SEDATION DENTISTRY

At Contemporary Family Dentistry, we excel at sedation dentistry. Sedation dentistry refers to the use of sedatives and nitrous oxide combined to make dental procedures more comfortable, relaxing, and stress-free for patients. Sedation dentistry is important in the industry, as it allows our dentists and hygienists to complete their jobs safely and effectively. The right use of sedation is a powerful tool that makes possible the procedures our patients need.

WHAT IS SEDATION DENTISTRY


If you’re one of many people who are scared to go the dentist because of painful, uncomfortable, or frightening procedures, fear no more! Contemporary Family Dentistry completely understands the anxiety many people feel before a dental procedure. We work hard to optimize our sedative choices to suit every patient and procedure. We know we have the ideal solution to make your next visit as smooth and comfortable as possible. We use sedation dentistry, or “sleep dentistry,” practices such as combining nitrous oxide and sedatives for optimal results


For some patients, nitrous oxide does not provide enough sedation on its own. If you’ve tried just nitrous and gotten bad results in the past, ask about sedation dentistry instead. Sedation dentistry can put you completely at ease during any type of dental treatment. We administer sedatives such as benzodiazepines in conjunction with nitrous oxide, combining their powers for better results than their individual effects.


You won’t be asleep with sedation dentistry. You’ll be awake and aware of everything that’s going on. You simply won’t care! Your fears and inhibitions about the dentist will vanish, leaving you feeling safe and comfortable in our capable hands. Administering sedatives such as halcyon and nitrous together requires special education, training, and licensure. Dr. Henderson has the expertise to administer this solution and others to adults who are afraid to get treatment.

DENTAL PHOBIA? WE CAN HELP!


If you have dental phobia, sedation dentistry is for you! It’s normal to be scared of the dentist, but don’t let your fear prevent you from getting the dental exams and procedures you need for a healthy, beautiful smile.


It’s time to stop putting off your dentist appointment due to fear. You could be hurting your teeth and gums, which need regular professional attention to be their best and brightest. Avoiding a visit to your dentist for years could result in cavities, tartar buildup, gum disease, bone loss, and crooked or loose teeth. People end up with dentures because they’re too scared to go to the dentist! Before you let your fear impact your smile permanently, come to Contemporary Family Dentistry for sedation options that can make your appointment a breeze.


Our office is perfect for those with dental phobia, not just because of our experience with sedation dentistry, but also because of our friendly and welcoming staff. We treat our patients like close friends. You won’t find any mean old dentists like you may remember from a traumatic childhood experience here. Instead, you’ll find warm smiles and professionals who genuinely care about you, your experience, and your dental health.


If you need dental x-rays, we have the equipment to do them right in our office. We won’t pass you off to other offices or dentists – you can come to us for all of your family dentistry needs. Exams and x-rays can speak volumes about the state of your smile, and help us discuss potential solutions to issues you’re experiencing. We can identify problems like cysts, tumors, decay, and teeth that have yet to come in. Our advanced, digital radiography is the latest technology for our patients. It reduces radiation exposure, gives instant viewing, and is environmentally friendly!


We want you to completely understand your needs, and make an educated, informed decision about treatment with our help. You’ll find the solutions you need at our Bend office!

SCHEDULE YOUR APPOINTMENT WITHOUT FEAR


If you think sedation dentistry is exactly what you’ve needed to come back to the dentist, contact us! We can discuss your options and select the ideal combination of nitrous and sedatives for your phobias and procedures. Note that you will need someone to drive you to your sedation dentistry appointment, and you cannot eat or drink six hours prior to treatment.

NITROUS OXIDE

A bad or frightening experience at the dentist as a kid can change your perspective on dentists for life. At Contemporary Family Dentistry, our goal is to never let this happen! Dr. Henderson has created a practice that treats patients like friends. We are warm and welcoming to children, using the latest in dental technologies to make the experience as fun and enjoyable for kids as possible. One of the ways we achieve this is with smart use of nitrous oxide, or “laughing gas.” Nitrous oxide is completely safe and scientifically supported for dental use. We can help your child leave the office smiling!

SAFETY OF NITROUS OXIDE FOR KIDS

We love kids, and we care that they have a good visit! We have lots of ways to keep kids comfortable during exams, cleanings, and procedures. We have a new numbing solution we apply right on the gums, or we can use our trusty laughing gas to make kids feel comfortable, relaxed, and happy the entire time. We understand that your child’s safety at the dentist is your top priority. Nitrous oxide is a very safe procedure that can reduce the stress level and risk of injury in children. 


Nitrous oxide is one of the most commonly used types of dental sedation. We administer the gas through the nose during the appointment, helping kids (and adults!) stay calm and relaxed. Within five minutes, a mask with laughing gas will help the patient experience mild euphoric feelings from a safe mixture of nitrous oxide and oxygen. Our friendly team will perform any services or procedures your child needs, keeping your child comfortable throughout the procedure. Afterward, we give our patients pure oxygen to clear out the nitrous oxide. Laughing gas does not have any lasting effects. 


Dentists have used laughing gas for more than a century! Trust us, you have absolutely nothing to worry about if we give nitrous oxide to help your child through a dental visit. It is a mild sedative that we easily control. It has no effects on the heart rate, heart, lungs, kidneys, liver, or brain. When combined with oxygen, it doesn’t disrupt normal breathing at all. We use a ratio of about 30 percent nitrous oxide to 70 percent oxygen, so our solution is very safe and gentle. It’s an easy, effective way to help your child enjoy the dentist!

TIPS FOR KIDS AT THE DENTIST

If your child is particularly frightened about coming to the dentist, we recommend letting him or her bring a favorite toy or stuffed animal to the visit. Our office is an inviting and welcoming environment for children, and we know as soon as they come here and meet our dentists, they’ll feel much more confident! You may want to be present while your child receives laughing gas, and/or comes out of sedation. Your child may feel nervous about the mask we use, or feel groggy if we have to sedate him or her for a more serious procedure.


As soon as you meet Dr. Jessica and the rest of her smiling team, you’ll know we’re perfect for your entire family. We are excellent with kids, and know exactly how to help them enjoy their visit. After all, we were all kids once, and no parents want their kids to have a bad experience at the dentist! Dr. Jessica is kind and understanding. Her philosophy to treating kids is that it is more important for the child to leave the office happy than it is to fix a baby tooth at the expense of making the child cry. Schedule an appointment and see for yourself!


We’re more than happy to discuss more about the safety and science of nitrous oxide for kids and adults during a one-on-one consultation at our office in Bend. Contact us today!


If you need dental x-rays, we have the equipment to do them right in our office. We won’t pass you off to other offices or dentists – you can come to us for all of your family dentistry needs. Exams and x-rays can speak volumes about the state of your smile, and help us discuss potential solutions to issues you’re experiencing. We can identify problems like cysts, tumors, decay, and teeth that have yet to come in. Our advanced, digital radiography is the latest technology for our patients. It reduces radiation exposure, gives instant viewing, and is environmentally friendly!


We want you to completely understand your needs, and make an educated, informed decision about treatment with our help. You’ll find the solutions you need at our Bend office!

CLENCHING + GRINDING

SYMPTOMS OF CLENCHING AND GRINDING

About 10 percent of adults and 15 percent of children clench or grind their teeth at night in the U.S, according to the American Sleep Association. This equates to about 30 million people with this problem, which dentists call “bruxism.” Long-term bruxism can cause serious problems with your teeth. You may be damaging your oral health without even realizing it! Luckily, the professionals at Contemporary Family Dentistry can assess you for symptoms of teeth grinding, and come up with a solution before it’s too late.


SYMPTOMS AND EFFECTS OF BRUXISM


While you can clench and grind your teeth during the day, bruxism happens most often while you sleep. Because of this, it can be difficult to realize you have this condition – often until it’s already caused damage to your teeth or health. Knowing what to look for can help you catch bruxism early, and take steps to prevent tooth damage. Visiting your dentist regularly can also help, as he or she will be able to notice symptoms. Symptoms may include:


  • Waking up with headache or jaw pain
  • Waking up with toothaches, earaches, or sore muscles in the face
  • Waking up with a stiff, clenched jaw
  • Excessive wear on your teeth
  • Cracks or fractures in the teeth or enamel
  • Loose teeth or loss of teeth
  • Sensitive teeth
  • Raised cheek tissues from biting
  • Grinding noises at night

Chronic bruxism can be very bad for your teeth and overall health. It can lead to very painful and costly dental problems. Leaving bruxism untreated can lead to wearing your teeth down to stumps, exposing sensitive nerves, eroding the gums and supporting bones, breaking fillings, damaging enamel, cracking teeth, creating abfractions (pictured above) and even losing teeth. It also puts strain on the jaw joint, possibly causing temporomandibular joint (TMJ) disorders and muscle tension in the face, head, and shoulders. In children, bruxism typically doesn’t cause damage. It can, however, interrupt sleep and lead to pain or stiffness in the face

TREATING BRUXISM


Nobody fully understands why bruxism happens, but there may be a link to stress. You may notice yourself clenching your jaw or grinding teeth during the day in stressful situations. Emotional stress, mental concentration, physical efforts, malnutrition, dehydration, and incorrect tooth alignment may all contribute to bruxism. In children, bruxism can be a response to losing and getting teeth, jaw growth, allergies, ear infections, malocclusion, or airway obstructions. As soon as you notice symptoms of tooth clenching or grinding, come to Contemporary Family Dentistry.


We will perform an exam of your mouth and help diagnose this condition as early as possible. Visiting us regularly can help us detect early signs of bruxism before it causes major damage to your teeth, gums, and jaw. We can notice irregular wear on teeth, and help you diagnose the cause of facial or jaw pain. If you do have bruxism, we have a few potential solutions. If you grind your teeth when stressed, stress-relief treatments like therapies may help you break the habit. Speak to a physical therapist or bruxism specialist.


On top of stress relief, one or more dental treatments can help. One solution is a custom-made mouth guard to wear while you sleep. It will fit your teeth comfortably and securely, on the upper or lower teeth. A guard will prevent your molars from grinding against one another and causing damage while you sleep. A custom night guard is easy to create and can save you thousands of dollars in dental damage, as well as significant pain. For daytime bruxism, a small appliance that fits over the front teeth may also help. Our knowledgeable team can help you catch bruxism and stop it in its tracks before you face irreparable dental damage.

TMJ

About 10 percent of adults and 15 percent of children clench or grind their teeth at night in the U.S, according to the American Sleep Association. This equates to about 30 million people with this problem, which dentists call “bruxism.” Long-term bruxism can cause serious problems with your teeth. You may be damaging your oral health without even realizing it! Luckily, the professionals at Contemporary Family Dentistry can assess you for symptoms of teeth grinding, and come up with a solution before it’s too late.

HOW TO DIAGNOSE TMJ DISORDER


The jaw consists of two main joints, several muscles, and many ligaments that work closely together to allow you to open and close your mouth, talk, chew, and breathe. The TMJ is the most flexible joint in the entire body. Issues with the TMJ can quickly lead to chronic pain and total jaw dysfunction. A TMJ disorder can interfere with many aspects of your daily life, making it difficult to eat, swallow, sleep, and breathe. 


The symptoms of a TMJ disorder can vary, and masquerade as symptoms of many other conditions. For this reason, it can be difficult to diagnose. Visiting your dentist regularly and being aware of the signs of a TMJ problem can help you discover one in its early stages for prompt treatment. TMJ problems and craniofacial pain syndrome typically come from clenching the teeth and jaw muscles, spasms in the facial musculature, or a crooked bite. Anything that disrupts the normal movement of the jaw can eventually lead to a TMJ disorder.


You may have a TMJ disorder if you notice chronic headaches, neck or facial pain, grinding and popping sounds in the jaw, difficulty opening your mouth, your jaw locking, earaches or congestion, dizziness, or pain when chewing. These are all common symptoms of a TMJ problem. As soon as you notice potential signs of a TMJ disorder, visit your dentist. There are ways to treat and prevent TMJ dysfunction, as well as to clear the irritating and painful symptoms.

WE CAN REPAIR YOUR TMJ


At Contemporary Family Dentistry, our highly experienced staff knows all about the complex and important temporomandibular joint. We’ve successfully treated dozens of patients with TMJ problems. The effectiveness of our methods comes from our personalized approach. During your initial visit, we’ll perform a comprehensive exam of your teeth, gums, and jaw. We may use x-rays to get a clearer image of what’s going on in your mouth. If we believe your symptoms do in fact point to a TMJ disorder, we’ll go over potential treatment options. 


Our office provides non-surgical, conservative treatments for TMJ disorders. This is the treatment of choice for most people with TMJ problems, at least until they decide they do need surgery to repair the jaw. Our team typically recommends a custom-made oral device, such as a clear night guard like the one pictured above. Oral devices such as a splint or orthotic made of clear acrylic can alleviate muscle spasms and prevent damage from bite imbalance. They can also stabilize the TM joints. They are easy to wear and comfortable, fitting over the top or bottom teeth while you sleep.


We can easily create a custom night guard by making a mold of your teeth. Your guard will be completely unique to your mouth, and effectively treat clenching and grinding of the teeth. A night guard can save you thousands of dollars in dental work from damage to your teeth, gums, and jaw from grinding. In conjunction with your custom-made guard, stress management, physical therapy, and certain medications may help relieve TMJ problems and prevent further damage to the jaw joints. We may recommend you visit a specialist or other health care provider for additional assistance.

MUSCULAR PAIN

BOTOX

When you hear “Botox,” you probably think of cosmetic changes to your face or body. Yet Botox has many other uses – one of which is the relaxation of clenched muscles in your jaw. A professional Botox treatment at Contemporary Family Dentistry may be the ideal solution for teeth clenching, grinding, or a TMJ disorder. Botox relaxes the jaw muscles, decreasing clenching, related headaches, and jaw pain. Our Botox treatments last around three to six months, providing pain relief and preventing damage to your teeth, gums, and jaws.


THE SAFETY AND EFFECTIVENESS OF BOTOX


Botox treatment for jaw tension and TMJ disorders is a great alternative to surgical procedures. A Botox injection is simple and non-invasive, with little to no preparation necessary. When injected into the facial muscles by a professional, Botox can relieve tension in the jaw immediately, with fast-acting results. It simply allows the jaw muscles to relax enough to prevent the powerful clenching that leads to dental and health problems. You’ll notice immediate relief of clenching and its related symptoms. Botox injections can eliminate symptoms of jaw clenching, including:


  • Tension headaches
  • Neck and jaw pain
  • Jaw popping, clicking, or locking
  • Difficulty chewing or swallowing
  • Stiffness or pain in the face
  • Wear and tear on teeth
  • Cracked or fractured teeth
  • Damage to the gums and underlying bones


You may not need surgery or your jaw wired shut for weeks to solve your jaw joint disorder. A simple Botox injection every few months at Contemporary Family Dentistry can solve your problems without having to go under the knife. Botox is an effective and affordable treatment option for adults who clench their jaws or grind teeth, during the day or at night. Combined with custom-made acrylic night guards, therapies, and medications, regular Botox injections can put an end to your jaw problems for good.

IS BOTOX RIGHT FOR YOU?


At Contemporary Family Dentistry, we understand our patients’ hesitation when they hear Botox. We prioritize the comfort and safety of our patients and will walk you through the entire procedure. We offer a variety of topical anesthesia options and laughing gas (nitrous oxide) if you’re afraid of the injection itself. We aren’t your average, intimidating dental office. We treat patients like friends!


Botox injections for dental purposes will not drastically change your physical appearance. Where we inject it, it will only serve to relax the jaw. It will not affect you anywhere else on your face or body. We may inject in the temporalis, frontalis, and/or masseter to relieve jaw clenching and related symptoms. The procedure will only take about 10 to 30 minutes in our Bend office. Afterward, you may experience mild temporary bruising or numbness around the injection site. You may notice a more natural, relaxed-looking face with fewer wrinkles since you will be able to fully relax your jaw. Some patients report no physical changes at all!


Botox is a non-surgical treatment that allows patients to return to normal activities right away. Your dentist will be able to tell you what activities to limit, if any, in the first hours after the injection. You may need to limit highly physical activities. Your injection will last about three to six months before you will need to come back for another. Our dentists are more than happy to discuss all of the pros and cons of Botox for TMJ issues and jaw clenching, when you schedule an appointment!


If you need dental x-rays, we have the equipment to do them right in our office. We won’t pass you off to other offices or dentists – you can come to us for all of your family dentistry needs. Exams and x-rays can speak volumes about the state of your smile, and help us discuss potential solutions to issues you’re experiencing. We can identify problems like cysts, tumors, decay, and teeth that have yet to come in. Our advanced, digital radiography is the latest technology for our patients. It reduces radiation exposure, gives instant viewing, and is environmentally friendly!


We want you to completely understand your needs, and make an educated, informed decision about treatment with our help. You’ll find the solutions you need at our Bend office!

SLEEP ISSUES

OBSTRUCTIVE SLEEP APNEA

Obstructive sleep apnea (OSA) is a potentially life-threatening condition that is more serious than just snoring. If you have OSA, it can seriously disrupt your life and cause fatal health problems. Apnea occurs when you stop breathing. Obstructive sleep apnea occurs when something obstructs your airway while you sleep, causing a cessation of breath. OSA can occur when the muscles of the throat, including the tongue, relax too much during sleep and collapse into the airway. If you believe you have OSA, come to our office right away for diagnosis and treatment.


DIAGNOSIS OF OBSTRUCTIVE SLEEP APNEA


OSA is dangerous because many people don’t realize they have it until it’s already too late. OSA may cause sleepers to wake and gasp for air, but the interruptions are so minimal that many people don’t remember them occurring. It may take someone else sleeping in the room to notice noisy disruptions in breathing, or a comprehensive sleep study. Contemporary Family Dentistry has the means to put patients through a study with help from local experts. We can properly diagnose obstructive sleep apnea using special sensors while you sleep and other methods.


If you have OSA, you aren’t alone. About 18 million Americans have this life-threatening disorder. About 40 percent of people who snore have OSA without any signs or symptoms of this serious problem. More than 90 percent of snorers exhibit at least some apneic tendencies. If you suspect OSA for any reason, please come to our office for a sleep study. Prompt diagnosis and treatment can prevent major health complications and even death due to serious obstructions of the airways at night.


Leaving OSA untreated can result in long-term ramifications such as increased risk of stroke, high blood pressure, cardiovascular problems, diabetes, and atrial fibrillation. Hypertension is present in about 50 percent of people with OSA. You may also experience chronic headaches or migraines, memory loss, cognitive impairments, decreased sex drive, and other symptoms that stem from lack of proper sleep. Sleep apnea can increase the risk of drowsy driving and related car accidents, as well as the risk of developing attention deficit hyperactivity disorder (ADHD) in children. Drowsy driving is a factor in an estimated 100,000 accidents per year.

REMEDIES OF OSA


Dr. Henderson is always looking for new ways to solve the issue of obstructive sleep apnea and its related health problems. At Contemporary Family Dentistry, we have to the tools and connections with other practices to conduct complete medical assessments and develop effective treatment plans for this serious condition. The process is simple for patients, with them simply sleeping while wearing special devices. The devices will record sleep patterns and breathing problems for specialists to assess for an accurate diagnosis.


If you do have OSA, our team can help you clear your airways for a healthy full night’s sleep. The first step toward a solution may be in changing your eating, drinking, and exercise habits. Excessive weight contributes to sleep apnea. Changes in your habits, such as a healthier diet and limited alcohol and nicotine intake, can help prevent sleep apnea, as can stress management and restricting the use of sleeping pills. Sometimes, a dental condition such as a retruded jaw may cause OSA, in which case an appropriate surgical procedure may help.


Detecting and solving OSA before it causes major health problems is possible with help from Contemporary Family Dentistry. We may recommend conservative treatment, such as wearing a CPAP machine while you sleep, or a sleep appliance that resembles a mouth guard to reposition the jaw and tongue to keep the airways open. These appliances are easy to wear and typically do not disrupt sleep. They are a cost-effective and non-invasive way to potentially solve OSA. Many different FDA-approved appliances are available. Our team makes an appliance called Somnomed that may be right for you. We can help you find the ideal solution for OSA with a proper exam and treatment plan.

SLEEP DISORDER BREATHING

“Sleep-disordered breathing” is the medical term for snoring and/or sleep apnea. It refers to any type of breathing-related disruption that keeps you or a loved one from getting a good night’s sleep. If you or someone you know snores excessively, is restless at night, has airway obstructions during sleep, clenches the jaw or teeth at night, or wakes up feeling tired, it’s worthwhile to explore the possibility of sleep-disordered breathing.


Sleep-disordered breathing can cause much more than just annoying snoring. Sleep deprivation is a serious problem that can lead to major health problems. Sleep-disordered breathing occurs when the muscles used for breathing relax excessively during sleep, causing the airway to collapse in on itself and block oxygen from entering the lungs. The tongue and throat muscles may relax and sag down into the airway. Lack of oxygen during sleep compromises the ability to breathe and can make breathing loud and labored. The individual may briefly awake while gasping for air, but often will not remember it the next day.


Children and adults can suffer from sleep-disordered breathing. In children, enlarged tonsils and adenoids can cause this condition, as can a malocclusion of the teeth, a narrow jaw, and narrow nasal passages. In adults, loss of muscle tone during sleep can cause breathing and other sleep disorders. Sleep-disordered breathing can lead to sleepless, restless nights and a number of related problems. Lack of sleep can affect your physical health, mood, energy level, emotions, relationships, and happiness. If you’re experiencing these problems and don’t know why, a sleep study could lead to an answer.


The most serious sleep-disordered breathing condition is sleep apnea. Untreated sleep apnea can spell major trouble down the road. Over time, interruptions in oxygen supply during sleep can cause lack of oxygen in the blood. This can cause a dangerous spike in blood pressure. If left untreated, these spikes can culminate in major medical issues like stroke, hypertension, cardiopulmonary issues, and gastro-esophageal reflex. Your body is not getting the steady oxygen supply it needs, or the rest it needs to recover and prepare for the day ahead. Help from the experts at Contemporary Family Dentistry can change your life and protect your future.


REMEDIES FOR SLEEP DISORDER BREATHING


To create an effective treatment plan for sleep-disordered breathing, we must first accurately diagnose the problem. Our team works with local sleep specialists, general physicians, and ENTs (Ear, Nose, and Throat doctors) to complete a comprehensive sleep study. During the study, we’ll conduct a total medical screening and assessment of the problem. Using this information, we can then develop an effective treatment plan.


We may recommend a continuous positive air pressure (CPAP) machine, which is the most common device for solving breathing-related sleep disorders. Wearing the CPAP (pictured above) at night creates air pressure that keeps the airways open and unobstructed at night. You can breathe normally with the CPAP, and it typically will not disturb sleep once you get used to the way it feels on your face.


Another potential remedy may be an oral device, or a small plastic guard that is similar to sports mouth guards or orthodontic retainers. These appliances can keep your throat open and unobstructed during sleep without the need for a mask covering the nose. There are currently more than 40 such appliances available for sleep apnea and breathing disorders. You can use am oral device alone or in combination with other treatment options, including general health and weight improvement, a CPAP machine, or surgery. Surgery to the soft palate, uvula, and tongue may be effective treatments for sleep disordered breathing. Start your journey toward healthier sleep by calling us!

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