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dr schmidt dentist okc
Lance R Schmidt, DDS

As he approaches his 40’s and reflects on the dental journey behind him it has been a long road of pain but a journey with the long game in mind.  Sure, he had braces as a kid much like his peers.  A few fillings in college after late nights and a diet change from high school.  However, in his 30’s he experienced not just mouth discomfort but extreme pain in his joints. The pain grew throughout the day and he also noticed that he found some temporary relief from opening his mouth open really wide to stretch his chewing muscles, temporary relief.  He also noticed that during dental cleanings that his jaw muscles would severely fatigue and cause the need for a mouth prop. What were the treatment options to restore functionality? Would the treatments relieve the pain? What would his patients say if they found out he was going through a similar treatment process? Would the dentist now become the patient?

Second Chapter of the Dental Journey

When their first son was a baby he found himself unable to read to him at night due to the incredibly painful joints.  His smile looked great but his function was poor. Something had to change. As a dentist himself he found himself referring people to the orthodontist for the same symptoms he was feeling.  One day a patient his age with the same symptoms asked him “if this was you, would you go to see the orthodontist?”  He knew the right answer for the patient and for himself but felt like such a hypocrite.  So, immediately leaving the exam room he called the orthodontist office next door and made an appointment for a consultation.

Starting the Esthetic Process

The consultation was great and he was immediately fitted for a splint to wear.  Some patients call these night guards.  However, this was a night guard by design but by name it was a misnomer because the intent was to wear the appliance nearly 24 hours per day = night and day guard = splint.  Night guards protect teeth in grinding and clinching environments and are used for healthy joints.  Splint therapy is for unhealthy joints even if there is no presence of clinching and/or grinding of the teeth.  Splint therapy involves wearing this appliance except for when you are eating, brushing, flossing or drinking anything but water – much like the demands of Invisalign.  However, Invisalign is virtually invisible from 3 + feet away.  A splint is quite visible from any distance.  As a dentist he felt like the prospect of constant wear in front of patients and social situations would cause him to either feel really self-conscious or if not worn allow the pain to return.  Would the appliance work even if worn?

Splint Therapy A Success?

After a short time with the appliance the verdict was in and it was a success.  So much so that he felt no shame in wearing the appliance because it brought comfort and allowed for full function upon retiring in the evenings to read books at their son’s bedtime. Occasionally, he would go to the physical therapist for his jaw joints and then dovetail those appointments with an immediate adjustment of his splint at the orthodontist’s office.  Soon the appliance was so comfortable he found himself eating a meal and then realizing that he had accidentally left it in place.

Clinching of the muscles continued but without the discomfort.  After breaking several mouth guards, he now realized just how much he was clinching his teeth at night. The muscles for chewing are really powerful.  They can not only destroy the splints but also the teeth too.   The movement of the teeth lasted for a couple of years then ended in yet another position that challenged confidence. As a result of the movement of teeth spaces developed between his upper front teeth.

Are Metal Braces an Option?

After a duration of comfort with the splint and no apparent need for a physical therapy visit the decision was made to move the teeth into the same position that the splint had positioned the lower jaw.  Traditional metal braces do this movement best and with the most predictability, so treatment began to apply orthodontic wires and brackets to the all the teeth.  Again, he felt self-conscious in his 30’s wearing braces but the joy of comfort was better than the fear of shame.

The Dentist is Now the Patient

Now it was time yet again to be the patient and have cosmetic porcelain crowns done on his own teeth.  Yes, he had recommended this many times to his patients but this time he did not want to be the hypocrite.  He chose porcelain crowns for their strength, beauty and inability to stain over time.  After whitening the teeth first, the final shade of the porcelain crowns was chosen.  OKC Teeth Whitening needed to come first because natural teeth whiten but the porcelain crowns (or if porcelain veneers were chosen) do not whiten with a whitening agent.  It took many try-in’s and shade adjustments to really match the shade of the neighboring teeth but in the end beauty and joint harmony were accomplished.  God in His infinite wisdom knew that when the mouth was in great functional harmony that it would also look really great too.  Function first, form second.

Before
After

Recognize this person?  If you guessed this is me then you’re correct.  This was my dental journey and I can tell you that it has been an irreplaceable experience to be on the other side as a patient.  I can understand the discomfort, lack of self-confidence, shame of wearing an appliance that is unsightly, fear of injections, trust required of the treating dentist, desire to be done with treatment but also to take the time to do it right and gratitude for a healthy and handsome outcome.  Playing the long game and seeking joint health and comfort from Perio Health Partners was well worth it.  I am very grateful for the expert care of dentist James Huang, Birdwell, Archer, Amy, Power, Sparks, Faulconer and Lee, as well as Micha Sale, PT, MEd.

Esthetic Dentistry’s goal is comfort, confidence and beauty. We offer the full breadth of dental services at Reflections Dental Care in Oklahoma City. Call 405-751-4556 to set up a consultation or visit dental clinic in OKC for more information. Lance R. Schmidt D.D.S. is the owner/proprietor of Reflections Dental Care. Follow us on Twitter.

A wonderful patient came to our office as a referral from some sedation education that she found on our website. She’d been avoiding the dentist for a quite long time. She was in her early 40s and she felt that she could do cleanings and had done cleanings in the past, but anything more than a cleaning she could not do. This was due to anxiety caused by childhood trauma at the dentist’s office. She was like so many other patients that come into our office dealing with anxiety over a previous dental experience. What kind of options did we present to help her overcome her anxiety? Was general anesthesia an option? What was the result?

General Anesthesia As An option

General sedation dentistry is an incredible way to control pain. It offers the deepest level of sedation available, which allows for multiple procedures to be performed in one visit. The application is very, very safe with an ambulatory anesthesia unit used for deployment. It is the same technology in treatment as outpatient or a hospital setting with very low levels of nausea post treatment. Sedation dentistry removes anxiety from the procedures, allowing the patient to remain comfortable thoughout the entire process.

Ready For Treatment

She had done her homework online and saved up what she thought would be her investment in the treatments given the amount of time that she’d spent away from any dentists in Oklahoma City. The really great thing is that we were able to do a lot of different procedures all in 1 visit, while she was under general anesthesia. We did a couple of crowns start to finish, which means that we didn’t have to give her a temporary crown and then bring her back and then put her back under sedation to deliver the crowns. We made the crowns in office while she was under sedation. We also did a few fillings for her and did her initial therapy for her periodontal disease – or gum disease – all in the same session.

Comforting Care Providers Removing All Stress

The entire process was performed at Reflections Dental Care under care providers that she’d already met or talked with before. She had to have a driver bring her to the appointment and take her home, but she reported little to no post-op nausea or discomfort after the procedure. Best of all, she had no stress during the treatment and no memory of the treatment afterwards. Since then, she’s come back to have her maintenance visits without sedation and she’s doing great.

Another General Sedation Dentistry Success Story

Another patient that received multiple procedures during general anesthesia was a 9 year-old young man who had been seeing a pedodontist (child focused dentistry). One of his adult molars had a really large cavity in it and needed a root canal. Since the pedodontist does not do root canals on adult molar teeth, they referred him to our office. His parents had already been coming to see us for years, so we were able to bring in the general anesthesiologist. We put him to sleep to do the root canal treatment along with some other fillings. We also did a temporary crown – what we call a transitional crown on that tooth – which is not the  final porcelain crown, but just a plastic crown that will bridge the gap until he’s an adult or gets out of braces. It’s another really great benefit of having multiple procedures done under general anesthesia all under this roof. At Reflections, we’ll keep you comfy.

We offer the full breadth of sedation dentistry at Reflections Dental Care in Oklahoma City. Call 405-563-7097 to set up a consultation or visit backup120517.mystagingwebsite.com for more information. Lance R. Schmidt D.D.S. is the owner/proprietor of Reflections Dental Care. Follow us on Twitter.

Straightening teeth has long been a divisive issue among dental patients due to the intrusive nature and social stigma of traditional braces.

Invisalign has revolutionized straightening teeth by using clear aligners, allowing you to maintain your smile self-esteem throughout the entire straightening process. Yet, too often patients who desire straight teeth will delay their treatment. Some patients will even opt for temporary solutions. Do the temporary solutions cause more damage and impact mouth function? How is Invisalign restoring long-term mouth health?

Temporary Retainers Are A Temporary Solution

For patients still reluctant to try Invisalign, we ask them if they would consider wearing a temporary retainer until they’re ready to get into Invisalign treatment in Oklahoma City. The temporary retainers that we would suggest hold teeth in the position that they’re currently in, so that when and if they decide to move forward with an Invisalign treatment, their teeth are held in position. We can stop the progression of the teeth moving, which means – in the end – should a patient choose to do Invisalign treatment, that it’s less costly because they’ll have less time in actual treatment.

Shifting Teeth Leads to Crowded Teeth

The teeth naturally – in most people – want to push forward and crowd over time, especially in the lower front teeth. It’s just a part of being human. It will get more severe over time, in particular when one lower front tooth shifts pushing past another. When all the teeth are lined up, there’s a little bit of resistance to the crowding because they’re all edge-to-edge and holding together. However, when one tooth pops loose past another, then it’s like a domino effect when they can start crowding at a more accelerated rate.

Aesthetics Can Restore Function

The benefits of moving teeth back into proper position are improved aesthetics and a better smile. Typically, aesthetics receives all of the credit for straightening. When really, the reality is that function is the best reason. In architecture, form always follows function and the same is true in the mouth. God, in his infinite wisdom, knew that when things were lined up exactly right that the secondary benefit is that it looks great. When there are good forces put on the teeth from having them aligned, there is less risk of the teeth breaking or cracking. Over time, shifting teeth/crowding leads to poor bite and poor function. That leads to uneven wear, as well as gum loss. A certain amount of space has to be between the teeth so that the bone has enough circulation to get between the teeth, nourish the bone, and nourish the gums that are holding the teeth in the mouth.

Invisalign Creates Better Function and Cleaning Ability

Better function and cleaning ability from Invisalign straightening leads too less potential for a recession of the bone and gums. When you have less recession, there is less risk associated with developing more sensitive teeth. Recession causing root exposure is typically associated with increased risk for having really sensitive teeth, and also increased risk for developing cavities. That root structure has 700 times more risk for cavities than the enamel does, so that the root surface is certainly a lot more susceptible to cavities.

With Invisalign, it is possible to close gaps, straighten turned teeth, and correct certain bite issues. The achievement of goals is easy and comfortable. When you feel good about your smile, your whole life can change for the better!

Lance R. Schmidt D.D.S. is the owner/proprietor of Reflections Dental Care in Oklahoma City, Oklahoma. Call 405-563-7097 to set up a consultation or visit backup120517.mystagingwebsite.com for more information. Follow us on Twitter.