Thank you for considering our practice when seeking periodontal services and treatment. We look forward to meeting you!
— Quinn Morarend, DDS
We love helping you “get your smile on”!
We use the most up-to-date technology and continually seek educational opportunities to ensure we remain abreast of the latest techniques and treatment options in periodontics. Our periodontal services and treatment options:
Treatment of Gum Disease
Treatment of periodontal disease varies depending on the level of periodontal disease and is aimed at the least invasive and most cost-effective option. Most often, periodontal disease is treated non-surgically through Scaling and Root Planing, commonly referred to as a “Deep Cleaning.” During the deep cleaning, plaque and calculus (tartar) are removed from the root surfaces of the teeth below the gumline, beyond where you are able to clean with a toothbrush and deeper than what is possible with a regular dental cleaning. Occasionally, antibiotics may also be used depending on the individual situation.
Gum tissue grafting is performed to cover exposed root surfaces, and to increase the thickness of gum tissue to prevent further recession and tooth loss. Grafting is also often performed before, during, or after orthodontics (braces) for patients with thin gum tissue, as movement of the teeth can lead to recession. In addition, grafting may be performed for aesthetic reasons to cover root surfaces and prevent the appearance of “long” teeth leading to a healthier and younger looking smile.
Dental implants are fused to the bone and offer more stability than traditional bridges and dentures. During the procedure, the implant will be inserted into the jaw to replace the tooth root. After the implant heals, your general dentist or prosthodontist will make you a crown to fit over the dental implant that looks like a natural tooth.
Many patients sense greater security with artificial teeth than other procedures because they are secured into the jaw. In order to qualify for this procedure, you must have a set of healthy gums and enough bone to support the implant.
In addition to their many aesthetic advantages, dental implants offer a number of benefits for your oral health. Artificial teeth allow for the replacement of one or more teeth without affecting the bordering teeth. Additionally, implants can support a bridge and eliminate the need for removable partial dentures. Because dental implants are easier to brush and keep clean than dentures or bridges, they may reduce your risk of developing gum disease in the future. Finally, these can help preserve the integrity of your mouth and face by supporting gum and jawbone structure.
Sedation is a process to establish a relaxed, easy, and calm state through the use of sedative medications. For your comfort, during periodontal services, these medications can be administered in pill form, inhaled through the nose (nitrous oxide), or injection intravenously (IV). In this sleepy state, patients can still respond if requested, but it can feel as though treatment is completed very quickly (oral or nitrous oxide) or patients may have little or no memory of the procedure (intravenous). This is called conscious sedation for that reason and is very safe in the outpatient setting when administered by Dr. Morarend. You may not always be asleep, but you will be comfortable, calm, and relaxed. Many times, oral anti-anxiety medications are combined with nitrous oxide or intravenous routes.
We are happy to offer sedation to nearly all our patients in one form or another. Intravenous medications may be limited to healthy patients with more severe dental anxiety. Depending on patient preference, planned procedures, or cost, one form of sedation may be preferable to the others. Oral and IV sedation both require an escort/driver to and from the office. With IV sedation, you must also not have anything to eat or drink for six hours prior to your dental appointment. A consultation prior to the date of treatment is required to allow Dr. Morarend to review your health history and determine which type of sedation is best for you.
With IV sedation, a thin needle will be placed in a vein and all medications will be introduced through the tubing. The goal is to provide a safe level of disassociation of the patient’s awareness from the procedure being performed It is desirable to use the smallest amount of medication possible to achieve comfort while maintaining safety during and after the procedure. Dr. Morarend has had training in sedation, maintains certification in Basic Life Support (BLS) as well as Advanced Cardiac Life Support (ACLS) as mandated by the Iowa Dental Board. A bi-annual sedation permit is granted by the Board, and an on-site inspection is completed to assure the safety of the facility and equipment.
Nitrous oxide is a sweet smelling, non-irritating, colorless gas which is inhaled through the nose. It was developed by a dentist long ago and has been used with extreme safety for 175 years. It is a very effective means of relieving mild-to-moderate levels of anxiety and even an exaggerated gag reflex. You likely will not fall asleep but will have drowsiness, possibly experience euphoric feelings, feel a whole-body comfort, and feel like treatment went more quickly than it actually did. The amount given can be modified throughout the procedure and tailored minute-by-minute for each patient. Afterward, the effects are removed within five minutes and you can drive yourself. It is extremely safe for adults and children.
The levels of sedation used include:
- Minimal sedation — you are awake but relaxed.
- Moderate sedation (formerly called “conscious sedation”) — you may slur your words when speaking and not remember much of the procedure.
The following types of sedation are used in dentistry:
- Inhaled minimal sedation.
- Oral sedation.
- IV moderate sedation.
Description credit: WebMd.com