Posts for: April, 2018
Because the mouth is one of the most sensitive areas of the body, we go to great lengths to eliminate pain and discomfort associated with dental work. Anesthesia, both local and general, can achieve this during the actual procedure—but what about afterward while you’re recuperating?
While a few procedures may require prescription opioids or steroids to manage discomfort after a procedure, most patients need only a mild over-the-counter (OTC) pain reliever. There are several brands available from a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs like aspirin or ibuprofen work by blocking the release of prostaglandins into the body, which cause inflammation in tissues that have been damaged or injured.
Unlike their stronger counterparts, NSAIDs have fewer side-effects, cost less and aren’t addictive. And unlike opioids NSAIDs don’t impair consciousness, meaning patients can usually resume normal activities more quickly.
But although they’re less dangerous than opioids or steroids, NSAIDs can cause problems if taken at too strong a dose for too long. Its major side effect is interference with the blood’s clotting mechanism, known as “thinning the blood.” If a NSAID is used over a period of weeks, this effect could trigger excessive external and internal bleeding, as well as damage the stomach lining leading to ulcers. Ibuprofen in particular can damage the kidneys over a period of time.
To minimize this risk, adults should take no more than 2400 milligrams of a NSAID daily (less for children) and only for a short period of time unless directed otherwise by a physician. For most patients, a single, 400 milligram dose of ibuprofen can safely and effectively relieve moderate to severe discomfort for about 5 hours.
Some patients should avoid taking a NSAID: pregnant women, those with a history of stomach or intestinal bleeding, or heart disease (especially if following a daily low dose aspirin regimen). If you have any of these conditions or similar concerns, be sure you discuss this with your dentist before your procedure for an alternative method for pain management.
If you would like more information on managing discomfort after dental procedures, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Pain with Ibuprofen.”
Porcelain veneers are a great way to enhance an unattractive smile. But are they appropriate for teenagers? The answer usually depends on a patient’s current development stage and the type of veneer used.
Veneers are thin layers of porcelain bonded to the front of teeth. But even though quite thin, they can appear bulky if we don’t first remove some of the tooth’s enamel surface. This is irreversible, so the tooth may require a restoration from then on.
This could be a major issue for teens whose permanent teeth are still developing. During this period the tooth’s central pulp is relatively large and the dentin layer not fully developed. As a result, the pulp’s nerves are often closer to the surface than in an adult tooth. This increases risk of nerve damage during veneer preparation; if nerve damage occurs, the tooth could ultimately require a root canal treatment to save it.
On the other hand, some types of veneers don’t require tooth alteration (or only very little) beforehand. These “no-prep” or “minimal prep” veneers are best for certain situations like abnormally small teeth, so we must first determine if using such a veneer would be appropriate for your teen.
In effect, we’ll need to weigh these and other factors before determining if veneers are a safe choice for your teen. That being the case, it may be more advisable to consider more conservative cosmetic techniques first. For example, if enamel staining is the main issue, you could consider teeth whitening. Although the often amazing results eventually fade, whitening could still buy some time until the teeth have matured to safely apply veneers.
Slight deformities like chipping can often be corrected by bonding tooth-colored composite material to the tooth. In artistic hands it’s even possible to create a full veneer effect with very little if any tooth preparation. How much we can apply, though, depends on tooth size, and it won’t be as durable as a porcelain veneer.
With that said, veneers could be the right solution to enhance your teen’s smile. But, we’ll need to carefully consider their dental situation to ensure their new smile remains a healthy one.
If you have a damaged tooth, a dental crown can save your natural tooth, allowing it to remain in its rightful place and preventing future damage. Can a dental crown help your damaged tooth? With help from your dentist, you can find out how you can restore your smile. Learn more about crowns with Dr. Sean Bates in Osprey, FL.
What is a dental crown?
A dental crown is a prosthetic dental restoration which fits over a tooth, encompassing it above the gumline to protect and stabilize it against damage from everyday use in the future. A crown helps a tooth which has been damaged by decay, trauma or injury. However, it can also help provide a sturdy biting surface to a tooth with a large filling, restore the biting surface of a worn tooth, or even hold a dental bridge in place. Crowns are made from porcelain, which is customized to your mouth and the color of the surrounding teeth to ensure a natural look.
Am I a candidate for a dental crown?
Dental crowns can benefit patients in a variety of situations. However, a good candidate for crowns should be free from teeth decay and gum disease prior to receiving their crown. This means your dentist may need to perform procedures like a periodontal cleaning or filling before your crown appointment. Additionally, candidates should have a strong at-home oral care routine to maintain the health of their crown.
Dental Crowns in Osprey, FL
Dental crowns can give your damaged tooth a second life and help keep it in your mouth where it belongs. Restoring your tooth with a dental crown usually takes two separate dental appointments. In between appointments, a dental laboratory uses a mold of your mouth taken by your dentist to design the crown especially for your mouth. This customization process takes about two weeks.
For more information on dental crowns, please contact Dr. Sean Bates and his staff in Osprey, FL. Call (941) 966-4751 to schedule your appointment for a consultation with Dr. Bates today!