Dental Education Videos

Script

So I am definitely gunna inject myself later in this video but I’m gunna be using a variety of techniques to make it as painless as possible. & before I dive into that scene it want to give y’all a basic understanding of anethesia & why we give dental injections!!!

Local anesthesia is used to make our patients feel as comfortable as possible when performing large dental procedures. Each one of our teeth is able to experience different sensations due to the unique innervation provided to the teeth in our mouth. This is why our teeth experience a shocking sensation when drinking something too cold & a painful sensation when biting on something too hard. Accordingly we want our patients as numb as can be when removing a cavity. But that’s where the problem lies. The numbing medication must be delivered through a needle apparatus and a lot of people have a fear of dental injections! I hear plenty of stories where the patient had a bad experience in the past & are consequently anxious to get any dental work done. And there is some truth to those stories. Injections are not the most comfortable process in the world. I mean we are poking you with a needle. But the dental community is constantly evolving and there are now a variety of techniques that make the dental injection more comfortable then ever before.So what can your dentist do to make the experience more comfortable!

Well the first tip would have to be the use of a topical anesthetic, a cream that is placed on the gums prior to receiving the shot. This cream has a medication that can numb the first couple mm of the injection site. So it makes that initial pinch from the injection way more comfortable. Injection speed is the next most important step to receive a comfortable shot. The evidence based research has proven that a slower injection with minimum pressure leads to a more comfortable anesthesia experience. *Close up* i have definitely experienced the pain that came from a fast injection at an oral surgeons office when I was younger & it resulted in me fainting in the office (pause) but that’s a story for another time! Lastly, i would say that the temperature of the anesthetic can contribute to the pain. It is better to inject anesthetic close to your body temperature. These carpules can be warmed through a warming device or through the doctors hands!  A lot of other things can be mentioned with regards to receiving a more comfortable injection but I believe this gives you a nice introduction to anesthesia. If y’all have any questions about the above steps make sure to leave a comment down below!

Script

I am one of the biggest advocates of electric toothbrushes  & have seen some prettfy incredible results from my wonderful patients at Nordahl Dental. However, being the hypocrite that I am, I have been using the manual toothbrush for most my life I finally decided I need to practice what I preach. I contacted my local Sonicare & Oral B representatives to see if they could provide me with some of their most popular electric brushes to test on this channel. Sonicare delivered with the most premium product they offer. . . Rather then blowing my budget for one of their premium models, I opted to purchase the baseline $43 Oral B. During this review I will definitely take into consideration that the Oral B model I have isn’t the most premium they offer and make sure to highlight some of those features at the end. Of course there are plenty other quality brushes out on the market but my patients mainly ask about these two popular brands

Lets get started! The most noticeable difference between these two has to be the toothbrush head design. Sonicare offers the very familiar oval shaped design that looks similar to the brushes I’ve been so accustomed to. They claim that their diamond shaped bristles is highly effective with stain removal. The brush heads have blue bristles that fade to white which is meant to serve as a reminder to replace your toothbrush head over time. I absolutely love this feature because sometimes I forget to replace my toothbrush as it gets worn down. Oral b, on the other head, shocks us with their more unconventional round head design. The Oral B Brush claims that this small head design can provide for a tooth by tooth cleaning. The bristles of the brush have a criss cross pattern & are angled at 16 degrees to give what they claim to be a superior cleaning. The bristles of the brush fade in time just likes the sonicare  & they claim that their brush removes 300% percent more plaque then a regular toothbrush! I actually love this design. I feel as though having a smaller head allows me to focus on one tooth at a time.  I believe anything that helps me focus on technique will be way more beneficial in the long run.

The next big difference we need to talk about involves the mechanism of movement each device uses. Sonicare uses a core technology of high-frequency, high-amplitude brushing movements! In fact, they claim that they are performing over 31,000 brush strokes per minute. Oral B on the other hand uses a rotating oscillatory movement to clean teeth. Im curious to see how this feels in the mouth. It has the same feel as a regular toothbrush but those vibrations make it feel a bit tingling sensation. Also the sonicare is much quieter then the oral b.

So now lets go to some the more premium features! This is the most advanced line of sonicare & it doesn’t dissapoint. I feel as though im brushing my teeth with the newest iPhone. It feels super premium. It has 5 different brushing modes for achieving different levels of cleanings. Not sure if enough research to verify these modes but I still think its cool. Also It has different intensity levels. So you can go light for those with the sensitive teeth or you can go super powerful for those that want the deep clean. Another excellent feature is an indicator light mentioning whether you are brushing too hard to lay off the grip strength. The oral b represents the standard model. It was $35 dollars and doesn’t offer all the premium features as mentioned above but still offers a lot for the price. This particular model has a 2 minute professional sensor, a pressure detector, 3 different brushing modes & it even connects to your phone via an app which offers some amazing features like telling you which areas of teeth you are missing or where to brush more effectively.

Script

Alot of my friends have been pushing me to review this particular countertop water flosser. As a dentist, I have been accustom to recommending traditional dental floss to clean in between the teeth morning & night & I’ve heard a lot of mixed reviews regarding whether the waterpik can be used as an alternative to the string floss. So I decided this would be a good time to take a closer look into the product

This crazy contraption works by using pressurized water to effectively clean in between the teeth & the gums. The idea is that the water pressure will wash away the plaque & food debris that tend to get stuck in between our teeth

It took me quite some time to figure out how the pieces come together but I eventually made it work. This (holds reservoir) represents the waterpik reservoir which is typically filled to the brim with luke warm water. I would definitely avoid using cold water if your teeth have a tendency to be hypersensitive just like mine. After you have filled the reservoir, you have the option of picking from a variety of tips. This particular waterpik comes with 5 tip iterations which focus on hygiene for people with braces, implants & deep pockets. Waterpik did an absolutely awesome job with the design. A simple flick of the wrist allows you to interchange the tips with ease. On the side, we can see a round nob which toggles between different intensities of pressurized water. Each rotation of the dial increases the water pressure by 10 PSI. If you dare, bump it up to the highest setting but I would warn you, it is super powerful! The button below allows you to switch to a massaging mode where it shoots water out in intervals instead of a smooth continuous flow.

So now, I want to be able to show you guys at home how to operate this device. I have the machine filled to the brim & its on my preferred setting of 60 PSI. I prefer to orient the device in my mouth before turning the the tip on. I like to start from the lower right side of my mouth & angle it at the gumline one tooth at a time. If I want to spit, I turn the machine off and once I’m done i go back to where i left off until I’ve cleaned every area of the mouth. I’ve been using this product for about a week now & I have to admit that Im really enjoying it. I feel as though the pressurized water gets into those hard to reach spots & in general my mouth feels healthier & cleaner. I definitely see value for people who despise the traditional method of flossing or are unable to floss due to difficult motor control movements. The evidence based research has made it clear that the waterpik shouldn’t replace proper string flossing but it is an awesome alternative for those that feel like they need a better hygiene routine.

Technique

Posterior Class II Composite Filling Dental Procedure – #4 MO / #5 DO – Rubber Dam Isolation w/ Wedjets Stabilizing Cord + Winged Rubber Dam Clamp – Initial Access w/ #245 Carbide Bur – Preparation Refinement w/ Long Diamond Bur – Aluminum Oxide Blaster for Conservative Stain Removal (Not Shown) – Ultradent Sectional Matrix System – Phosphoric Acid Etchant ( Selective Etch Enamel for 15 Seconds) – Kuraray Clearfil SE System – Flowable Composite in Proximal Box for Marginal Adaptation / Light Cure – Marginal Ridge Fabrication w/ Shade A2 Composite Resin / Light Cure – Incremental Layers of Composite Resin / Light Cure (Leave .5MM for Final Increment – Final Increment of Composite Resin w/ Condenser + Ball Burnisher for Anatomical Adaptation – Interproximal Contouring w/ Fine Diamond + Polishing Discs (Preparation for Flossing Contact) – Ultradent Sectional Matrix on Adjacent Tooth – Yellow Ring (Preparation for Flossing Contact) – Composite Resin Filling Protocol (Same as Above Steps) – Initial Occlusal Adjustment with Football Diamond Bur – Rubber Dam Removal – Articulating Paper – Final Occlusal Adjustments w/ Polishing System