing. They can be used on either front or back teeth. They are a good choice for people who prefer that their fillings look more natural. Tooth-colored fillings are now used more often than amalgam or gold fillings, probably due to cosmetics. In a society focused on a white, bright smile, people tend to want fillings that blend with the natural color of their teeth.

What’s in Your Mouth?

To understand what happens when your teeth decay, it’s helpful to know what’s in your mouth naturally. Here are a few of the elements: Saliva — Your mouth and teeth are constantly bathed in saliva. We never give much thought to our spit, but this fluid is remarkable for what it does to help protect our oral health. Saliva keeps teeth and other parts of your mouth moist and washes away bits of food. Saliva contains minerals that strengthen teeth. It includes buffering agents. They reduce the levels of acid that can decay teeth. Saliva also protects against some viruses and bacteria. Plaque — Plaque is a soft, gooey substance that sticks to the teeth a bit like jam sticks to a spoon. Like the slime that clings to the bottom of a swimming pool, plaque is a type of biofilm. It contains large numbers of closely packed bacteria, components taken from saliva, and bits of food. Also in the mix are bacterial byproducts and white blood cells. Plaque grows when bacteria attach to the tooth and begin to multiply. Plaque starts forming right after a tooth is cleaned. Within an hour, there’s enough to measure. As time goes on, the plaque thickens. Within two to six hours, the plaque teems with bacteria that can cause cavities and periodontal (gum) disease. Calculus — If left alone long enough, plaque absorbs minerals from saliva. These minerals form crystals and harden into calculus. Then new plaque forms on top of existing calculus. This new layer can also become hard. Bacteria — We have many types of bacteria in our mouths. Some bacteria are good; they help control destructive bacteria. When it comes to decay, Streptococcus mutans and Lactobacilli are the bacteria that cause the most damage to teeth.

How Your Teeth Decay

The bacteria in your mouth need food to live and multiply. When you eat sugary foods, or even starches such as rice, the bacteria use them as food, too. The bacteria then produce acids that can dissolve tooth enamel (outer layer of the tooth). It’s not just candy and ice cream we’re talking about. All carbohydrate foods eventually break down into simple sugars. Some of this process begins in the mouth. Foods that break down into simple sugars in the mouth are called fermentable carbohydrates. These include the obvious sugary foods, such as cookies, cakes, soft drinks and candy. But they also include pretzels, crackers, bananas, potato chips and breakfast cereals. Bacteria in your mouth turn the sugars in these foods into acids. These acids begin to dissolve the mineral crystals in teeth. The more times you eat each day, the more times your teeth are exposed to an acid attack. This attack can lead to tooth decay, also known as dental caries or cavities. First, the acid begins to dissolve calcium and phosphate crystals inside a tooth. A white spot may appear on the enamel in this weakened area. But the loss of minerals develops beneath the surface of the enamel. The surface may still be smooth. At this stage, the tooth can be repaired with the help of fluoride, proteins and minerals (calcium and phosphate) in the saliva. The saliva also helps reduce the acid levels from bacteria that attack the tooth. Once the decay breaks through the enamel to cause a cavity, the damage is permanent. A dentist must clean out the decay and fill the cavity. Left untreated, the decay will get worse. It can destroy a tooth all the way through the enamel, through the inside dentin layer and down to the pulp or nerve of the tooth. That’s why it is important to treat caries at a very early stage, when the process can be reversed.

Conventional Dentures

When all your upper or lower teeth are missing, a full denture is a good treatment for replacing them. With proper home care and regular adjustments and relines, your denture can provide a functional bite and a natural-looking smile.

The benefits of a full denture

Dentures have many benefits. When your natural teeth are missing, dentures enable you to eat nutritious foods more easily and to speak more clearly. In addition, they support your lips and cheeks for a more attractive and youthful appearance.

Partial Dentures

Removable Partial Dentures

Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases. Depending on your needs, your dentist will design a partial denture for you. A partial denture may have a metal framework and clasps that connect to your teeth, or they can have other connectors that are more natural looking. In some cases, a removable partial denture is made to attach to your natural teeth with devices called precision attachments. Precision attachments are generally more esthetic than clasps.

Crowns on your natural teeth are sometimes needed to improve the fit of a removable partial denture and they are usually required with attachments. Partial dentures with precision attachments generally cost more than those with clasps. Consult with your dentist to find out which type is right for you.

Veneers

Veneers Improve Teeth

Veneers are thin shells of porcelain that are bonded to the front of your teeth. They can be a great choice to improve teeth that are stained, crooked, worn or have gaps. Veneers can give you straighter, whiter, and more even-looking teeth.The porcelain has a translucent quality that resembles your natural teeth.

Procedure

Placing veneers usually takes two or more appointments. First, we check the health of your gums and teeth. Many people do not need anesthesia for this procedure, but if you do, we will begin when we are sure the area is numb. If necessary, we remove a minimal amount of tooth structure that is equal to the thickness of the veneer. Next, we take an impression of your teeth. The impression is used by the lab to create your custom veneers. We place temporary veneers on your teeth while your veneers are being made. On your next visit, we remove the temporaries and place the permanent veneers, checking for color and fit. Once everything looks good, we bond them into place. Veneers are a great way to transform your smile in just a couple of visits. Taking good care of your veneers will give you a beautiful smile for many years.

Malocclusions and orthodontics

Malocclusion is the dental term for teeth that don’t fit together properly. Literally, malocclusion means “bad bite.” Orthodontics is the branch of dentistry that corrects malocclusions and brings your teeth into proper alignment.

Importance of treatment

A malocclusion that isn’t corrected can affect your profile and appearance. Poorly aligned teeth can also contribute to tooth decay, bone destruction, loss of teeth, and jaw joint problems. These may, in turn, cause headaches, difficulty in opening and closing your mouth, clicking and popping sounds, and sore, painful jaw muscles.

Correcting your bite through orthodontic treatment can improve your dental health, and it has the added bonus of boosting your self-confidence and giving you a terrific looking smile.

Causes and types of malocclusions

Some people are lucky and naturally have straight teeth. Others aren’t as lucky. The size of your teeth and how they fit into your jaw are inherited traits, and malocclusion can often affect several generations. Besides genetics, malocclusions can also be caused by—

Accidents or disease.
A missing tooth, which allows the teeth around the open space to shift.
Habits such as thumb sucking, which can put pressure on teeth.

There are many types of malocclusions. Your upper or lower jaw may be too far in or out. There may not be enough space in your mouth for your teeth to develop properly, leading to crowding. On the other hand, you might have too much space between your teeth, allowing them to shift, or your teeth may be in crossbite, which means that one or more of your upper teeth bite inside your lower teeth.

SureSmile

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SureSmile is the clear and simple choice. No wires. No brackets. Just clear, convenient comfort—every reason to smile.
With SureSmile, your dentist or orthodontist can straighten your teeth using a series of clear, custom, removable aligners. Each aligner moves your teeth just a little bit at a time until you eventually get straight teeth.

Common Problems that SureSmile Addresses

Crowding

When teeth are too tight together they can become crooked and cause discomfort, difficulty cleaning and lead to other dental problems.

Spacing

Gaps between teeth are generally undesirable cosmetically, but are also a dental concern for increasing the chance of tooth decay.

Overbite

Aside from generally being a cosmetic concern, overbites can also cause eating problems and dental issues.

Crossbite

When lower and upper teeth are not aligned properly it can cause difficulty chewing and lead to jaw and other dental problems.

The Goal of Esthetic Dentistry

Several options

The goal of cosmetic dentistry is to turn a dull smile into a dazzling one. We have several options to restore teeth that—

Are crooked.
Are chipped.
Are stained or discolored.
Have a gap.
Have uneven gums.

We also have several ways to replace missing teeth.

Determining your goals

Before we begin any treatment, we talk with you about your personal goals for your smile and perform a thorough exam to check your oral health. It is important that we maintain good function in addition to enhancing beauty.

In planning treatment, there are specific measurements we take to achieve the best facial harmony.

We take a number of things into account including the—

Individual teeth.
Width of your smile.
Shape of your face.

Improving your smile may be as simple as a whitening process, or it might require more involved treatments such as placing veneers, crowns or orthodontics.

We will discuss what is best for your particular case and answer all your questions.

Every smile should also include fresh breath. If you have a concern about this, we can determine the cause and discuss solutions.

Cosmetic dentistry can help enhance your confidence, improve the health of your teeth, and often, give you a more youthful smile.

If you have unattractive teeth, we can design a plan to help you get the smile you have always wanted.

Home Whitening

Teeth Darken and Stain

No matter how well you take care of your teeth, they can darken and stain over time. Before we begin any whitening treatment, we check the health of your teeth and repair any damage.

At home procedure

Place a small amount of the whitening gel on the front surface of the trays and place them over your teeth. If gel gets on your gums, simply wipe it off. You wear the trays for about two weeks. Depending on your situation, we may recommend that you wear the tray an hour a day or overnight. You should see results in just a few weeks.

A home whitening system can—

Lighten teeth stained by coffee, tea and wine.
Be done at your convenience.

Because the trays are custom made, they fit securely over your teeth. Home whitening can be an easy way to help brighten your smile.

Digital radiography

The computer era has brought us an exciting new technology called digital radiography.
With this technology, we use computerized equipment and software to capture x-ray images of your mouth and teeth. We do this by exposing a small sensor or plate that feeds the image into a computer.

The advantages of digital radiography

Digital radiography has many advantages over traditional dental x-rays:

It’s faster.
It’s safer, with no chemical development and less radiation.
We can view images instantly.
We can enhance images to improve viewing.
Images can be stored electronically and e-mailed to specialists and insurance companies.

Taking x-rays is faster because the sensor is merely moved from tooth to tooth, and your x-ray can be seen on a computer monitor just moments after exposure. There’s no waiting for chemical development, as with film packets.

The lack of chemicals also makes digital x-rays safer for the environment. Digital radiography is safer for you because the unit is so sensitive, the amount of x-ray radiation is up to 80% less than with conventional films.

Digital x-ray technology enables more efficient diagnosis and treatment because it provides a large, easy-to-see image, and it allows us to make adjustments and see details in the x-ray images. The digital x-rays can then become part of your dental record and be easily e-mailed to spets and insurance companies.

With digital radiography, we can offer you faster and safer diagnosis and dental treatment.

Sealants

Sealant Purpose

A sealant is a clear or white plastic coating that is placed on the biting surfaces of back teeth to help prevent tooth decay.

The benefits of sealant

Back teeth have deep grooves and pits that are very difficult to keep clean. Plaque, which is a sticky, colorless film of food and bacteria, collects in these grooves.

Every time you eat, the bacteria in plaque forms acid. Without a protective sealant, this acid attacks the enamel that protects your teeth and causes the enamel to break down. Then, you get a cavity.

Placing sealant

To place the sealant, we thoroughly clean and dry your teeth. Next, a conditioning solution is applied. Then we brush the sealant material into the grooves of your back teeth. The sealant is hardened when exposed to a special light. A sealant is an effective shield that can defend your back teeth against cavities and help preserve your oral health.

Flouride

Oral Healthcare Breakthrough

One of the greatest breakthroughs in preventive dentistry is the use of fluoride. Almost all water naturally contains some fluoride, but not in sufficient quantity to protect teeth. Many American cities add some fluoride to the water supply to bring it up to the levels that help prevent tooth decay.

The Benefits of Fluoride

Fluoride has many benefits for people of all ages. When children are young and their teeth are forming, fluoride joins with the structure of the tooth, making the enamel surface harder and more resistant to decay. The benefits for adults are also important. Fluoride can help repair a cavity in its earliest stage before it has become visible in the mouth. Fluoride rebuilds the enamel layer of the tooth.

Fluoride treatments

Fluoride treatments are sometimes prescribed to help eliminate the bacteria that cause gum disease. Fluoride treatments for older adults help to treat decay on tooth roots and to minimize root sensitivity. For these reasons, we recommend fluoride toothpaste for all of our patients. We may also recommend additional sources of fluoride for you to use at home. Depending on your situation, these could include fluoride drops, tablets, rinses, gels, or a high-concentration fluoride toothpaste. We may also apply fluoride foam, varnish, or gels in our office. Fluoride is an important part of every prevention program. When combined with the good dental habits of brushing and flossing, fluoride can dramatically reduce cavities and keep your mouth healthy.

Check-ups are important

We recommend a check-up every six months so we can identify and prevent a variety of oral health problems. Each visit will be different based on your situation, but generally, check-ups include several steps. We start by reviewing your concerns, dental chart, and medical history so we can determine the most appropriate care for you. The check-up also includes cleaning your teeth. This enables us to clearly see the condition of your teeth and gums and to remove the plaque, tartar and bacteria that cause tooth decay and gum disease. We polish your teeth to smooth their surfaces and to remove light stains. A regular check-up includes a careful visual exam of your mouth. We check for decay on the biting surfaces of teeth, signs of wear, cracks, or other problems with restorations such as fillings and crowns, as well as any abnormal loss of tooth structure. In addition, we check the color and contours of your gums. Red, swollen gums are often signs of gingivitis or periodontal disease. We use a periodontal probe to check the depth of the spaces between your teeth and gums. Readings deeper than 3 millimeters often indicate periodontal disease. We also diagnose any sores or lesions on the soft tissues of your mouth, screening them for signs of oral cancer. Other conditions cannot be easily seen, so we often take x-rays. X-rays show us decay between and inside the teeth and tartar on the teeth and tooth roots. X-rays also show us signs of periodontal disease, such as the loss of bone around the teeth. In addition, x-rays allow us to see cysts, abscesses, and other problems.

We may also examine your jaw joint to help diagnose problems with your bite or TMJ. Sometimes check-ups include additional treatments based on your individual situation. We review your homecare routine and give you advice on a good diet for maintaining good oral health and a beautiful smile. Regular check-ups are important because neglecting dental conditions can lead to much more serious problems, such as—

Infected teeth.
Tooth loss and shifting teeth.
Receding gums.
Loss of bone in the jaw.
Painful jaw joints.

With regular exams, we can detect problems early and help you maintain your oral and overall health.

Infected teeth.
Tooth loss and shifting teeth.
Receding gums.
Loss of bone in the jaw.
Painful jaw joints.

With regular exams, we can detect problems early and help you maintain your oral and overall health.

Gingivitis

Symptoms of Gingivitis

Gingivitis, also known as gum disease, is inflammation of the gums. It is often the first stage of periodontal disease. Some of the warning symptoms of gingivitis include—

Bleeding when brushing or flossing.
Redness where the gums and tooth meet.
Swollen gums.
Bad breath.

Causes of gum disease

Gingivitis usually begins when plaque, the sticky, colorless film of bacteria and food particles that constantly forms on your teeth, is not cleaned away every day. It is hard to see plaque, but in the image below, a harmless dye stains it red. When plaque stays on your teeth for two or three days, it can harden into tartar. Tartar, which is stained blue in the image, can irritate your gums and lead to gingivitis. Gum disease can also be caused by certain medical conditions, some medications, trauma, smoking or chewing tobacco. During pregnancy, hormonal changes can contribute to gum disease.

Treatment

If you have gingivitis, we thoroughly clean your teeth and may schedule you for more frequent cleanings. We may also suggest a special mouthwash or rinse and discuss your homecare technique. The good news is that gingivitis is reversible. The sooner we catch it, the better chance you have of keeping your smile for a lifetime.

Periodontal disease and diabetes

If you have diabetes, you have an increased risk of developing periodontal disease. Diabetes contributes to periodontal disease in several ways. It can—

Lower your body’s ability to fight infection.
Slow healing.
Cause dry mouth.
Often result in high blood sugar levels.

Your blood vessels bring oxygen and nutrients to your tissues, including your mouth, and remove wastes. Diabetes causes the blood vessels to thicken and become less elastic, making you less resistant to infections, like periodontal disease. Diabetics often experience a decrease in the flow of saliva. This can lead to a condition called dry mouth, or xerostomia. A lack of saliva allows plaque, the sticky film of food and bacteria, to build up easily on teeth. This accumulation of plaque is the main cause of periodontal disease, which can result in bone loss.

Having poorly controlled diabetes also means that there is often an excess level of glucose in the blood and saliva. Some think a higher glucose level may encourage the growth of the bacteria that live in plaque and are responsible for periodontal disease. We will work with your physician to monitor your diabetes and keep you in good health. You have to do your part by maintaining a meticulous oral homecare routine. Together, we can help keep you healthy and free of periodontal disease.

What is periodontal disease?

Periodontal disease is a serious infection and the number one reason adults lose teeth. As periodontal disease advances, the infection can destroy the ligaments and bone that support your teeth.

What are the symptoms?

If you have periodontal disease—

- Your gums may bleed when you brush or floss.
- Your gums may be soft, swollen, or tender.
- Your gums may start to pull away from your teeth.
- Your teeth may become loose.
- You may have persistent bad breath.

It is also possible to have no noticeable symptoms. In fact, most people who have periodontal disease are not even aware of it.

What causes periodontal disease?

The main cause of periodontal disease is the long term build-up of plaque, the sticky, colorless film of food and bacteria that constantly forms on your teeth.

It is hard to see plaque, but plaque can clearly be seen after it is stained with a disclosing tablet. When plaque stays on your teeth for two or three days, it hardens into calculus, or tartar.

The bacteria in plaque invade the spaces between your teeth and gums and produce toxins. These toxins, combined with your body’s reaction to them, destroy the bone around your teeth. And once lost, bone never grows back on its own.

If there is not enough support for the teeth and they become loose, they might have to be removed.

Diagnosis and treatment

To determine if you have periodontal disease, we perform a thorough examination which includes taking x-rays to determine how much bone has been lost.

We measure the depth of the sulcus (a tiny groove between the tooth and gum) with a probe. A reading of more than 3 millimeters could be a sign of periodontal disease, and we pay careful attention to those areas.

If we find periodontal disease, we discuss your treatment options and proper homecare. We want to help you maintain the health of your teeth, gums and bone and restore your healthy smile.

Dental Cleanings

Prophylaxis

When was the last time you had a dental cleaning? If you think it doesn’t matter, you need to read on to learn about the importance of dental prophylaxis. This simple procedure is a major part of an oral health care regimen needed to prevent cavities, gum disease and tooth loss brought on by dental disease. Prophylaxis can prevent the need for a costly dental treatment, such as a tooth filling or gum disease treatment. And you only need to do it twice a year. The medical term for a professional dental cleaning, prophylaxis is purely a preventive measure. Part of your dental checkup, prophylaxis is used to remove dental plaque and other irritants from the oral cavity. As these deposits build on your teeth, they form dental tartar, which contributes to most dental problems. Unfortunately, some of these deposits can’t be removed with regular brushing and flossing. Prophylaxis is one way to ensure a clean bill of oral health — at least for the next six months!

Freshen Your Mouth and So Much More!

Dental prophylaxis is more than just a tooth cleaning. During the exam, several measures are used to monitor and improve the health of your teeth. First, the dental hygienist will take X-rays to look for any signs of tooth decay. Your dentist will review the X-rays and also check for any dental problems with a thorough oral exam. Next comes the removal of deposits from your teeth with an ultrasonic dental cleaning or scaling and root planing. Your dentist will most likely discuss with you any treatment plans he or she feels are necessary. Once you’re in the clear, the dental hygienist may polish your teeth to give you a gleaming smile.

Dental prophylaxis is essential not only for maintaining your teeth, but is also used to treat the early stages of gum disease. Your dentist uses special tools to remove dental tartar, which you can’t do on your own. Without regular dental visits, dental tartar can build up and start to form under the gum line. This eventually can lead to periodontal disease, which left untreated, may cause tooth loss. Advanced stages of gum disease may allow bacteria from the mouth to enter the bloodstream and travel to other parts of the body. Studies have shown that gum disease has actually been linked to heart disease and stroke!

Here are other reasons to see your dentist for prophylaxis on a regular basis:

Dental Education — Your hygienist can look for teeth that have a larger buildup of dental tartar and show you areas that need improvement in your oral hygiene regimen. Cosmetic Purposes — Prophylaxis helps remove some stains from your teeth. Health Reasons — During the exam, dentists often screen for oral cancer. Also, dental health has been linked to overall health. Not only can oral problems affect your health, but symptoms of some physical ailments are found in the mouth. Many dentists are trained to look for signs of cardiovascular diseases, diabetes, eating disorders like bulimia nervosa, HIV or AIDS, and many other conditions. Children’s Dental Health — Children are extremely vulnerable to dental problems, and have special needs when it comes to their teeth. Fluoride or dental sealants are often applied during exams to strengthen teeth and help prevent tooth decay. The American Academy of Pediatric Dentistry recommends for children to have their first dental appointment by the age of one. Children who suffer from dental anxiety and fears can be taken to a pediatric dentist for their appointments.

Consider This

There are no ifs, ands or buts about it: If you have teeth, you need prophylaxis. It’s recommended that most patients receive prophylaxis at a dental office at least every six months, and patients with periodontal disease should have it every three to four months. Like any dental procedure, there are some things to consider before your dental checkup:

1. You may experience some sensitivity following prophylaxis. Plaque and tartar form a layer over teeth, and their removal may expose teeth to sensitive elements, such as cold or sweet, for a short time. Proper brushing and flossing will limit plaque and tartar from forming on teeth, making your dental visits a little easier.

2. For patients with heart conditions, your dentist may prescribe antibiotics to be taken prior to the dental cleaning. Tell your dentist about your medical history, allergies and prescription medications you are taking prior to your first appointment. Be sure to update your medical records as needed.

3. Most dental plans cover two dental cleanings a year, but be sure you check your dental insurance coverage before accepting treatment. If you’re hesitating to make an appointment because you’re paying out-of-pocket, consider this: Prophylaxis is a preventive measure that can help prevent tooth decay and other dental problems. Without it, many dental conditions will go unnoticed and grow out of control. A dental exam twice a year can reduce the need for major dental treatments at a much greater expense down the line.

Dental prophylaxis is probably one of the greatest investments your can make in your dental and overall health.

All Porcelain crowns

Natural Looking

To restore a damaged smile, all-porcelain crowns can be a beautiful choice. All-porcelain crowns have the translucency and color of your natural teeth. This makes them an excellent choice when esthetics are of great importance.

Some crowns are lined with metal, called a porcelain-fused-to-metal crown. This can create a dark line at the gum, making the teeth look unnatural.
All-porcelain crowns do not contain a metal lining, so you will have a natural-looking smile for years to come.
If an all-porcelain crown is right for you, we will work with you to get the perfect fit for a beautiful smile.

Gold Crowns

Benefits of crowns

Crowns can—

restore teeth that are chipped.
protect weak teeth.
cover a large filling.
cover a dental implant.
cover teeth that are severely misshapen or discolored.

Dental Implants

A dental implant is an excellent treatment for replacing missing teeth. A root form implant is the most common kind of dental implant. It is a small, titanium post that replaces the roots of a missing tooth. A custom-fitted foundation, called an abutment, artificial tooth, called a restoration, is secured to the implant, which holds the restoration firmly in place.

How is an implant used?

An implant can support a variety of restorations, such as a single crown, multi-unit bridges, and full arch dentures. Some restorations, like a single crown and most bridges, are not removable. Others, like many full-arch dentures, can be removed for sleeping and cleaning.

Diagnosis and treatment

Depending on the situation, placing an implant involves several phases, and treatment times can widely vary. First, we determine if an implant is right for you. We discuss your health history and treatment goals and perform a comprehensive examination to check the health of your gums and jawbone. We determine if you need any additional procedures, such as bone grafting or gum surgery.

To begin the procedure, a channel is shaped in the jawbone, and then the implant is placed into the prepared space. At this point, it may be possible to place a temporary restoration. Over the course of the next few months, the implant will become securely fused to the bone. The last step is to attach your beautiful final restoration to the implant.

Bridges

When teeth are missing, a fixed bridge is a good choice for replacing them. A dental bridge is a great way to maintain a stable bite and restore your beautiful smile. It can also prevent a chain reaction of problems, including:

Shifting teeth.
Difficulty keeping teeth free of plaque and bacteria.
Loss of bone in the jaw.
Difficulty chewing.
Grinding and clenching.
Pain in the jaw joint, the TMJ.

Why missing teeth need to be replaced

Teeth need each other for support. When you lose a tooth, the biting forces change on the teeth next to the space, causing the teeth to shift. In addition, the opposing teeth no longer have anything to chew against, so they may begin to extrude out of their sockets. These changes create places around the teeth that are hard to keep clean, so plaque and bacteria accumulate quickly. This accumulation can cause tooth decay and periodontal disease. Changes in the bite can also put improper chewing forces on the shifted teeth, and this can lead to loose teeth and loss of jawbone, especially when periodontal disease is already present in your mouth. An uneven bite makes it harder to chew your food and may lead to grinding and clenching. A bad bite can also create painful problems with your jaw joint.

Determining the need for a bridge

To determine if a bridge is right for you, we’ll perform a thorough examination to make sure that the surrounding teeth are healthy and can provide a strong foundation for a bridge. The exam often includes taking x-rays and probing around the teeth to check for periodontal disease. There are several kinds of bridges, so we’ll talk with you about the best type for your situation. We can then begin the steps necessary to create and place your new bridge.

Oral Sedation vs. Nitrous Oxide: What It Is and How It Works

What Is Oral Sedation?

What Is Nitrous Oxide?

Key Differences Between Oral Sedation and Nitrous Oxide

Benefits of Oral Sedation

Benefits of Nitrous Oxide

Safety Considerations: Is Sedation Right for You?

Conclusion

All Posts

We Place and Restore Dental Implants.

Diminish the lines. Keep the experiences that made them.

DERMAL FILLERS

Oral Sedation

Anti-Anxiety Medication

Anti-Anxiety Pills

Travel Warning!

Nitrous Oxide Sedation

Nitrous Oxide Relaxes You

A typical visit with nitrous oxide

Controlling the effects

Root Canals

Root Canal Therapy

Symptoms of infection

Causes of infection

Diagnosis and treatment

When tooth extraction is needed

Taking care of yourself after the extraction

The benefits of extracting teeth

Gold Crowns

Placing a gold crown

The benefits of a gold crown

Composite Fillings

What’s in Your Mouth?

How Your Teeth Decay

Conventional Dentures

The benefits of a full denture

Partial Dentures

Removable Partial Dentures

Veneers

Veneers Improve Teeth

Procedure

Malocclusions and orthodontics

Importance of treatment

Causes and types of malocclusions

SureSmile

Looking for an alternative to metal braces?

Common Problems that SureSmile Addresses

Crowding

Spacing

Overbite

Crossbite

The Goal of Esthetic Dentistry

Several options

Determining your goals

Home Whitening

Teeth Darken and Stain

At home procedure

Digital radiography

The advantages of digital radiography

Sealants

Sealant Purpose

The benefits of sealant

Placing sealant

Flouride

Oral Healthcare Breakthrough

The Benefits of Fluoride

Fluoride treatments

Check-ups are important

Gingivitis

Symptoms of Gingivitis

Causes of gum disease

Treatment

Periodontal disease and diabetes

What is periodontal disease?

What are the symptoms?

What causes periodontal disease?

Diagnosis and treatment

Dental Cleanings

Prophylaxis

Freshen Your Mouth and So Much More!