sedation dentistry-The solution for the scared and nervous patient.

September 28, 2009 by ·

At www.TheGentleDentist.com  we provide all phases of dentistry including cosmetic dentistry, dental implants and general dentistry for the entire family.  What is necessary with all our treatments is to get the potential patient into the chair.  This may seem obvious, but I can tell you of many who have avoided the dentist because of their intense fear of the dentist.  This fear is typically generated as a young child who had no say so on their care.  The dentist usually hurt them and they just had to endure the pain no matter how intense it was.  Being a child or even as an adult these patients were at the mercy of someone they feared.   After this horrible experience they make an agreement with themselves that they will NEVER, NEVER put themselves in this postion again.   After many years of internally battling with themselves to go to the dentist a situation will present such as a bad toothache or a broken front tooth  and they have no choice but to see the dentist.  And that is when we or other modern caring dentists come into play:

At our office we truly understand these fears and work at a pace appropriate to our patient to create a positive experience.Oral conscious sedation is a great way to have hours of dentistry done in one visit.   With the use of a small sleeping pill taken 1 hour before your dental appointment you will have virtually no memory of the procedure.  If you are:

  • Nervous from similar a bad experiences as described above and said “I will never go back to the dentist again”
  • Have a difficult time with gagging
  • Need a lot of dental procedures done but don’t have the time to return over and over again to get it done.
  • Need multiple procedures such as crown, extractions, root canals and implant placement done and you don’t want to go to multiple dental offices. 
  • The truth is that you don’t have to wait any more.

Dr. Antolak has been providing cosmetic, implant, sedation and general dentistry for the last 22 years so give us a call now for your free consultation at (586)247-3500 or visit our website at www.TheGentleDentist.com.  Our office is in Shelby Twp. MI.

Filed Under: Dental Emergencies, Dental fear, Dental Surgery, General Dentistry, How to choose a dentist, Sedation Dentistry Tagged With: , , , , , , , , , , , , , , , , , , , , , , ,
March 15, 2009 by ·

Dr. Antolak TheGentleDentist interviews his patient Danielle about her history and treatment of headaches. Since she was a girl she has been suffering with headaches almost daily and had sought out care from neurologists and other physicians. After numerous ct scans and mri’s she continued to have frequent migraine headaches and tension headaches. With treatment using a special guard called an NTI and bite adjustment helped to alleviate her pain. We have treated many patients who have suffered. If you have questions email us at DrAntolak@TheGentleDentist.com or call (586)247-3500.

Filed Under: Dental Videos, General Dentistry, Headache treatment, Oral Conditions Tagged With: , ,

Extractions after a Stroke

November 19, 2007 by ·

Question:  I had a toothache the other day and the dentist I saw said I need to have some teeth pulled since I haven’t been to visit a dentist in a long time.  After my stroke a couple of years ago my doctor placed me on blood thinners.   I am confused whether I need to stop using my blood thinners because the doctors are recommending different things.  My doctor says I need to stay on the thinners and this dentist I saw said I should stop taking them.  What should I do?

Answer:  I agree with your physician and would do what he recommends.

For maximum patient safety a blood test is needed before dental treatment is done to make sure prolonged bleeding won’t be a problem.  The INR readings need to be from 2-3 to safely treat the patient. 

            Assuming the INR readings are from 2-3;

  1. There is NO need to take patients off of their blood thinner medications for routine extractions, gum surgery, deep periodontal cleanings and regular cleanings. 
  2. For some invasive treatments it may be necessary to take patients off of coumadin.  If so, they need to be taken off of the medication 4 days before the procedure and then have injections of heparin until the invasive dental treatment is performed.  All of this is monitored by their cardiologist or specialty department at the hospital.  Potential life threatening problems exist if patients are taken off of the coumadin and then restarted without special medications used.
  3. The dentist can use local agents such as thrombin gauze and sutures to enhance bleeding in areas where teeth are extracted.

This information is new and should be followed to treat patients most safely, preventing potential future strokes and heart attacks (thrombosis).

Filed Under: Dental Emergencies, Drug Concerns, General Dentistry, Oral Conditions Tagged With: , ,
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