This is the next level of sedation administered if oral sedation is not enough to facilitate needed dental treatment. In this case, the sedative medication is delivered through a small needle or catheter placed in a vein.
IV sedation is similar to the method for drawing blood that was first introduced around 1930 in both the United States and England. The intravenous administration of the sedative Pentothal was pioneered at the Mayo Clinic in 1935. This soon became the most popular drug for IV sedation, and marked the beginning of its use in dental care. Pentothal is a short-acting barbiturate drug; it has fallen into disuse as better, quicker-acting, and safer IV drugs have been developed.
Today, IV sedation in dentistry allows a way to provide dental care for the many patients who otherwise would not be able to receive necessary treatment. This includes the estimated 15% of the population who avoid dental care completely due to acute anxiety, and as much as 50% of the population who admit to some level of fear and apprehension when it comes to dental treatment. It also includes those patients who have medical conditions that make it necessary to reduce the level of stress during dental treatment.
It takes two appointments to restore a tooth with a crown. In the first any decay is removed from the tooth and it is shaped to accept the crown. Then an impression is made of the tooth for use in fabricating a crown. Between the two visits the crown is made, During this time a temporary crown is worn. In the second visit this temporary is removed. Then the permanent crown is adjusted as needed and then cemented in place.
The entire mouth is examined and a determination is made as to which teeth will have to be removed, and which will remain. The loose teeth are then extracted. Dentures are fitted to go over or around whatever teeth remain in the mouth, depending on the type. There is an adjustment period after dentures are placed in the mouth, and it can take some getting used to. But once accustomed to the dentures, all the normal functionality and appearance return and one just carries on as usual. Often implants can used to further stabilize the dentures.
Implants can also be used as support as part of an implant bridge. This is an alternative to partial dentures, and has several advantages. First, there is no adjustment period to acclimatize the patient who, once the work is done, only feels teeth, not metal supports intruding into the mouth. Second, this slows the bone loss occasioned by missing teeth. Third, there is no discomfort or difficulty in eating. And, best of all, of course, they don't have to be taken out all the time.
We also offer mini dental implants. These implants are about half the diameter of traditional implants are used mainly to stabilize lower dentures. These implants can be placed in one appointment and be immediately used. The cost is 50-70% of standard dental implants. Call for a free consult.
ROOT CANAL TREATMENT
A root canal is then performed to clean out the infected tooth pulp, and disinfect the canals of the tooth. The only other treatment would be to extract the tooth. Once the infection is resolved, the canal(s) are filled in to prevent any further infection. Usually a core build-up and crown is recommended for restoring a tooth that has had root canal therapy.
It is important that a missing tooth be replaced as soon as possible for several reasons. If not treated the teeth surrounding the gap begin to shift inward, creating a whole chain reaction of bad things. Teeth use their neighbors for support, and, with one missing, they start to "fall." As this worsens the bite changes in response to the pressure. This can eventually result in problems with the entire jaw, e.g. TMJ. The surrounding teeth deteriorate and it is just a matter of time before they, too, are lost. Gum disease becomes a serious problem, with the difficulty of treatment increasing as the neglect continues.
Problems in this area can cause:
Dental treatments for the condition can include replacing missing teeth, moving teeth, adjusting the bite, filling gaps between teeth, etc. There is no one solution that is right for all cases. Sometimes a plastic mouthpiece is used to prevent clenching or grinding that is contributing to the problem. If untreated and taken to extremes, surgery may be required to repair a badly damaged joint.
Cincinnati, OH 45243