Posts for: March, 2021
Narcotics have long played an important role in easing severe pain caused by disease, trauma or treatment. Healthcare professionals, including dentists, continue to prescribe them as a matter of course.
But narcotics are also addictive and can be dangerous if abused. Although addictions often arise from using illegal drugs like heroin, they can begin with prescriptive narcotics like morphine or oxycodone that were initially used by patients for legitimate reasons.
As a result, many healthcare providers are looking for alternatives to narcotics and new protocols for pain management. This has led to an emerging approach among dentists to use non-addictive non-steroidal anti-inflammatory drugs (NSAIDs) as their first choice for pain management, reserving narcotics for more acute situations.
Routinely used by the public to reduce mild to moderate pain, NSAIDs like acetaminophen, ibuprofen or aspirin have also been found to be effective for managing pain after many dental procedures or minor surgeries. NSAIDs also have fewer side effects than narcotics, and most can be obtained without a prescription.
Dentists have also found that alternating ibuprofen and acetaminophen can greatly increase the pain relief effect. As such, they can be used for many more after-care situations for which narcotics would have been previously prescribed. Using combined usage, dentists can further limit the use of narcotics to only the most severe pain situations.
Research from the early 2010s backs up this new approach. A study published in the Journal of the American Dental Association (JADA) concluded that patients receiving this combined ibuprofen/acetaminophen usage fared better than those only receiving either one individually. The method could also match the relief power of narcotics in after care for a wide range of procedures.
The NSAID approach is growing in popularity, but it hasn't yet displaced the first-line use of narcotics by dental professionals. The hesitancy to adopt the newer approach is fueled as much by patients, who worry it won't be as adequate as narcotics to manage their pain after dental work, as with dentists.
But as more patients experience effective results after dental work with NSAIDs alone, the new approach should gain even more momentum. And in the end, it promises to be a safer way to manage pain.
If you would like more information on dental pain management, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Are Opioids (Narcotics) the Best Way to Manage Dental Pain?”
If you have a toothache that will simply not go away you may already dread the words: root canal. From a young age, we are all taught to fear the procedure, sometimes subliminally by the media, we consume, sometimes less so. But if there is just one thing you take away from this, it's that you should not ignore tooth pain. Even if it doesn't warrant a root canal, pain is usually a sign that something has already gone wrong, and it won't improve without treatment. So to learn more contact your local Gillette, WY, dentist Dr. Daniel Morrison of Gillette Dental PC.
Anatomy of a Toothache
A tooth is protected by a hard outer shell, it is made out of the hardest substance in your whole body, enamel.
Beneath it is a more porous layer, but which makes up the majority of your tooth, which is called dentin. This encases the soft center of your tooth, the pulp, which is made of nerves, blood vessels, and connective tissue.
If you have ever seen a tooth on its own you will notice the long stems beneath what is actually visible above the gumline. This is what we call the root of the tooth, and along the root, the pulp connects through small canals inside it to the rest of your mouth and your body.
Hopefully, a picture is beginning to develop in your mind, as well as the reason for the origin of the term, root canal.
The problem starts when the enamel on your tooth is breached, either by trauma or decay. Although it is a very hard and tough substance enamel is still capable of breaking with enough force. After that, even a chip exposes the inside of your tooth to decay.
Speaking of decay, the bacteria in our mouths, in the form of plaque, can produce acids that over time will wear away the enamel and so infection can take hold.
If allowed to progress, this infection can cause a lot of pain, can threaten your tooth, and your whole mouth, and possibly your health altogether.
Root Canal in Gillette, WY
A root canal treatment removes the infected parts of the tooth along with the pulp, eliminating it all the way down through the canals down the root. One of the goals of the procedure is pain relief, so although you may experience some discomfort for a few days after, you will be sedated throughout and the whole experience is usually no different than having a large cavity filled.
Don't delay your relief any longer, make an appointment with Dr. Morrison of Gillette Dental PC in Gillette, WY, by dialing (307) 682-3353.
A wave of madness is about to sweep across Indianapolis and onto television screens across America—March Madness, that is. That's right: After its cancellation in 2020 due to COVID-19, the famed NCAA men's basketball tournament is back with all 68 games scheduled to be played in and around Indianapolis. As you can imagine, there will be numerous health precautions, and not just for the pandemic—there should also be mouthguards aplenty.
Why mouthguards? Although you might think football and hockey would be rougher on players' teeth, gums and jaws, basketball actually tops the list of sports with the most dental injuries. Such an injury occurring from a split-second contact with another player could take years to overcome.
Fortunately, mouthguards are a proven way to reduce sports-related mouth injuries among professional and amateur basketball athletes. Made of a pliable plastic, mouthguards cushion against blunt forces to the mouth generated during play (and not only formal games—practices and scrimmages too).
But while wearing a mouthguard is a no-brainer, choosing one can be a little intimidating. True, they all work on the same principle, but there are dozens of types, designs and price ranges.
We can, however, distill them down to two basic categories: “boil and bite” and custom mouthguards. You'll find the first kind online or in a local retail sporting goods store. It's named so because you first place it in hot water to soften it, and then place it in the mouth and bite down to create an individual fit.
As an inexpensive option, boil and bite mouthguards provide a level of protection. But they also tend to be bulky and uncomfortable, which can tempt players to wear them less. And the softer plastic (compared to custom guards) allows for a lot of jaw (and in turn, teeth) movement, which can cause teeth to loosen over time.
Custom mouthguards, on the other hand, are created by dentists based on impressions made of the wearer's mouth. As such, the fit tends to be more precise, requiring less material than the boil and bite variety, thus affording a greater degree of comfort. And there's less potentially damaging jaw movement with a custom mouthguard. As you might imagine, custom mouthguards are more expensive, but compared to the potential treatment cost for a sports-related dental injury, it's money well spent.
Investing in a custom mouthguard for your family basketball (or football, hockey or baseball) player is a sound way to protect their dental health. And that's not madness at all.
Do you remember your first new car? It purred like a kitten with a brilliant finish you could see a mile away. And my, oh my, the attention you gave it: cleaning, polishing, regularly checking the fluids and other maintenance. That's what comes with pride of ownership—and it's an equally fitting attitude to have with your mouth.
World Oral Health Day is a great opportunity this month to renew your care for your mouth and its primary inhabitants, your teeth and gums. This March 20th, the FDI World Dental Federation wants you to “Be Proud of Your Mouth” for all it makes possible in your life: helping you eat, helping you speak and, of no lesser importance, helping you smile.
So how can you show pride in your mouth?
Keep it clean. Brushing and flossing are the two most important tasks you can do to prevent dental disease and ensure a healthy mouth. It takes only five minutes a day to clear away accumulated dental plaque, a thin film of bacteria most responsible for destructive tooth decay and gum disease. The only catch? To get the most from your oral hygiene efforts, you'll need to brush and floss every day, rain or shine.
Keep it fed. The food your teeth help you eat also benefits them—if they're the right foods. Fresh fruits and vegetables, proteins and dairy items like milk or cheese all contain vitamins and minerals that strengthen teeth against disease. On the flip side, there are foods you should avoid, particularly processed foods and snacks containing added sugar. Sugar feeds the oral bacteria that causes disease.
Keep it maintained. Routine dental visits are just as important for your mouth as routine mechanic visits are for your car. During these regular visits, we'll thoroughly clean your teeth of any missed plaque, especially a hardened version called tartar. It's also a time for us to look more closely at your teeth and gums to uncover any emerging problems that require treatment.
With a little time, effort and discipline, you can protect your teeth and gums from disease, and help them to be as healthy as they can be. The dividends will spill over into the rest of your life, with additional benefits for your physical, mental and social well-being. A healthy mouth is vital to a healthy life.
So, take pride in your mouth and make a commitment today to care for it. And if you haven't seen us in a while, an appointment for a dental cleaning and checkup could be your best move toward healthier teeth and gums.
If you would like more information about best dental care practices, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “Daily Oral Hygiene” and “Dental Hygiene Visit.”