Sedation Dentistry

Anxiety is one of the biggest patient’s concerns. In fact, the anxiety could have serious repercussions in terms of people’s attendance to the dentist and is considered as an important barrier and also it has negative impact on oral health. To ensure our patient’s convenience, we recommend dentistry under anesthesia.

There are different types of sedatives that are used to help the patient to such relax hence put asleep. In this way, the patient’s pain and discomfort is reduced during treatment. The patients are generally interested and able to control their breathing. 

بیهوشی های دندانپزشکی

What are different types of sedation in dentistry? 

A. sedation is given to the patient intravenously, which in this way the sedative is inserted into the patient’s body through vein and causes deep numbness. In this method, you are still conscious and able to breathe and hear the dentist words and respond.

B. General sedation which is done by anesthesiologist which puts you in a sleep-like and completely unconscious state during medical procedure. Your vital signs and respiratory system are controlled by doctor during the dentistry procedure.

C. Nitrous oxide is one the gases which is inhaled by patient during the dental procedure and causes anesthesia. This method is one of the mildest ways to sedation. Mouth numbness is performed by taking a pill especially for those who are afraid of injection. 

The healthy mouth, teeth and gums can directly affect your general health. Recently, the researchers have showed the periodontal inflammation-caused bacteria to be able to move through the body and enter into the arterial cells. Recent studies have demonstrated there is a relation between periodontal disease and heart disease, diabetes, stroke, pregnancy problems and increased risk of pancreas cancer. 

درمان لثه به وسیله لیزر

 How laser periodontal therapy works? 

To remove the tartar (tartar is a form of hardened dental plaque which is caused by precipitation of proteins and minerals on the tooth and it will be calcified during the time if not removed) on the tooth root surface which is involved in periodontal inhalation and bleeding, the ultrasonic scalers and small tools are used, then a bright light will shine down between tooth and gum to remove the pathologic bacteria. Unlike the traditional periodontal therapies, laser therapy does not require any gingival incision and sutures and makes the treatment procedure painless.

Am I a candidate for laser periodontal therapy? 

The candidates for laser periodontal therapy are those who are having the red, inflamed and bleeding gums, chronic respiratory and periodontal disease. 

After treatment 

As this treatment is performed without any gingival incision and sutures, the recovery period is significantly reduced, and it also reduces the infectious and allergy rates after treatment. Most of the patients do not need the sedatives and can immediately go back to work after treatment. 

Wisdom teeth are the third and final set of molars that come in your mouth between 17-25 years of age. These teeth need more space to erupt which requires diet. 

 

دندان عقل و دلایل خارج کردن آن

Why do we remove wisdom teeth? 

As the society goes towards straight teeth and beautiful smiles, there is not enough space for wisdom tooth eruption without causing anomalies to other teeth, especially if you have referred to the orthodontist for having a beautiful smile.  

What happens when we remove our wisdom teeth? 

Apart from the previous mentioned consequences, teeth anomalies avoid that wisdom tooth have enough space for eruption, therefore it remains impacted which can be painful and results to dangerous infection. 

Do I need to have my wisdom teeth removed if I have not experienced these problems? 

Most of the issues following by wisdom tooth eruption may not be seen by eye as it has not erupted yet. As long as wisdom tooth root extends with increasing age, it can become more difficult to remove it and the possible consequences is increased such as damages to nerves. 

When do we remove the wisdom tooth? 

The American Association of Oral and Maxillofacial Surgeons (AAOMS) recommends extraction of wisdom tooth by young adulthood at an early age to minimize the future complications and as a result, its restoration is more convenience. 

Surgery

The wisdom tooth removal is performed using general anesthesia, local sedatives and injectable drugs depend on wisdom tooth position and the individual case. The doctors talk to you before performing the surgery and respond to all of your questions. It’s likely that you’ll experience some swelling and discomfort following surgery.

Crown lengthening is a periodontal plastic surgical procedure in which the gum is shaped to remove the periodontal tissue or bone to expose a greater amount of tooth structure. This therapy procedure is used for facial esthetics including gummy smile (a smile that shows an excessive amount of gum when a person smiles) and prosthetic such as covering and fillings. 

افزایش طول تاج دندان ها

How is crown lengthening performed?

A small amount of periodontal tissue is removed in distinct region or gum reshaping is occurred. The purpose of this surgery is crown lengthening of tooth and symmetry in normal position of the gingival margin. 

Am I a crown lengthening (C.L) candidate? 

The ideal candidates for crown lengthening should be in good overall health particularly those who have healthy gums, gummy smile, caries and cracks near to gingival margin. If you are suffering from periodontal disease or not having proper bone, you should not be under this treatment.  

After surgery 

Median time to heal following the surgery varies among different patients and depends on the amount of removed tissues during surgery.  

Gingival graft or periodontal plastic surgery is referred to numerous periodontal procedures in which the gum tissue is grafted to cover exposed root surfaces. This procedure can also be used as a restoration of gingival tissue surrounding the impacted tooth. Gingival graft is performed to improve the aesthetic appearance, preservation of beauty and a reduced sensitivity. Gingival graft in our clinic is done by a periodontist. 

درمان لثه

How is gingival graft performed?

Followed by an anesthetic injection, the periodontist removes a healthy piece of tissue from the roof of your mouth and then attach it to the bare and degenerating area where your gums have worn away. This procedure can be performed by a sterilized extra-periodontal tissue in which there will be no need to local surgery where the gingival tissue is removed. By using this method, the sterilized tissues are mixed with growth factors which are taken from small samples of the patient’s blood cells that called PGRE. This procedure can be done on one or several teeth. 

Am I a gingival graft candidate?

The people who need this procedure are generally suffering from the periodontal diseases and do not have enough gum tissue, having a poor oral and tooth health, bone resorption and impacted tooth.

After surgery 

This procedure with short convalescence period can be very successful and later on, your gum health will be maintained without any special treatment. 

Your oral, tooth and gum health will have a direct impact on your overall health. Studies have shown the same bacteria causing the periodontal inflammation able to move in the body and enter the arterial cells. Recent studies have demonstrated there is a relation between periodontal disease and heart disease, diabetes, stroke, pregnancy problems and increased risk of pancreas cancer. The periodontal surgeries which were done in the past, have removed the unhealthy periodontal tissue below the gingival margin. 

How was gum surgery performed in the past?

In the past, the gum surgeries procedure was performed using either a flap-excision surgery or removing the plaque. Generally, our physicians withdraw the gingival tissue to remove the accumulated tartar or calcified layer beneath the gingival margin. Then, the gums are reattached to the cleaned and sterilized surface and restored.  

Am I a traditional gingival surgeries candidate?

The candidates for this surgery have red, swollen and bleeding gums and also bad respiratory system and periodontal disease. 

After treatment 

Take it easy. The recovery period is varied in different people. During this period, it is very important to follow up your doctor’s instructions and medications has given you. Make sure all areas of your mouth are kept clean after surgery. Use ice packs to minimize the inflammation and avoid drinking hot liquids immediately after surgery. 

#DD8500

  1. Teeth extraction with complexities
  2. Impacted wisdom tooth which causes infection, inflammation or damage to adjacent teeth
  3. Unsustainable teeth
  4. Cuspid(canine) or extra teeth which prevents the implanting in the toothless areas
  5. Removing the maxillary cysts and epulis
  6. Teeth crown lengthening in order to enhance the beauty or performing the prosthetic aims such as veneering
  7. Performing the bone surgery or gingival implant to improve the bone defects in terms of length and width in the areas which has been weakened due to removing the natural teeth.

 

ایمپلنت و جراحی دندان

Periodontology 

Periodontology involves the prevention or treatment of diseases (surgical and non-surgical) that affect the tissues surrounding the natural teeth. The care of natural teeth during periodontal treatment requires sufficient and specialized skills. 

Implant surgery 

Implant surgery is a procedure that replaces the missing teeth with bone implants that supports dental prostheses in different models and spaces. These two different therapy procedures do not conflict each other: the former is conservatively (periodontal) and the latter is the replacing of missing tooth (implantology), but each has its own application. Sometimes, it can be used to restoring a natural periodontal tooth, however, sometimes you can no longer keep a natural tooth and should remove it and replace with implant. Failure to do it may result in serious problems and more complicated treatments. The placing of bone implant can be done by simple method or a little more aggressive. Even it can be performed using computer programs without any incision, losing the surrounding tissues attachments and stitching of gingival tissues in patients with bone defects. Nowadays, the extensive bone restoration can be done by less aggressive methods without using the adjacent tissues such as chin. This method is very valid and effective. Sometimes, it is necessary to place implant immediately after tooth removal. This method has two advantages: one is that the entire prosthesis procedure is performed in one session and the other is that the patient suffers from edentulism for a shorter time. 

See our telegram channel for similar articles

Follow us on Instagram

TOP