Posts for: June, 2013

FAQsAboutCalmingYourFearsWithOralSedationDentistry

What is oral sedation dentistry? If you become frightened and anxious when facing a dental appointment or procedure, sedatives (also called “anxiolytics” meaning they dissolve anxiety), can completely transform the experience. Oral sedatives (taken by mouth) allow you to relax your mind and body so that you feel comfortable while in the dental chair.

How does anxiety affect my pain response? When you are afraid, your pain threshold is reduced. You experience a rush of adrenalin and you tense your muscles. As a result you end up in a state of heightened sensitivity. With sedation this sensitivity to pain vanishes along with your fear and anxiety.

What are some of the oral sedatives that my dentist may use? Most of the medications used in oral sedation dentistry belong to a class of medications called benzodiazepines, tried and tested over decades to be safe and effective. They are used in the treatment of anxiety, insomnia, and agitation. They include Valium®, Halcion®, Ativan®, and Versed®.

I'd just like to forget the experience after it is over. Can oral sedation help? Some of the medications prescribed as oral sedatives have amnesic properties (“a” – without; “mnesia” – memory). This means you will have little memory of the time in the dental chair when your procedure is finished.

What does my dentist need to know in order to prescribe the right oral sedation? We need a thorough medical and dental history, including all medical conditions you may have, and all medications you are taking — both prescription and over-the-counter (including allergies, alternative medications and even herbal supplements). We will also ask you whether you eat certain foods that could interfere with a sedative's effects.

How are the oral sedatives administered? Oral medications are either placed under the tongue (sub-lingual), and allowed to dissolve and then swallowed, or they may be swallowed whole. They are safe, effective, and fast acting. After the sedation takes effect, it will be easier to experience injections of local anesthesia if needed to numb your gums for the dental procedure.

What do I need to do before and after my appointment? Follow all directions we give you about restricting food and drink before your appointment. Until the medication wears off you may not be able to drive, operate heavy machinery or work so be sure to make arrangements to take time off and to have someone drive you to and from the appointment.

Contact us today to schedule an appointment to talk about any fears you may have about dental treatments. Using oral sedation, we can make sure that you have a relaxing experience. Oral sedation allows you to relax both your mind and body, and focus on feeling peaceful rather than anxious. You can learn more about oral sedation dentistry in the Dear Doctor magazine article “Oral Sedation Dentistry.”


EvolutionsinTooth-ColoredFillings

Tooth-colored fillings are just one of the many ways that cosmetic dentistry has evolved over the past few decades. There was once a time where having a cavity treated meant that you would be left with a noticeable metal filling. However, today we have an array of tools and materials available that help make tooth repair more like creating a fine piece of art.

Tooth-colored fillings are made of composite resin, which is a mixture of plastic and glass. Composite resin is not only more aesthetically pleasing, but also better for your teeth than metal fillings. Metal fillings can require your dentist to remove healthy parts of your tooth to create a ledge (undercut) that locks the filling in place. Tooth-colored fillings do not need this undercut to stay in place. In fact, they physically attach, or bond, to natural tooth structure. The procedure is also very simple. We'll apply the composite resin directly to your teeth, sculpt it and then finally harden it with a special light. When you see the results, you will be amazed at how natural and lifelike the restoration appears.

Another advantage of tooth-colored fillings is that they are strong and flexible. When you bite or chew, they will absorb and transfer the forces, just like your natural teeth. Metal fillings are strong, but they are also stiff, which can stress your teeth and make them more susceptible to cracking.

During your examination, we will evaluate if tooth-colored fillings are the best tooth repair option. If your cavity is too large for composite resin, we may recommend a porcelain filling. This procedure may require two appointments: the porcelain filling will be crafted in a dental laboratory, and we will then place this filling at your next visit.

If you would like more information about tooth-colored fillings, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “The Natural Beauty of Tooth-Colored Fillings.”




Contact Us

Steven B. Manson, DDS, FAGD

Long Island City, NY General Dentist
36-01 31st Street
Astoria, NY 11106
(718) 729-8383
Manhattan, NY General Dentist
136 East 57th Street
         Suite 1604
New York, NY 10022