hey it's dr amanda with straightsmilesolutions.com and today we're going to do a demo on how to apply
gluma or hema to teeth that are sensitive dental sensitivity so let's talk a little bit about that
how it works and how i like to use it with ortho so most general dentists are aware of
these compounds and how they work i'm going to talk at a really high level today that's really
meant more towards the dentists that are out there um if for patients this is just really meant to
be informative hopefully you can learn something and take that information back to your dentist and
ask for it if it's something you want it's likely that your dentist will bill for this procedure
it's often not covered by insurance so you know um it's something you'll want to talk
to your dentist and find out what their pro cost is to apply this per tooth per quadrant
or something like that it isn't something you'd have done on the whole mouth it's more of like a
sensitivity like a localization thing um so let's talk a little bit about
sensitivity and teeth why it happens and how you can treat it so let's go there okay so
teeth sometimes can get sensitive why lots of different reasons so the first thing you need
to do when you have sensitive teeth is go to your dentist and have a full examination
and a set of x-rays because we need to find the reason why your teeth are sensitive and
treat that reason so what i'm going to show you today is meant for those patients that
have no it's iatrogenic there's no reason that we can see so like maybe there's no cavity
um there's no baby cavity there's no broken tooth the nerve is good there's no active infection
maybe there's just a little bit of recession from aggressive tooth brushing or just getting a little
bit older our teeth are moving it's a little sensitive it's just temporary it's not chronic
but it's bugging you right maybe you can't eat ice cream or ice water and yes there are
over-the-counter products that are out there but i've tried them for me and it doesn't work very
well so i fall into that category where i am a dentist i'm quite aware of my oral health i go
to the dentist regularly as well happens to be my husband who's a general dentist and i know that
i have no cavities no infections everything's healthy but i do occasionally get sensitivity
um i notice it more when they clean my teeth you know when instruments are against it but also it
can sometimes just be acute or sharp when i have something really cold on that area so my area is
down here okay around one of these teeth i kind of know where it is so i'm going to show you what we
can do and what a dentist might do and something you can ask for now i have also used it in terms
of ortho if i have an ortho patient sometimes with ortho where moving teeth gradually slowly and
sometimes as we move teeth it takes a little while for the gums to adapt over the teeth and you could
temporarily have a very sensitive tooth right and for patients they get really upset because they're
not used to that so this can really help well that it's something that might last 30 to 60 days
it'll just help things out a little bit do i bill for it no because it only takes me a few
minutes and it really doesn't cost me anything because it's just part of the ortho procedure
however if you are the ortho dentist or the orthodontist and you're thinking about doing this
i really think you should run it by the patients general that is first if you're not their jungle
dentist or primary care dentist because it's a bit overstepping i mean it's a really nice thing
to do but they need to chart it as well so the compound or the the brand i'm going to
use today and there are lots of different brands is this one okay um it's just a dental descent the
desensitizer fee on the product labview or purchase fee is somewhere maybe 50 60 70
for a bottle it has multiple applications it's going to last you multiple patients
um i'm going to read this to you what they say their introduction on their paperwork they said
it's a superior decentralized desensitizing agent i can't say that today that could be
placed under fillings or dental cements they're mostly using it in terms of putting it under
fillings i'm thinking about using it just to put directly on the teeth no preparation no filling
just due to a little bit of recession a little bit of aging a little bit of toothbrush erosion um
just to help that sensitivity so um it's really meant to be more temporary so let me show you
what our armamentarium is or what um supplies we need okay so obviously i'm not in a dental office
right now i'm in my home office i'm so i'm using a green screen i'm the patient i'm also a dentist so
am i doing this totally properly with right isolation it'll work out fine but no so you'd
want to do this actually in the op in the chair but this is the product obviously we want to use
good infection control so i've got a paper pad i'm going to dispense it on here
okay we want to have good isolation so you can use cotton rolls two by twos cut up four by fours
you want to have microbrush which i'm going to take out so that you're not cross contaminating
okay um retraction and some type of air to dry it and of course since i'm not in it off right
now this is gonna be my air it works so um turn that off it actually works great so um sometimes
you're gonna need a light cheer unit i'm gonna go ahead and do mine just because i've always have
but even though it's not part of the instructions there's nothing wrong with doing it so but
remember with these you don't want to get them in your eye okay some do require it some don't
for me i don't know i just how i do it so nothing no damage no harm no foul okay so i'm gonna take
you through the procedure verbally and then i'm gonna do it without talking because i'm gonna have
my hands in my mouth which are already clean and they're my hands so i'm not putting glutes on them
so but you should so um we're going to go ahead and make sure the patient's had a cleaning
we're going to make sure we've done a thorough exam make sure there's no cavity no decay
no fractures no perio no calculus no plaque okay so obviously i've cleaned my own teeth really well
i'm gonna be applying it to mostly the lingo slightly the buckle in a couple areas
i'm going to isolate it really really well dry it off okay and then i'm gonna dispense a few drops
on the pad i'm going to use my micro brush i'm going to apply it you're going to scrub
it into the teeth into the effective area for a good 30 to 60 seconds so while we're doing this
you're going to see me scrubbing and not talking but that's what i'm doing so you really need to
kind of have a timer going as well because you want to make sure you do you scrub it into the
tubule so it gets in the tubules and then you're going to go ahead and air dry with your your
water syringe just air remember whenever you do this you don't want water coming out so you want
to make sure you purge the lines first and then i'm going personally i'm going to light cure but
for this brand it's supposedly not necessary and that's really it so it's only going to take like
about a minute or two and it's going to provide a lot of relief for 30 to 60 days okay so i'm
going to go ahead and get started but you're not going to see me talking during this part of it so
um and hopefully it'll help out so i can eat more junk food like ice cream all right here we go
ah
do
okay
so
and that's it tastes a little nasty rinse out and you're good
so hope you enjoyed this demo today and hopefully it'll help you in your practice
as always send us more tips and tricks and questions to straightsmilesolutions.com take care