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Dental Treatment

Dental Treatment

Dental procedures can strengthen teeth that are damaged and enhance oral health. Common dental treatments include:

  • Teeth Cleanings: Teeth cleanings are the most common dental procedure. Dentists recommend getting a professional cleaning every 6 months to keep teeth healthy and strong.
  • Teeth Whitening: Professional teeth whitening is a relatively painless procedure where dentists use a special gel and light to whiten teeth faster and more effectively than at-home whitening kits.
  • Extractions: Tooth extractions, while not the most pleasant procedure, are sometimes necessary to prevent further pain and dental issues. Dentists thoroughly numb the area before extracting a tooth.
  • Veneers: Veneers are thin, tooth-colored coverings placed over the front of teeth to improve the appearance of crooked, discolored, or damaged teeth. For most people, the process is easy and painless.
  • Fillings: Fillings are a common solution for cavities, which are easily formed when tooth enamel is exposed to acids. Filling a cavity is a quick procedure that leaves the tooth as good as new.
  • Crowns: When a filling is insufficient to repair a decayed or damaged tooth, crowns are used. This is usually a two-visit procedure to take an impression and then fit the custom-made crown.
  • Root Canals: Root canals are a more involved procedure to remove infected or inflamed tissue from inside a tooth. Despite being dreaded, root canals are now comparatively painless thanks to modern technology.
  • Dentures: Dentures are removable replacement teeth that can restore a full set of functioning teeth for those who have lost their natural teeth.
  • Braces/Invisalign: Orthodontic treatments like traditional braces or the more discreet Invisalign aligners are used to straighten crooked teeth for improved appearance and dental health.
  • Dental Implants: Dental implants are a permanent tooth restoration solution, involving a titanium post implanted in the jawbone to support a crown, bridge, or denture.

Regular dental check-ups, cleanings, and good oral hygiene can help prevent the need for many of these treatments.

Emergency Palliative Dental Treatment

Palliative dental treatment, as defined by CDT code D9110, is a procedure that relieves pain but is not curative. It is typically used when a patient is seen for an emergency dental appointment and something is painful or uncomfortable.

Typical instances of palliative dental care include:

  • Putting a sharp edge on a restored or broken tooth smooth
  • Filling a fractured tooth with a temporary restoration
  • To ease pain, an abscessed tooth can be opened.
  • Cutting an abscess
  • Removing food particles that are irritating the gingiva
  • Applying a medicine that desensitizes exposed root surfaces
  • Using a local anesthetic to reduce pain temporarily

Palliative treatment is appropriate when a more specific dental code does not apply. It requires hands-on treatment and should not be coded in conjunction with final restorations on the same tooth/area on the same day.

Proper documentation is important for insurance reimbursement. The patient’s dental record should clearly document the nature and scope of palliative treatments provided, including tooth numbers/areas treated, methods utilized, materials used, and a rating of the pain on a scale of 1-10.

In palliative care settings, dentists play an essential role in maintaining oral hygiene, identifying and treating opportunistic infections, and reducing microbial load to minimize pain and infection risk. Palliative dentistry seeks to enhance the quality of life for individuals whose oral cavity has been compromised by an active, progressive, far-advanced disease.

Dental home treatment

Here are some effective home remedies that can provide temporary relief for a dental abscess while waiting for professional treatment:

Saltwater Rinse

Rinsing your mouth with a warm saltwater solution can help reduce swelling and promote healing. Mix 1/2 teaspoon of salt in a cup of warm water, swish it around your mouth for 2 minutes, then spit it out. Repeat 2-3 times per day.

Baking Soda

Because of its antimicrobial qualities, baking soda can aid in plaque removal. Mix 1/2 teaspoon of baking soda with water and a pinch of salt. Swish the mixture in your mouth for up to 5 minutes, then spit it out. Repeat once or twice daily.

Cold Compress

Applying a cold compress to the outside of your cheek can help reduce swelling and numb pain from a tooth abscess. Wrap some ice in a cloth and hold it against your cheek for no more than 20 minutes at a time.

Hydrogen Peroxide Rinse

Rinsing with a hydrogen peroxide solution can help kill bacteria and promote healing. Mix equal parts hydrogen peroxide and water, swish it in your mouth for 30 seconds, and then spit it out. Repeat up to three times daily.

Over-the-Counter Pain Relievers

Acetaminophen or ibuprofen, two over-the-counter pain relievers, can help reduce inflammation and relieve pain.

While these home remedies can provide temporary relief, it’s important to see a dentist as soon as possible to properly treat the abscess and prevent complications. Dental abscesses require professional treatment such as antibiotics, draining the abscess, a root canal, or tooth extraction.

FAQ’s

1: What bp is high for dental treatment?

The American Dental Association states that the following blood pressure ranges are too high to receive dental care:

  • Elevated blood pressure: Systolic pressure of 120-129 mmHg and diastolic pressure less than 80 mmHg
  • Hypertension: Systolic pressure of 130 mmHg or greater or diastolic pressure of 80 mmHg or greater
  • Hypertensive: Higher than 180 mmHg for the systolic pressure and/or higher than 120 mmHg for the diastolic pressure

If a patient’s blood pressure reads 180/110 mmHg or greater, it may be necessary to postpone dental treatment to avoid complications from anesthesia use. Patients with systolic pressure >180 mmHg and/or diastolic pressure >100 mmHg should be referred to their physician as soon as possible or sent to emergency care if symptoms of hypertensive crisis are observed.

The risks associated with dental procedures are much higher for individuals with high blood pressure. Undergoing dental work with blood pressure above 180/109 mmHg can lead to dangerous medical situations like heart attack or stroke due to the extra work required by the heart and thickening of the blood.

In summary, dental treatment should be postponed if blood pressure exceeds 180/110 mmHg, and patients with hypertensive crisis levels above 180/120 mmHg require immediate referral to a physician or emergency care.

2: How does diabetes affect dental problems?

Diabetes can significantly increase the risk of various dental problems:

  • Gum disease (periodontal disease): Diabetes weakens the body’s immune system, making people with diabetes more susceptible to bacterial infections in the gums. This can lead to gingivitis (inflamed gums) and periodontitis (advanced gum disease that damages the bone and tissues supporting the teeth).
  • Dry mouth (xerostomia): Diabetes can reduce saliva production, leading to a dry mouth. Saliva helps wash away food and neutralize acid, so a lack of saliva increases the risk of tooth decay and infections.
  • Thrush: Thrush is a fungal infection that can cause painful white patches in the mouth especially in diabetic patients.
  • Delayed wound healing: High blood sugar levels can impair the body’s ability to heal, making it harder for dental issues like infections or wounds from dental procedures to heal properly.
  • Taste changes: Diabetes may alter taste perception, making some people with diabetes less able to taste sweetness. This can lead to adding more sugar to food, increasing the risk of cavities.
  • Tooth loss: Uncontrolled diabetes significantly increases the risk of severe gum disease and tooth loss, with almost 25% of adults aged 50 and older with diabetes experiencing severe dental loss, in contrast to 16% of individuals without diabetes.

The key to preventing these dental problems is to maintain good blood sugar control through diabetes management. Regular dental check-ups, good oral hygiene, and prompt treatment of any dental issues are also crucial for people with diabetes.

3: What is icon dental treatment?

Icon dental treatment is a minimally invasive procedure that can be used to treat early-stage dental caries (cavities), white spot lesions, and certain types of enamel defects like fluorosis. Here are the key points about Icon treatment:

  • It involves applying a low-viscosity, unfilled resin that penetrates into the porous, demineralized enamel and fills in the subsurface lesions. This helps mask the appearance of white spots or discoloration.
  • The resin has optical properties similar to natural enamel, so it blends in with the tooth’s natural shade.
  • It is a single-visit procedure that does not require anesthesia or drilling. To remove the outer remineralize layer, the dentist first uses pumice to clean the teeth and then repeatedly etches the lesions three times.
  • A drying agent (ethanol) is applied, followed by the resin infiltrant which is allowed to soak in for 3 minutes. Excess resin is removed and it is light-cured.
  • Compared to veneers or fillings, icon treatment is less expensive and invasives. It can be done earlier than other cosmetic options like veneers that require waiting until growth is complete.
  • Research shows the results are stable for at least 2 years, with many patients maintaining good results for 6+ years. However, it cannot guarantee complete disappearance of the lesions.

In summary, Icon is a micro-invasive technology that fills and reinforces demineralized enamel without drilling or anesthesia, providing a simple, quick and effective treatment for early caries, white spots and fluorosis.

4: What is ozone dental treatment?

Ozone dental treatment is a non-invasive, natural therapy that uses ozone gas, ozonated water, or ozonated oil to safely kill microorganisms in the mouth and treat various dental issues.

The key points about ozone dental treatment are:

  • Ozone is a highly effective disinfectant that can combat dental problems like tooth decay, gum disease, and tooth sensitivity without painful or invasive procedures.
  • Ozone treatments help destroy the bacteria that cause inflammation and gum disease by bathing the gums in ozone to eliminate the pathogens behind periodontal issues.
  • Ozone can also be used in endodontic procedures like root canals, where it is used to disinfect the inner tooth instead of chemicals or antibiotics.
  • Ozone is applied to the teeth and gums either as a gas, ozonated water, or ozonated oil. The oxygen atoms in ozone interact with and kill harmful microbes while not damaging healthy tissues.
  • Ozone dental treatments are generally painless, do not require numbing, and have minimal side effects compared to traditional dental treatments.
  • Ozone therapy has been shown to be more beneficial than conventional dental treatments, as it is a minimally invasive and conservative approach.

In summary, ozone dental treatment is a safe, natural, and effective way to address a variety of oral health issues without the need for invasive procedures or harmful chemicals.

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