Sunday, January 6, 2019

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Patients who consider sedation dentistry often have different reasons for their interest, such as the following:
If you recognize yourself in any of those problem areas, consider asking your dentist about sedation dentistry. Dental sedation can help patients get through many types of dental work, such as root canals, tooth extractions, dental implantation, and more. However, it’s typically not offered for regular dental cleanings, X-rays, and other routine care. Cases of extreme anxiety may be a viable reason for sedation during those procedures, though.

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The process depends on the type of sedation your dentist chooses. If you’re taking an oral sedative, for instance, your dentist will write you a prescription for the drug and give you instructions on how to take it. As long as you follow those instructions, you’ll benefit from reduced anxiety and increased relaxation. Once the medication begins to work, you should start to feel drowsy and content.
You don’t have to prepare at all for nitrous oxide. Your dentist will supply it before, during, and right after the procedure. However, if you choose IV sedation, you might have to prepare in advance.
For instance, your dentist might ask you to fast — not eat or drink anything — for several hours before the dental work. You might also need to avoid taking certain medications the day before you visit the dentist because they can interfere with the sedation medication.

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With sedation, the dentist administers a drug before or during the dental procedure. Only one type — general anesthesia — renders the patient completely unconscious. The other forms will relax you, but won’t knock you out completely.
The most common types of sedation dentistry include the following:
  • Nitrous oxide: A gas that relaxes you during the procedure. It wears off quickly, so your dentist might let you drive yourself home after the appointment.
  • Oral sedatives: Oral sedatives, such as diazepam, also help relax patients during dental procedures. You typically take them an hour or so before your appointment. You’re fully awake but less anxious, and you might feel a little sleepy until it wears off.
  • Intravenous sedatives: Intravenous, or IV, sedatives can put you in varying stages of consciousness. This is also known as general anesthesia and, as mentioned above, will put you into a deep sleep until it wears off. Other IV drugs, however, can put you into a “twilight sleep.” You’re less aware of your surroundings, you might feel sleepy, and you might not remember much of the procedure once it’s over.
Some patients assume that general anesthesia offers the best solution. However, it also comes with more potential side effects than the other methods, so you might want to consider a lesser form of sedation dentistry. If your dental care provider mentions sleep dentistry, he or she likely means general anesthesia.
You might prefer dental sedation or sleep dentistry, but talk to your dentist about it first. Mention any allergic reactions you’ve experienced in the past, especially to anesthesia, so your dental professional can make safe, educated recommendations.
Additionally, you can discuss local anesthetics. These drugs numb your mouth during a dental procedure so you don’t experience pain. Dentists usually administer local anesthetics with a short needle in several places along the gum line. If you don’t fear the dentist, local anesthetic might be the only thing you need.


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Many people fear dental procedures. They worry about the pain they might feel as well as their vulnerability and potential discomfort. Sedation dentistry can definitely help patients feel more relaxed during dental work, but is it the right choice for you?

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Digital X-rays emit an extremely low amount of radiation. The technical measurement of one full set of digital X-rays is approximately 0.005 mSv, or Millisievert, which amounts to less radiation one would be exposed to during a very short airplane ride. In fact, the amount of radiation emitted from a round of digital X-rays is less than the amount of radiation we are exposed to in one day naturally, from the sun, the Earth, and various technologies we use daily. All 123Dentist offices diligently record patient X-rays and estimated cumulative radiation doses to ensure that patients are never exposed to unnecessary or unhealthy amounts of radiation.



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Dental X-rays are essential in helping dentists identify hidden tooth decay, plaque and tartar buildup, and potential root rot, among other things. Finding these issues as early as possible is essential in implementing an effective treatment plan that can get rid of them. Without dental X-rays, problems that are not immediately visible could go undiagnosed and could get progressively worse, leading to worse problems that are harder to treat and, in some cases, can be extremely threatening to your overall health.

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123Dentist practitioners avoid taking unnecessary dental X-rays to ensure patients are not exposed to radiation any longer than needed. X-rays are treated as a diagnostic tool, meaning they are used when it is necessary in order to give accurate diagnoses. If you are in good oral health and your dentist does not believe you have dental issues that need close monitoring, you will likely only receive a set of dental X-rays once every 24 to 36 months. That being said, each set of X-rays ordered by a dentist is done so on a case by case basis to ensure that you are receiving the dental care that’s best for you. If you have dental issues such as, cavities, tooth root problems, gum disease, gingivitis, or concerns about your jaw, you will receive the amount of dental X-rays that your dentist deems necessary to keep your oral health in tip-top shape.


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Dental X-rays are 2D images that highlight the bones and tooth anatomy in your mouth below the surface of your gums and enamel. There are two types of dental X-rays: film and digital. Digital is replacing film, as it has done in many other technologies, as it emits approximately 80% less radiation than film X-rays, is a quicker process, and is easy to archive. Because of these major benefits, all 123Dentist practices use digital X-rays exclusively.
Dental X-rays can either be intraoral X-rays, which involve taking the X-ray image from inside the mouth, or extraoral X-rays, which are taken outside of the mouth, generally around the jaw area. Intraoral X-rays show fine details in the teeth and their supporting bones that allow your dentist to identify cavities, tooth development, root health, and the tooth’s anchoring to the jaw bone. Extraoral X-rays focus more on the larger structural bones of your head, specifically your upper and lower jaw. These images help dentists identify issues such as impacted teeth, monitor jaw joint health and development, and see fractures or breaks clearly.

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If you visit your dentist regularly, you likely experience getting a dental X-ray every few visits. These X-rays are extremely useful for dental professionals looking to diagnose oral issues and see what is going on below the surface of your gums. You may have wondered to yourself just how useful and safe these X-rays are they when you are exposed to them regularly. Well, we’re here to give you the answers you’re looking for!

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The most effective way to whiten your teeth is to speak with your dentist about professionally applied products. These have a higher concentration of the active bleaching ingredient and produce more noticeable results. While an over-the-counter bleaching kit will typically contain 10 percent carbamide peroxide, a professional application can have a hydrogen peroxide concentration ranging from 25 to 40 percent. A protective gel or other agent is used on the gums to prevent irritation with these strong treatments.
Professional tooth whitening treatments are also much quicker than other alternatives. Most dentists will complete this treatment in about an hour, saving you weeks of repetitive applications.
If you’re looking for whiter teeth, whitening toothpastes may prove to be an effective solution when used correctly to treat surface stains. However, if you want to get beneath the enamel and achieve a deeper and longer-lasting white, you should consider alternative products. Ultimately, speaking with a dentist is the best way to address any concerns regarding the colour of your teeth and find a satisfying solution.


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Whitening toothpastes are not the same as over-the-counter tooth-whitening bleaches. Though many toothpastes contain a bleaching ingredient, it’s washed away fairly quickly in this form. For the best results, bleaches must stay in contact with the teeth for an extended period, as they do with a whitening strip or tray.
If you want to go beyond removing surface stains on the teeth and focus instead on lightening the overall color, a tooth bleaching product or kit is a more effective choice than a toothpaste. These products usually require regular applications for two to four weeks.

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When you’re shopping for a whitening toothpaste, it’s important to make sure you select a safe product. Look for the American Dental Association (ADA) Seal of Acceptance. Products that sport this seal have undergone a thorough evaluation, demonstrating both their safety and efficacy. Participation in the ADA Seal program is voluntary but is an excellent demonstration of the manufacturer’s commitment to quality and reliability.
While the ADA Seal of Acceptance does identify products that are safer, it’s important to understand that no bleaching or whitening product is without risks. The most common issue with whitening toothpastes and other similar products is mild irritation of the gums and mouth. You may also experience increased tooth sensitivity.
It’s important to note that whitening toothpastes rely heavily on abrasives for their results, and while these abrasives can effectively scrub away surface stains, they may also remove some of the tooth enamel. As the enamel wears away, you will see more of the dentin beneath, which is often discoloured. In the manufacturer’s clinical trial, Arm & Hammer Advanced Whitening whitened teeth for 39 percent of users. However, 25 percent were left with darker teeth, demonstrating the potential risks inherent in these products.

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Whitening toothpastes are designed for regular application at least twice a day. For the best results, users must brush daily with these products for several weeks. Products that don’t contain blue covarine can still yield impressive results. However, it’s important for users to understand that the whitening isn’t usually visible after the very first brushing.
Whitening toothpastes achieve long-term results through a combination of abrasives that polish the teeth and chemicals that break down stains. Common abrasives found in whitening toothpastes include:
These toothpastes may also contain carbamide peroxide or hydrogen peroxide which help whiten teeth. Carbamide peroxide works faster, but these ingredients bring about the same overall degree of colour change over a period of two weeks.

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If you’re dealing with day-to-day surface stains from yellowing beverages or other lifestyle habits, a whitening toothpaste can help you scrub away this discoloration before it becomes a permanent part of your smile. However, this typically takes between two and six weeks of regular use. If you want a whiter appearance with the first application, you can achieve this through something of an optical illusion.
Look for a whitening toothpaste that contains blue covarine. This chemical diminishes the yellow appearance on the surface of the tooth. The result is immediately perceptible, though not as long-lasting as other methods of tooth whitening. It’s best to combine the optical properties of blue covarine with other approaches to tooth-whitening.