Paul D. Schwartzman, DMD

How Sedation Dentistry Can Help You Overcome Dental Anxiety

April 29th, 2016

Putting off your dental visit to the office of Drs. Schwartzman, Healy, and Offit because of fear or anxiety only increases the potential for tooth decay or gum problems. At our office, Drs. Paul Schwartzman, Kevin Healy, and Fabiana Steren Offit and our team offer solutions that allow you to relax, without any pain, so you can keep your mouth healthy. Our solutions can help with many different anxiety issues for both adults and children.

Help with minor anxiety

Nitrous oxide is an excellent choice for most patients. Sometimes referred to as laughing gas, nitrous oxide can be regulated to provide you with the amount of sedation you need. When used before a local anesthetic, the injection will not be uncomfortable and you should not notice any pain during your procedure.

If you plan to use nitrous oxide, you can drive yourself to your appointment. In most cases, you will be fine to drive after your treatment: the sedation wears off quickly. Nitrous oxide can also be used along with other sedation techniques to produce a higher level of sedation.

Oral sedatives are available in a liquid or pill form. If you experience moderate anxiety levels, you can be given a tablet to take before your appointment. This type of sedation will be beneficial in relieving the anxiety that can build before your procedure. However, if you choose this method, you cannot drive yourself to your appointment.

Help with major dental anxiety

If you experience extreme levels of stress and anxiety about dental treatment, you may wish to discuss deep sedation or general anesthesia. With these techniques, you will be barely conscious or unconscious during your procedure. You will not feel discomfort or pain. Once you have experienced dentistry with a sedation technique, your anxiety level may decrease on its own.

People are not born with the fear of a dental exam. Unfortunately, most anxiety issues are due to a bad dental experience or childhood trauma. Sometimes anxiety comes from listening to the tales of others, who may have exaggerated their story. Talk to Drs. Paul Schwartzman, Kevin Healy, and Fabiana Steren Offit and our team about your dental concerns or fears. Let us help you so you can get the dental care you need for a healthy mouth for life.

For more information about overcoming dental anxiety, or to schedule an appointment with Drs. Paul Schwartzman, Kevin Healy, and Fabiana Steren Offit, please give us a call at our convenient Rockville, MD office!

How do I know if I need dentures?

April 22nd, 2016

The choice to get dentures is a permanent decision so there are several important factors you should take into consideration. Many people have teeth that are not able to be repaired due to a variety of reasons, but for those who have the option and the money to repair their natural teeth they need to consider every choice they may have.

You have a choice!

Yes, it’s true! We do have a choice about whether we will have to have dentures in the future. Many people don’t realize that just by taking certain precautions they can actually prevent any serious issues from arising. For example, it’s very easy to reschedule that dental cleaning. However, it’s very important that you keep every appointment because Drs. Paul Schwartzman, Kevin Healy, and Fabiana Steren Offit will be able to catch small problems before you even realize you have them. Also, if there are any signs of gum disease you will know early enough to stop any further damage. One of the main reasons that many people end up needing dentures is because of either gum disease or because severe cavities have cause too many teeth to be extracted.

If you notice any of the following you should make an appointment at our Rockville, MD office right away:

• Teeth are moving further apart
• Soreness or tenderness of the gums
• Trouble eating hard food
• Sensitivity
• You have already lost several teeth
• Toothaches

The key to avoiding dentures is prevention. Avoiding dentures is not impossible and can be as simple as staying on top of your oral hygiene. However, if you are currently experiencing any dental issues you should see Drs. Paul Schwartzman, Kevin Healy, and Fabiana Steren Offit now, because a small problem can quickly escalate into a very large and expensive dental procedure.

Are dental implants painful? What You Need to Know

April 15th, 2016

Whether it is the result of tooth decay, gum disease, or injury, millions of people suffer tooth loss. Dental implants provide a strong replacement tooth root for fixed replacement teeth that are designed to match your natural teeth. Of course, there is one question all patients have about dental implants: are they painful?

Dental implant placement is performed under local or general anesthesia and is not considered a painful procedure. However, if the surgery is more complicated and involves bone or tissue grafts, there may be slightly more discomfort and swelling. At the same time, every patient has a different threshold for pain, so what may bother one person may not bother another. If you experience any pain from dental implants, there are several things can do to relive it.

Relieving Pain from Dental Implants

1. The initial healing phase can last up to seven to ten days. Over-the-counter painkillers such as Tylenol, Ibuprofen, and Motrin work well to alleviate any pain or discomfort you may experience. However, only take these if instructed to by Drs. Paul Schwartzman, Kevin Healy, and Fabiana Steren Offit.

2. Once you leave our Rockville, MD office, you can reduce inflammation and any swelling to your cheek or lip by holding an ice-pack on your face over the implant area.

3. Your gum will be tender for the first few days. We often recommended that you bathe your gums with warm salt water.

4. Steer clear of crusty or hard foods for the first day or two. Ice cream, yogurt, and other soft foods are ideal as your gums will be tender.

5. Dental implants are a relatively straightforward oral procedure. Many people take time off from work to have dental implant surgery, and then return to regular activities. However, if you are feeling any pain or discomfort, there is nothing wrong with taking the day off, relaxing, and putting your feet up.

There is typically no severe post-operative pain with dental implants. When most people return for a follow-up appointment about two weeks later, they often say that getting a dental implant was one of the least painful procedures they’ve experienced.

How do I care for my dental implant?

April 8th, 2016

Dental implants are designed to be strong and durable, able to withstand the everyday rigors of chewing and biting, but to keep them functioning the way they should and looking their best, you need to care for them properly. Luckily, dental implant care is fairly straightforward; in fact, your implants can be cared for the same way you care for your natural teeth, with regular brushing and flossing performed correctly, as well as regular visits with Drs. Paul Schwartzman, Kevin Healy, and Fabiana Steren Offit to ensure your implants, the neighboring teeth, and your gums are as healthy as possible.

Before the actual replacement tooth is attached to the implant post, you may want to avoid harshly abrasive toothpastes, such as those with baking soda or those designed to get rid of significant staining. These abrasives may damage the threads of the posts or irritate the gum and soft tissue surrounding the posts, causing inflammation or bleeding.

As the implant heals and “settles in,” a special kind of protective tissue called “keratinized” tissue will form where the implant meet the gum. This natural development in healing helps ensure the implant post and the soft tissue beneath the gum line are protected from bacteria.

As you care for your implants, always look for signs of infection, like swollen, tender, or bleeding gums – just as you would with your normal teeth. If you’re nervous about caring for your implants or you feel you may be reluctant to floss around them, ask our team to provide you with care tips and walk you through the process of flossing.

Your implants represent a considerable investment both in time and money, so it’s only natural you’d want to be sure you’re doing all you can to keep them in top shape. Remember: dental implants are designed to replace your natural teeth, and they’re also designed to be cared for in much the same way as you care for your natural teeth. Although you may be a little nervous at first, you’ll soon become as used to your new implants as you are to your natural teeth, and caring for them will become second nature.

More questions? Simply as at your next visit to our Rockville, MD office!