Conscious sedation enables many patients who have dental anxiety or dental phobia a safe and effective way to have an anxiety-free dental experience many have only dreamed of.  Our main objective is to ensure our patients are comfortable throughout the entire procedure.  With sedation dentistry, you are in a relaxed state before, during, and after your entire treatment.  You will have little or no memory of the procedure once the treatment is complete.

It is not only for people who have anxiety before their dental appointments, but also those who need extensive treatment completed in a limited amount of time and appointments, or just want to be completely relaxed during their procedures.  Dr. Donnelly has been helping his patients have anxiety free dental experiences for many years.

When you get to the dental office for your procedure, you will be given a combination of sedative drugs and nitrous oxide, which will put your body in an extremely relaxed state with reduced perception.  A local anesthetic will then be administered to eliminate pain.  You won’t feel pain or even remember the numbing when the procedure is complete, due to the sedative.  We will be monitoring your vital signs during the entire procedure and help to keep you comfortable and relaxed.  While you may fall asleep during the procedure, you are not completely put under as with general anesthesia, but remain in a responsive state and all body functions stay normal.

You may be very drowsy after the treatment because of the sedative, therefore it is necessary to have someone drive you to and from the office on the day of your treatment, and supervise you afterwards.  If sedation dentistry sounds like something you’re interested in, please call our office for more information.

If you wake up in the morning with your jaws aching, you may be suffering from temporomandibular joint (TMJ) dysfunction.  You will find this joint at the point where your jaw meets the rest of your face. 

TMJ sufferers, as many as 80% of whom are women, report such symptoms as: migraine-level headaches, loss of hearing, blurred vision, depression, backaches, and sometimes excruciating facial pain.  It is sometimes referred to as “crooked jaws” or TMD, and can best be described as joint stress resulting from an uneven bite.  There are numerous causes of this painful condition.  They include blows to the head or face, structural deformities, teeth grinding, and mental stress.  TMJ can strike individuals of all ages, from children to the elderly.  It tends to start as a soft-tissue injury.  If untreated, it may worsen over time, affecting additional bodily systems and organs.

In the beginning stages, the pain from TMJ may be intermittent.  But as with most conditions, early detection and treatment is the key.  One thing we may recommend for you is a special night guard.  The FDA approved NTI-tss device is designed to protect your teeth from further wear by reducing the severity of grinding at night.

This also allows the muscles to rest.  In more severe cases, it may be necessary to wear the device during the day as well.  The NTI-tss device is much more comfortable than a traditional night guard, attaching to your front two teeth only, preventing the back teeth from touching at all.

Watch for these symptoms:

* Pain in or around the ear and temple area, sometimes spreading to the face.

* Notice headache pain upon wakening.

* Tenderness of the jaw muscles.

* Clicking or popping noise when you open or close your mouth.

* Buzzing, ringing or roaring sound in your ears.

* Jaws that “get stuck,” “lock,” or “go out.”

* Difficulty moving your jaw side to side or front to back.

* Clenching or grinding your teeth.

* Pain brought on by yawning, chewing or opening the mouth widely.

* Problems chewing food.

If you want to keep your teeth for a lifetime, your gums need to be kept healthy as well.  The gums serve the vital function of holding your teeth in place.  Just as a brick wall would not last long without mortar to hold the bricks in place, your teeth depend on your gums to keep them properly positioned.

The most common health threat to your gums is plaque forming below the gumline.  This is why flossing is so important.  It can get at the plaque your toothbrush cannot reach.

If plaque is allowed to remain, it irritates the gums, making them tender and prone to bleeding.  If this plaque is allowed to harden, it becomes very difficult to remove.  If this problem continues, the gums may pull away from the tooth, forming pockets.  These pockets then become a great breeding ground for bacteria, leading to bone damage, and eventually, tooth loss.  Avoid this terrible chain of events by remembering to floss at least once a day and spend at least two or three minutes each time.

When choosing floss one type of dental floss does not work for everyone.  You can choose between waxed or unwaxed, flavored or unflavored, and regular or tape styles.  In general, a waxed floss slides between the teeth easier than an unwaxed floss–especially helpful for those with minimal space between teeth.  Flavored floss leaves a fresh taste in the mouth, and is especially nice for those times when brushing or rinsing is not possible.  Tape floss is typically thicker than regular floss and is generally favored by people with wide gaps between their teeth.  It may also be helpful for those with a lot of bridgework.

Some people with limited dexterity or arthritis cannot easily manipulate dental floss.  These people may wish to try dental floss holders or intradental cleaners.  Whatever your needs or preferences, there is a product to help you clean between the teeth and under the gumline.  Brush and floss your teeth daily to help ensure the wellness of your teeth.  A waterpick is not a substitute for brushing and flossing, but it is good for those who wear braces.  It can reach places the toothbrush cannot.  Just understand that, unlike flossing, waterpicks do not remove plaque.

If you suffer from diabetes, you know how important it is to watch your health carefully.  That includes dental health.

To prevent tooth and gum problems, it is vital you control your blood glucose.  Diabetics, especially those whose blood glucose levels are poorly controlled, are more susceptible to gum infections than non-diabetics.  As a diabetic, the infection is more difficult to treat, and severe gum infection, in turn, can make it more difficult to control your diabetes.  Once such an infection takes hold in a diabetic, it takes longer to heal.  If the infection lasts for a long time, the person may loose teeth.

Proper nutrition is important for everyone, but especially diabetics.  Since much of what you eat requires good teeth for chewing, it is very important to try to preserve your teeth.  Because the bone surrounding the teeth may sometimes be damaged by infection, dentures may not always fit properly and may not be perfect substitutes for your natural teeth.

Home dental hygiene is another important measure.  Make sure you are following all our recommendations for your home dental care.  If you have questions on what you should be doing, give us a call. 

If you notice bleeding gums when you eat or brush you teeth, see us right away.  We need to determine if you have a beginning infection.  You should also notify us if you notice other abnormal changes in your mouth, such as patches of whitish-colored skin.

As your dental professionals, we are not just concerned with your oral health.  We want to make sure we’re doing all we can to ensure your overall health.

** Ensure you come in for regular checkups and professional dental cleanings. 

** Break the bad habit of biting on hard items like pens, ice, hard candies or popcorn kernels.  Your teeth are meant for chewing soft foods.  These habits can lead to chipped or broken teeth.  They may also damage fillings, crowns or other restorations.

** Be sure to protect teeth with a mouthguard when playing contact sports.

** Try to stop smoking and using chewing tobacco.  While the problem with tooth staining is bad enough, these habits can lead to gum disease, or worse, oral cancer.

** Watch what you eat.  It is not only good for your waistline, it’s good for your teeth.  Starchy foods are as bad as sugary ones.  Instead snack on raw veggies, nuts, and cheeses.

**Cut back on coffee or tea.  Excessive amounts of these beverages can stain teeth.

** Be sure to brush and floss regularly.  If you’re not sure you’re doing it right, ask us at your next visit.  But be gentle-do not brush your teeth and gums too roughly.

** Remember to change your toothbrush every three months.

** Do not ignore the early signs of gum disease: bleeding gums, tender, puffy, or red gums; receding gums (pulling away from teeth), chronic bad breath, changes in bite, loose permanent teeth.

**TAKE PROPER CARE OF YOUR TEETH SO THEY LAST YOU A LIFETIME!

Why do celebrities whiten their teeth?  Because they know a sparkling smile is a key to looking great, feeling great, and making a memorable impression.  There is a strong link between a healthy , brighter smile and success in the workplace and social situations.  Now everyone can feel like a celebrity and enjoy an outstanding smile by getting their teeth their whitest thanks to the Zoom! whitening system.  This system is offered at Dr. Donnelly’s office in San Marcos.

Zoom! patients are getting teeth an average of eight shades whiter in about an hour, giving them an immediate boost in confidence.  Besides being fast, it’s safe, effective, and convenient.  No more days of wearing trays.  More than a tooth whitening procedure, Zoom! is an experience in image enhancement and self-esteem…. plus instant gratification.

How Does It Work?

The Zoom!whitening procedure is simple and painless.  It begins with a short preparation to isolate your lips and gums.  We then apply the proprietary Zoom! whitening gel, which is activated by a specially designed light.  A five-minute fluoride treatment completes the procedure.  You’ll be amazed with the results!  In most cases, teeth get even whiter the first few days after the procedure.

Zoom! allows people with even the busiest of lifestyles to feel dramatically better about their appearance in just about an hour.  Call and make your appointment at Dr. Donnelly’s office today.

You have probably seen commercials for Invisalign, the invisible way to straighten your teeth without braces.  Invisalign uses a series of clear removable aligners to straighten your teeth without metal wires or brackets.  No no one but your dentist needs to know you are correcting the position of your teeth.  The best news is our office is certified to offer Invisalign.

The fact they are invisible is one of the most popular reasons to opt for Invisalign treatment, but that’s not the only reason why.  Many like the fact the aligners are removable.  This makes eating, drinking, brushing, and flossing much easier.  This means healthier teeth and gums at the end of treatment.  Of course, Invisalign is also much more comfortable to wear since their are no mouth abrasions from metal braces and wires.  Plus no regular appointments for adjustments.

Your fist step in achieving a straighter smile is to come to our office.  We will evaluate your teeth and work out the best method of treatment.  This will include taking impressions of your teeth which we will send to Invisalign.  There, they use advanced 3-D computer imaging technology to transform your bite impressions into a custom-made series of clear and removable aligners.  There may be as many as 48 in the series or as few as 12, depending on your individual treatment plan.

At your next office appointment, you get your first set of aligners.  We will most likely give you a few additional sets to wear before you return for your next visit.  You just start wearing them and enjoy the results of your new smile.  Please call our office at 512-396-5225 to schedule your free Invisalign consultation today.

We’re always striving to find ways to improve the overall dental health of our patients.  Your smile is the greatest resource you have.  If we can help you improve it and make you feel better about yourself, then we can make a difference.

Are your dentures uncomfortable?  Do you experience dental pain when you eat?  Are you missing teeth and embarrassed to smile?  Have you noticed your remaining teeth are beginning to move or becoming crooked?  If you answered yes to any of these questions, dental implants may be for you.

The concept of dental implants has been around thousands of years.  Egyptian mummies have been found with several teeth replaced with carefully shaped seashells which were probably placed during the mummification process.  In recent times, the science of implantology was popularized in the 1950’s and 1960’s. 

Dental implants are an effective, natural-looking way to replace missing teeth and we can perform the entire process in our office.  Dental implants are the number one restorative option for the treatment of missing teeth.  They are virtually indistinguishable from your natural teeth and prevent bone loss and gum recession that often accompanies bridgework and dentures.  The implants themselves are small titanium posts which are placed where teeth are missing and act as your tooth root, only stronger.  A crown is then attached to the implant to simulate a real tooth.  Our goal for each and every dental implant we perform is for maximum strength and longevity of the reconstruction procedure.

Dental implants can also be used to better secure dentures enabling you to once again speak and eat with comfort and confidence.  They are secure and offer freedom from slipping and clicks associated with dentures.

If you think dental implants might be a solution for your smile, arrange a consultation with Dr. Donnelly.  Picture yourself with a big, bright smile once again.

February is American Heart Month, so we thought now would be a good time to go over how your dental health could affect your heart health.  More and more research is pointing to a connection between periodontal disease and cardiovascular disease.  While the jury is still out regarding what exactly is the cause behind the connection, several possibilities have risen to the surface. 

As we already know, periodontal disease is mostly caused by bacteria.  In one study, researchers tested for the presence of eight varieties of oral bacteria.  They found the risk of heart attack was related significantly to three of those types: B. forsythus, P. gingivalis and C. recta.  Depending on the concentration of any of those three bacteria types, the increased risk of heart attack ranged from 200-300%, when compared to people with no evidence of the bacteria.

Another study looked at a different angle.  Researchers found periodontal disease increases blood levels of fibrinogen, a clotting factor, and C-reactive protein (CRP), a well known inflammatory.  They also found increased cholesterol levels in patients with periodontal disease.  The inflammatory property of CRP has been shown to increase the risk of heart attack or stroke.  Another study found patients with the highest levels of CRP were three times more likely to eventually suffer a heart attack, and two times more likely to suffer a stroke.  The bacteria flourishing in gum pockets of patients with periodontal disease circulates through the bloodstream and appears to trigger the liver to create CRP.  And patients with more severe periodontal disease tended to have higher levels of CRP.

A study published in Circulation reported a connection between thicker carotid arteries and higher levels of the bacteria that causes periodontal disease.  As we all know, a thickening of the arteries is often a precursor to heart attack or stroke.  Another study published in the Journal of Periodontology found periodontal disease appears to worsen the severity of coronary artery disease.

So no matter what’s behind the connection, it’s a good idea to avoid periodontal disease.  If you already have periodontal disease, it’s vita you get it under control and that begins with regular visits to our office.

We all want the best for our children and at the top of that list is good health.  There are several areas concerning your child’s health where we can be of help to your family. 

Primary baby teeth begin to appear between 6-10 months of age and can develop cavities even at that early age.  You need to clean the teeth daily by wiping them with gauze or a damp washcloth.  As your child gets older you can begin to use a soft bristle toothbrush.

It is recommended that children’s first visit to the dentist be scheduled around their third birthday, unless you have a concern or your child is complaining of discomfort.  When you bring your kids to see us regularly, you are instilling in them the importance of regular dental care.  We are able to make sure they understand how to properly care for their teeth at home, and they learn that their regular checkups can keep their teeth in tip-top shape.

Sealants are an excellent way to protect teeth from cavities.  These are a thin layer of a clear, smooth substance that is painted on the back teeth to fill the gaps where cavities begin to form.  Sealants are a great tool for helping your kids maintain a “no cavity” smile. 

Make sure little problems don’t become big ones.  When we see children regularly, we can monitor their dental development.  Growing bodies undergo many changes affecting your child’s overall health.  When you take preventative measures, like getting our child’s teeth cleaned regularly, it can prevent disease and decay that could otherwise go unnoticed.  Healthy teeth play an important part in your child’s overall wellbeing.