Specialty Dentistry

Specialty Dentistry

Patients who are anxious regarding dental procedures may need oral medication to allow them to relax while receiving dental care. With oral sedation, the patient may be sleepy but can be aroused if necessary and can respond to simple commands.

At Royal Dental, our Periodontists specialize in the treatment of gum disease, periodontitis, and gingivitis. We have a number of different options to ensure our patients get the best periodontal treatment.

Whether you are considering dental implant surgery to enhance the appearance of your smile, replace ill-fitting dentures, or improve your bite, contact Royal Dental today. We proudly offer dental implants to the Houston and surrounding areas. Dental implants offer the closest alternative to real teeth.

What Medication Is Used During Sedation Dentistry?

One of many safe and widely-used sleeping pills will be used to relax you during your visit. In certain cases nitrous oxide gas may also be used as an additional medication.

What Is Nitrous Oxide and How Does It Work?

Nitrous oxide, also known as laughing gas, is most often used for patients who are mildly or moderately anxious or nervous. It eases their fears so that they can relax and receive treatment comfortably and safely.

Nitrous oxide is administered by placing a small mask over the patient’s nose. As the gas begins to work, the patient becomes calm, although he or she is still awake and can talk. When the gas is turned off, the effects of sedation wear off almost immediately.

Sedation Dentistry Side Effects

Minor side effects such as nausea or vomiting can occur with some medications. Before a visit in which a patient is to receive oral sedation, he/she should receive instructions about eating and drinking, what to expect and what to watch for after treatment.

You may need assistance to get home after sedation. Patients may need to stay for a short observation after dental treatment has been completed.

How Safe Is Sedation Dentistry?

Properly administered oral sedation is the safest form of sedation. Our office is certified and inspected for safety, we use sophisticated monitoring equipment during all procedures and you are always attended by a trained dentist or staff member.

Will I Still Receive a Local Anesthetic Such as Novocain for Invasive Dental Procedures?

Always. Oral sedation is not general anesthesia. Treatment is no different than if you were not sedated. The difference is that you will be much more relaxed, the memory of the procedure will be minimal and the time will seem to fly by.

Can I Drive Home After Sedation Dentistry?

No. The effects last many hours and driving is not safe. We will call your ride at the end of your appointment to bring you home. You should not plan to do anything but sleep for the rest of the day. By the next morning, you will feel normal and rested.

What is Periodontitis?

Periodontitis is a condition that causes extreme swelling and damage to the gum tissue. If left untreated, periodontitis can lead to more extensive dental disease including tooth loss and damage.

With severe periodontitis, a radical amount of gum tissue and bone tissue is lost. Usually, teeth lose more support as the disease continues to destroy the periodontal ligament and bone. Teeth become loose and extraction may be necessary. This causes difficulties in normal everyday chewing and biting habits.

What is Gingivitis?

Gingivitis is the early stage of gum disease. This helps develop toxins, enzymes, and other plaque byproducts that irritate the gums. These toxins, enzymes and other byproducts make your gums tender, swollen and likely to bleed easily. Gingivitis generally needs minor treatment from our dentists with persistent proper oral hygiene. When we treat gingivitis correctly, your gums can return back to a healthy state.

Root exposure resulting from gingival tissue recession may pose multiple problems for patients such as:

  • Undesirable aesthetics
  • Root sensitivity
  • Impaired oral hygiene
  • Increased caries susceptibility
  • Teeth may become loose

What is Gum Disease?

Moderate gum disease occurs when the tooth’s bone tissue starts to deteriorate. Periodontitis is a more serious disease. This occurs when byproducts from the plaque destroy the tissues that help root your teeth into the bone. Your gums start to recess and begin detaching themselves from your teeth. This forms pockets in your gums and allows more plaque to collect under your gum line. Plaque collecting below your gum line puts the roots of your teeth at risk and susceptible to decay. Generally, patients notice an increase in sensitivity in their teeth. The different types of sensitivities include hot, cold and touch.

How Gum Disease Affects Your Health

Studies show a correlation between periodontal (gum) disease, heart disease, and other health conditions. Research further suggests that if you have any sort of gum disease, you may be at more serious risk for heart disease than hypertension, smoking, cholesterol, gender, and aging.

Researchers conclusions suggest that bacteria present in infected gums can become loose and move throughout the body through the bloodstream. Once bacteria reach the arteries, they can irritate them in the same way that they irritate gum tissue. This causes arterial plaque, which can cause hardening and affect blood-flow.

Gum Disease Treatment

Here at Royal Dental, we offer periodontal procedures. These services are able to lay the groundwork to improve the aesthetics of your gum line.

Crown Lengthening

Crown lengthening is a procedure that lengthens your teeth if there is too much gum tissue. During this procedure, we re-shape the excess gum and bone tissue to expose more of the natural tooth. We can do this to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile.

Crown lengthening can make a restorative or cosmetic dental procedure possible. If your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, services such as a crown or bridge can help you. Crown lengthening adjusts the gum and bone level to expose more of the tooth for restoration.


When a tooth is lost, both bone and gum tissue compete for the defect space. The gum tissue generates quicker than bone, thus assuming the space. With a membrane placement, we can keep the gum tissue from the space, while the bone regenerates.

Bone regeneration is often used to rebuild the supporting structures around the teeth which have been destroyed by periodontal disease. We may use bone surgery to rebuild or reshape the bone. Grafts of the patient’s bone or artificial bone may be used, as well as special membranes.

Tooth Scaling

Tooth scaling helps eliminate plaque, tartar, and hard crusty calculus deposits. These are loaded with bacteria. Sub-gingival tooth scaling is necessary when plaque and tartar are below the gum line.

Root Planing

After tooth scaling, we may need to plane the roots as well to help smooth the root surface. Soft tissue will re-attach itself to a smooth tooth surface at a later point.

Your dentist may also recommend medications to help control infection, pain, or to encourage healing. Arestin aids in the healing process after a root planing procedure. Arestin is a medication we will place in the gum pockets. Once there, it helps speed the healing process up by shrinking the gum pockets.

Benefits of Dental Implants

There are many benefits of getting dental implants from our experts at Royal Dental. Some of them include:

  • Since dental implants are fused with your jawbone, it offers the same look and functions of your own teeth and will guarantee a more natural appearance.
  • Since implants are permanent, they function much like your natural tooth root and offer a strong foundation for the dental bridge or replacement tooth that will later be attached to it.
  • Dental implants contribute positively to the improvement of speech and will not cause slurring and impede your speech like other ill-fitting dental appliances.

How Do I Learn More About Dental Implants?

Many things can happen if you do not replace a missing tooth. Teeth adjacent and above or below the missing tooth will then begin to shift and move to close that space. This can eventually cause misaligned, crooked, collapsed, and super erupted teeth that could lead to more tooth loss and costly procedures to correct the damage from the teeth shifting. Dental implants can last as well as you care for them. We have patients that have had implants for 10 to 15 years! To learn more about dental implants and find out if you’re a good candidate for them, call our office today.