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Don Swearingen, DDS Blog

Am I In Danger After Emergency Dentist Perforated My Sinus?

October 12, 2017

I’m really worried something is seriously wrong. I recently had a friend die from an infection that grew out of control and I want to be careful not to allow myself to get into the same situation. I’ll admit up front I don’t like dentists and haven’t been to one in a few years. So, I wasn’t extraordinarily surprised when my molar started hurting. I called an emergency dentist and he told me to come on in. When I got there he said my molar and two other teeth need to be extracted. I was disappointed but realized I’d caused the problem. So, I agreed to the extractions. He was willing to do them right at that moment. Though scared, I did want to just get it over with. The procedure took a bit, but I got through it. When it was done, they never mentioned anything went wrong. I went home thinking outside of feeling like a Hillbilly with my missing teeth, everything should be okay from here. Then my nose started making these “popping” sounds when I breathe. I called the office and they said to take a decongestant, never hinting at a problem. The pain grew worse and I developed a fever. I called them back asking to come in and have them look at it. They told me not to come in and they’d just call me in an antibiotic. I took that but still continued getting worse. I was two weeks out from the procedure and started having discharge. The fever is still there too. This time I didn’t give them a choice and just told them I was on my way in, not wanting to risk a spreading infection. It wasn’t until I was in the chair again that they said they’d perforated my sinus during the extraction. They went in and pulled out bone fragments. I couldn’t believe it. They said that should take care of the problem and sent me home with a refill on the antibiotic. It’s five days later and nothing has improved. What do I do? Am I in danger?

Hailey M.

Dear Hailey,

Oklahoma City Emergency Dentist

Wow! What a disaster. This emergency dentist has totally blown this situation. In the first place, they should have let you know immediately when your sinus was perforated. Not only is it your body, but you need to know what the protocol for healing is. For instance, in your case, it would be dangerous to blow your nose normally at this point. It needs to be treated gently.

That being said, I wouldn’t panic, though it does need to be dealt with promptly. You’re right that infections can’t be left untreated and it sounds to me like you’re on the wrong antibiotic. Truthfully, you should have been feeling better after just two days on an antibiotic. If you don’t, something’s wrong.

You may need to see an ENT at this point. Tell them exactly what you told me and they should get you in right away. At the very least, get your primary care physician to give you the right antibiotic. Try to find an emergency ENT. Most of these will heal on their own, but if it doesn’t, you may need surgery.

I’d also like to address your aversion to dentists. First, don’t feel guilty about that. Many people feel exactly the same way. Though, because it’s causing you to lose teeth I want to see if we can’t help give you a positive experience at the dentist (especially after this last one!). I’d like you to consider trying dental sedation. It will completely give you a much more pleasant experience at the dentist. In addition to making your dental care easier it will allow you to have more work done at each visit.

Additionally, you’ll need to look at tooth replacement options. Ideally, you’d want dental implants. But, if you haven’t been to the dentist in a while, you may have some gum disease that needs to be dealt with first. IF you don’t, you could lose all your teeth.

This blog is brought to you by Dr. Don Swearingen.

My Dentist Has a Magic Wand for Painless Injections!

September 27, 2017

I couldn’t believe what my last dental appointment was like. My dentist bought this new thing called a Wand injection system. I told him he should call it a magic wand. For the first time in my life I was given a painless injection. Why doesn’t every dentist have this?

Vivian E.

Dear Vivian

Cater to Cowards Dentist

The Wand really is amazing. I love your idea of calling it the magic wand. In fact, it might be fun to decorate it that way for Halloween (or every day) at pediatric dental clinics. Painless injections are a true blessing. This device has changed many patients from fearful to cheerful at their dentist’s office.

While Dr. Swearingen has the Wand Injection System, not every dentist does. So, what’s a patient with dental anxiety to do? There are other ways of dealing with terror at the dentist’s office. However, it requires going to the right type of dentist. Dentists who specialize in dealing with fearful patients.

You can find them doing a two-fold internet search.

1. Look up dentists using some special key phrases such as, “cater to cowards dentist”, “sedation dentist”, or “gentle dentist”.

2. Check their reviews. Saying you’re a gentle dentist and actually being one are two different things. Look up what patients have said about them on sites such as Yelp! or Google Reviews. If they’ve had good experiences, you can feel a little more confident that you will too.

Avoiding the dentist because of fear often leads to disastrous, emergency dental situations that cost a fortune to repair and lead to significantly more pain than if you’d just kept up with your dental care to begin with. It’s much better to protect your teeth than replace them. While patients know this when they’re feeling calm and rational, fear makes people irrational; causing them to make poor decisions.

Hopefully, these tools will change their outlook and make it easier for them to get adequate dental care.

This blog is brought to you by Dr. Don Swearingen.

Can Breastfed Babies Skip the One Year Dental Check-Up?

September 13, 2017

I keep getting conflicting information about dental care with children. Though, I shouldn’t ‘be too surprised. I’ve only been a mom for 11 months, but so far every piece of advice or book I’ve read on child rearing has contradicted another piece of advice or book. I can read two different articles and the same action I take will either help my son grow up to be an independent genius or scar him for life. So, now I have to decide about his first dental appointment. He’s been exclusively breast fed and we’re about to start introducing table food to him. I’ve heard two things. 1. Breastfeeding is safer for teeth than formula feeding, therefore they don’t need the one-year-old check-up. 2. Every child, no matter how they’re fed, needs to have the one-year-old check-up to screen for abnormal tooth development. So, what’s your opinion?

Carlyn M.

Dear Carlyn,

Oklahoma City Pediatric Dentist

You’re right about all the conflicting in formation out there. The one thing you’ll learn throughout your lifetime as a mother is that every child is different. No child fits the norms. Because so much of the information contradicts itself, most of the time you’ll be left with following your mother’s intuition.

One thing that is true is the breastfeeding and bottle feeding have very different effects on teeth. First is the physical differences. While formula tends to pool by children’s teeth, breast milk is sent to the back of the mouth away from their teeth. Secondly, their “ingredients” for lack of a better word are different. We know that breastmilk has properties we haven’t been able to copy in formula. There is mounting evidence that the contents in breastfeeding protect children from cavities.

It would imply that breastfed children do not need to see a pediatric dentist as often. However, as you’ve learned, every child is different.

Reasons for Breastfed Children to See a Pediatric Dentist

  • Bacteria Parents with gum disease have higher levels of bacteria. That bacteria is shared through kissing and the sharing of food. As you’re about to introduce table food, that is something to consider.
  • Cavities There is always a potential for cavities. Some breastfed babies fall asleep while nursing. Generally, the fact that the milk is sent to the back of their mouth engages their swallowing reflex so no milk pools. However, sometimes the milk flows a bit after the baby stops sucking and can pool at their teeth. There isn’t evidence it does or does not cause cavities yet, but the potential is there, especially if they’re pre-disposed to decay. Which leads me to my next point.
  • Genetic Make-up Every family is different. Two people can have the same oral hygiene routine and skill. One will be cavity free, the other will end up with a mouth full of fillings and crowns simply because of their DNA.
  • Abnormal Development Your son’s teeth starting developing in the womb. Going right along with genetic issues is the possibility of abnormal development. Whenever you have an abnormality in the development of children’s teeth, it is always easier to treat the earlier it is discovered.

Your Child’s First Pediatric Dental Visit

The first visit isn’t as focused on cavities, though of course that is checked. The dentist will also check their development to make sure no intervention needs to take place. Mostly, though, it’s designed to give your son a positive experience at the dentist and show him how fun it can be.

All too often, parents wait until their son or daughter has a dental emergency pop up before bringing them in. From that moment on, they’ll associate the dentist with pain. Not to mention the more distressing procedures could likely have been avoided altogether if they’d brought them in regularly.

Insurance almost always covers the child’s first visit in full, so it won’t cost you anything but a bit of time.

I hope this helps.
This blog is brought to you by Dr. Don Swearingen.

Help! My Lumineers Don’t Match Each Other

August 29, 2017

Can you help me? I specifically decided on the Lumineers brand of veneers for my smile makeover because I didn’t want my teeth ground down. I’m worried I have a defective batch. When the dentist placed them on my teeth, I noticed two of the teeth didn’t match the others. They seemed a bit darker than the others. I mentioned it to the dentist right then, but he assured me it was just the lighting in his office. However, even when I got home they looked darker. I don’t know if it’s my imagination, but it seems like they’re still getting darker. What do I do?

Paula M.

Dear Paula,

Oklahoma City Lumineers

I don’t think the batch is defective. Instead, it sounds to me like the dentist didn’t get the bonding correct on the two that look discolored. Bear in mind that I haven’t actually examined you. I’m basing this on your description.

If the bonding wasn’t done properly a couple of things can happen. First, things can get trapped behind the veneer between that and your tooth. Lumineers are very thin. If there’s discoloration underneath it will show through. Secondly, whatever’s trapped behind the veneer will be a haven for bacteria and will lead to decay. Plus, without a secure bond, you risk the veneers coming off. Though in this case, falling off is a good thing, so they can be properly bonded.

It doesn’t sound like you have a highly skilled cosmetic dentist. Not only was the bonding not done properly on two of them, but he didn’t take your concern seriously enough in my opinion. A skilled, artistic cosmetic dentist will ALWAYS make sure the client is thrilled before permanently bonding on their work. Additionally, they allow the patient to look at the veneers in several different types of lighting to ensure they’re pleased with the results. Many also have a beautiful smile guarantee.

In this case, because they’re new and the dentist made an error (If my thoughts are correct) then he should be willing to replace them free of charge. They’ll have to be removed and new ones made if they break in the process of trying to remove them.

If he balks, you can get a second opinion from another cosmetic dentist. Don’t tell the second opinion doc who your dentist is, in case they’re buddies. If the second dentist agrees with my assumption then it will be easier to put pressure on your dentist to make things right.

There’s something I wanted to clear up. You mentioned you specifically chose the Lumineers brand over other porcelain veneers because you didn’t want your teeth ground down. Porcelain veneers, no matter what brand you use, do not require your teeth to be ground. You’re thinking of porcelain crowns. Because they surround your entire tooth, your teeth have to be ground down to almost nubs in order to make room for the crown.

Porcelain veneers only require very minimal shaving, about the depth of your fingernail. There is no visible difference between a shaved and unshaved tooth.

This blog is brought to you by Dr. Don Swearingen.

A Ninja Kicked My Tooth. Can It Be Saved?

August 12, 2017

Filed under: Dental Emergency — Tags: , , — okcitydentist @ 3:50 pm

I was playing with my son. He was a ninja. Everything was fine until he did a jump kick off the couch which caught me in the mouth. I thought it was okay. It hurt for a bit, but then felt better. However, this morning the teeth feel a little loose. Whenever I jiggle them, they move. Am I going to lose them or can they be saved?

Mary W.

Dear Mary,

The most important thing to do right now is to stop messing with it. There are ligaments holding them in place. They’re stretched right now, but if you keep messing with them they could snap. Then you will lose your teeth.

The next thing to do is call your dentist’s office. They need to stabilize your teeth somehow. There are several methods to chose from, but they need time to heal. If you don’t have a dentist, you can do an internet search for an emergency dentist. Many of them will see you the same day, even if you’re not a patient. Protecting it and keeping it in place may give it time to heal. Though, if the pulp is damaged then a root canal procedure may be necessary.

In the meantime, make sure you’re babying the tooth as much as possible. It might not be a bad idea to avoid ninjas for a while too.

This blog is brought to you by Dr. Don Swearingen.

Do Dentists Even Care If Patients Are Scared?

July 26, 2017

I’ve always been nervous at the dentist. I don’t know why. Yet, I’ve never met a dentist who seemed to care. It’s discouraging because I want to take care of my teeth, but this last visit was the worst. I was a little jittery before the needle. I asked him to wait, but he said I was being a child and just did it anyway. I had to stay still because he was jabbing me, but I would have punched him if I could. Is there a dentist who can be a little patient? Yes, I’m a grown man. That doesn’t mean I’m thrilled to have a giant needle being stuck into my gums.

Luke A.

Dear Luke,

That is not typical behavior from a dentist, at least not any dentist I know. It’s not uncommon for adults to be just as uncomfortable at a dentist’s office as the younger set of patients. As a dentist, he should know that.

First, I want to assure you that not only can you find a compassionate dentist, but you can have dental appointments in a relaxing way.

There are dentists who specifically cater to nervous patients. Most of them offer some form of dental sedation as well. If it’s the shot which makes you the most nervous, Dr. Swearingen uses a different type of needle called “The Wand”. It gives pain-free injections.

Do a search for those type of dentists. You can search “gentle dentists”, “cater to cowards dentists”, or “sedation dentists”. After your search, I think it’s important you also look at their reviews on sites like Google or Yelp. You want to make sure that people who’ve been to their office have had good experiences.

This blog is brought to you by Dr. Don Swearingen.

When Is My Son Allowed to Leave a Pediatric Dentist?

July 14, 2017

My son does great at the dentist. Nothing bothers him. He does shots for cavities like he’s reading a book, but he’s only 9. When are we allowed to switch him from a pediatric dentist to a regular one? It would be so much easier on our family schedule if we could all go to the same clinic.

Amanda – A.K.A. tired mommy

Amanda,

It sounds like your son is a rock star at the dentist’s office. Nothing phases him. This is great. It means he’s had positive experiences that have given him confidence. Many kids require some kind of sedation. Here’s the thing, your child NEVER has to go to a pediatric dentist’s office. He’s more than welcome to see a general dentist, even from the first appointment.

There is a condition with that. You want to take him to a general dentist who enjoys treating children. Some do and some don’t. If they don’t, that won’t be a good fit for your son. So, how can you tell? First, is ask what age they’re comfortable treating children. If they say 9 or 10, then they’re not really that great with kids. If they say around 2 or 3, then you can feel fairly confident they know their way around the mini-human set.

If ever an issue came up that required some specialized training, he (or she) can easily refer you to a pediatric specialist.

This blog is brought to you by Dr. Don Swearingen.

Groupon for Lumineers

June 24, 2017

My wife grew up in a very abusive and neglectful family. While her mother was busy shooting herself up, my sweet wife took care of her siblings. From the time she was ten years old, she’s been an adult. Combine that with the fact that her family was very poor, you can imagine she has a hard time spending money. Her teeth have always embarrassed her. I love her smile, but I know it bothers her. I want to do something really special for her which she’d never do for herself. I’d like to get her a smile makeover. I think if I tell her it’s a Groupon, she’d do it. She thinks Groupon makes it okay to get something, because you’re saving so much money. Is it possible to do that? How does it work? I keep hearing about Lumineers on the television. I looked it up and they have a Groupon. I don’t know anything about cosmetic dentistry, so I’m not sure if Lumineers is what would make her feel as beautiful as she is.

Richard P.

Dear Richard,

What a fantastic way to honor your wife. Just from the short bit you’ve written, I can tell she’s an amazing woman. The type of woman who deserves to feel like a princess. However, I’m glad you wrote first. We’ll start with Groupon.

I’m certain the Groupon would require you to use a certain dentist. You’d want to research that dentist before you purchase anything. Is he (or she) a skilled cosmetic dentist? What type of results do they get? Maybe they’re new to smile makeovers. They could be using Groupon as a way of drawing in cosmetic patients to give them practice. There have been many smile makeover disasters where people spent thousands of dollars and wound up with a smile which looked worse than the one they came in with. You don’t want that happening to your long-suffering wife.

Next, let’s discuss Lumineers themselves. I’ll be honest with you. Lumineers are often marketed to inexperienced cosmetic dentists as being easy to place. So, many unskilled cosmetic dentists use them. In fact, some of the best cosmetic dentists do not like the Lumineers brand. This particular company requires dentists to use their lab. The skill of the lab is equally important to the skill of the dentist. I’ve known quite a few highly skilled dentists who feel this lab is sub-par, at best. She’d be better off with a different brand. Choosing a great dentist is the key. They’ll know which brands will fit your wife’s smile design best.

In your place, I’d research great cosmetic dentists in your area. Check out their smile galleries to see if you like the results they get. Do they offer a beautiful smile guarantee? If not, use someone else.

Then, bear in mind not everyone is a candidate for porcelain veneers. Your wife will need a consultation with the chosen dentist to 1. determine her candidacy and 2. discuss and design her dream smile.

She may not even need veneers to get a gorgeous smile. Maybe her teeth just need some straightening and whitening. In that case, I’d combine the Invisalign and teeth whitening procedures. These are fantastic treatments which don’t cost as much as veneers.

This blog is brought to you by Dr. Don Swearingen

There’s a Horrible Sore In My Husband’s Mouth

June 10, 2017

My husband hasn’t been eating and is favoring his mouth quite a bit. I finally talked him in to letting me take a look. There’s a nasty red sore in his mouth. I winced just looking at it. Is it serious? Does he have oral cancer? Should I see an emergency dentist?

Lillian H.

Dear Lillian,

I wouldn’t panic just yet, and I don’t think you need an emergency dentist. It’s more likely a canker sore than oral cancer. These usually clear up in about two weeks. There are several over-the-counter medications you could try. Things like the discs that are supposed to cover the sore sometimes have trouble staying on because of the saliva, but it’s worth trying.

If your husband has regular appointments with a dentist then his dentist should be checking him for oral cancer at every check-up. If it hasn’t cleared up in a couple of weeks, then it will be worth getting checked out.

I’d also try an anesthetic gel along with some acetaminophen to help with the pain. Hopefully, that will allow him to eat. We don’t really know the cause of these sores yet. The theory is currently that it’s caused by a virus.

This blog is brought to you by Dr. Don Swearingen.

Can I Take Xanax Before Going to the Dentist?

May 26, 2017

I have avoided the dentist for years. I know it was stupid. And I know I am paying for it. I have a horrible toothache. Absolutely awful. So, now I HAVE to go to the dentist. I can’t deal with this. I do have a prescription for Xanax. It helps me with anxiety. Am I okay to take this so I can get through this appointment? I have no idea what I’m going to face when I get there, but I’m guessing at least one tooth will need work.

Paris W.

Paris,

Don’t feel bad about your anxiety. There are many patients who are terrified of the dentist. I recently was talking to a 13-year-old girl about her dental anxiety. She talked about how when you’re laying in the chair, with the lights on you, and all those instruments coming at you, it feels like you’re having surgery awake. Then she panics.

You can take the Xanax if you have a prescription. Your doctor gave it to you for just these types of situations. However, you’ll want to let the dentist know what you’ve taken because he will want to avoid medication that will be counter-indicative with your prescription.

I want you to know there is another option that will allow you to get regular dental appointments without the anxiety you’re going through now. These appointments will keep you from having the type of dental pain and emergencies you’re having now. You’ll get regular care and issues can be taken care of before they become serious.

There are dentists who specialize in working with fearful patients. Often, if your anxiety is very strong, they’ll give you oral conscious sedation. In all likelihood, you won’t even remember the appointment. You’ll be completely relaxed. For many patients, this has changed their lives.

This blog is brought to you by Dr. Don Swearingen.

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