Posts for tag: sleep dentistry franklin tn

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!