Is Oral Sedation Right for You?

Here at FDA, we offer oral conscious sedation for patients who need help being comfortable and relaxed during dental procedures.  With oral conscious sedation, a patient takes a pill an hour before coming in for an appointment and needs a companion to escort them to and from the appointment.  When the patient arrives, they are drowsy and relaxed. Our experienced dental team can often perform several procedures while the patient relaxes. However, not everyone is eligible to receive oral sedation. Here is what Dr. Brunacini has to say about the sedation process and who can become a sedation patient:

1.  Why does FDA offer oral sedation as opposed to other relaxation options such as nitrous oxide gas or IV sedation?

Dr. Brunacini:  Oral conscious sedation can be beneficial for the patient who has significant dental anxiety.  It provides amnesia so that the patient doesn’t remember the procedure. Because the patient is more relaxed, typically their healing time is improved too.  Nitrous oxide gas does a good job of reducing anxiety, but the patient will still remember their time in the dental chair. We have had great results for our patients using oral conscious sedation!

2.  Who do you recommend oral sedation for?  

Dr. Brunacini:  Patients that have mild to moderate dental anxiety are good candidates for sedation, as well as patients that have a difficult time getting numb. Sedation dentistry can also be a good option for patients who haven’t been to a dentist for a long time and have a lot of work to be completed…typically we can provide more dental treatment in fewer visits while a patient is under sedation.  It’s a win-win!

3.  What is the process for becoming a sedation patient?

Dr. Brunacini:  First, we schedule a comprehensive dental exam in order to determine the patient’s needs.  During that appointment, we have an in-depth conversation with the patient about their dental needs and how we can complete the treatment.  If oral sedation seems like a good fit for the patient, we will schedule a separate baseline appointment to discuss the details of the sedation protocol as well collect vital signs for monitoring purposes.  After the baseline appointment, the patient is scheduled for their dental treatment accordingly.

4.  Please describe what a typical sedation appointment is like.

Dr. Brunacini: The patient will take valium the night before prior to going to sleep; the valium reduces anxiety so that they can get a restful night of sleep.  In the morning, the patient will take a pill one hour prior to the appointment. This medication is called triazolam and it will begin the sedation process for the treatment.  The patient will need a driver to take them to their appointment. Once they arrive at the office, they are connected to our vital signs monitoring system. I will then evaluate the sedation level of the patient and can give more medication to achieve the satisfactory sedation level that the patient requires to perform dental treatment. Once the dental treatment is completed, the patient is sat up and given a sugary beverage to begin waking them up from the sedation.  When the patient is awake enough, their driver will be allowed into the room to discuss the dental treatment performed and how to care for the patient afterwards. They are then escorted to their vehicle to go home.

5.  If I become a sedation patient, does that mean I will always have to be sedated for all my dental appointments?

Dr. Brunacini:  There are certainly those patients that will always require some level of sedation in order to complete their dental treatment.  It is the goal; however, to eliminate the need for sedation procedures for any patient. Sometimes it does happen where the patient feels comfortable enough to forgo future sedation procedures for dental work.  We are here to support our patients in this process and work to build relationships with our patients based on trust and a commitment to care!

 

If you’re interested learning more about oral sedation for your next dental visit, call us at 207-781-5900 to schedule your baseline appointment today!

National Dentists’ Day

National Dentists Day is a day devoted to giving dentists a pat on the back for all the work they do. But here at Falmouth Dental Arts, we’d rather shine the spotlight on who matters most to us – you.

Patients like you are the reason we are in dentistry. The best thing you can do for us is to take care of your smile. Don’t live with a smile that makes you feel self-conscious.

Falmouth Dental Arts offers premier aesthetic services like ultra-thin porcelain veneers and exceptional implants. We also offer a state of the art whitening process. We will work with you to find the best solutions for your unique situation.

If you aren’t happy with your smile don’t wait another day. Call us at (207) 781-5900.

President’s Day Investigation – George Washington Had Wooden Teeth?

George Washington was plagued by dental disease almost his entire life. His adult teeth began falling out in his early 20’s. Others had to be extracted due to advanced decay. By the time he became president only one remained.

Because of this, Washington frequently sought out the help of dentists. During the Revolutionary War he became close to Franco-American dentist Jean-Pierre Le Mayeur, who became a lifelong friend. Later, during his presidency, Washington relied on dentist John Greenwood to fashion him several sets of false teeth. However, none were made from wood. One set was made from ivory and held together with gold springs, which is a bit more presidential than a hunk of wood. One pair of Washington’s dentures survives and is on view at his home in Mount Vernon.

George Washington’s story is a good reminder of how far we’ve come in dentistry. Despite the best efforts of Revolutionary Era dentists, Washington still suffered a lifetime of discomfort and regularly took laudanum (an opiate painkiller) to deal with the pain. His poor teeth also hurt his self-esteem and made him reluctant to give speeches.

Although there are many ways you should inspire to be like our nation’s first president, having unsightly teeth is not one of them. At Falmouth Dental Arts we offer dental solutions that fit your specific needs and budget for your complete comfort both physically and financially.  Most importantly, we will get your teeth functioning properly and looking beautiful once again. Call today to see how we can improve your smile.

7 Myths About Teeth and Aging

Many believe that losing their teeth and eventually ending up with dentures is inevitable. Others think they’re “too old” for certain procedures. There are many myths that need to be debunked about our dental health as we age. Here are seven of the most common of them:

1. I’m going to lose my teeth anyway. Why put money into them?

Having a great smile and being able to eat anything you want is an investment, not a cost. Many of us will now live to be over 90 thanks to modern medicine. There are many procedures to save teeth, so you don’t have to be doomed to a future of gumming your food or ill-fitting dentures for 20+ years.

2. I’m too old for orthodontics. My teeth can’t be straightened now.

As we get older, unfortunately our teeth become more crooked and overlapped. Orthodontics work at any age as long as the teeth have good bone support and are in fair shape. Many times, orthodontics are used before cosmetic procedures, so the results can be beautiful.

3. My dentures will never be tight enough.

There have been many advances in helping people with loose dentures. One of the most cost-effective methods is the placement of “mini-implants,” which can attach to the inside of the existing dentures in order to give patients a tighter fit. For those who want to get rid of their dentures completely, there are “implant supported bridges,” where slightly larger implants are placed and a bridge that looks like normal teeth is cemented permanently over them.

4. Teeth whitening is only for the younger crowd.

Teeth whitening works no matter what your age. Done properly, it can make your teeth (and you) look much more youthful. Just be aware that whitening will not work on old fillings or crowns.

5. I’m too old for veneers and crowns.

Some of our favorite patients are those over 70 who have had cosmetic veneers done on their aging and yellowing teeth—it gives them much more confidence in their smiles and can help with self-esteem.

6. Implants won’t work in my mouth so I’m stuck with what I have.

Dental implants are changing so fast that it’s hard for even dentists to keep up with the advances. Just a few years ago, if your jaw couldn’t accommodate implants, your options were limited. Now, there are many procedures that allow us to place implants almost anywhere in the mouth. Biting into an apple is a wonderful thing you can do again with the help of the proper procedures.

7. The health of my teeth and gums doesn’t matter at this age.

Gum disease, or “periodontal disease,” is the number one disease in the world. It’s the leading cause of tooth loss as we age, and it’s entirely preventable! There are now a vast number of studies showing how important healthy gums are to our heart and joints. If you’ve had joint replacements, you know how strict surgeons are about healthy gums before surgery. The mouth is a window to the health of the rest of your body.

It’s never too late for the beautiful smile and functional teeth you’ve been dreaming of for years. With the advances of modern dentistry, your dreams can become a reality.

Top 5 Dental Concerns for the 40-60 year old

smile1.jpgTeeth and health change over time. Different stages of life have very different and specific issues that may arise. With the help of the ADA, we have comprised a list of 5 concerns that a mature mouth might encounter.

 

1.)  Gum disease. We know you’ve heard this one before, but the older you get the greater risk you are at. Brushing and flossing (the right way like we outlined in our 8 Common Brushing Mistakes article) combined with regular dental visits and periodontal exams is the winning combo to keep you healthy. Gingivitis is bad enough, but it is the reversible stage of gum disease. If your gum disease reaches periodontitis, it is irreversible.

2.)  Missing teeth. Did you know that the average adult between the ages of 20-60 has three or more decayed or missing teeth? You may not think this is a big deal, but missing teeth can affect the way you eat and speak. Additionally, the missing tooth leaves an open space in your mouth that may cause your other teeth to move around or shift, and the vacancy in your mouth can also cause bone loss in that area where the tooth is missing. There are a handful of different solutions to solve this problem. Three of the most common are bridges, dentures, and implants. Call or visit us to discuss your options and together we can decide which option is best for you.

3.)  Sensitivity. If you are experiencing discomfort when consuming hot and/or cold foods and beverages, then you may have sensitive teeth. This hyper-sensitivity could be caused by a number of things including tooth decay, fractured teeth, worn fillings, gum disease, worn tooth enamel, and/or an exposed tooth root. The good news is that sensitive teeth can be treated. Treatment may be as simple as desensitizing toothpaste, or maybe a more intense treatment is necessary for more extreme cases – treatment oftentimes depends on the cause of the sensitivity.

4.)  Dry mouth. Dry mouth can be experienced by anyone, but if your mouth is constantly dry, then it may be time to seek treatment with us. Many things can cause dry mouth – medications, certain health conditions, and alcohol are a few of the more common causes. If you have constant dry mouth, it is important to get it checked because the reduced flow of saliva creates an environment where bacteria can thrive and decay becomes a real problem. Dry mouth itself is not a serious health problem, but making sure you take extra special care of your oral hygiene when/if you experience dry mouth is extremely important to maintaining a healthy mouth.

5.)  Oropharyngeal Cancer. This can affect any area of the mouth – lips, gums, cheek lining, tongue, jaw, hard or soft palate, and throat. It can start as an unsuspecting white spot or inflamed area, so make sure to take it seriously if you notice something like this in your mouth. We regularly screen for oral cancers at your check ups because, as with all cancers, early detection is key to rapid recovery, prolonged health, and easier treatment options. Symptoms and warning signs of oral cancer may be, but are not necessarily limited to:

  • Sores that bleed easily or do not heal
  • A thick/hard spot or a lump
  • A roughened or crusted area
  • Numbness, pain, or tenderness
  • A change in the way your teeth fit together when you bite down
  • Difficulty chewing, speaking, and/or moving your tongue and jaw

We hope this information is helpful. Don’t neglect your oral health. It is extremely important to stay on top of these concerns so they do not progress as you age and become more difficult to deal with and correct. We are here to help! If you have any questions or concerns call us just to talk, or schedule an appointment.

 

Click here to take a 5 question (true or false style) quiz about your oral health. http://www.mouthhealthy.org/en/adults-40-60/fact-or-fiction/

 

 

Sourcehttp://www.mouthhealthy.org/en/adults-40-60/concerns