Dental Crowns & Bridges

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Why is Sedation Dentistry necessary for some patients?

It is common and perfectly normal to have some degree of apprehension or anxiety prior to receiving dental treatment. Some people, however, have stronger feelings in this regard than others. These feelings may be the result of less than pleasant past experiences, stories told by family and friends, or by the nature of the dental procedure itself (wisdom teeth removal). Dental treatment may be especially frightening to young children and patients with developmental disabilities. Whatever the cause, apprehension or anxiety can produce many unpleasant effects including heart palpitations, high blood pressure, upset stomach and trouble sleeping the night before the appointment. Many highly apprehensive patients avoid dental care for many years until their problems become so severe that they are forced to seek emergency care.

What is Sedation Dentistry?

Sedation can make practically all dental and oral surgical procedures more pleasant and safer for the apprehensive patients. During the procedure, the anxiety that many people have can be controlled by administering sedative medication. A sedated patient will not only be more relaxed but can also have potentially limited memory of the procedure performed. In either case local anesthesia (lidocaine) is also administered to block the pain sensations during the procedure and to keep the mouth numb during recovery.

How is the medication administered?

Sedative medication can be administered by breathing (nitrous oxide/laughing gas), orally (pill form) or intravenously (IV).

• Nitrous oxide is the most common agent used to treat apprehensive patients and can be used either by itself or in combination with Oral Sedation.
• Non- IV conscious sedation involves Nitrous Oxide in combination with an oral medication. Patients become very relaxed and potentially slightly sleepy but are still able to speak and answer questions. Some patients may experience an amnesic effect and don’t remember much of the visit the next day. Oral medication takes time to work (approximately 30-45 minutes) and has limits on how sedated you can safely become.
• IV sedation: Medication given intravenously (IV) has its effect rapidly so your dentist can give the precise amount needed for your level of anxiety. In addition, if more medication is needed during the procedure, the IV allows easy administration of additional medications. Patients are generally very sleepy and may experience more amnestic effects from IV sedation than through the other previously mentioned methods.

Which type of sedation is right for me?

The route selected by you and your dentist will depend on your current health status and your particular needs.

How am I monitored during the procedure?

Depending on the depth of sedation or anesthesia being used, as well as your own medical condition, various monitors will be used during your procedure to ensure your safety. These monitors vary from automatic blood pressure cuffs to the use of pulse oximeters which, through a light sensor, measure the oxygen concentration in your blood. For our conscious and IV sedation patients, an EKG monitor is also used to monitor your heart rhythm in addition to capnography (measuring carbon dioxide levels from the breath). In addition to the monitoring devices, your doctor along with trained staff will always be with you and will be observing you closely during your treatment.

Is Sedation Dentistry safe?

The use of sedation in dentistry has a commendable record of safety. This is due to the advanced training your doctor has and her commitment to your overall health. It is important to advise your doctor of all medications that you take as well as any changes in your health since your last visit. In Texas, a special permit is required to administer sedation and anesthesia.Dr. Dillon Patel is trained in Level 2 (Nitrous and Oral conscious sedation) and Level 3 (IVModerate sedation) and can administer IV sedation. The ability to handle emergency situations as well as having specific emergency medications and equipment is a mandatory part of the permitting process. Additionally, Dr. Dillon Patel is certified in Basic Life Support, AdvancedCardiac Life Support, and Advanced Trauma Life Support.

Source: the American Dental society of Anesthesiology

Any questions or concerns? Call to schedule an appointment at your nearest Enamel Dentistry Location.

Despite the myths, endodontic therapy are key treatments that remove the pulp, save teeth and relieve pain. You will learn about root canal therapy and how to care for your tooth after, so you can confidently handle your dental health.

Endodontic Therapy Step-By-Step

Understanding Endodontic Therapy

What Does a Root Canal Look Like?

The endodontic procedure to remove the infected pulp, clean and disinfect it, and fill it to avoid further issues. Root canal pictures often show the before and after of the tooth’s interior, highlighting the clean, filled, and sealed canals.

Root Canal on front teeth - Root Canal Xray:

Root Canal Before and After:

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The Lifespan of a Endodontic Therapy

How long does a endodontic therapy last? With proper dental care, including regular check-ups, cleanings, and good oral hygiene, a treated tooth can last a lifetime. A dental crown after endodontic therapy treatment adds protection and longevity.

Tooth with root canal hurts with pressure? Sometimes, it takes time for the surrounding soft tissues to fully heal after a endodontic therapy. In rare cases, some bacteria may remain in the affected tooth or the surrounding tissues, causing continued discomfort. Pressure on a cracked tooth may cause pain as well if left untreated.

If you're in pain or feeling sensitive after dental treatment, it's a good idea to see your dentist or endodontist for a check-up. They can determine the cause of the discomfort and recommend appropriate treatment to address it.

How long does a root canal last without a crown? The absence of a dental crown can greatly shorten a tooth's life. The crown is essential for protecting the weakened tooth from fractures post-treatment. Without a crown, the tooth is more likely to fail, particularly molars and premolars that handle most of the chewing.

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Post-Endodontic Therapy Care

Immediate Aftercare

Can I drive after a root canal? After endodontic therapy, driving is safe as long as you feel well and have no lingering effects from sedation.

What can I eat after a root canal? What to eat after a endodontic therapy is crucial. Eat soft, easy-to-chew foods to avoid discomfort and protect the treated area.

Managing Discomfort

How to stop throbbing pain after root canal? Over-the-counter pain medication and cold compresses can alleviate pain. If you have pressure pain on root canal tooth or any other persistent discomfort, contact your dentist.

Root Canal Treatment Side Effects

1. Without a crown for protection, the tooth that underwent endodontic therapy may weaken and become more susceptible to breaking. This happens because the procedure removes the tooth's pulp, which can make the tooth less strong.
2. Rarely, but a few folks might get an allergic reaction to the things used in the procedure, such as the filling or anesthesia.
3. Bacteria can cause another infection if it gets back into the tooth filling material. Signs of a re-infection include pain, swelling, and sensitivity.
4. Root Canal Cracked Tooth: Without a crown, the tooth could crack, potentially causing infection and pain.

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Common Questions and Concerns

Endodontic Therapy vs. Dental Implants

When considering root canal vs implant, remember that preserving your natural teeth is always preferable. Endodontic therapy can save the natural tooth structure, while implants replace the entire tooth.

Smoking and Oral Health

Can you smoke after a root canal? We advise against smoking because it can delay healing and raise the risk of complications.

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Enhancing Your Dental Health

Preventing Root Canals

How to avoid root canal? The key lies in preventing tooth decay and gum disease through regular brushing, flossing, and dental check-ups. Addressing issues early with treatments like dental fillings can prevent the need for more invasive procedures.

Emergency Care

What about emergency root canal? When faced with severe pain or a cracked tooth root canal, immediate dental attention can prevent further damage and save your tooth.

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Myths vs. Reality

The Truth About Pain

How bad does a root canal hurt 1-10? With modern techniques and anesthesia, most patients experience minimal discomfort.

Are Root Canals Bad for You?

Endodontic Therapy is a safe and effective way to treat infected teeth. The procedure removes bacteria, protecting your tooth and overall health.

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Advanced Care and Alternatives

The Role of Dental Crowns

Getting a crown after root canal can help your tooth look, feel, and function normal again. A crown will ensure its strength and durability as well for the long term. The dentist will remove the temporary filling after the endodontic therapy, and complete your dental crown.

Exploring Alternatives

While there is alternative to root canal to consider, most of the time it's better to save your natural tooth.

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Conclusion

Endodontic Therapy play a crucial role in dental health, addressing tooth infections and decay to save natural teeth. Knowing about root canals, caring for your tooth after, and preventing more dental issues can keep your smile healthy and free from pain. Remember, the key to a successful dental pulp therapy is early detection, proper aftercare, and regular dental visits. So, embrace your dental health journey with confidence and let root canals be a positive step towards a brighter smile.

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Invisalign is an orthodontic treatment that helps straighten teeth without metal braces. Instead, it uses a series of custom-made clear aligners that fit over your teeth and gently move them into the proper position over time. They’re barely noticeable, and they can be removed, which is one reason why many patients choose Invisalign over traditional metal braces. Since they aren’t attached to the teeth, oral hygiene is much easier and they don’t require uncomfortable adjustment appointments. 

What Else is Invisalign Used For?

While Invisalign is primarily used for a straighter smile, it can also prevent chipping, wear, and TMJ. Beyond straightening the teeth, Invisalign can be used for:

• Gaps between the teeth
• Mild to moderate overbites, underbites, crossbites, and open bites
• Overcrowded teeth

Why Is Proper Teeth Positioning Important?

If the upper and lower teeth don’t fit together properly when biting or chewing, it can cause painful muscles and joints, headaches, worn teeth, and, in some cases, fractures. Over time, misaligned teeth can also become crooked or crowded. 

Although a straight smile has cosmetic benefits, it’s even more important for the way your mouth functions and overall oral health. Crooked or crowded teeth can affect your speech and ability to chew. Even worse, they can make it very difficult to brush and floss thoroughly, putting those teeth at a higher risk of cavities, tooth decay, and gum disease. Believe it or not, jaw alignment can even affect the way you breathe.

Find Out if Invisalign is Right for You

Having a straight smile is great—but it’s even better when you have fewer dental issues to worry about! And fewer dental issues equal a happier, healthier smile overall. For more information on Invisalign or to find out if you’re a good candidate for this treatment, contact an Enamel Dentistry near you!