Professionals in General Anesthesia Dentistry
General Anesthesia Dentistry, often referred to as “sleep dentistry,” is a medical procedure that renders patients unconscious and pain-free in a controlled environment, allowing for the safe provision of dental treatment while an anesthesiologist monitors heart rate, breathing, and other vital signs to ensure safe, normal ranges. Treatment is conducted as ‘outpatient’ surgery, where patients typically go home within a few hours after their procedure.
Our General Anesthesia Dental Services
Dental treatment under general anesthesia is an effective way to provide care to apprehensive children, children too young to sit in the dental chair for treatment, and patients with special health care needs.
Pediatric General Anesthesia Dentistry
The choice to have dental treatment for your child under general anesthesia involves many factors and is decided by you and your dentist together after a thorough exam. The general anesthesia used when completing dental treatment for your child is the same as that used in procedures like ear tube placement or tonsil removal. We are here to safely and effectively deliver professional, compassionate general anesthesia dentistry care your child needs.
Special Needs General Anesthesia Dentistry
Patients with special needs are those, who due to physical, medical, developmental, emotional or cognitive conditions, require special consideration when receiving dental treatment. If you, your child or someone you know has special needs, talk with your dentist to discuss seeking treatment under general anesthesia at our facility.
A vast array of dental procedures may necessitate general anesthesia for patients. Below is a list of some of the most common ones:
Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto your tooth to improve its appearance. The filling “bonds” with your tooth. Because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth.
Tooth bonding (composite) can also be used for fillings instead of silver amalgam. Many patients prefer composite fillings because the white color is much less noticeable than silver. Composite fillings can be used on front or back teeth, depending on the location and extent of tooth decay.
Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to our office. However, bonding can stain and is easier to break than other cosmetic treatments, such as porcelain veneers. If it breaks or chips, let us know. The bonding can generally be patched or repaired easily during a single visit.
Crowns are a restorative procedure used to improve your tooth’s shape or to strengthen it. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay.
A crown is a “cap” cemented onto an existing tooth that usually covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.
Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength to hold a filling. Unlike fillings, which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth.
Your crown is created in a lab from your unique tooth impression, which allows a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is sculpted just for you so your bite and jaw movements function normally once the crown is placed.
There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt.
At other times, a tooth may have so much decay that it puts the surrounding teeth at risk, so our team may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.
When it is determined that a tooth needs to be removed, your doctor may extract it during a regular checkup or request another visit for this procedure. The root of each tooth is encased within your jawbone in a “tooth socket,” and your tooth is held in that socket by a ligament. In order to extract a tooth, the doctor must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with us any of your concerns or preferences for sedation.
Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or your jaw joint function. To avoid these complications, we may recommend you replace the extracted tooth.
Traditional dental restoratives or fillings are most often made of silver amalgam. The strength and durability of this traditional dental material makes it useful for situations where restored teeth must withstand extreme forces that result from chewing, often in the back of the mouth.
Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth, depending on the location and extent of the tooth decay.
There are two different kinds of fillings: direct and indirect. Direct fillings are placed into a prepared cavity during a single visit. They include silver amalgam, glass ionomers, resin ionomers, and composite (resin) fillings.
Indirect fillings generally require two or more visits. They include inlays, onlays, and veneers. They are used when a tooth has too much damage to support a filling, but not enough to necessitate a crown.
If your child’s primary tooth has extensive decay, or has been damaged by trauma, action may be needed to restore the integrity of the tooth and prevent infection from spreading to surrounding teeth. After a set of X-rays are taken, we will be able to assess the extent of the infection and recommend one of two options: a pulpotomy or a pulpectomy.
If the decay or trauma is confined to the crown of the tooth, a pulpotomy may be recommended. When a cavity gets really deep, close to the pulp of a tooth, or even into the pulp, the pulpal tissue becomes irritated and inflamed.
A pulpotomy is when the inflamed pulp chamber, usually on a baby molar, is removed. The doctor will remove all the infected material in the pulp of the crown only, but leave the living tooth root intact. After a pulpotomy on a baby molar, the empty space will be filled with dental cement and a stainless steel crown will be placed to restore the tooth.
If the infection involves tissue in both the tooth crown and the tooth root, a pulpectomy may be the best option. In a pulpectomy, the entire pulp material is removed from both the crown and the roots. After numbing your child’s tooth, the dentist will remove the pulp and nerve tissue from the crown and from the canals of the roots.
Then the pulp chamber and root canals will be thoroughly cleaned and disinfected. Next, the doctor will fill the tooth and tooth roots with a dental cement, and finish with a stainless steel crown.
Crowns are “cemented” onto an existing tooth and fully cover the portion of the tooth above the gum line. In effect, the crown becomes the tooth’s new outer surface.
Stainless steel dental crowns are used as a good temporary restoration to save a primary tooth until the permanent tooth can erupt and take its place. Keeping the primary tooth, if at all possible, is desirable.
A primary tooth can be restored with a stainless steel crown during one appointment. A crowned tooth must be brushed and flossed just like other teeth.
In the past, if you had a tooth with a diseased nerve, you’d probably lose that tooth. Today, with a special dental procedure called “root canal treatment,” your tooth can be saved.
When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside. If left untreated, an abscess may form.
If the infected tissue is not removed, pain and swelling can result. This can not only injure your jawbones, but it is also detrimental to your overall health.
Root canal treatment involves one to three visits. During treatment, a general dentist or endodontist (a dentist who specializes in problems with the nerves of the teeth) removes the affected tissue. Next, the interior of the tooth will be cleaned and sealed.
Finally, the tooth is filled with a dental composite. If the tooth has extensive decay, the doctor may suggest placing a crown to strengthen and protect the tooth from breaking. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.
If your child’s tooth has come out too soon because of decay or an accident, it is crucial to maintain the space to prevent future space loss and dental problems when permanent teeth begin to come in. Without the use of a space maintainer, the teeth that surround the open space can shift, and impede the permanent tooth’s eruption. When that happens, the need for orthodontic treatment may become greater.
TYPES OF SPACE MAINTAINERS
Space maintainers can be made of stainless steel and/or plastic, and can be removable or fixed (cemented to the teeth).
A removable space maintainer looks much like a retainer with plastic blocks to fill in where the tooth is missing. If your child is older and can reliably follow directions, a removable space maintainer can be a good option.
Fixed space maintainers come in many designs.
A band-and-loop maintainer is made of stainless steel wire and held in place by a crown or band on the tooth adjacent to the empty space. The wire is attached to the crown or loop and rests against the side of the tooth on the other end of the space.
A lingual arch is used on the lower teeth when the back teeth on both sides of the jaw are lost. A wire is placed on the lingual (tongue) side of the arch and is attached to the tooth in front of the open space on both sides. This prevents the front teeth from shifting backwards into the gap.
In the case of a lost second primary molar prior to the eruption of the first permanent molar, a distal shoe may be recommended. Because the first permanent molar has not come in yet, there is no tooth to hold a band-and-loop space maintainer in place. A distal shoe appliance has a metal wire that is inserted slightly under the gum and will prevent the space from closing.
CARING FOR YOUR CHILD’S SPACE MAINTAINER
There are four general rules for taking care of your child’s appliance.
- Your youngster should avoid sticky foods, including candy and chewing gum.
- Encourage your son or daughter not to push or tug on the space maintainer with the fingers or tongue.
- Keep your child’s space maintainer clean through effective brushing and flossing.
- Your little one should continue to see the pediatric dentist for regular dental visits.
Tongue-tie is a birth defect that occurs when the strip of skin (lingual frenulum) that connects a baby’s tongue to the floor of the mouth is shorter than usual. Typically, this strip of skin separates before birth, which allows the tongue free range of motion. With tongue-tie, the lingual frenulum remains attached to the bottom of the tongue.
Tongue-tie is a common condition that, if addressed quickly, will not hinder a child’s development. However, if left untreated, tongue-tie can result in malnourishment, speech difficulty, or poor oral hygiene.
SIGNS OF TONGUE-TIE INCLUDE:
- Restriction of the tongue’s movement, making it harder to breastfeed.
- Difficulty lifting the tongue up or moving it from side to side.
- Difficulty sticking the tongue out.
- The tongue looks notched or heart-shaped when stuck out.
TREATMENT OF TONGUE-TIE
The treatment of tongue-tie for infants is a simple surgical procedure called a frenectomy. A pediatric specialist examines the lingual frenulum and then uses sterile scissors or laser to snip the frenulum free. Stitches are usually not necessary. Since there are few nerve endings or blood vessels in the lingual frenulum, only a local anesthetic is used.
Frenotomy for tongue-tie in older children and adults is similar to that for infants, although it is usually done under general anesthesia and may involve stitches. Speech therapy may also be necessary.
If you face a dental emergency, give us a call immediately. If you need urgent treatment after hours, you can call our emergency number. We are always here to assist when you or your child’s dental health is at risk. Below are tips on dealing with urgent dental situations:
If your son or daughter has bitten a lip or tongue severely enough to cause bleeding, clean the bite gently with water and use a cold compress (a cold, wet towel or washcloth pressed firmly against the area) to reduce or avoid swelling. Give us a call to help determine how serious the bite is.
If your child has something caught between his or her teeth, use dental floss to remove it gently. Never use a metal, plastic, or sharp tool to remove a stuck object. If you are unable to remove the item with dental floss, give us a call.
If your youngster has chipped or broken a piece off of a tooth, have him or her rinse the mouth with warm water, then use a cold compress to reduce swelling. Try to locate and save the tooth fragment that broke off. Call us immediately.
If your child’s tooth has been knocked out of his or her mouth, find it and rinse it with water (no soap), taking care to touch only the crown of the tooth (the part you can see when it’s in place). Place the tooth in a clean container with milk. Call us immediately and/or head to the hospital. If you act quickly, it’s possible to save the tooth.
If your little one has a very loose tooth, it should be removed to avoid being swallowed or inhaled.
If your child complains of a toothache, rinse his or her mouth with warm water and inspect the teeth to make sure nothing is caught between them. If the pain continues, use a cold compress to ease it.
Do not apply heat or any kind of aspirin or topical pain reliever directly to the affected area, because this can cause damage to the gums. Children’s pain relievers may be taken orally. Schedule an appointment immediately.
If you know or suspect your child has sustained a broken jaw, use a cold compress to reduce swelling. Call our emergency number and/or go to the hospital immediately. In many cases, a broken jaw is the result of a blow to the head. Severe blows to the head can be dangerous and even life-threatening.
Endodontic General Anesthesia Dentistry
General anesthesia is available for all types of endodontics. A patient may choose general anesthesia for simple procedures depending on their level of anxiety. Many people having root canals or having apical surgery will choose general anesthesia. General anesthesia may be necessary if local anesthesia is unsuccessful. General anesthesia for endodontics is an excellent choice for patients with special needs, un-cooperative patients, very anxious patients, or dental phobics.
Oral Surgery General Anesthesia
General anesthesia for oral surgery is typically used for patients who require more extensive surgical procedures such as facial and jaw reconstruction and TMJ surgery. General anesthesia for less complex procedures like wisdom tooth extraction may be indicated for patients with high anxiety, special needs, or those with heart and lung conditions that necessitates general anesthesia.
The Patient Process
Is it really that important to get my child’s dental work done?
Your Visit at a Blue Cloud Pediatric Surgery Center
You Matter Most
We want to make this process as safe and easy as possible for you and your family.
- Dedicated anesthesia teams of anesthesiologists, CRNA’s and anesthesia assistants
- Full team of pediatric trained registered nurses
- Licensed surgery center designed for dentistry
- AAAHC accreditation
- Robust life safety equipment
- Our primary focus each day is safe anesthesia for dental patients
- Treatment at our facility eliminates the need for multiple dental visits, physical restraints, and trauma for the patients and parents.
- Ongoing peer reviews to uphold the highest level of quality and safety