Surgeons hold the most vital role inside any operating room. And what many of us outside the medical field do not know is that anesthesiologists also hold an equally important role during operations.
Physicians anesthesia services minimize the negative impact of anesthesia on patients. These professionals ensure the patient’s safety all throughout the procedure and help manage postoperative pains. It is, however, necessary that these people have sufficient medical knowledge and skills needed to provide the utmost patient care.
Education Requirements for Anesthesiologists
These professionals follow the same path as most other doctors. A four-year bachelor’s degree must be completed before proceeding to a medical school which consumes another four years. After getting a license as a medical practitioner, one must undergo and complete a four-year specialized training in the field of anesthesiology.
The first year is for general internship. During this training period, the anesthesiologist has to study critical care medicine, surgery, pharmacology, internal medicine, and cardiology. Yet the training is not confined within the four-year program because regular continuing education courses must be attended in order to keep up with the changes in technology.
Every physician has to secure certification by taking and passing the United States Medical Licensing Examination or USMLE, which also applies to anesthesiologists who need to get certified in their medical area of specialization. Certification for anesthesiologists is obtained from the American Board of Anesthesiology or it can also be obtained from the American Society of Anesthesiologists. It is a requirement that they should regularly update their license and present evidence of continuing education and competency in the field.
Good Interpersonal Skills
Anesthesiologists time with patients is limited. On top of that, their interaction is taking place in the most unusual situation – during an emergency. With that being said, anesthesiologists are expected to be capable of easily establishing rapport and must have great bedside manners. Building a relationship with a patient on the operating table requires clear and supportive manner of communication skills. It is also important that they should be able to explain the technicalities behind the procedure and keep the patient well-informed where decision making is crucial.
Additional Skills Required
All anesthesiologists in the operating room must also be able to execute many other skills; for instance, managing labor pains while ensuring management of pain through medication. They are also encouraged to help out in the ICU (intensive care unit). All these means that they have to collaborate with other medical specialists like surgeons, OB-GYN, and other physicians when it comes to pain management. Anesthesiologists should have the ability to work as a team player and work well with others towards the same goal, which is the safety of all patients.
In the physicians anesthesia services, manual dexterity and stamina are necessary. They may even be demanded work extra hours when the situation calls for it. The working hours can also be as irregular as emergency calls; either sitting for long hours on the patient’s bedside or standing alongside the surgeon for more than 8 hours on complicated surgery procedures.
Veneers were first recorded in 1928 when Charles Pincus, a dentist from California, invented it to temporarily cover the real appearance of an actor’s teeth. Later on, other actors have used veneers for the purpose of delivering perfect smiles, especially when filming movies. While veneers were considered temporary fix and not an option for lifelong treatment of teeth imperfections, technological advancement had provided patients the chance to have the smiles they only once dreamed about.
Porcelain veneers are now available in many dental clinics and dentists are offering it to good candidates. Yes, you heard it right, it is not for everyone. To be considered as a good candidate, a person should meet one of the main criteria, which is oral hygiene. Having good oral hygiene generally means addressing all of your oral concerns like gum disease, plaque buildup, and decay.
How to know if you are a candidate to get veneers?
You should have an impeccable oral health.
If you want to be considered for veneers, you need to make sure that necessary restorative treatment has been done. Remember, prior to cosmetic procedure, it is vital to have both gums and teeth healthy.
Your tooth should also have sufficient enamel.
The technology behind veneers is that these are attached to the enamel of your teeth. Although during the procedure the dentist will have to take out some of the tooth enamel so there is room for the veneers, a sufficient amount must be kept. Insufficient enamel will not be able to provide enough bonding surface to create a strong veneer.
There should only be minor teeth structure imperfections.
The use of porcelain veneers is effective when concealing minute cracks and chips or misshapen teeth. Dental bonding can correct these imperfections, but veneers provide the closest lifelike rectification.
If you have severe staining on your teeth, you may still be a candidate.
Tooth whitening is another service provided by your dentists; however, this is only effective in cases with mild to moderate discoloration. It can neither fix extremely dark stains nor internal discoloration. Veneers, on the other hand, can cover both internal and external stains no matter how dark they are.
Your teeth should be (somewhat) straight.
Porcelain veneers cannot correct extreme cases of misaligned bites or teeth. It only works for slightly crooked ones. If applied on severe cases of misaligned teeth, the pressure build-up will damage the porcelain.
There should be no cases of bruxism.
Bruxism is a medical term for tooth grinding. If you are constantly grinding your teeth either consciously or unconsciously, the pressure and friction will only damage the porcelain causing it to crack.
You have few minor teeth flaws.
The use of porcelain veneers can be cost-efficient for those who have few minor teeth flaws like stains, slightly crooked teeth, and chipped tooth. All three problems can be fixed through the use of dental veneers. So, instead of having three different dental cosmetic procedures, you will only need one– porcelain veneers.
A lot of people prefer porcelain veneers for different reasons. It can fill gaps in between tooth, it can even out misshapen teeth, as well as cover flaws like cracks and discoloration. The procedure for veneers from Portland family dentistry specialists is less invasive compared to other cosmetic procedures, but is effective in achieving the most sought after perfect smile.
Good dental hygiene includes brushing your teeth after eating, flossing regularly, and visiting experts from preventative dentistry for cleanings and checkups. If you are practicing this, then you are doing a good job at caring for your teeth. However, you might be engaging in other activities, which cause erosion of the teeth and compromise your overall dental health.
Are you brushing your teeth right after eating?
The regular brushing may seem only natural to do, but how you do it may eventually damage your teeth. Remember, the mouth has its own pH level. Saliva helps balance the pH level in the oral cavity and neutralizes the acidity brought by food and drinks. Also, wait for at least 30 minutes before brushing your teeth after eating. If you brush your teeth straight after meals, you are brushing acid into the enamel of your teeth, which could lead to erosion and sensitivity.
Are you using a toothbrush with hard bristles?
Be kind to your teeth. Never use hard-bristled toothbrush but instead, use either soft or medium bristled toothbrush. The hard bristles of your toothbrush may not only scrape away tooth enamel and root surface, it can also cut or damage your gums.
Are you into dark-colored drinks?
A study shows that dark-colored drinks like coke and rum are the top offenders of human teeth. These drinks have very low pH, which means they are more acidic. Putting in acid into your mouth may cause damage to your teeth. You may consider drinking lighter-colored drinks on your next meal, champagne for example. They contain a pH value, which is slightly higher hence may only cause lesser damage compared to dark-colored drinks.
Are you drinking Apple cider vinegar (ACV)?
ACV is said to provide more than enough health benefits to its believers. While it is true that it contains lots of positive things, its acidity can damage your teeth. Makers of ACV claim that drinking this on a regular basis can boost immunity, give healthy glowing skin, cure bloating, and can aid in weight loss. They fail, however, to educate consumers that since ACV is vinegar, it has a pH value of 3.075.
The apple cider vinegar is typically just an apple juice but was fermented twice. The process transforms the juice into vinegar. As a health supplement, it contains a mixture of probiotics helpful in cleansing the body and stimulating regular body processes.
Although ACV enthusiasts rinse their teeth with water after drinking, usually, this is not enough. According to dental professionals, this does not wash off the acidity entirely. It is also not advisable to brush your teeth after drinking ACV as you will only be spreading the acid to the rest of your teeth.
Have you tried brushing with charcoal?
It may sound absurd, but a lot of people are doing this in an effort to whiten their teeth. Activated charcoal is said to have an ability to help whiten teeth and some other users claim that it aids in absorbing stains and toxins from teeth. Preventative dentistry professionals, on the other hand, see this as a serious threat to your teeth. Scrubbing hard things on your teeth can damage your teeth enamel that can lead to sensitivity and discoloration eventually.
Do you have a perfect smile? A good set of healthy teeth is essential to be able to smile with a load of confidence. Although, there is nothing to worry about now that technology and experts from village dental services are offering state of the art restorative procedures. A few decades ago, professionals came up with an option to correct misaligned teeth. Recently, advances in technology brought new options like invisalign instead of the traditional braces.
The use of braces is still a popular option. The technique makes use of brackets, which are connected together through wires. The wires will slowly pull the teeth to the desired direction over a period of time, while the brackets are made fashionable in different colors of metal and plastic materials.
Invisalign, an example of orthodontic aligners, on the other hand, is a custom-made retainer. It works the same way. The tooth is pulled slowly to change its position and reach the desired direction. It is far more convenient though compared to braces as it can be removed anytime. These can also be made transparent to make them somewhat invisible
and does not make use of brackets or wires to work. So, overtime, the direction of your teeth will be shifted to the desired position to produce that perfect smile.
Traditional braces are effective in correcting your smile. However, many are put off by the metal brackets and wires. Although it is only worn for a specified period of time, some still feel uncomfortable about it. Orthodontic aligners like Invisalign are almost invisible making its wearer confident about the whole treatment.
It is the best option for professionals who do not want to distract their business partners with their braces. Aligners perform their function of correcting crooked teeth to create a perfect smile without the awkward stares.
The desire to correct misaligned teeth must not compromise the health of your oral cavity as a whole. Since Invisalign does not use brackets and wires, it is considered gentle to the wearer’s mouth and lips. It is like wearing a smooth plastic tray shaped to fit your teeth at every angle. Only a little discomfort, but it can be removed anytime if you need to floss or brush.
Another advantage of aligners is their ability to deliver results faster compared to traditional braces. You can set an appointment with your dentist once every 6 weeks to have your teeth examined and make sure that there is progress, so another set of aligners will be provided to complete the whole treatment. Each set has to be worn for two weeks or could be longer depending on the case before it will be replaced. The average treatment period is between 9-14 months.
Convenience Without Restrictions
Traditional braces can limit some of your activities for safety reasons. With Invisalign from village dental experts, there is no restriction on your food, activities, and does not even pose as hassle when using medical devices like MRI
Your dentist is the best and only person to help you deal with any dental problem. While dental clinics are usually open during office hours, what will happen when emergencies happen outside these hours. How would you deal with your dental problems during holidays or weekend?
You are likely to need the services of an emergency dentist, one from Yorktown family dentistry for example. If you are having the dental problem in the most unexpected time, they can manage your emergency immediately.
It is crucial to know when the dental issue is considered emergency or when it can wait until the next morning. Generally, to be considered an emergency case, it must pose as a serious threat either to your tooth or your well-being as a whole. It is therefore important to be able to distinguish the differences between a normal dental issue and an emergency situation that needs immediate attention.
You are in a dental emergency if:
Serious Mouth Injury
When there is serious mouth injury, the scenario warrants an immediate medical attention. If the injury has severed the jaw and it caused the jaw to be distorted, it is an emergency case. Prior to making the call for help from the professionals, make sure to instruct the patient to keep his face still. For cases where someone had bit the cheek, tongue or lip and the patient’s bleeding does not cease after 15 minutes, contact a medical professional or your dentist to evaluate the situation.
Broken or Chipped Tooth
A broken tooth can cause injury to the surrounding muscles of the mouth. If this happens, try to collect all the tooth fragments you can find. Keep this in a clean plastic or cloth and take it to your dentist. Use warm water to clean the injured area, but use a cold washcloth on the injured site after cleaning. Once the injury is secured, contact your dentist to arrange an emergency appointment.
Toothache can happen anytime, but if it becomes extremely painful, this might be due to an infection or an abscess. Clean your mouth by rinsing it with warm saltwater. If there is swelling, apply cold compress on the affected cheek area. Then contact the dentist to arrange for an appointment.
Slight mouth injuries are not listed as dental emergency. Most of the time, issues on the soft tissue like bitten lips or a slight blow to someone’s cheek does not pose any serious risk. Not unless there is bleeding that does not stop after 15 minutes. You can simply attend to it by applying cold compress.
How to avoid dental emergencies?
The best way is to have a healthy oral hygiene. Yorktown family dentistry professionals offer all the dental needs you require, both non-urgent and emergency cases. Just remember though that regularly brushing your teeth every after meal and flossing the spaces in between prevents the occurrence of dental problems. If you know how to take good care of your mouth, you can be sure your teeth are healthier and stronger. Also, contact sports may place a risk. Injuries may happen during a baseball game or boxing, however, these injuries may be avoided by using mouth guards which keeps the mouth, teeth, and jaw in place after an impact.
Gum Swelling Home Remedies
When you think about dental health, you are more likely to just think about preventing cavities in your teeth and keeping your breath fresh. It is, however, also important to pay attention to your gums as it plays a significant role not only in your dental health but also to your overall well being.
Swollen and bleeding gums are usually signs of gum disease. However, there are a number of other things that could be causing your gum problems such as the following:
- Gingivitis – the most common cause of swollen gums, where gums become red, swollen and bleed
- Periodontitis – referring to inflammation around tooth and is the advanced state of gingivitis
- Nutritional Deficiency – lack of important vitamins such as Vitamin B and C
- Mouth Infections – caused by virus and fungi such as herpes and thrush
Finding out which one exactly caused your gum problems would, of course, require that you consult your dentist. If for some reason, you cannot get immediate medical attention, there are several steps that you can take to at home in order to minimize gum damage and relieve discomfort. Here are some of them:
Salt on Warm Water
By gargling water with higher sodium content you can kill almost if not all the bacteria that caused your swollen gums. It also helps to prevent infections that might lead to other health issues. Simply dissolve about 2-3 teaspoons of salt to a cup of warm water and your mouth with it focusing on your gums. Repeat this cleansing process 2-3 times a day or as necessary.
Apply Turmeric Paste
Turmeric is a common household spice which is also popular as an ideal home remedy for swollen gums. It has antioxidant and anti-inflammatory properties that can help reduce pain, swelling and inflammation. To make the paste, simply mix ¼ teaspoon of turmeric powder with a little water. Apply the paste and leave it on for about five minutes.
Black tea bags
The bags have tannins in them that can help reduce inflammation. They also have antioxidant properties promoting good oral health. Just place a bag in boiling water for 2 to 3 minutes. Allow it to cool to a bearable temperature and hold the tea bag on the affected area of your gums for 10 to 15 minutes.
This plant also has anti-inflammatory and antibacterial properties that can help prevent the growth of plaque-causing bacteria and soothe inflamed gums. Just take the gel with your clean finger and rub the gel on the affected gums. Gently massage for 1 to 2 minutes and rinse with warm water.
A Cold Compress
If you’re out of all those mentioned above, the old cold compress remedy should also work. It can provide quick relief for sore or swollen gums, by helping to reduce pain and preventing further swelling. Just hold the compress against your face for about five minutes or until you feel the area becoming a bit numb. A bag of frozen peas in a thin towel works well too. Remember only to hold the compress against your face and not directly on the swollen gums.
Gum Disease Natural Treatment
Gum disease or periodontal disease is an inflammation of the gum line that can quickly progress to affect the bone supporting your teeth. It starts with a simple bacterial growth in your mouth that if not treated immediately could result in tooth loss. It is known to have three stages starting with Gingivitis, to Periodontitis, and sometimes even to Advanced periodontitis.
As it is not always painful, it is highly important to be familiar with the signs and symptoms of having a gum disease. If it’s only at the early stage or Gingivitis, the gums will start to become red, swollen, and bleed easily. The pain here is still manageable as it is almost nil and the disease is still reversible with professional treatment. If it is left untreated at this level, however, gingivitis advances to periodontitis where the plaque would have already spread and grown below the gum line. There is also severe irritation in the gums now as toxins produced by the bacteria start coming in. The gums would start to separate from the teeth to form spaces and eventually, the teeth become loose and are removed.
In general, any of the following symptoms may be a sign of serious gum problems:
- Red or swollen gums
- Tender or bleeding gums
- Receding gums
- Loose or sensitive teeth
- Bad breath despite brushing
The question now is, is there a cure?Although the only way to totally cure gum disease is to seek treatment from your trusted dentist, there are home remedies and natural treatments which could still work if the gum disease has not yet progressed too far. They are the following:
1. RINSE – Warm saltwater rinse reduces inflammation and kills bacteria. Avoid using daily, however, as too much use will damage the teeth. Rinsing with Hydrogen peroxide can also be a great alternative since it has the same effect killing the bacteria that causes gum irritation.
2. PASTE – A mixture of baking soda and water is known to be an effective neutralizer of the acids that causes gum disease. The paste can be used to brush the teeth or applied directly on to the affected area. You can also use Garlic and Turmeric if you’re feeling a little more inventive. Both of these naturally-occurring foods are full of antibacterial properties and work as great anti-inflammatory agents.
3. OIL PULLING – although not exactly guaranteed by researchers, this is a popular practice among people who claim to have noticed an improvement using this treatment. It only requires natural oils such as mustard oil, sesame oil or coconut oil to fight off the bacteria that causes gum disease.
On top of these natural treatments, there is perhaps no better way to protect your dental health than proper oral hygiene. To improve your gum problems and avoid having them again in the future, make sure to brush and floss at least twice a day and use mouthwash to help reduce the amount of plaque build up. It will also help tremendously if you avoid sugary foods and drinks and quit smoking.
First Aid forTooth Pain
Ogden Nash once said: “Some tortures are physical, and some are mental, but the one that is both— is dental.” If you’ve ever had any toothaches before, you sure would know exactly what Nash meant.
Tooth decay, gum disease, loose fillings, abscesses, exposed tooth roots, sinus pressure, trauma or irritation commonly induces toothaches. The pain may come and go, but when it kicks, it can include sharp pain, dull aches, throbbing, and sometimes even burning. This is due to nerve endings that are exposed causing the tooth to be sensitive to heat, cold or pressure.
The worst kind of toothache, however, is that which includes swelling of the face or neck and fever. It also comes with red, swollen or bleeding gums and unusually bad breath even after brushing. When this happens, you should make an appointment to see the dentist immediately as these are the type of toothaches that get worse by the minute. If they are not promptly treated professionally, they may even lead to more serious medical complications.
First Aid Remedy
Most Americans agree that any pain in the teeth must be considered an emergency. This is because toothaches are never tolerable and the pain seems to get worse the longer one waits out. Unfortunately, however, it is not very unusual that one cannot get a hold of their dentist immediately upon contact.
So until your dentist can attend to you, you can try these first-aid tips for that toothache:
- Always start with rinsing your mouth with warm water.
If you can tolerate the taste, Saltwater would be perfect as it is incredibly cleansing. Just dissolve a teaspoon of salt into a cup of boiling water and wait until it cools down. Gargle some in your mouth for a minimum of 30 seconds for as often as necessary. It will surely prevent further swelling and effectively cleans the toothache area.
You can also rinse your mouth with hydrogen peroxide. This is a great alternative to salt as it also cleans the gums around the problem tooth and kills any bacteria. It will provide some pain relief and help you manage the discomfort until you can see your dentist.
- Use dental floss to remove any food particles or plaque wedged between your teeth. When particles are huge than normal and stuck in between your teeth, a rinse will not be enough. Flossing may help a toothache if it is the result of food debris lodged in the tooth, which exacerbates the pain of cavities or worsens gingivitis. As such, cleaning your mouth thoroughly can make the pain go away./li>
- Take an over-the-counter (OTC) pain reliever to dull the ache. It is also important to note that placing painkillers directly against your gums may burn your gum tissue, so this should be avoided./li>
- You can also apply an over-the-counter antiseptic that contains benzocaine directly to the irritated tooth and gum for temporary relief. Use this sparingly, however, as an overdose of numbing medications can also cause fatal side effects if too much of it is absorbed through your skin and into your blood./li>
- If the toothache is caused by trauma to the tooth, apply a cold compress to the outside of your cheek to relieve pain and control swelling./li>
Can You Get Rid of Gingivitis?
Gingivitis is the most common and the earliest form of gum disease, affecting 3 out of 4 American adults by the year 2016. This gum disease is an inflammation of the gums, generally caused by a bacterial infection but it can also be attributed from plaque deposits on teeth. If left untreated, it can lead to a more severe infection known as periodontitis. Red and swollen, often bleeding gums are the most popular symptoms. But in mild cases of gingivitis, patients may not even be aware since there will be no pain or discomfort to suggest so.
Other than poor dental hygiene, other several things can raise one’s risk for gingivitis. Infections and systemic diseases, for example, are some of them. Smoking, bad eating habits, high sugar level and uncontrolled diabetes can also be the culprits. In some cases, even pregnancy can raise the risk since the hormonal changes encountered during this time increase the sensitivity of the gums.
If the patient is diagnosed early and given immediate and proper treatment, gingivitis can be successfully reversed. The treatment should always involve care and attention by a dental professional, but the patient can also carry out home remedies and natural treatments.
Professional Care and Treatment
The following are steps your dentist will most probably take to get rid of gingivitis:
- SCALING – removing plaque and tartar. Patients usually find it uncomfortable, especially if tartar build-up is extensive and the gums are overly sensitive.
- PROFESSIONAL TEETH CLEANING – use of different tools to clean your teeth through loosening and removing deposits
- FIXING OTHER TEETH PROBLEMS – a crooked teeth or badly fitted crowns and bridges, may also be the reason for the gum swelling. They can also make it more difficult to properly remove plaque and tartar build up. As such, there is a need for the doctor to address these problems as well.
- PROVIDE MEDICATIONS – there are over-the-counter medications that can be prescribed such as an antibiotic mouthwash containing chlorhexidine to disinfect the mouth. Time-release antiseptic chips and Antibiotic microspheres made with minocycline can also be inserted in the pockets of the teeth after scaling. There are also oral antibiotics that can be recommended to treat persistent areas of gum inflammation.
- SURGERY – in worst cases flap surgery is resorted to, to lift back the gums while plaque is removed. The gums are later sutured in place to hug the tooth properly.
Home Remedies and Natural Treatment
- Good oral hygiene which includes longer and more frequent brushing, as well as flossing followed by using an antiseptic mouthwash
- Saltwater Rinse which reduces inflammation and kills bacteria
- Hydrogen peroxide as mouthwash can also reduce inflammation and effectively rids of bacteria
- Garlic Paste/Turmeric Paste/Baking Soda Paste can be used as toothpaste, all of which are full of antibacterial properties and will work as excellent anti-inflammatory agents
When you successfully rid your mouth of gingivitis, ask your dentist or hygienist if your brushing and flossing practices are actually done properly. It is also an important part of prevention to remove the risk factors mentioned above such as cigarette smoking and make sure to have a healthier and more balanced diets, which include food rich in vitamin C and calcium.
Chipped Tooth Remedy
“How Did I Chip my Tooth?”
Maybe you’re munching on something crunchy or being a little playful with a piece of hard candy when after a click, you notice something hard in your mouth that you can’t seem to crush. You realize it’s a piece of your tooth, so you panic. Don’t.
Chipping a tooth is absolutely normal. Although our teeth are remarkably tough, they can still crack or break. This can happen for several reasons, such as when one has weak tooth caused by cavities and simply loves to chew down on something too hard. It is also highly possible when one gets hit in the face or mouth or falls in a fight. Even one’s bad sleeping habits such as grinding or bruxism can cause breakage.
“Should I worry if it’s painful?”
Minor tooth fractures such as tooth chipping usually don’t cause pain. Your tongue just habitually feels the sharp area, so it will feel a little odd. If a large piece of the tooth breaks off, however, that’s when it can hurt pretty bad. This is because the nerve inside the tooth may already be damaged. In these rare cases, extreme discomfort happens because the nerve endings are totally exposed and become highly sensitive to hot or cold food or drinks or even as little as air. The pain may be constant or may come and go, and as such it is best to see your dentist to have it fixed.
“What can I do for the meantime?”
Although it is best that you see your dentist immediately especially when it is too painful, it might take a few days until you get to the dentist’s office. So while waiting it out, try doing the following:
- Rinse your mouth with warm water.
- If there are any bleeding areas, apply pressure on it with a clean cloth or a piece of gauze for a few minutes or until the bleeding stops. For heavy bleeding, a tea bag applied on the bleeding area might help.
- To reduce swelling and relieve pain, you may apply a cold pack to the cheek or lips over the broken tooth.
- Take an over-the-counter pain reliever.
- You might also want to cover the part of the tooth that is left in your mouth with temporary dental cement which can be bought at your nearest drugstore.
- Avoid temperatures that set off the sensitivity you may feel from the exposed pulp.
Remedies at the Clinic
If you still have the chipped tooth, store it in milk and save it for you dentist. Here are the possible procedures that your dentist might take:
- Glue the fragment back on to the tooth.
- Without the fragment, the dentist can use a tooth-coloured filling material to build the tooth up.
- Put a cap such as a filling or a crown.
- Install veneers.
- Root canal treatment but only with overly exposed nerves so that said nerve can be removed and placed with a root filling.
- Dental Implants