Posts for tag: dental sedation lavergne

Question: Is tongue piercing safe?


Answer: Oral piercing has become fashionable over the last decade. While oral piercing can involve the lips,cheek, uvula, the tongue remains to be the most commonly pierced. Tongue piercing involves placing a "barbell"-type stud through the tongue.


There are several common risks associated with tongue piercing.

Infection- This is possibly due to nonsterile techniques and/or improper care after the piercing. Treatment can include antiobiotic therapy, localized cleaning and oral hygiene instructions. Serious infections, involving the tongue, jaw and chin can require emergency medical treatment.


Chipped or Broken Teeth- Usually occurs through biting the barbell especially in new piercings with the initial longer barbell. To minimize the risk, a shorter barbell or made of acrylic/plastic should be worn.


Enamel Loss- Most commonly occurs at the back of the teeth through repeated rubbing against the jewelry. A shorter barbell or one made of non-metallic material can also be worn to prevent enamel loss.


Gum recession- Over time, repeated contact between the tongue ring and the gums can lead to receding gums especially with long stem barbells. Smaller tongue rings can reduce the risks of receding gums.


Future considerations for the tongue ring user:


1. Replacing metal barbell with a shorter, plastic based barbell.

2. Using antiseptic mouthrinse, such as Listerine on a daily basis and brushing the tongue regularly.

3. Exercise conscious control of the movement of tongue jewelry during chewing or speech.


Please contact Dr.Glasmeier if you have any questions re: tongue rings.

Question: Is Dental Sedation Safe and Is it for everyone?


Answer: Yes and no. Dental Sedation is very safe and most of the time very predictable in the response you will get. While there are multiple forms of providing sedation such oral, IV, IM, IN, inhalation, some forms are safer than others. The type of sedation to be used is tailored to the patient that desires it as well as fitting the comfort level of the provider.


For example, IV sedation is an excellent treatment for adults that have a great deal of anxiety yet not recommended in treatment for children.


Why is this?


Determining the proper type of sedation is not just evaluating the medical history of the patient, but evaluating previous dental experiences, assessing the compliance or willingness of the patient to forego treatment, and ensuring the patient has been educated about what is being done, why and how.


Back to IV sedation, children are not candidates for IV due to their inability to understand what is going on and they are less likely to be compliant to the situation. Nitrous oxide (laughing gas) or oral sedation are better options for the child because of their noninvasive nature.


The majority of patients I encounter in my practice are good candidates for sedation dentistry. The more important question is what kind of sedation do they need and what will help them achieve the experience they desire. The answer to this lies in the evaluation by the dentist. Spend time with your dentist, discussing your fears, past experiences, medical history, family history as well as your goals and expectations. The combination of all of these will establish whether or not you are a candidate for sedation!