Tag Archives: Gilbert Sedation Dentistry

Do i have to see an oral surgeon for my tooth extraction?

I have a strong apprehension to dentist offices. Therefore, I have not maintained a practice of attending regular dental check-ups. Then, a few years ago I lost a filling. I put off taking care of this and later that tooth broke. I prolonged having this looked at until the pain from the broken tooth became too much to bear.

When I finally saw the dentist, I learned that I needed a root canal. Following the root canal, the dentist did not follow up with me. However, because the pain had decreased for the most part, I did not follow-up either. I also did not have a cap put on the temporary filling. Therefore the temporary filling later fell out and an infection developed.

When I saw a different dentist about this, I learned the remaining part of the tooth needed extracted. In addition, because of the tooth’s poor condition, it was going to be quite invasive, involving the gums down to the bone. The dentist recommended I see an oral surgeon for the procedure and be under anesthesia. This is not something I can afford. Is an oral surgeon my only option, or can a general dentist conduct the procedure?

Thank you,
Jessica

Dear Jessica,

Your dilemma is an understandable one. First, it is important that you understand the reasons to see an oral surgeon for a procedure like this one. It would also be a good idea for you to develop questions to ask your dentist, to help you determine if an oral surgeon is the best route for you, even considering the cost.

Reasons to See an Oral Surgeon for Tooth Extraction

It could be that the dentist you say is not comfortable doing such an invasive extraction. He may be suggesting you seek out an oral surgeon to prevent himself from getting into trouble by taking on a procedure like this if it is outside his realm of experience.

Secondly, the procedure may be a traumatic experience for you, the patient. Therefore, he is suggesting seeing an oral surgeon in order for you to be under anesthesia, in order for the procedure to be easier on you.

Dental Anxiety Can Be Costly

As you are learning, the anxiety that sometimes accompanies dental visits and procedures can be quite expensive. If you had immediately replaced your filling after it fell out, there would not have been a need for the root canal you had. In addition, if the dental crown would have been placed quickly following the root canal, the tooth would not have needed extracted. And, if the tooth does get extracted, you may later need it replaced in order to keep your bite from collapsing.

Therefore, the idea of moving forward with the extraction procedure being done by an oral surgeon will prevent you from having a traumatic experience, which would just further amplify your dental anxiety and cause future dental issues for yourself.

Questions to Ask Dentist About Tooth Extraction

It is important to develop specific questions for your dentist, in order to help yourself better answer your question. Try asking how comfortable your dentist feels doing performing a procedure like this. Also consider asking if he has performed extractions like this before. It would be a good idea to find out if there is nitrous oxide available to help with your comfort level. Understanding if your roots are straight or tapered, or twisted with knobs on the end, would also be helpful.

From what you’re describing, it does sound like your dentist is sharing his fair and honest opinion with you, so place significant value in that while making your decision.

This blog post is sponsored by the office of Gilbert sedation dentist, Dr. Matthew Roper.

Can I stay with my daughter during a sedation dentistry appointment?

My pre-school aged daughter has a significant-sized cavity on one of her back molars. Her dentist suggested using Nitrous oxide to sedate her, in order to place a filling. On the day of the appointment, I was told I could not go into the room with her for the procedure. She is three! Furthermore, in those three years, she has never been sedated. When I questioned this, I was told it was office policy and there was no way around it. Therefore, I canceled her appointment. Is this a common policy? It seems ludicrous for a parent not to be allowed to accompany a three-year-old for a dental procedure, especially one which involves sedation.

Thank you,
Mindi

Dear Mindi,
The presence of a parent during a dental procedure is really the choice of the provider. Oftentimes, the nervousness or fear that a parent is experiencing during a dental procedure is very obvious to the child, and, therefore, wears off on the child. Parents may say things like, “squeeze Mommy’s hand if you’re scared, or if it hurts, ” thus, letting the child know that being scared of feeling pain is an option, when they otherwise may not know this. Sometimes, it is easier for everyone if the only person the child has to focus on is the dentist. This also allows the dentist to give your child and the procedure he or she is performing their sole focus, as opposed to focusing on the procedure, the patient, and you. Sedation dentistry is not any different than a medical procedure. If you were to take your child into a hospital for a surgical procedure, you would not be allowed in the operating room with him or her. This seems to be a policy that many dental providers have also adopted. Though, I am sure you can find a provider who will allow you into the procedure room with your child if you look further.

This post was written by the office of Gilbert sedation dentist, Dr. Matt Roper.

Can I see a sedation dentist if I’m on medication?

I need to see a sedation dentist, but experience depression and anxiety, and am on several medications to manage them. Is this something that will prevent me from receiving sedation during my dental treatment?

Thank you,

Nikki

Dear Nikki,

There is not one specific medication used by all dentists. Each chooses his/her own sedation medications based on their dental experiences, philosophies, and the medical history of the patient. The only way to know which medication is used is to go directly to the sedation dentist who is treating you.

You will need to take a full list of your medications, including the amount and frequency, to your dentist. He or she will use this list to determine which medications are right for your dental treatment. If their typical treatment will conflict with your medication, the dentist should offer to find an alternative. If not, he or she should refer you to someone who can help.

If possible, you should also consider sending your medication list to the dental office in advance. The staff should be able to advise you if they are unable to treat you. Most likely, they will advise you to come in to discuss a treatment plan.

This article is brought to you by Gilbert sedation dentist, Dr. Matthew Roper.

 

Will Sedation Let Me Get ALL My Dental Work Done?

I hate dentists. Hate them.  I’ve not gone in a while and as a result I need a lot of work.  Here’s the breakdown:

1 tooth pulled, 3 Dental Crowns. 1 Root Canal

Is it possible to get this all done at once?

Drew – Minnesota

Drew,

It sounds like you’ve had some really bad experiences at the dentists. I assuming you know about sedation dentistry and that is why you’re asking if it can get done in one visit.

Depending on the dentist and how much work he’s willing to do at once, it’s possible to get at least most of it done in one sitting. It may take two. Either way, you won’t feel a thing.

Sedation is designed to give you a completely pain free dental experience. You may not even remember the procedures.  You may even find a way to, if not enjoy, at least no longer hate going to the dentist.

This blog is brought to you by Dr. Matt Roper.

Can children use sedation dentistry

My son had a bad experience at the dentist’s office last appointment. He’s not too thrilled about going back. Is it safe to use sedation dentistry on children?

Morgan – Las Vegas

Morgan,

Yes, it is generally safe to use sedation dentistry on children, as long as they don’t have any allergies to the medication used.  Your dentist can go over all of that with you to make sure your child is a good candidate.

It’s great you’re being proactive about your son’s experiences.  Fortunately, sedation dentistry can completely change the way people respond to going to the dentist.

A few good appointments and you’re son will start looking forward to his teeth cleanings.

This blog is brought to you Gilbert Dentist Dr. Matt Roper.

Bulimic who’s scared of the dentist

I’m bulimic and I need to go to the dentist. Something is wrong with my teeth. I think it is because of how much I purge. I know it’s important, but I am terrified of the dentist.  What I really want to do is not go, but my mouth is hurting. Is there a way to home treat this?

Brittney – Alabama

Brittney,

I’m sorry you’re hurting. You’re probably right that the purging is causing problems in your teeth.  The acid from the vomit will eat away at the enamel on your teeth. That leaves you susceptible to decay, gum disease, and infection.

I realize that you are scared of the dentist, but to protect your teeth, you’ll likely need some dental crowns.  However, there is a way you can get the treatment you need without having to worry about pain.

See if your dentist is a sedation dentist. If not, then you can do an internet search for a dentist who uses sedation. They can give you a pill that will make you sleepy and you can have all your work done without feeling a thing.

Be sure to let your dentist know about the bulimia. It will help him no how to help you.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Can a hospital do my extractions?

If I need full dentures, can a hospital do my extractions? I can’t deal with dentists very well.

Justine M. -Oklahoma City, OK

Justine,

While it is possible to go to the hospital to have your extractions done, it will be extremely expensive.  There are ways to have your teeth removed without pain. It is called sedation dentistry. Because I suspect you are looking for some deep sedation, I will recommend two of the strongest levels of sedation:

1. Oral sedation: With this, you’ll take a pill before your appointment.

2. IV Sedation: This requires an anesthetist.

Both methods require you to have someone to drive you to and from your appointment. Every dentist is different as to what types of sedation they offer, so you’ll need to call around.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.