Magazine articles often say that a smile reveals a person’s personality. If so, you don’t want to have dull, yellow, stained, dingy teeth! Instead you want a faultless set of pearly whites that communicates the best things about you, such as good hygiene and a confident air.
To transform your smile from dull to brilliant, teeth whitening is a great option. The field of dentistry has developed a whole array of products and procedures for brightening smiles. For example, patients may choose to completely hide their discolored teeth behind dental veneers. Or, tough stains can be covered up with dental bonding. If you’re looking for methods that simply bring your yellowed teeth back to a more appealing shade of white, there are several teeth whitening techniques to choose from:
- Over-the-counter products are available from your local drugstore including whitening strips, gels, pens, toothpaste, mouth rinses and more. These require consistent use following the directions, and take longer than most other methods. Most products do provide some level of improvement, but not as dramatic as professional methods.
- Home whitening methods are available from your dentist, such as customized trays that you fill with a special bleaching solution to wear at home for a period of time. At-home whitening typically takes several weeks to achieve desired results.
- Professional whitening is performed at the dentist’s office using specialized tools. It is the most effective method and results are visible in only about an hour, due to the highly concentrated bleaching solution and enhancement with ultraviolet light or lasers.
Teeth whitening not only brightens your smile but also can shape your entire personality. A common benefit is increased self-confidence because you no longer feel you need to hide your teeth, but instead you tend to smile and laugh and speak more easily. Feelings of embarrassment about your teeth can affect you in many ways, but a smile that you’re proud of can improve the way you interact with others. Ask your dentist about whitening methods that can help you improve both your smile and your personality.
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Fear can stop come people from doing certain activities, and sometimes it may impact a person’s health and overall wellbeing. One example is visiting the dentist. You might be surprised at the number of people who completely avoid dental care because they are afraid. As a result, sedation dentistry has become a popular way to allow nervous patients to get the necessary treatment without all of the negative vibes.
Sedation dentistry involves administering drugs to help patients relax. There are various levels of sedation available, depending on the patient’s needs, procedures, age, and medical history. Your dentist can help decide which sedation amount and method is most appropriate for you. It ranges from light sedation to simply take the edge off, moderate sedation that renders you unaware but still awake, or deep sedation that practically puts you to sleep throughout treatment.
There are also a variety of methods for sedation dentistry. Oral medications are swallowed, nitrous oxide gas is administered through a mask over your nose, or medications can be given through an intravenous needle directly into your veins. The method is recommended based on each patient’s needs and situation.
Dental sedation manages pain so that you won’t feel anything during treatment. Most patients do not remember much about what occurred while under sedation. That is especially beneficial for patients with dental fears, because they are more willing to return for future appointments since they don’t have any bad memories from the last one.
Sedation is safe and effective when performed by a trained dentist. Make sure that any dentist who administers your dental sedation is qualified and experienced with the techniques. There is no reason to avoid dental checkups and treatment due to fear or anxiety. It is much better to get care to correct problems before they worsen, or head them off before they start. Sedation dentistry enables patients to comfortably and safely obtain treatment and eliminate dental fears.
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Intravenous, or IV, dental sedation offers patients a way to remain completely relaxed while undergoing dental procedures. Those with dental phobias, severe anxiety, special needs, or other issues are able to obtain necessary treatment instead of avoiding trips to the dentist. IV sedation is an effective and safe process that makes you very relaxed and unaware of the dental work being done. You won’t even remember anything about treatment, allowing you to come away with a positive experience.
Becoming a candidate:
IV medications are delivered directly into your vein through a needle in your arm. You’ll need to schedule an appointment to discuss sedation with your dentist, and disclose any medical conditions and medications (both prescription and over-the-counter) you are taking. A thorough examination will be conducted, X-rays or other tests may be performed, and a discussion of all aspects of IV sedation is necessary to determine if this treatment is right for you.
Going to your appointment:
Arrange for a friend to drive you to and from your appointment, because you may feel drowsy at first. It is advised not to drive, return to work or school, or make important decisions for a day following sedation so that the medication has time to completely wear off. In some cases, your dentist may give instructions for fasting prior to your procedure.
During your procedure:
Qualified, well-trained professionals will be doing your anesthesia and procedure. You will be monitored the entire time to ensure your safety and comfort. The IV will be placed in your arm, and some patients request an additional method of mild sedation be used if needles are upsetting. When the dental work is complete, the sedation will be reversed and you will become more alert to go home.
Recovering from your appointment:
Follow all of the instructions from your dentist about after-care, which will vary depending upon your procedure. Any grogginess you might feel from the sedation usually wears off after a few hours, so plan on resting before returning to your normal routine.
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What is a dental crown?
- A dental crown encases a damaged tooth completely within a custom-fit cap, or crown, fitting perfectly over the affected tooth. A dental crown is designed specifically for you and your tooth’s particular design, fit and function. It is a restorative therapy that can restore function to a tooth that may have had excessive decay, has been cracked or has recently undergone root canal treatment.
How do dental crowns work?
- A dental crown covers a damaged tooth entirely and can be used to improve not only the tooth’s appearance, but also its shape or alignment.
What is a dental bridge?
- A dental bridge makes a literal bridge between two anchor teeth, filling a gap left by a missing tooth that has either fallen out naturally or is the result of acute decay or facial trauma. Dental crowns cover the bordering anchor teeth, allowing the bridge to fit securely and to function as your natural tooth.
What materials are used for dental crowns?
- Dental crowns can be porcelain (ceramic), porcelain-fused-to-metal, or gold or other metal alloy. Porcelain or ceramic crowns can be designed to closely match the color and translucency of your natural teeth. Metal alloys are usually stronger, and are a better choice for back teeth.
Is a dental cap a crown?
- Yes! A dental cap is another name for a dental crown.
Am I a candidate for a dental bridge?
- If you are missing a tooth and you have adjacent teeth that are stable, dental bridges are for you. Even if you are missing a front tooth or a tooth that has only one border, there are types of dental bridges that could meet your needs.
Are there alternatives to a dental bridge?
- Dental implants are rising in popularity as technology has improved. A dental implant can restore a single tooth or can restore several, and are the standard of care for the replacement of a missing tooth today. Because a dental implant continues to stimulate the jawbone, it doesn’t lead to bone loss over time.
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Sedation dentistry, also known as “sleep dentistry,” refers to the practice of calming and relaxing a patient prior to a dental procedure with the use of pharmacological agents. Sedation dentistry began in the late 1700s when a chemist named Humphry Davy began experimenting with inhaled gasses and first observed the analgesic effects of nitrous oxide, commonly known as “laughing gas,” on himself and on dental patients.
In 1844, an American dentist named Horace Wells used nitrous oxide as a dental anesthetic during the extraction of his own molar tooth. Wells made the observation that while he experienced very little pain while undergoing the extraction, he was still fully conscious during the procedure. A few years later, dentist William Morton and surgeon John Warren performed a public oral surgery at Harvard University, demonstrating the analgesic properties of a sulfur-ether compound, further proving that sedation dentistry should be explored further.
For years, trial and error procedures informed doctors of the safety of various levels of pain-relieving gasses. It was discovered that 100% nitrous oxide, when used in prolonged dental cases, could lead to hypoxia, a condition in which the body is deprived of the oxygen it needs to thrive, something that can eventually lead to death. Finally, a Chicago surgeon named Dr. Edmund Andrews began mixing nitrous oxide with oxygen, administering them simultaneously. This allowed for safer analgesic options for both surgical and dental procedures. Ether and chloroform, combined with some nitrous oxide, was later shown to provide deeper sedation for prolonged treatments.
Intravenous (IV) sedation began in the 1960s at the Loma Linda University School of Dentistry in California. Dentists there experimented with IV sedation for the highest level of management for pain, anxiety and fear for dental patients undergoing surgery.
Today, dentists routinely turn to sedation dentistry for their patients to relieve pain, stress and to provide the most comfortable dental therapies as possible. Talk to your dentist to discover the latest sedation dentistry options and to see how they can help you positively experience your next dental procedure.
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Nitrous oxide, otherwise known as laughing or happy gas, is a colorless and odorless gas that you inhale through your nose. The effects of nitrous oxide are a relaxed feeling and diminished pain, making it an ideal sedation option for many dental procedures. Advantages of sedation utilizing nitrous oxide include:
- The effects of nitrous oxide make their way to the brain in mere seconds, and the pain relieving properties develop in just minutes.
- Your sedation dentist can alter the level of sedation during treatment.
- Nitrous oxide can be administered for the exact amount of time it is needed to complete the procedure.
- Nitrous oxide has no negative after-effects because it is eliminated from the body within five minutes after the sedation is stopped.
- Your sedation dentist has complete control and is able to give incremental doses of nitrous oxide, eliminating the risk of accidentally overdosing.
- No injection is required, making nitrous oxide a very attractive option for patients with a fear of needles.
- The relaxing effects of sedation with nitrous oxide is known to eliminate or reduce gagging.
- Sedation with nitrous oxide is considered very safe and has no negative effects on other organs of the body.
There are a few potential disadvantages of sedation with nitrous oxide, including:
- Some patients may not achieve the desired level of sedation with the maximum amounts of nitrous oxide allowed.
- Patients who are mouth breathers, have claustrophobia, or have difficulty breathing through their nose may not be good candidates for nitrous oxide.
- If you are prone to nausea or a sensitive stomach, nitrous oxide may not be a good option.
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