Patient Care

Selecting the right dental cement for crown placement is a decision that impacts longevity, performance, and patient satisfaction. Whether your practice is placing all-ceramic crowns, PFM, or zirconia restorations, understanding dental cement options helps you avoid remakes and ensure better outcomes.

In this blog, we’ll cover types of dental cements, how to use them wisely, and tips on what works best in real clinical settings.

Key Takeaways

• Use resin cements for ceramic and zirconia crowns where strong bonding and esthetics are critical.
  
  

• Choose RMGI cements when you want easy handling, fluoride release, and reliable performance in routine cases.
  
  

• Rely on traditional cements like zinc phosphate mainly for metal crowns with strong retention.
  
  

• Always ensure proper prep, try-in, thin cement application, and thorough cleanup to avoid loosening or failures.
  
  

What Makes an Ideal Dental Cement for Crowns?

Before exploring the different types of cements, it’s important to understand what a dental cement for crowns should actually achieve beyond simply holding the crown in place. The ideal cement should:

• Provide thin film thickness so it doesn’t alter the crown’s fit

• Bond or adhere well to tooth structure and crown material

• Resist solubility in saliva and oral fluids

• Be biocompatible and not irritate pulp or soft tissues

• Be workable in the clinic (reasonable working time, clean-up, handling)

Permanent dental cements differ from temporary ones in that they aim for long-term stability and bonding rather than ease of removal. Temporary dental cement for crowns is used when the crown is interim and likely to be removed later.

Types of Permanent Dental Cement for Crowns

Here’s a breakdown of the main categories you’ll choose from, with pros, cons, and typical uses.

Resin Cements (Adhesive & Self-Adhesive)

Resin cements are a popular choice due to their strong bond and esthetic versatility. They are often used for ceramic, porcelain, zirconia and high-esthetic restorations. One example is PANAVIA V5, which offers strong dentin bonding, low film thickness, and shade options. 

Pros: Strong bond, color control, can bond to varied substrates

Cons: Sensitive to moisture contamination, require good isolation, may need primers/pretreatments

Glass Ionomer & Resin-Modified Glass Ionomer (RMGI)

These cements combine beneficial properties: chemical adhesion to tooth structure, some fluoride release, and a moderate technique sensitivity. Glass ionomer cements are especially useful when you want added protection for margins and less risk of microleakage. 

Pros: Easy to use, some fluoride release, moderate bonding

Cons: Not as strong as resin cements in high-stress zones, somewhat moisture sensitive

Traditional Cements (Zinc Phosphate, Polycarboxylate)

These older classes are still around, especially for certain crown types (like metal-based or when retention is strong). Zinc phosphate cements have a long track record and good compressive strength, though it doesn’t bond chemically to tooth structure.

Pros: Proven, stable, familiar handling

Cons: Requires more tooth reduction for retention, lacks chemical bonding, may irritate pulp if not handled carefully

Step-by-Step Guide to Cementing Permanent Crowns

1. Prepare Tooth & Interior of Crown

Make sure the prepared tooth is clean, dry, and free of contamination. If using resin cement, pretreat enamel/dentin and the internal crown surface (e.g. with silane, adhesive, or sandblasting as recommended).

2. Try in the Crown First

Before applying cement, seat the crown dry, checking fit, contacts, and margin adaptation. This avoids seating errors.

3. Apply Cement with Care

Mix according to manufacturer instructions. Use minimal excess, as you’d want a thin film. Seat the crown fully and hold it under pressure until the initial set occurs.

4. Remove Excess Cement Quickly

Use suitable instruments (microbrush, floss) to clean the margins before full hardening. In resin systems, a gel or tack cure may help flush excess before final cure.

5. Final Cure & Check Occlusion

Complete final curing (using a curing light or dual-cure resin) as directed. Then check and adjust occlusion, polish margins and confirm patient comfort.

Temporary Dental Cement for Crowns: When and Why to Use It

While permanent dental cement for crowns is your go-to for the final restoration, temporary dental cement for crowns plays a role when a crown is provisional. Often based on zinc oxide eugenol (ZOE) or non-eugenol formulas, these cements allow easy removal later with minimal damage to the tooth or crown.

Use temporary cement when you expect to modify the crown, wait for adjustments, or if gingival health or shade matching is yet unsettled. The key is it must be weak enough to remove but stable enough to hold the crown until final cementation.

Choosing the Best Permanent Cement for Crowns: What to Consider

When selecting the best permanent dental cement for a crown, here are key factors your clinic should evaluate:

Crown material: Resin cements pair better with ceramics and translucent materials; traditional cements may work better with metal-based crowns.

Esthetics: If margins are visible, choose a cement that doesn’t discolor.

Moisture control: Choose cements that tolerate slight moisture or ensure excellent isolation.

Retention vs bonding: When the crown prep geometry is excellent, a less aggressive cement may suffice; but when retention is questionable, stronger adhesive systems help.

Ease of clean-up & excess removal: In busy clinic workflows, a cement that allows easier cleanup is more practical.

Manufacturer support & protocols: Follow manufacturer instructions; some systems include primers or bonding primers which boost performance.

Essential Supplies & Products Your Practice Should Keep in Stock

To support effective cementation workflows, make sure your inventory includes:

• Adhesive primers (for enamel, dentin, ceramics, zirconia)

• Mixing systems or automix tips for resin and RMGI cements

• Micro brushes, applicators, and syringes

• Finishing burs, polishers, and floss/gel to remove excess

• Isolation tools (rubber dams, retraction cords, matrices)

• Shade tabs / resin shade guides

• Cement inventory: high-quality permanent cements, plus temporary cements for provisional use

• Light curing devices that meet required intensity and wavelength

Safco Dental Supply’s catalog of Permanent Cements & Liners (e.g. ZirCAD Cement, Variolink Esthetic, SpeedCEM Plus) includes multiple options that can match different crown types and clinical protocols. 

FAQs

What is the best permanent dental cement for crowns?

There is no one-size-fits-all solution. The best cement depends on crown material, retention geometry, isolation ability, and esthetic needs. Resin cements are often favored for ceramics and high esthetic zones.

Can I switch from a temporary dental cement to a permanent one later?

Yes, that's a standard procedure. After the temporary crown is removed and the tooth is properly cleaned and prepared, you can proceed with permanent cementation.

Does a permanent crown always need resin cement?

No. Some cases (e.g. metal crowns with good retention) can succeed with glass ionomer or traditional cements when bonding is not critical.

How much cement film thickness is acceptable for a crown?

Ideally, cement film thickness should be minimal; thin enough to avoid interfering with fit, but thick enough to flow and fill microgaps. Most manufacturers target < 50 µm for adhesive systems.

How do I manage excess cement in narrow margins?

Use microbrushes or floss pre-coated with cement gel, tack-cure if possible, and gently remove residual before final curing.

Why do some crowns loosen despite using permanent cement?

Common causes include poor isolation (moisture contamination), weak preparation geometry, insufficient bonding protocol, or cementation errors.

Zirconia is a popular material for dental crowns because of its combination of strength, good biocompatibility and great esthetics. However, like all materials, they are not without their challenges. Even the best materials can fail if they're not prepared, fabricated, or maintained properly.

Let’s explore common failure modes, how to prevent them, and the essential supplies needed to improve patient satisfaction.

Key Takeaways

• Ensure precise tooth prep and accurate impressions to prevent poor fit and open margins.
  
  

• Follow proper bonding and cementation protocols to avoid crown loosening.
  
  

• Polish and finish zirconia carefully to reduce chipping, fractures, and wear on opposing teeth.
  
  

• Choose the right zirconia type and shade for strength, esthetics, and long-term patient satisfaction.

Poor Fit & Marginal Gaps

One of the biggest issues with zirconia crowns can be poor fit. Margins may be open, crown height too short, or axial walls too tapered, which leads to weak retention or gaps that let saliva and bacteria seep in. 

These errors happen often when the tooth preparations are not ideal, or when the impressions or scans are distorted. Laboratories can also miss when milling or overlook die-spacer settings. This leads to crowns that rock or fail to seat fully.

How to avoid it:

Start by using the most accurate impression or digital scanning system available. Next, prepare the tooth with proper geometry. This means creating clear shoulder or chamfer margins and keeping the taper sufficient (enough for retention, but not too much). Make sure there are no undercuts, and clearly communicate the margin design to the lab.

At the try-in stage, check the crown’s fit with articulating paper and radiographs, adjusting any high points carefully with fine diamond burs. Before cementation, always inspect the inside surfaces of the crown to confirm they are clean and ready.

Bonding & Cementation Failures

Even strong zirconia crowns will loosen if the bond between the crown and tooth fails. Problems include inadequate surface preparation (both tooth and inside of crown), moisture contamination, using cements that aren’t compatible with zirconia or not priming surfaces.

Flexible resin cements also sometimes distort under load with rigid zirconia, causing the crown to come loose after a while.

How to avoid it:

Clean the crown’s internal surface before cementation, and follow the adhesive or cement system’s manufacturer instructions closely. Use proper isolation during bonding to prevent contamination. Always check the fit before applying cement, as forcing an ill-fitting crown increases the risk of future debonding.

Chipping, Fractures, and Material Weakness

While zirconia is strong, it is not invincible. Thin margins, sharp internal line angles, or too-little thickness of material in certain zones are common causes of fracture. The veneered porcelain may chip, if you are using layered zirconia. In newer translucent zirconia materials, sacrifices in strength can occur if esthetics are pushed too far.

How to avoid it:

Ensure proper tooth reduction so the crown has enough thickness for strength. Avoid sharp angles during preparation, as they create stress points. During adjustments, use fine diamond burs at low pressure to prevent micro-fractures. Also, check occlusion carefully, as uneven bite forces are one of the main causes of zirconia chipping.

Wear on Opposing Teeth and Surface Roughness

Because zirconia is a hard material, it can cause excessive wear on opposing natural teeth or restorations if its surface is not polished well. Also, rough polishing or grinding can introduce micro-scratches or residual stresses that accelerate degradation or staining.

How to avoid it:

Polish zirconia crowns thoroughly after any adjustment using the right polishing systems. A rough surface is abrasive, while a smooth, glazed surface is kinder to opposing enamel. Check occlusion at delivery and adjust high spots carefully. Regular follow-up helps catch early wear before it becomes a bigger issue.

Sensitivity, Esthetic Mismatches, and Shade Issues

Patients often report sensitivity (especially at margin) or a shade mismatch over time. Part of it comes from marginal opening, thin edges, or when the preparation or impression does not capture fine margin details.

Newer zirconia types are more translucent, but that also means backing shade (core or abutment) influences final look.

How to avoid it:

Choose the right type of zirconia for the case: high-translucency zirconia for visible front teeth, and high-strength zirconia for back teeth under heavy load. Shade matching should be done with good lighting and a shade guide, and communicate special instructions clearly to the lab. Proper surface finishing and glazing also improve the natural look of the crown.

Cost & Technique Sensitivity

Zirconia crowns usually cost more than many other crowns, both in lab fees and in clinical time. The technique is sensitive: incorrect prep geometry, wrong cement, moisture contamination, rushed lab work, or poor finishing can turn that investment into a remake.

How to avoid it:

Train your team thoroughly on zirconia preparation and cementation. Work with trusted labs or validated in-house milling systems to ensure accuracy. Take the time needed for each step rather than rushing. Use reliable tools to keep the process smooth.

That includes using proper burs, isolation systems, accurate scanners or impression kits, and finishing systems. Finally, discuss costs with patients upfront so they understand the value of the restorative treatment.

Supplies & Tools to Prevent Zirconia Crown Failures

To reduce failure risk, your clinic should have reliable tools and materials including:

• Precision digital scanners or high-accuracy impression materials for accurate margins.

• Tooth prep burs (diamond/carbide) that allow correct margin geometry and minimal thickness.

• Zirconia primers and bonding agents / adhesive cements rated for zirconia.

• High-quality polishing kits and finishing burs for both inner adjustments and outer surfaces.

• Occlusion checking tools (articulating paper, bite registration material).

• Night guards for patients who grind, and products for managing occlusion.

• Shade guides and digital shade matching tools to get color right.

• Access to labs (or lab partners) that follow precise milling, sintering, and finishing standards.

Ensure your practice is fully equipped to handle any zirconia crown challenges by exploring the wide range of products available at Safco Dental Supply. Transform the way you practice dentistry!

FAQs

Why do some zirconia crowns come off soon after placement?

Often because of poor bonding (improper surface prep, moisture contamination) or inadequate retention geometry in tooth preparation, plus open margins leading to cement washout.

Can zirconia crowns chip or fracture easily?

Yes, especially in thin margins, sharp internal angles, or when secondary forces (like bruxism) are present. Using monolithic zirconia or ensuring material thickness helps.

How do I reduce wear on opposing teeth?

Polish the zirconia surface well, check occlusion to avoid high spots, use glazing, and avoid leaving rough surfaces post-adjustment.

Are translucent zirconia crowns more prone to failure?

They may sacrifice some strength in favor of esthetics, so their use must consider load, tooth position, and supporting structure; ideal for anterior zones but technique and finishing become more critical.

What role does impression/scanning quality play in crown success?

It plays a huge role. Any distortion, missing margin detail, or inaccurate scan leads to poor fit, gaps, and marginal issues. A precise impression or scan is foundational.

How can patient habits affect zirconia crown lifespan?

Habits like bruxism (grinding), chewing hard foods, lack of hygiene around margins, smoking or acidic diet can all contribute to wear, chipping or marginal breakdown over time.

Infection control forms the everyday rhythm of a dental assistant. It shapes how each appointment flows and ensures that patients are protected.

Infection control may seem challenging, but the correct protocols make it easier to keep things running smoothly, protect patients, and earn their trust.

Hand Hygiene: The First Line of Defense

The foundation of infection control is simple: clean hands. Yet this basic step is also one of the most powerful ways to stop the spread of disease. Every patient interaction should begin and end with thorough hand hygiene.

The gold standard is washing with soap and water for at least 30 seconds, covering palms, fingertips, the backs of the hands, and wrists. Alcohol-based sanitizers are a good backup when sinks aren’t close by, but they never replace proper scrubbing when hands are visibly soiled.

For a reliable backup in your practice, explore Safco’s collection of hand sanitizers curated for everyday clinical use.

Attention to small details makes a big difference; keeping nails short, removing rings or watches that trap microbes, and avoiding artificial nails all help reduce hidden reservoirs for bacteria. For dental assistants, these habits turn a routine step into a reliable infection-control safeguard.

PPE: The Everyday Armor

Personal protective equipment (PPE) is a compliance standard because it creates a barrier that safeguards both the dental team and their patients.

It starts with the basics: gloves must be changed between every patient and discarded immediately if torn or contaminated. Masks should fit securely over the nose and mouth, and any mask that becomes damp during a procedure should be replaced right away. Protective eyewear or face shields are equally important, guarding against the splashes and aerosols that are a routine part of dental care.

Disposable gowns and jackets add another layer of defense, protecting clothing and skin from exposure to fluids and debris. These should be changed when visibly soiled or between patients, ensuring consistent infection control.

Equally vital is the way PPE is used. Dental assistants should pay close attention to proper donning and doffing techniques, as mistakes during removal can lead to accidental contamination. Even footwear plays a role, as closed-toe shoes made from protective material provide added safety in the operatory, keeping assistants fully prepared for whatever the day brings.

To equip yourself with the best quality PPE, explore Safco’s range of protective masks, gloves, and eyewear.

Sterilization and Disinfection: Behind the Scenes

Protective gear alone can’t safeguard a practice if the instruments aren’t cleaned correctly. That’s where sterilization takes center stage. The sterilization area is truly the heartbeat of infection control, because it ensures that every instrument is processed with precision before it ever touches a patient.

Instruments should first be thoroughly cleaned to remove debris, often using ultrasonic cleaners that dislodge particles more effectively than manual scrubbing. After cleaning, items are carefully packaged and treated with approved sterilants or processed in sterilizers under strict, monitored conditions. Autoclaves and other sterilization units must operate at the correct time and temperature, while routine use of biological indicators such as spore tests confirms that the sterilization process is consistently effective.

Sterilization, however, goes beyond instruments. High-touch clinical surfaces, such as dental chairs, countertops, light handles, and delivery units, require disinfection between every patient. Disposable barriers should also be swapped out promptly, giving each patient a fresh and safe environment.

This level of detail not only prevents infection risks but also demonstrates professionalism, reassuring patients and reinforcing their trust they place in the dental team.

To keep your sterilization process consistent, reliable pouches are essential. Safco’s catalog of sterilization pouches offers a range designed to fit the needs of every practice.

Sharps Safety: Staying Vigilant

Few tools in dentistry carry as much risk as sharps. From needles to burs, they demand constant care in handling. Passing them carefully between team members, capping syringes with a one-handed technique, and removing burs from handpieces before they are set aside can prevent common accidents.

When sharps are ready for disposal, they must go directly into puncture-proof containers designed specifically for biohazardous waste. No shortcuts, no mixing with general trash.

If you need the right equipment for this purpose, shop at Safco Dental’s sharps disposal catalog for the best apparatus.

In the unfortunate case of an injury, immediate action, which includes cleaning the site, reporting the incident, and initiating follow-up care, is critical to protect the health of the assistant and the wider team.

Controlling Aerosols and Waterlines

Every day, dental assistants are exposed to aerosols created by high-speed handpieces, ultrasonic scalers, and air-water syringes. These invisible clouds can carry pathogens that remain suspended in the air.

High-volume evacuation systems, when used properly, significantly cut down aerosol spread. Rubber dams and external suction units add another layer of protection, especially during lengthy or invasive procedures. To keep these systems effective, evacuation line cleaners should be used regularly to prevent buildup, maintain suction power, and reduce the risk of contamination within the lines.

Dental unit waterlines are another area that requires ongoing vigilance. If left untreated, they can harbor biofilm and dangerous microorganisms. Regular flushing, chemical treatment, and the use of waterline purification systems help maintain high-quality water output.  

Routine waterline testing is equally important, verifying that microbial levels remain within safe limits and ensuring compliance with infection control standards.

Standard Precautions: A Universal Mindset

One of the most important infection control principles is adopting the mindset that every patient is potentially infectious. This means “standard precautions” — hand hygiene, PPE, safe instrument handling, and surface disinfection — apply across the board, not just when a patient has visible symptoms or known health concerns.

Evacuation system cleaners are an essential part of standard precautions, as they help prevent cross-contamination by keeping suction lines free of debris and biofilm.

For dental assistants, this mindset removes dangerous guesswork and risk. It ensures consistency in safety practices and reduces the chances of lapses in judgment. Reinforcing this culture within the dental team also builds confidence among patients, who can see safety protocols being followed with care during every visit.

Infection Control is an Ongoing Effort

Infection control isn’t a static skill, as it evolves as guidelines change and new products enter the market. That’s why ongoing training is essential for dental assistants. Refresher courses, in-office demos, certifications, and workshops help keep knowledge fresh and ensure no step is overlooked.

From hand hygiene to PPE, sterilization, and aerosol control, infection prevention is part of every task. Consistency makes dental assistants the backbone of a safe, efficient practice.

If you are looking for the right infection control supplies for your dental practice, look no further than Safco Dental’s comprehensive catalog.

FAQs

What is the best method to control infection?

Consistent hand hygiene combined with proper use of PPE and sterilization of instruments is the most effective way to control infection in dentistry.

What are the 4 ways infections spread?

Infections can spread through direct contact, indirect contact with contaminated surfaces, droplet transmission, and airborne or aerosol exposure.

What are two types of infection control?

The two main types are standard precautions (applied to every patient) and transmission-based precautions (applied when specific risks are identified).

How often should dental instruments be sterilized?

All reusable instruments must be sterilized after each patient use to prevent cross-contamination and ensure patient safety.

Do dental assistants need to change gloves between patients?

Yes, gloves should be changed without exception between every patient, and discarded immediately if torn or contaminated.

Why is ongoing training important for dental assistants?

Guidelines and products evolve, so ongoing training keeps dental assistants current, sharp, and consistent in maintaining infection-control standards.

Flap surgery, also called periodontal flap surgery, open flap debridement, or gingival flap procedure, is one of the most reliable methods for treating advanced gum disease. When non-surgical treatments such as scaling and root planing are no longer effective, flap surgery becomes the next step.

It allows dentists and periodontists to access deeper areas of infection, clean them thoroughly, and create a healthier environment for long-term oral stability.

In this blog post, we will show you how the best procedure for a flap operation goes, along with what to expect in its outcomes.

Purpose and Indications of a Flap Operation

Flap surgery is mainly performed to manage persistent periodontal disease. As gum disease progresses, pockets form between the teeth and gums where bacteria can gather and thrive.

Even after deep cleanings, these pockets may remain, which would create a cycle of reinfection. This is where flap surgery comes into play. It allows direct access to such hidden areas, making it possible to eliminate bacteria, remove diseased tissue, and also smooth the underlying bone.

By doing so, it reduces pocket depth, encourages gum reattachment, and restores healthier oral structures.

Preoperative Preparation

Before the procedure, patients undergo a comprehensive consultation. A dentist or periodontist evaluates overall oral health, takes X-rays, and reviews the patient’s medical history to ensure they are fit for surgery.

Preoperative instructions often involve improving daily oral hygiene, adjusting or pausing blood-thinning medications, and quitting smoking.

Depending on the complexity of the case, patients may also be advised to avoid food or drink if sedation is planned. For patients receiving nitrous oxide, the dental team ensures that the appropriate accessories, such as masks and tubing, are prepared and fitted correctly to deliver safe, controlled sedation.

Thorough preparation not only reduces risks during surgery but also improves recovery afterward.

Steps of the Flap Operation

Anesthesia and Incision

Flap surgery begins with local anesthesia to numb the treatment area. In certain cases, sedation may be provided to help the patient remain calm and comfortable. Once anesthesia takes effect, the dentist creates a small incision in the gum tissue.

This incision allows the gum to be lifted gently away from the teeth, exposing the roots, supporting ligaments, and bone.

To shop for the best anesthetics for your practice, check out Safco’s diverse dental anesthetics catalog that includes injectables, topicals, and more.

Debridement and Cleaning

With the gum tissue lifted, the dentist can clearly see and access deposits of tartar and plaque. Diseased tissue is then carefully removed, and the roots are thoroughly cleaned to eliminate bacterial buildup.

This process, called debridement, helps stop infection and creates a stable foundation for healing afterwards.

Bone Management and Regeneration

If bone loss has occurred due to periodontal disease, the dentist may reshape the bone surface to reduce irregularities where bacteria could hide. In some cases, bone grafting or regenerative materials are placed to promote new bone growth.

This step is particularly important for patients with deep periodontal defects, as it supports the regeneration of lost structures.

Safco offers a variety of bone grafting and tissue augmentation materials, so you can help your patient with their bone repair in the finest manner.

Flap Repositioning and Closure

This is the final step. After cleaning and bone management, the gum flap is repositioned over the teeth. Sutures are used to secure it tightly, ensuring proper healing and creating a new, healthier seal around the tooth. This closure reduces pocket depth and protects the area during recovery.

Types of Flap Surgery Techniques

There are several techniques used depending on the condition of the gums and the desired outcome. One common method is the apically positioned flap, in which the gum is repositioned slightly lower on the tooth to reduce pocket depth. However it has a drawback as well, as it can sometimes cause gum recession.

Another technique, known as the modified Widman flap, involves a more conservative approach where minimal tissue is lifted. This technique focuses on carefully removing diseased tissue while maintaining as much healthy gum as possible. The goal of this technique is to help reduce post-operative sensitivity.

Postoperative Care and Recovery

Recovery is a critical phase of any flap surgery. Patients are typically advised to avoid chewing on the treated area during the first few days and to stick to soft or lukewarm foods. Straws, alcohol, and smoking should be avoided because they can disrupt healing and increase the risk of complications.

Pain is usually manageable with OTC anti-inflammatory medications, and in some cases, antibiotics may be prescribed. A protective periodontal dressing may be applied over the surgical site to shield it from irritation.

Oral hygiene is adjusted temporarily, as brushing near the surgical area is avoided for at least a week. Instead, patients may be instructed to use a medicated mouthwash such as chlorhexidine rinses to control bacteria while the gums heal.

In addition to all that, follow-up visits are also essential during this period. Sutures are usually removed within seven to ten days, and the dentist checks the surgical site for proper healing. Gradually, patients resume normal oral hygiene routines, with a focus on future plaque control to protect the surgical results.

Healing Timeline and Outcomes

In the first few days, it is normal to experience swelling, tenderness, and mild bleeding. Within two to three weeks, the gums begin to heal more noticeably, and tissue health improves.

Complete healing of the gum tissue may take several weeks, while deeper bone regeneration can take months. The ultimate goal is to achieve reduced pocket depths, healthier gum tissue, and improved stability of the teeth.

Long-term outcomes depend heavily on the patient’s oral hygiene habits and regular professional cleanings.

Potential Risks and Complications

Although flap surgery is considered safe, it does carry potential risks. Some patients may experience excessive bleeding, infection, or delayed healing. Gum recession is another possible outcome, depending on the surgical technique used.

Patients are advised to contact their dentist immediately if they notice unusual pain, pus discharge, persistent bleeding, or any signs of infection. Early intervention helps prevent complications and ensures better results.

Best Practices for Flap Operation Success

The success of flap surgery depends not only on the skill of the dentist but also on the patient’s cooperation after the procedure. Selecting the right flap design, maintaining strict oral hygiene, and committing to follow-up care are all critical elements of success.

Patients who undergo flap surgery must understand that the procedure is not a cure for gum disease but rather a “management strategy”. Long-term maintenance, including professional cleanings and regular dental checkups, remains essential for preserving the results.

Conclusion

Flap surgery offers reliable treatment for advanced gum disease by enabling deep cleaning, tissue removal, and healthier bone support. With proper care and follow-up, patients can achieve lasting improvements in oral health.

Explore Safco’s range of infection-control and surgical products to support safe, effective periodontal procedures in your practice.

FAQs

Is flap surgery for gums successful?

Flap surgery is generally very successful when patients maintain good oral hygiene and attend follow-up visits, often resulting in long-term gum stability.

How long does dental flap surgery take?

Most flap surgery procedures take about 1 to 2 hours, depending on how many teeth are involved and the severity of the periodontal disease.

Does flap surgery hurt?

Patients do not feel pain during the procedure due to local anesthesia, though some may experience mild discomfort or swelling afterward that can be managed with medication.

What is the recovery time after flap surgery?

Initial healing usually occurs within 1–2 weeks, while complete recovery of gums and supporting bone structures may take several months.

Will gums grow back after flap surgery?

The procedure does not regrow lost gum tissue, but it reattaches the gums to the teeth and reduces pocket depth, helping to create a healthier gum line.

What can patients eat after flap surgery?

Patients are advised to consume soft, lukewarm foods for the first few days and avoid hot, spicy, or crunchy items that could irritate the surgical area.

Dental implants have become a leading solution for tooth replacement, offering patients a durable, natural-looking option for restoring their smiles. 

We aim to provide dental professionals with comprehensive information on dental implants, including the different types available, their benefits, and key considerations for patient care. Understanding these aspects will help dentists and their teams make informed recommendations, ensuring the best possible outcomes for their patients. Whether you're new to implant dentistry or looking to refine your knowledge, this guide will serve as a valuable resource for providing high-quality implant care.

What are Dental Implants?

​​Dental implants are a highly effective and long-term solution for replacing missing teeth, restoring both function and aesthetics for patients. They consist of three main components: the implant post, which is surgically placed into the jawbone to act as an artificial tooth root; the abutment, which connects the post to the final restoration; and the crown, bridge, or denture, which serves as the visible replacement tooth.

Beyond single-tooth replacement, dental implants are commonly used to support implant-supported bridges and full-arch prosthetics, offering stability and durability that traditional dentures or bridges may not provide. By integrating with the jawbone through a process called osseointegration, implants help preserve bone density and prevent the facial structure from deteriorating over time. Their versatility and long-term benefits make them a preferred choice for patients seeking a permanent tooth replacement solution.

Benefits of Dental Implants

Dental implants offer significant advantages, including improved function by restoring a patient’s ability to chew and speak naturally, much like real teeth. They also enhance aesthetics by providing a seamless, natural-looking smile while preventing bone loss and facial sagging. Additionally, implants improve patient quality of life by offering a long-lasting, comfortable solution that eliminates the discomfort and instability associated with traditional dentures.

Main Types of Dental Implants

So, what are the common types of dental implants? Endosteal implants are the most common type of implant. Subperiosteal implants are ideal for patients with significant bone loss who may not be candidates for traditional implants. Understanding these two types of dental implants allows dental professionals to recommend the best solution for optimal patient outcomes.

Endosteal Implants

You may find that your patients want to know, “What is the most commonly used dental implant?”

Endosteal implants are the most commonly used dental implants, consisting of a titanium post surgically placed directly into the jawbone, where it fuses through osseointegration. This process provides a strong, stable foundation for a crown, bridge, or denture, making endosteal implants ideal for patients with sufficient bone density. They are typically recommended for single-tooth replacements or multiple-tooth restorations, offering a durable and natural-feeling solution for long-term oral health.

Subperiosteal Implants

Subperiosteal implants are designed for patients who have insufficient jawbone density and are not candidates for traditional endosteal implants. Instead of being placed directly into the bone, these implants rest on top of the jawbone beneath the gum tissue, with a metal framework that supports the prosthetic teeth. They are an excellent option for patients who prefer to avoid bone grafting but still need a stable and functional tooth replacement solution.

Variations and Specialized Implants

In addition to standard endosteal and subperiosteal implants, specialized dental implants are available to accommodate specific patient needs and conditions. Zygomatic implants, for example, are a solution for patients with severe upper jawbone loss, as they anchor into the cheekbone rather than the maxilla. Mini dental implants (MDIs) are another specialized option, offering a less invasive alternative for patients with limited bone structure or those requiring implant-supported dentures. These advanced implant solutions expand treatment possibilities, allowing dental professionals to restore function and aesthetics even in complex cases. 

Zygomatic Implants

Zygomatic implants are a specialized solution for patients with severe upper jawbone loss who are not candidates for traditional implants. Instead of anchoring into the maxilla, these longer implants are secured in the zygomatic (cheek) bone, which provides a stable foundation for prosthetic teeth. They are typically recommended for patients with significant bone resorption who would otherwise require extensive bone grafting before receiving implants.

Mini Dental Implants

Mini dental implants (MDIs) are smaller in diameter than traditional implants and, like subperiosteal implants, are designed for patients with limited bone density or those needing a less invasive tooth replacement option. They are commonly used to stabilize implant-supported dentures or replace small teeth in areas with minimal bone support. Their benefits include a shorter healing time, reduced surgical complexity, and the ability to provide immediate function in many cases, making them an excellent choice for patients seeking a quicker and more affordable implant solution.

All-On-4 Implants

The All-On-4 system is an advanced full-arch restoration technique that uses just four strategically placed implants to support a complete set of prosthetic teeth. This approach maximizes existing bone structure, often eliminating the need for bone grafting, making it a more efficient and cost-effective solution for patients with significant tooth loss. Its appeal lies in its ability to provide a stable, natural-looking smile with faster recovery times, often allowing patients to receive same-day temporary restorations for immediate function.

Helping Patients Compare Dental Implant Types

Patients will want to know, “What type of dental implant is best?” 

The answer varies from case to case. You as a dental professional play a crucial role in helping patients evaluate their implant options by thoroughly assessing their oral health, bone structure, and specific needs. Prioritize discussing all available implant types, including the benefits and potential drawbacks of each, ensuring that your patients understand options such as endosteal, subperiosteal, mini implants, and All-On-4 systems. Additionally, consider factors such as cost, treatment timeline, and the patient's overall health when advising on the best course of action. Providing clear, honest communication and personalized recommendations helps patients make informed decisions that align with their goals and expectations.

Durability and Longevity

The lifespan and maintenance needs of dental implants can vary depending on the type and material used. Endosteal implants, typically made from titanium, are durable and can last 20+ years with proper care, requiring regular checkups and occasional adjustments. In contrast, mini implants, though a more affordable option, may have a slightly shorter lifespan due to their smaller size and are more prone to wear, requiring closer monitoring and possibly more frequent maintenance. Proper oral hygiene and routine dental visits are essential for both types to ensure long-term success.

Suitability for Different Patients

When recommending different types of dental implants, factors like bone health and oral anatomy are crucial in determining the best fit. For instance, endosteal implants are ideal for patients with sufficient healthy bone to support the post, while subperiosteal implants are recommended for patients with inadequate bone density, as they sit on top of the jawbone but beneath the gum tissue. The choice between the different types of dental implants depends on the patient’s specific anatomy and the amount of available bone for anchorage.

Cost Considerations

Financial implications of dental implants vary depending on the type of dental implant, the complexity of the procedure, and the materials used. For example, endosteal implants tend to be more expensive due to their complexity and the need for sufficient bone, while mini implants are more cost-effective as they require less invasive procedures and are suitable for patients with smaller spaces. Insurance coverage for implants can be limited, so it’s important for patients to check their plan’s coverage and explore financing options for these procedures.

Factors to Consider When Choosing a Dental Implant

When planning implants for patients, dental professionals should consider the following critical factors:

• Bone Density and Structure: Bone quality plays a crucial role in the success of dental implants, as adequate bone density and structure are needed for proper support and stability. 

Patients with insufficient bone may require bone grafts or alternative implant options to ensure long-term success.

• Oral Health Assessment: Assessing a patient’s oral health is essential for implant planning, as conditions like gum disease or tooth decay can compromise the success of the implant. 

A healthy oral environment ensures proper healing and integration of the implant with the bone, reducing the risk of complications and failure.

• Individual Patient Considerations: Patient-specific factors, including medical history, aesthetic goals, and lifestyle, play a crucial role in implant planning. Medical conditions like diabetes or smoking can affect healing, while aesthetic preferences may influence implant type and placement.

Supplies to Support Your Dental Implant Procedures

Performing dental implant procedures requires a range of specialized supplies to ensure precision, safety, and optimal patient outcomes. Key supplies include:

• Bone Graft / Tissue Augmentation Materials: Essential for enhancing bone structure and supporting implant stability, these materials facilitate bone regeneration in cases of insufficient bone mass. Used in pre-implant procedures or simultaneously with implant placement.

• Surgical Instruments: A variety of instruments, such as scalpels, periosteal elevators, and tissue forceps, are needed for precise incisions, tissue management, and implant placement.

• Sutures: Critical for securing soft tissue after implant placement or grafting procedures, sutures promote proper wound closure and healing. 

• Cotton Pellets: Used for hemostasis and blood absorption, cotton pellets help control bleeding and maintain a clear surgical field. Epidri are 100% cotton pellets that aid in retraction.

• Sponges: Vital for blood management, sponges assist in maintaining a dry surgical site by absorbing excess blood. Available in different sizes to suit various procedural needs, Safco is a trusted supplier of dental sponges.

• Soft Tissue Trimmer: Utilized to refine and manage soft tissue post-suturing, soft tissue trimmers offer a controlled alternative to electrosurgery when minimizing bleeding is a priority. 

• Electrosurge Unit: Provides electrical cauterization for controlling excessive soft tissue bleeding, ensuring optimal visibility and cleanliness of the surgical area. 

These supplies ensure each step of the implant procedure is performed with precision, enhancing both clinical outcomes and patient care. Proper selection and handling of these materials contribute to smoother surgeries and improved long-term success of dental implants.

Get Supplies for Your Dental Implant Procedures from Safco

Safco Dental Supply offers a comprehensive range of high-quality products for dental practices performing implant procedures including our collection of oral surgery supplies. We offer products such as Foundation™, a material that provides support for implants, bridges, and dentures, and Ceramir® Bioceramic Implant Cement that helps reduce the risk of peri-implant disease. 

Enjoy free shipping for orders over $250 and exceptional customer service to support your practice's success.

A good bedside manner is a crucial element in creating a positive patient experience and fostering trust in dental practices. 

So, what makes a good bedside manner? How a dental professional communicates, empathizes, and interacts with patients can significantly impact their comfort, satisfaction, and overall perception of the care they receive.This practice of attentive, compassionate care is an essential tool in supporting patients’ well-being and promoting a trusting environment.

The Importance of Bedside Manner

Bedside manner is essential in a dental office, as it directly affects how patients perceive their care and their overall experience. A dentist or dental professional with a warm, compassionate approach can make patients feel more comfortable, valued, and understood. This leads to stronger patient trust, higher satisfaction levels, and a greater likelihood of patients returning for future visits or recommending the practice to others. A positive bedside manner helps create a welcoming environment that fosters long-term relationships and encourages patients to prioritize their dental health.

The following subsections will explore the significant impacts of good bedside manners:

• Impact on Patient Trust and Satisfaction

• Role in Reducing Anxiety

Impact on Patient Trust and Satisfaction

Good bedside manners are a cornerstone of building patient trust and satisfaction with medical professionals. When healthcare providers approach patients with empathy, respect, and clear communication, they foster a sense of comfort and security. Patients are more likely to feel heard and understood, which can significantly enhance their confidence in the care they are receiving.

When medical professionals take the time to engage with patients in a friendly and compassionate manner, it not only alleviates fear or discomfort but also strengthens the patient-provider relationship. This rapport increases the likelihood of patients returning for regular checkups, following through with treatment plans, and recommending the practice to others, ultimately contributing to the practice’s long-term success. 

Role in Reducing Dental Anxiety

Good bedside manner can have a significant impact on reducing a dental patient's anxiety, particularly when it comes to more intensive or complex procedures. Many patients experience heightened stress or fear when facing treatments like extractions, root canals, or oral surgeries. A dentist who demonstrates empathy, patience, and clear communication can help alleviate this anxiety by explaining the procedure in simple terms, answering any questions, and reassuring the patient that they are in good hands.

Taking the time to listen to the patient's concerns, offering comfort during the procedure, and providing relaxation techniques can go a long way in making them feel more at ease. 

Establishing Effective Communication

Effectively communicating with patients is essential, as it ensures patients feel understood, comfortable, and confident in their healthcare provider’s care. Good communication builds trust, helps alleviate anxiety, and improves patient compliance with treatment plans. It involves not just explaining procedures clearly, but also listening actively to patient concerns and preferences, which allows dental professionals to address specific needs and create an individualized care approach.

The following subsections will dive deeper into two crucial aspects of effective communication with patients:

• Active Listening Techniques

• Using Clear and Patient-Friendly Language

Active Listening Techniques

Dental professionals can use active listening techniques by fully focusing on the patient, making eye contact, and giving them time to express concerns without interrupting. This shows the patient that their input is valued and helps the dentist gather important information about their needs or anxieties.

Using Clear and Patient-Friendly Language

Dental professionals can speak more clearly by using simple, non-technical language and avoiding dental jargon, ensuring the patient understands each step of the treatment process. By breaking down complex terms into easily understandable explanations, they make the patient feel more comfortable and informed.. This approach fosters trust, helps patients feel more in control of their care, and ultimately enhances their overall experience.

Building Rapport with Patients

Establishing a positive and professional rapport with patients is crucial for creating an environment where they feel comfortable and confident in their care. When patients trust their medical professionals, they are more likely to be open about their concerns, adhere to treatment plans, and return for regular visits. A strong rapport also helps alleviate any anxiety, making the dental experience more relaxed and cooperative.

The following subsections will detail how to build rapport with patients through key practices:

• Personalizing Patient Interactions

• Demonstrating Empathy and Compassion

Personalizing Patient Interactions

Dental professionals can personalize patient interactions by addressing them by name, engaging in light conversation, and asking about their preferences or concerns. This creates a sense of recognition and respect, making patients feel valued as individuals rather than just another appointment.

Demonstrating Empathy and Compassion

You can exemplify empathy and compassion by actively listening to patients' concerns, validating their feelings, and providing reassurance throughout their treatment. Showing understanding, especially during stressful or uncomfortable moments, helps patients feel supported and cared for. This empathetic approach builds trust, reduces anxiety, and strengthens the rapport.

Dealing with Anxious or Difficult Patients

Handling difficult or anxious patients is a common challenge in dental practices, but it is one that can be addressed with empathy and care. Patients often experience fear or discomfort related to dental procedures, making it essential for dental professionals to create a calm and reassuring environment. By providing support and demonstrating understanding, dental teams can help alleviate stress and ensure comfort for both the patient and staff.

The following considerations will provide insight on how to handle anxious patients:

Strategies to Alleviate Patient Anxiety

Medical professionals can support anxious patients by creating a calm, welcoming environment and offering reassurance throughout the appointment. Using a gentle tone, explaining each step of the procedure, and allowing the patient to ask questions helps reduce uncertainty and fear. Additionally, offering breaks or alternative comfort measures, like relaxation techniques or music, can further ease anxiety.

Importance of Patience and Understanding

Dental and medical professionals can practice patience and understanding by remaining calm and composed, giving patients time to express their concerns without rushing them. Acknowledging their feelings and offering a supportive presence, whether through gentle reassurance or adjusting the pace of the procedure, can make a significant difference.

Enhancing Team Bedside Manner with Training

Training your practice team on the keys to good bedside manner is essential to ensure every patient feels valued, respected, and comfortable. A team that communicates effectively, demonstrates empathy, and is mindful of patient anxieties can significantly enhance the overall patient experience. Investing in training not only fosters a compassionate environment but also promotes a culture of care that reflects positively on the entire practice.

Take pride in your practice and pair your bedside manner with quality dental supplies and instruments from Safco Dental Supply including hygiene supplies, endodontic supplies, pediatric  dental supplies and more. 

By way of introduction, my name is Adam Smith. I am currently the part owner of a dental practice called Oxford Dental Care. However, I got my start in the dental industry several years ago with a company called Dental Intel. I was their original data analyst tasked with analyzing the financials and the data of a few hundred different dental practices. It was during that time where I realized the power of using data to make informed decisions to achieve desired results. A few months ago I had the idea to interview some of the most successful dentists that I could find when it comes to attracting new patients. Now remember, I am a huge number geek, so when I say successful I am looking at ROI and not just patients in the door. I don't care how many patients you get in the door if you spend all of your income doing it!

As I discussed this idea with several colleagues, many of them expressed interest in seeing the results. I reached out to Safco to see if they would be interested in running some articles that would provide in-depth marketing strategies from dentists who are getting phenomenal results. So here we are! Now let's get to the value!

I recently had the chance to interview Dr. James Willis who is the owner of Burke Dental in Burke, Virginia. Dr. Willis has owned his practice for about four years now. If you ask Dr. Willis, he will be the first to admit that he struggled getting new patients initially. I was aware of his frustration early on, so when I heard that things had really turned around for him, I obviously wanted to find out more.

Adam Smith: What are some things that you were trying early on in your practice that didn't provide the ROI you expected?

Dr. Willis: When I first purchased my practice, we put a lot of focus into print marketing. I sent out post cards on a monthly basis for about three years. I invested $149 per month into these with only a few new patients coming in off of them in total. I will say that I let these run longer than I probably should have, but I was really hopeful that they would work. I am not saying that these don't work. I am sure they work for some people, but for us, with our offer and our market, they were very unfruitful.

Adam Smith: What is working now? Can you provide details of how long you have done it for, how long it took to start working, how much it cost, which companies you used and how many patients you got from it?

Dr. Willis: I am getting a majority of my new patients through online marketing and patient referrals. Patient referrals come because we work really hard to take great care of our patients. When they give us a compliment we ask them to refer their friends, and then we send them a thank you gift when they do. Our digital marketing is something that took me a long time to get going with, but has been a great tool for attracting new patients.

I had a friend who reached out to me to tell me about a company he had started using to help him with his online presence. He was seeing great results and gave me the contact information. I had been looking at digital marketing options and gathering as much information as I could. I had one phone call with the owner of that company and he blew away all of the knowledge that I had gained in my research. We are only a few months into the campaign and we are already seeing awesome new patient flow coming from online.

Adam Smith: Can you give me some ROI details?

Dr. Willis: We are still very early in the process, but let's just say that I have seen more new patients on a weekly basis coming from online than I saw for my ENTIRE post card campaign. I can't give the exact ROI at this point because the number of new patients is still increasing month over month, but it is well over 500% per month if I am just counting the initial visit.

Adam Smith: What advice would you give a new dentist when it comes to marketing?

Dr. Willis: When planning your marketing strategy, ask yourself several questions and take adequate time to carefully consider your responses.

1. What kind of practice do you want to build?
2. What are the practice areas that you want to focus on? What type of dentistry do you enjoy providing?
3. Are you primarily interested in treating children, young adults, the elderly?
4. Are you in a densely populated area or in a more sparsely populated area?
5. Will your ideal new patient be likely to use the internet to find a dentist, or should you focus more on printed media?
6. What is the average level of education of the population you hope to attract?
7. What is the average income of the population likely to come to your location? Income levels may have a direct impact on the types of procedures you want to feature in your marketing campaigns.

Practicing the type of dentistry you want to provide to the demographic of your ideal patient directly impacts your day-to-day enjoyment of your job.

A new patient told me today, "you really do love what you do, don't you. It shows, and that makes me feel happy about my decision to come here". Regarding the type of marketing you use, you need to know the type of person you are targeting. But above all, build yourself a strong reputation by treating every single patients with respect and provide the best dentistry you are capable of providing. Word-of-mouth marketing is powerful. Your strongest marketing team is your patient family who will recommend you to their family, friends, neighbors, and colleagues.

Remember, and this was difficult for me to figure out, build a marketing strategy with multiple pieces, don't just look for a silver bullet.

Adam Smith
Oxford Dental Care

Pulp capping is a method of restorative endodontic treatment that, in some cases, can provide an alternative to root canal treatment for a decayed tooth.

Safco Dental Supply is your one-stop expert resource for dental procedure supplies and information. Continue reading for a full breakdown of pulp capping – as well as which supplies you’ll need to complete this procedure for your patients successfully.

What is Pulp Capping?

Pulp capping treatment may be recommended when the decay inside the tooth has not yet reached the pulp. 

In most cases, dental pulp capping is done to avoid root canal treatment and provide the patient with the opportunity to seek a less invasive treatment method to save the integrity of their natural tooth.

If the enamel and dentin have been affected by damage or decay but the pulp remains healthy, it is possible to avoid a root canal and complete a pulp cap instead. For many patients, this can be an attractive treatment option.

The Steps Involved in a Pulp Cap Procedure

Below are the steps that are typically involved in a dental pulp cap procedure:

1. Decay is removed
2. Sedative material is placed (protects pulp from bacteria)
3. Filling is placed

These three simple steps are typically used to carry out what is known as direct pulp capping.

Depending on the type of pulp cap procedure that is being done, additional steps may be carried out. Let’s touch on the two different types of capping procedures: direct pulp capping and indirect pulp capping.

Direct vs. Indirect Pulp Cap

There are two types of pulp cap treatment: direct and indirect. 

Direct pulp caps are done when decay has left a healthy dental pulp exposed. The steps that have been listed above are typically used to carry out a direct pulp cap procedure.

Indirect pulp caps are done when the decay is very close to the pulp. In this case, if a direct pulp cap was to be done, there is a risk of the pulp being damaged or exposed when the decay is removed. 

During an indirect pulp cap, a minimal amount of decay is left near the pulp and the area is covered with a dentin bonding agent – such as glass ionomer or calcium hydroxide. These substances typically help prevent bacteria growth and can encourage dentin regeneration. While it may seem counterproductive to leave a small bit of decay, properly sealing the dentin can actually encourage regeneration.

After the cavity has been filled with a temporary filling, progress will be monitored after a period of six to eight months. The temporary filling is removed in order to allow the provider to take a thorough look at the healing and regeneration. If needed, residual decay is removed before a permanent filling is placed at last.

Indirect pulp capping may typically be used on primary (baby) teeth, while direct pulp capping is better suited to secondary (adult) teeth.

Risks and Complications of a Pulp Cap

Of course, it is important to ensure that your patients are informed of the possible risks and/or complications that may come along with dental pulp capping.

The most important risk to consider is that the pulp cap procedure may not be successful if the decay and/or bacteria reach the pulp of the tooth after the procedure has been completed. The patient may then develop pulpitis, which would in turn call for a root canal in most cases. In some extreme cases, extensive decay or damage may necessitate an extraction.

Patients should be made aware that their pulp capping treatment may not provide a permanent solution, and that a root canal (or even an extraction) may possibly be needed in the case that their treatment fails. Ensuring that your patient is a fully-informed partner in their treatment is the best way to create a secure patient-provider bond.

It is also important to ensure that your patient fully understands the importance of maintaining proper oral hygiene at home. Maintaining a healthy oral environment is imperative to the success of pulp cap treatment – as well as ensuring the health of the rest of the mouth.

Essential Supplies & Equipment for Pulp Capping

In order to provide the best possible treatment for your patients, it is imperative to ensure that you are using the right supplies and equipment.

Below is a list of essential supplies and equipment for dental pulp capping:

• Zinc Oxide Eugenol (ZOE): Used for pulp tissue preservation
• Glass Ionomer (GI): Used as a lining prior to filling placement/dental bonding agent
• Resin Modified Glass Ionomer (RMGIC): Used as a lining prior to filling placement/dental bonding agent
• Adhesive materials/adhesive systems: Used to encourage proper and thorough sealing
• Calcium hydroxide cement: Used as a sedative (temporary) filling to discourage bacterial growth; strong antibacterial properties
• Mineral Trioxide Aggregate (MTA): Used as a sedative (temporary) filling. Protects the pulp and encourages repair and regeneration with antibacterial properties

Of course, the materials and equipment that you use during your pulp cap procedures is at your discretion and depends upon your preferences. The Safco Dental team is here to help you select the dental supplies that work best for both you and your patients.

Get Insights on a Variety of Dental Procedures from Safco

Providing your patients with top-tier treatment has never been more achievable. The Safco Dental Supply team is here to provide you with the information, products, and supplies that you need in order to provide your patients with the best possible treatment experience.

With the information you have learned here, you will be well-equipped for providing your patients with the best possible experience during their pulp capping treatment.

For high-quality dental products, place your trust in Safco Dental Supply. We provide a wide range of products to fit every need, with free shipping on orders over $250. From crown and bridge supplies to endodontic supplies, we have you covered.

We strive to get you your products as fast as possible. All orders placed before 4:30 pm CST (3:30 pm on Friday) are shipped out same-day.

Give us a call at 800.621.2178 to speak with one of our experts about dental pulp capping materials.

While there may be many factors pertaining to a dental visit that may pose a concern for your patients, a possible allergic reaction to local anesthetic may not initially be a factor that is considered. 

The possibility of a local anesthetic allergy may be understandably harrowing for your patients, but you can put them at ease by helping them understand that adverse reactions to lidocaine or novocaine are quite rare.

Knowing how to identify the signs of a dental anesthesia allergy and react to the issue at hand is absolutely crucial. In this article, we will discuss the signs of an allergic reaction to dental anesthesia, as well as the responsive steps that should be taken. It is important to note that this is for informational purposes. If you or someone you know is experiencing symptoms of an allergic reaction, we recommend consulting a health practitioner.

Safco Dental Supply is proud to be your trusted source for quality dental supplies; we provide a wide range of both injectable anesthetics and topical anesthetics. 

What is an Anesthesia Allergy?

To better understand anesthetic allergies, it is important to first understand what an allergy actually is.

Allergies occur when the immune system fails to recognize a certain substance and creates an overreaction to it in order to “protect” the body. These substances, known as allergens, may range anywhere in nature from pet dander to anesthetic substances. An allergic reaction can range in severity from slight discomfort to life-threatening.

So, can you be allergic to anesthesia? In most cases, a true allergic reaction is extremely rare. In fact, it is currently estimated that just 1% of all reactions that occur during local anesthesia are due to “true” anesthesia allergies.

In most cases, adverse symptoms that are experienced after the use of local anesthesia are typically attributed to an adverse reaction to epinephrine. 

Epinephrine is used in local injections to ensure that the blood vessels constrict, decreasing blood flow to the area and ensuring that the anesthesia is as effective and long-lasting as possible.

Adverse effects or allergic reactions may also occur due to an allergy or sensitivity to:

• Latex
• Sulfites
• Preservatives (such as methylparaben or propylparaben)
• Antioxidants

What are the Symptoms of Having an Allergic Reaction to Dental Anesthesia?

To understand the symptoms of an allergic reaction to anesthesia, you have to know what kind of anesthesia you may have been administered. In most cases, there are two types of anesthetics that may be used for local injections: lidocaine and novocaine. 

Novocaine has been used in dentistry since the early 1900s. For decades, it was the dental industry’s standard numbing agent. While it has proven to be safe and effective in most cases since its introduction, it may sometimes produce side effects such as anxiety, dizziness, allergic reactions (swelling/redness) at the injection site, or restlessness. 

Lidocaine was developed as a successor to novocaine in the late 1940s and is now the most commonly-used dental anesthetic. Lidocaine does not take as long as novocaine to take effect, lasts longer, and produces less risk of side effects. 

While a true allergic reaction to dental anesthetics is rare, they do occur. Below, we will break down the common symptoms of lidocaine and novocaine allergies.

Lidocaine Allergy Symptoms

In the case of an allergic reaction, knowing which symptoms to watch for can help you identify and treat the issue as fast as possible.

Some common allergy to lidocaine symptoms include:

• Anxiety
• Anaphylaxis
• Edema
• Nausea
• Vomiting
• Hyperventilation
• Changes in blood pressure or heart rate
• Unconsciousness
• Sweating
• Urticaria
• Swelling of the tongue, face, and/or lips

Novocaine Allergy Symptoms

In most cases, the local anesthetic reactions that are associated with novocaine are similar to the reactions that are associated with lidocaine. 

Common novocaine anesthesia reactions symptoms include: 

• Anxiety 
• Anaphylaxis
• Nausea
• Vomiting
• Hyperventilation
• Changes in blood pressure or heart rate
• Unconsciousness
• Sweating
• Urticaria
• Swelling of the tongue, face, and/or lips
• Dizziness
• Swelling/redness at the injection site
• Restlessness

It is important to remain diligent and watch for signs of these symptoms throughout your patient’s visit. Even if symptoms do not appear immediately after injection, some patients may experience a delayed allergic reaction to novocaine or lidocaine.

What Should You Do if You Suspect a Patient Has an Anesthesia Allergy?

If you notice any of the above symptoms after you have administered anesthesia, you may begin to suspect that your patient has a dental anesthesia allergy. In this case, it is best to have a plan in place to manage your patient’s health. 

Below are some actions that may be taken to minimize adverse local anesthetic reactions:

• Encourage the patient to stay as relaxed as possible
• Lower the patient to a supine position with legs elevated to prevent fainting and regulate blood pressure
• Loosen any tight clothing and/or remove tight jewelry around the patient’s neck
• Provide the patient with a glucose drink
• Refer the patient for thorough allergy testing

If a true allergic reaction has been identified, the patient should be referred directly to the allergy clinic inside the hospital. If the patient appears to be exceptionally distressed or is presenting life-threatening symptoms (such as anaphylaxis), they should immediately be transferred to the hospital for emergency treatment. 

Anaphylaxis is typically treated with an injection of epinephrine or antihistamines. Intravenous fluids may be used, as well.

If the direct cause of the symptoms can not be identified with certainty, contact should be made with the hospital to refer the patient and discuss the findings of further investigations.

Ensure that your patient understands the importance of requesting local anesthetic allergy alternatives - such as septocaine or mepivacaine - during any dental work that they receive in the future. An annotation should be made in their chart, as well.

How Safco Keeps Patients a Priority

We know that as a dental professional, the health and safety of your patients is priority number one. Here at Safco Dental Supply, we share your passion and dedication for your patients, as well.

With the information you have learned here, you are now equipped with a solid understanding of how to treat an allergic reaction to lidocaine or novocaine. While allergic reactions to local anesthetics are rare, it is important to have a responsive plan in place.

For high-quality dental products, place your trust in Safco Dental Supply. We provide a wide range of products to fit every need, with free shipping on orders over $250.

We strive to get you your products as fast as possible. All orders placed before 4:30 pm CST (3:30 pm on Friday) are shipped out same-day.

Give us a call at 800.621.2178 to speak with one of our experts.

Dental sensitivity can be disruptive to daily life. If you have started experiencing sensitivity in your teeth, you may wonder what caused it.

In this blog, we'll discuss why teeth become sensitive, the common symptoms of sensitive teeth and how to relieve sensitive tooth discomfort. We will also cover some common symptoms of sensitive teeth and ways to relieve the discomfort that often comes along with tooth sensitivity.

What Causes Teeth Sensitivity?

• Teeth sensitivity is typically caused by worn tooth enamel.
• Factors that may cause teeth sensitivity include:

1. Tooth-Brushing Habits

Believe it or not, your teeth-brushing habits can actually lead to tooth sensitivity!

Applying too much pressure while brushing can be harmful to your teeth. Hard brushing may lead to an increased risk of developing sensitivity issues.

While you may have good intentions, brushing too hard may cause the enamel to wear away. This leaves the inner layer of dentin exposed. In turn, you may experience increased sensitivity to hot and cold sensations.

Using a hard-bristled toothbrush can also have the same effect. It’s best to use a toothbrush for sensitive teeth. A sensitivity toothpaste can also help protect your teeth and gums.

2. Teeth Whitening

Teeth whitening can be effective for removing stains or discoloration. It may also lead to tooth sensitivity. Sometimes, previously-existing tooth sensitivity may prevent some people from pursuing teeth whitening.

It is not yet fully understood why teeth whitening causes sensitivity. However, it is believed that whitening agents leave the teeth more porous. This leaves the more delicate layer of dentin exposed. In turn, this often leads to tooth sensitivity.

3. Periodontal Disease

Periodontal disease (also known as gum disease) is a serious infection of the gum tissues. It occurs due to a high amount of bacteria both above and below the gum line.

When bacteria thrive inside the mouth, it eats away at the gum, tooth, and bone structure over time. This eventually leads to significant gum and bone recession.

It also increases the risk of tooth decay, as the protective layer of tooth enamel begins to wear away. Consequently, gum disease may also lead to increased tooth sensitivity for some people.

4. Eating or Drinking Highly Acidic Foods & Beverages

The foods and beverages we eat have a direct effect on the health of our teeth. Eating or drinking foods or beverages with high levels of acidity can cause the enamel to wear away. This increases your risk for tooth sensitivity.

Some examples of acidic foods and beverages include:

• Soda and Energy Drinks
• Sweetened Tea
• Citrus Fruits
• Tomatoes
• Processed Meats
• Grains
• Dairy
• Nuts

It’s best to avoid acidic foods and beverages whenever possible. If you do consume acidic food, it is best to brush immediately afterward. This helps ensure that harmful acids are not able to remain on the surface of the teeth or gums.

5. Tooth Sensitivity After Filling

If you have recently had a filling and are experiencing sensitivity, you may be wondering why. After all, fillings are done to protect and restore the teeth, aren’t they?

It is completely normal to experience sensitive teeth after a dental filling. The process of placing a filling can cause a bit of aggravation or irritation of the tooth’s central nerve. This is especially true for large fillings.

How long does tooth nerve sensitivity last after a filling? This may vary, but sensitivity typically fades after just a few days. As your filling sets and the sensitive tooth nerve heals, you will notice an improvement.

Below are some examples of things you can do to avoid or minimize sensitivity after a filling:

• Avoid foods and beverages that are extremely hot or cold
• Avoid acidic or sugary foods and beverages
• Maintain proper oral home care
• Avoid chewing on hard or sticky substances 

6. Recent Dental Procedures

There are other dental procedures that may cause sensitivity, such as:

• Root Canal: A root canal is needed when the central nerve of the tooth becomes damaged or infected. This typically occurs when the tooth withstands considerable damage or decay.

During the root canal procedure, the dentist enters the tooth and cleans out all signs of decay. They will then remove the nerve from the tooth entirely. A synthetic material is placed inside the central canal of the tooth in its place. The tooth is then filled and sealed. 

• Crown or Bridge Preparation: The dentist will remove all signs of decay and place a large filling. In some cases, a root canal will be done prior to a crown or bridge placement.

The tooth is then reduced on all sides to make space for the crown or bridge. The crown/bridge will then be cemented into place over the top of the natural tooth structure.

These procedures tend to be invasive in nature. Consequently, it's quite common to experience tooth sensitivity afterward.

7. Why Are My Teeth Sensitive to the Cold?

The central nerve of the tooth is responsible for the tooth’s ability to feel sensations. When the central nerve becomes exposed, you will experience sensitivity or pain in return. Tooth sensitivity does not only occur due to cold; it can be triggered by hot temperatures, as well.

Below are some reasons that you may experience tooth sensitivity to hot or cold:

• Tooth Decay
• Periodontal Disease
• Hard Brushing Habits/Hard-Bristled Toothbrush
• Exposed Central Nerve/Extensive Damage or Decay
• Dental Fluorosis

How to Relieve Sensitive Teeth

Sensitive teeth can be extremely uncomfortable – and even quite painful. Thankfully, there are steps you can take to minimize your tooth sensitivity.

Below are some of the best ways to relieve tooth sensitivity:

• Desensitizing Toothpaste/Sensitive Toothpaste
• Rinsing with Hydrogen Peroxide
• Rinsing with Warm Salt Water
• Vanilla Extract (Apply Directly to Area)

Sensitivity can be quite uncomfortable and even painful. If you are in pain, you're probably wondering how to stop sensitive teeth pain immediately. Over-the-counter pain medication – such as Tylenol or Ibuprofen – can help effectively manage discomfort.

Mouthwash and Toothpaste for Sensitive Teeth

The toothpaste and mouthwash that you use on a daily basis have a direct effect on the health of your tooth enamel. Thankfully, you have plenty of options for protecting your sensitive teeth.

Sensitive toothpastes are clinically proven to help drastically reduce sensitivity issues. They are typically equipped with an important ingredient: potassium nitrate. Potassium nitrate actually helps restore the enamel. It's most effective when used consistently over an extended period of time. This helps keep the tooth enamel strong and protected. In turn, you remain protected against sensitivity issues.

Mouthwash for sensitive teeth works by lightly anesthetizing the mouth. It also applying restorative and protective minerals to the teeth.

Check out some of the best toothpastes and mouthwashes for tooth sensitivity:

• Crest Pro-Health Sensitive and Gum Toothpaste
• Sensodyne Sensitivity and Gum Toothpaste
• Listerine Sensitivity Zero Mouthwash

When You Should See Your Dentist for Teeth Sensitivity

Does tooth sensitivity go away? Yes, there are many cases in which sensitivity may subside on its own. As you have learned here, there are plenty of steps that can be taken to help tackle tooth sensitivity at home.

However, there are some instances in which you must immediately see your dentist to seek treatment.

Below are some instances in which you should see your dentist for teeth sensitivity:

• You are experiencing extreme sensitivity that lasts multiple days
• The teeth feel sensitive for weeks after a restorative procedure
• The sensation you are feeling has progressed from uncomfortable to unbearable
• You notice swollen/tender gums or teeth that are visibly damaged or decayed

To provide you with the most effective treatment, your dentist will do an examination. This is done to identify the root cause of the problem. They will then work with you to develop a treatment plan to treat the issue at hand and restore your comfort.

The Experts at Safco Have You Covered

Whether you’re looking for insights on your dental health, or you need support and supplies for your own dental practice, Safco Dental Supply is here for you. Check out our site to browse our extensive inventory of dental supplies and equipment for your dental office. For more information about our products, feel free to give us a call at 800.621.2178.