Posts for tag: Sedation dentist brentwood TN

When First Impressions Count: Let Your Teeth Do the Talking


When you need to make a good first impression, make sure your teeth are working for you and not against you.

Have you ever heard the expression 'a million dollar smile'? It's been applied to everyone from movie stars (like Angelina Jolie) to motivational speakers (like Tony Robbins). And that's because a great smile can be worth a million dollars as far as making a great impression.

In Psychology Today magazine, Paul Ekman, professor of psychology at the University of California Medical School in San Francisco, and a pioneer of research on facial expressions, revealed the importance of smiling. "We (respond to) a smile from 30 meters away," he says. "A smile lets us know that we're likely to get a positive reception, and it's hard not to reciprocate."

In other words, when you smile at someone, they want to smile back at you. That immediately sets up a positive interaction, even before a word is spoken. What a great way to start off a job interview!


All Eyes Are On Your Mouth

It's a simple fact of life: how you present yourself to others is essential to your success in both personal and professional situations. When you meet a prospective employer or have a chance encounter with a prospective 'love connection,' the other person will form a first impression of you in a matter of seconds.

Your smile can be an important tool for making that first impression a good one.

In a job interview or on a first date, you'll almost certainly be talking. And as well as focusing on your words, the person on the other side of the conversation will also be focusing on your mouth. With a brighter smile, you instantly stand out from the crowd. Others will be drawn to you and want to listen to every word you have to say.

A bright white smile and a set of healthy, well-cared for teeth and gums say many things about you. Perhaps the most important thing they convey to others is that you take pride in your appearance and care about your health.

Speak with Confidence

People with teeth that are stained, discolored or otherwise not 'in shape,' may feel self-conscious. So they refrain from speaking freely. Or they may unconsciously put their hands in front of their mouths when they talk. But when your teeth and gums are healthy, you have the confidence to express yourself. And confidence is a very appealing characteristic.

Missing, crooked, and broken teeth are problems for lots of people. Sadly, many of them don't take the time and effort to do anything about it. And that's a shame because modern dentistry has so many amazing techniques and procedures that can help.

It really starts with regular check-ups and cleanings. That's the baseline of a healthy, happy smile. After that, there's practically no end to what can be done to make your mouth look and feel great.

Tooth whitening can banish coffee stains and remove the yellow left behind from smoking. Invisible braces can remove gaps and get your teeth in line. Perhaps you're a candidate for an 'extreme makeover' with dental implants or veneers. Whatever you choose, you can be certain that the investment you make in a 'million dollar' smile will pay for itself a thousand times over.

Question: Who is not a candidate for oral and IV sedation?


Answer: The following is a list of individuals who would not be candidates for sedation and includes but not limited to:


1. Diabetics- unless blood sugar is well controlled and patient is compliant with dietary and prescription regimens. Type II are typically better candidates as patients with Type I (insulin dependent) typically experience larger fluctuations in blood sugar and need a quicker response to this fluctuation.


2. Liver and kidney diseases. Patients with liver and kidney disorders are usually not great candidates for sedation because their ability to metabolize drugs is altered or compromised. These metabolism deficiencies can lead to patients hypo or hyperresponding to medications and will also shorten or prolong the response to the medications. Patients with these disorders need clearance from their physician prior to sedation.


3. Thyroid and adrenal disorders. Patients with altered responses to stress, altered metabolisms can affect the response to sedation. Patients that are taking steroids on a regular basis can also have adverse reactions because their body is not conditioned for stressful situations. Patients with these disorders or anything else endocrine in origin should consult their dentist and physician for any proposed sedation treatment.


4. Pregnancy- Patients who are pregnant are not good candidates due to the teratogenic properties of sedation medications but also due to the altered metabolic demands of a fetus on a mother's body. If absolutely necessary, the 2nd trimester is the best choice but I would prefer to defer sedation or any unnecessary dental treatment until after pregnancy.


5. Medications/recreational drugs- Patients that take mind altering medications such as antidepressants and anti-anxiety medications can also respond very erratically or not at all to sedation medications. Patients typically don't respond as well because the body has been conditioned to process mind altering medications that fall along the same categories of sedative medications. Recreational drugs is a huge contraindication as the response is totally unpredictable and could be potentially life threatening.


6. Respiratory- This is the biggest and most frequent complication I run into. Factors such as Asthma, COPD, sleep apnea, sickle cell disease, bronchitis, sinus infections, etc. All sedation medications have some sort of respiratory depressing effects that control a person's breathing. Sedation medications can severely hamper the body's ability to maintain normal breathing and furthermore should be taken with caution. An example of someone who is not always a good candidate is someone that snores on a regular basis as this is already an indication of someone who may be developing respiratory problems.


While this is not an all inclusive list, these are the most frequent disqualifying conditions for sedation dentistry!



Dr.G, why do you favor IV sedation over oral sedation? Mark S.


Hi Mark,


Great question!! While I like oral sedation and I use it all the time, my biggest concern is patient safety. How many times have you heard of a child, or even an adult for that matter, swallow more pills that they were supposed to. As a result, you have no idea what to predict or how the person react. Some will just make theirself purge or in extreme circumstances have their stomach pumped.


Oral sedation can work well but not necessarily be as predictable in seeing the outcome. Some will barely be sedated, some not all, others will be completely "snowed" over and there are many variables that can determine this: age, height, weight, medical history, male vs female, level of anxiety, etc. Oral sedation works relatively well but I would recommend having your dentist do a test run if you have inadequate results with oral sedation. I, sometimes, will due to a test appointment with the medications with my patient and not do any treatment but more less assess how the patient will respond. Being able to see this helps ascertain what treatment we can do and how much.


Its because of this that I prefer IV sedation, where I have more control over what goes on, and I can reverse the process quickly if I am not happy with how it is going. It tends to be more predictable, faster acting, and ultimately safer. You won't find any oral surgeons who would prefer oral or IV sedation due to the same reasons!


Hope this helps!


Last week my 17 yr. old son went to the dentist and was informed that he has enamel erosion which caused him to have 6 new cavities. The dentist said that the loss of enamel was most likely caused by his braces, which he had removed last year, and that the erosion will continue to spread and get worse. Is enamel erosion common after removal of braces? What should we do?

P.S. Thanks for serving our country!!


Good question and the answer is yes and no. It is very common to see teenageers come out of braces and have cavities that have developed in the process. To describe it as "enamel erosion" is a little ambiguous however. Typically there are 2 common areas to see cavities when a patient has their braces removed:


1. Lip/cheek side surface of the teeth where the brackets were bonded on the teeth.

2. Also occur between the teeth where you normally floss but very difficult when in braces.


Back to your question...erosion and cavities are two different things. I would ask the dentist to clarify what has happened. Erosion can lead to cavities but they are 2 separate situations. There is a chance he will need fillings where the erosion/cavity occurred. I would have him focus on their hygiene and also consider getting on a Fluoride prescription until everything stabilizes. The other question I would ask the dentist would be were any of these present during the past couple recall/cleaning appointments as cavities don't typically occur that quickly unless it had been a while since his last checkup. Hope this helps!




Can you explain in more detail the types of sedation and what is right for me?


I would encourage you go to my sedation tab to read further regarding sedation. Bottom line is there are many different options to help make you more relaxed but the recommended choice is based on your past experiences, the work that needs to be done as well as the amount of work to be done, your medical history. More patients fear going to the dentist because of a bad experience or because they simply don't understand.


Having said that, picking a dentist just because "he can sedate you" is not enough. When looking for a dentist, you need to ask yourself several questions:


Does he understand my fears and concerns and did he offer me solutions?

Does he have up to date equipment and properly trained staff?

Did he explain everything in a manner that you understand...that is can you make an educated decision based on what he has advised you on?

Was he gentle? If you had a cleaning, was the hygienist gentle?

Was the front desk gentle and receptive to your needs?


I believe with a friendly staff and a dentist who takes the time to explain your problems as well as what caused them, offer solutions and alternatives along with the pros and cons, is just as important for helping with anxiety and fear.