June 25, 2015
Why Choose Oral Conscious Sedation vs. Nitrous (Laughing Gas)
After one of my patients had their dental procedures completed with Dr. Friedman at MOD Squad Dental under oral conscious sedation, he asked me to write an article to educate others as himself about oral conscious sedation vs. the popular offered Nitrous (Laughing Gas). Lets just say he brought me flowers the next day after conscious sedation & stated on Nitrous at his previous dentist, he felt like he wanted to hide in a corner and very out of control.
It is proven that 92% of dental patients have some form of dental fear or anxiety. This may be a fear of needles, claustrophobia, anxiety of the unknown, previously had to get several injections to get “numb” or the fact that they had a bad past experience and have no idea of the constant changing of dentistry procedures & techniques because of never returning to the dentist.
Oral Conscious Sedation
According to the DOCS, (Dental Organization for Conscious Sedation), only 1% of the dentists in the country are actually qualified in this type of conscious sedation dentistry. Oral conscious sedation is a cocktail of medications that are made into a fine powder & placed underneath the patients tongue. The patient is then asked to relax for 40-50 mins in our sedation suite. A warm blanket, cool eye cover, massage chair & noise cancellation headset create a relaxed & comfortable environment. The great pro of oral conscious sedation is the patient is able to respond to Dr. Friedman requests; open, close, or relax & then return to their sedated comfortable state.
Major benefits of oral conscious sedation;
- It enhances effectiveness of anesthetic.
- No needles.
- Safe; It is considered safer than IV sedation & general anesthesia, with low incidence & severity of adverse reactions
- It decreases gagging.
- It decreases joint and muscle soreness.
- Low cost; MOD Squad Dental & Dr. Greg Friedman offer Oral Conscious Sedation for their patients complimentary with any dental treatment. Dr. Friedman is more concerned about patient comfort vs. “padding your bill.”
- Allows more treatment to be provided in less visits and less time in the chair.
Nitrous Oxide (Laughing Gas)
- Unable to be given gas for an extended period of time compared to oral conscious sedation for long dental visits.
- Harder to control the “comfort zone” for patients to feel relaxed vs. “out of control.”
- Because of the nose being covered, patients who have difficulty breathing through their nose are unable to utilize nitrous oxide.
- If a patient tends to be claustrophobic, the covering of the nose tends to increase this feeling/fear.
- Side Effects may include; increased anxiety, severe nausea, even neurologic problems; Mental confusion is a Nitrous Oxide side effect that is almost never mentioned, yet it happens with more frequency than many would like to admit. This mental confusion occurs as a result of the nitrous oxide causing Vitamin B12 Malabsorption by depleting the Vitamin B12 stored in the body. While most people have plenty of vitamin b12 stored in their liver, those who are at high risk for vitamin b12 deficiency:
- The elderly
- Vegetarians and Vegans
- People with Pernicious Anemia
If you want more information about oral conscious sedation, phone Jess today at 858-547-0070 to discuss your sedation options.
April 29, 2015
Think all dentist are the same?
Here at MOD Squad Dental we pride ourselves on always offering the latest technology, equipment, and dental materials. This creates the most comfortable environment and dental procedures our patients know they can count on to be top notch.
I came across this photo of two root canals. The fills (white lines) should run down the tooth root…not out the side of it. You may also see the white line about 2 inches on the tooth to the right. This is a root canal file that has been broken off and left in the bone surrounding this tooth.
We know as dental professionals, 90% of the population do not like visiting the dentist. This is the reason we are determined to change the minds of our patients one visit at a time.
My reason for this post…..We referred a patient to our Endodontist (root canal specialist) for a root canal. I was then asked by his wife why did we refer to a practice that was not “in-network” with their dental insurance. Simple….Or first priority is the patient…We refer to the Endodontist based on that particular doctors expertise, and continued excellent reports of their five star customer service not based on who your insurance may or may not cover.
If you have been told you need some major dental treatment…do your research. It will benefit you in the long run.
April 27, 2015
Only you & Dr. Friedman will know your in braces…
This patient wanted a straighter, wider smile. As a busy mom & business women she & Dr. Friedman agreed upon Invisalign. Invisalign straightens the teeth with a series of clear aligners worn 24/7. This treatment enables the patient to brush and floss normally and also gives them the freedom of not wearing wires & brackets.
If you are interested in the many options of Invisalign for adults & now teen Invisalign, phone Jess today for your complimentary digital 3-D scan to see if Invisalign is an option for you.
TMJ Pain Correction Story & Our Featured Smile of the Week…
TMJ is the Temporomandibular Joint and often the root of pain for lots of patients. This pain can range form minor popping & clicking of the jaw, to severe pain such as facial soreness, full feeling in the ears, ringing in the ears or even daily migraine headaches.
This particular patient is not the typical TMJ age of 28-45 but only 17. We started TMJ treatment on her about a year and a half ago. She came to MOD Squad complaining of all the severe symptoms mentioned above. As you can see from her before and after photos, her bite was not correctly aligned causing her lower jaw to be canted back into her ear canal causing all of her pain. Her first step in treatment was to place a corrective TMJ orthopedic splint. She wore the splint 24/7 with weekly adjustments. Her pain was quickly alleviated by the splint. Once the patient was pain free and stable for 3 months in this bite position, Dr. Friedman placed her in traditional braces to move her teeth permanently to where the splint was holding her correct bite position. She is now pain free and actually represents that smile on her face both inside and out.
If you or someone you know suffers for TMJ pain, phone Jess today 858-547-0070 for your complimentary consultation.
March 26, 2015
Shoes are Different Sizes for a Reason…..Update
We saw this gem of a patient again today. We could not wait until the end of her dental journey to post some pictures of her treatment…above is her before treatment photo along with her temporary restorations on the upper 10 teeth. She will be seeing our oral surgeon for placement of 3 implants and then back to Dr. Friedman to place all of her final porcelain restorations.
If you read the beginning of her story, you are aware that this patient was told she needed to have all of her teeth extracted (23 teeth), and dentures placed because of severe decay and bone loss. Her daughter encouraged her to see Dr. Friedman for a second opinion. To make an almost sad story, happy, Dr. Friedman only recommended 3 teeth be extracted and replaced with 3 dental implants, upper and lower porcelain restorations consisting of porcelain crowns and veneers.
As you can clearly see from this beautiful smile, she is over the moon with her results so far and look forward to the end of these procedures and enjoying the quality of life she so deserves.
If you are interested in this or any cosmetic dental procedure and would like an educated opinion of your options, phone Jess today 858-547-0070 to reserve an appointment.
March 23, 2015
Shoes are Different Sizes for a Reason… Worth the read…
We were thrilled to work on this little gem last week. Revisit our blog later in the week for her after photos.
More importantly, this patient and daughter wanted me to share her story so others can learn from her almost huge mistake. This patient visited her regular dentist of many years and was told that she needed the latest dental treatment often referred to as “All on Four”. This procedure involves extracting all existing teeth including roots and placing 4 implants on the upper arch and 4 implants on the lower arch with both an upper and lower snap on denture. As she sat there in tears contemplating how she was going to refinance her home to be able to afford the 40,000 quoted of “needed” treatment, she phoned her daughter with the news.
Her daughter, our existing patient, recommended seeing Dr. Friedman for a second opinion.
As you may guess, after reviewing her xrays, Dr. Friedman did recommend some extractions for decay. But Dr. Friedman recommended 3 extractions vs. the 23 she was previously quoted, some porcelain restorations consisting of crowns and veneers but most importantly….she was keeping 20 of her original teeth giving her the best quality of life.
The entire office was moved by her procedure and we can not wait to share the remaining of her dental journey with MOD Squad and Dr. Friedman.
If you or someone you may know is about to invest in dental treatment and would like a complimentary second opinion, phone Jess today 858-547-0070 to reserve an appointment.
March 2, 2015
Does your logo represent your true personality? What is your trademark? #modsquaddental
February 24, 2015
If you or someone you know is interested in enhancing their smile with cosmetic dentistry, phone Jess today 858-547-0070 to schedule your complimentary cosmetic consultation where Dr. Friedman will digitally enhance your smile with before and after photos giving you a preview of the many possibilities for a new you.
February 17, 2015
Featured Smile of the Week…
You may recognize this face as the amazing 3rd baseman that played for the Padres, but to us he is one of our fun loving patients featured this week. His existing smile was worn giving him what appeared to be a reverse smile line. He & Dr. Friedman discussed upper 10 porcelain restorations restoring the length of his teeth and giving him a natural smile. What a great result and smile. Put him in coach!!
If you are someone you know is interested in their possibilities of a smile make-over, give Jess a call today 858-547-0070 to reserve your complimentary cosmetic consultation.
January 22, 2015
TMJ Treatment Review
We are completely honored to receive such a great review and thrilled that this patient shared her TMJ treatment story with social media giving other patients with the same or similar TMJ issues hope.
From our patient;
This review is lengthy, but worth the read. I want people to know the life altering work of Dr. Friedman not only on teeth, but on jaw disorders as well.
April 2003 I was in a pedestrian vs vehicle accident. I, the pedestrian, took out the windsheild with the left back part of my head. Ever since then I struggled with severe jaw, face, head and ear pain known as TMD (Temporomandibular Disorder). At times it affected my ability to speak, eat and function. I watched my mom go thru two horrendous jaw surgeries and refused to do the same. I came to the decision that I would just live in pain for the rest of my life. It was until I was referred to Dr. Friedman that I realized there are other options besides face peeling, jaw breaking surgery. At age 33 Dr. Friedman diagnosed me with an arthritic left jaw joint and possible old undiagnosed injury to the jaw on top of the TMD.
It was decided that treatment would be splint therapy. He was able to lift my jaw off away from bone on bone creating a space where over time tissue would grow and cushion the joint. With in a month I was already relieved of so much pain. As time passed I noticed my jaw structure looking more symmetrical and normal. I can now eat, smile and live with no pain. Words cannot even begin to express how Dr. Friedman has changed my life.
The office holds high standards of cleanliness, is well organized, personable, and runs like a well oiled machine. Dr. Friedman’s wife, Jessica, is amazing! She explains procedures in my terms so I can fully understand both medical and financial ends before anything is done. His life altering work coupled with the above and beyond customer service of the staff makes MOD Squad the total package. You guys are outstanding and deserve endless stars!! —Cara Duke