Dr. Ayanna Ogun, DDS, MSc

Dr. Ayanna Ogun, DDS, MSc updated their business hours.

It’s FRIYAY!! 💃🏾👄🦷

✨ A smile that lights up every room ✨

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Book with me for your appointment today! 👩🏾‍⚕️🦷
(876) 960-5070 or mesaage me on Facebook or Instagram

**pictures posted with permission**
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It’s that time again!! 👄🦷



✨𝐵𝑒𝑎𝑢𝑡𝑦 𝐸𝑛ℎ𝑎𝑛𝑐𝑒𝑑✨

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Book with me for your appointment today! 👩🏾‍⚕️🦷
(876) 960-5070 or mesaage me on Facebook or Instagram

**pictures posted with permission**
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Can you guess where the fillings are? 🙊

for the big reveal ➡️

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Sooo, I had this case yesterday. I was so focused on making sure the fillings looked good and that the patient was happy, that I completely forgot to take before and after photos 🙈🙈 so this will have to do 😁

#8 was the chief complaint, but I also decided to add a little composite to the incisal edge of #9 to even them out and give the patient lovely straight teeth 🦷

**pictures posted with permission**

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Another day, another denture! 👄🦷

My patient felt like ✨ᴀ ʙʀᴀɴᴅ ɴᴇᴡ ᴘᴇʀsᴏɴ✨

Book with me for your appointment today! 👩🏾‍⚕️🦷
(876) 960-5070 or mesaage me on Facebook or Instagram

**pictures posted with permission**
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It’s that time again... ✨SMILE MAKE OVER TIME! ✨👄🦷



He went from 70 ➡️ 17 real quick! 😱

My patient was so happy with the results and so was I!
We were able to keep his characteristic gap too!

Book with me for your appointment today! 👩🏾‍⚕️🦷
(876) 960-5070 or mesaage me on Facebook or Instagram

Precious Smiles Family Dental Centre
28 Old Hope Road,
Kingston 6

**pictures posted with permission**
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Beautiful smile before... even more beautiful smile now! 😍



As you can see, my patient was really happy with the results!

Book with me for your appointment today! 👩🏾‍⚕️🦷
(876) 960-5070 or mesaage me on Facebook or Instagram

Precious Smiles Family Dental Centre
28 Old Hope Road,
Kingston 6

**pictures posted with permission**
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Denture cases make me SO HAPPY!!!

My patient was absolutely ecstatic with the results and so was I 🥰😍

He looks like a brand new man!
Looking about 30 young 🤩

I fabricated an upper complete denture and a lower partial denture 🙌🏾

The whole process took about 3 weeks from initial impression to delivery!

Book with me for your appointment today! 👩🏾‍⚕️🦷
(876) 960-5070 or mesaage me on Facebook or Instagram

**pictures posted with permission**
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I’m super glad we’ve advance past the olden days of barber shop dentistry 🥴


Be sure to visit me at 𝗣𝗿𝗲𝗰𝗶𝗼𝘂𝘀 𝗦𝗺𝗶𝗹𝗲𝘀 𝗙𝗮𝗺𝗶𝗹𝘆 𝗗𝗲𝗻𝘁𝗮𝗹 𝗖𝗲𝗻𝘁𝗿𝗲 on 𝟮𝟴 𝗢𝗹𝗱 𝗛𝗼𝗽𝗲 𝗥𝗼𝗮𝗱, 𝗞𝗶𝗻𝗴𝘀𝘁𝗼𝗻 for a modern and comfortable experience! 😄💆🏾‍♀️🥳

— Dr. Ayanna 👩🏾‍⚕️🦷
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Posted • Tooth extraction taking place in a liquor store in 1872. An assistant is holding the person's head in place with a towel while the "dentist" uses pliers to remove the tooth. Credit: ⁠
historycolored.com⁠
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#1872

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THANK YOU!

Today was a day of appreciation and gratitude. 🙏🏾

What is beyond important to me is doing a great job for my patients, making them feel like they’ve had the best, most attentive dental appointment!
Whether that be by taking the time to explain everything in detail, reassuring them about the procedure, or simply asking about their day and life outside of the dental chair.

It warms my heart beyond measure when my patients confirm that I achieved that goal. 💗

Today I had 2 patients do that.

One by calling to express her thanks, especially since she was so afraid.

The other stopped by the office to give me mango (Julie and East Indian - YUM!) and mulberries, because they appreciated how attentive I’d been.

Days like this revitalise me to continuing being the best dentist I can be for YOU! 💖🦷👩🏾‍⚕️

THANK YOU 🌟

— Dr. Ayanna

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The simplest appearing thing can often be the hardest...
🤯🌪
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Yesterday was certainly a day!
❗️GRAPHIC WARNING❗️

Patient presented for a #6 (Upper right canine) Extraction. Simple right?
Wrong! 🥵

This ended up becoming a surgical extraction. Here’s why:
1. The canine had an extremely long root
2. The canine eminence (bone) was extremely thick
3. The patients bone was very dense as she has a history of chewing on chicken bones etc.
4. There were no adjacent teeth to provide good leverage for luxation
5. There was a large mesial cavity that made the crown prone to fracture

What a recipe for difficulty! 🤯

I reflected an envelope flap to access the tooth, removing minimal buccal bone and a little palatal (trough technique), and finally delivered the tooth with upper anterior forceps!

All done with 2 carpules of 2% lidocaine with 1:100,000 epinephrine

5 sutures were placed with 3.0 gut!
The patient was such a trooper!! 🏆

Today I got a call from her saying how much she appreciated everything I did for her yesterday because she was so nervous but it went so well 🥰🥰

🏆🦷👩🏾‍⚕️

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Hᴏᴡ ᴛᴏ 𝗕𝗥𝗨𝗦𝗛 𝗬𝗢𝗨𝗥 𝗧𝗘𝗘𝗧𝗛 ᴛʜᴇ 𝗖𝗢𝗥𝗥𝗘𝗖𝗧 𝗪𝗔𝗬
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Let’s talk about how to brush the correct way!

❌Up and down, and scrubbing side to side are a BIG no-no.❌
When you brush like this you end up missing the gum line where the plaque likes to hide. It can also cause gum recession leading to sensitivity!

So let me tell you the correct way!✅

Using a 𝘀𝗼𝗳𝘁 𝘁𝗼𝗼𝘁𝗵𝗯𝗿𝘂𝘀𝗵…

First:
𝟭. Let’s divide the mouth into 𝟰 𝗾𝘂𝗮𝗱𝗿𝗮𝗻𝘁𝘀 (see pic 2)
2. Each quadrant should be brushed for 𝟯𝟬 𝘀𝗲𝗰𝗼𝗻𝗱𝘀

Next
1. There are 𝟯 𝗺𝗮𝗶𝗻 𝘀𝘂𝗿𝗳𝗮𝗰𝗲𝘀 𝗼𝗳 𝘁𝗵𝗲 𝘁𝗲𝗲𝘁𝗵 (see pic 2)
- 𝙲𝚑𝚎𝚎𝚔 𝚜𝚞𝚛𝚏𝚊𝚌𝚎
- 𝙱𝚒𝚝𝚒𝚗𝚐 𝚜𝚞𝚛𝚏𝚊𝚌𝚎
- 𝚃𝚘𝚗𝚐𝚞𝚎 𝚜𝚞𝚛𝚏𝚊𝚌𝚎

We want to spend 𝟭𝟬 𝘀𝗲𝗰𝗼𝗻𝗱𝘀 brushing 𝗲𝗮𝗰𝗵 𝘀𝘂𝗿𝗳𝗮𝗰𝗲 (10 seconds per surface makes up 30 seconds for a quadrant)

Finally:
• We want to ensure we’re holding the tooth brush bristles at a 𝟰𝟱° 𝗮𝗻𝗴𝗹𝗲 (see pic 1)
• We want to make 𝗰𝗶𝗿𝗰𝘂𝗹𝗮𝗿 motions, and 𝗳𝗹𝗶𝗰𝗸𝗶𝗻𝗴 motions to ensure we remove all the plaque and bacteria.

This brushing routine should take 𝟮 𝗺𝗶𝗻𝘂𝘁𝗲𝘀

After that we want to:
• 𝗕𝗿𝘂𝘀𝗵 𝘁𝗵𝗲 𝘁𝗼𝗻𝗴𝘂𝗲 for about 30 seconds
• 𝗙𝗹𝗼𝘀𝘀 (however long it takes you to get around the whole mouth).

Your whole oral hygiene routine should take between 𝟯-𝟱 𝗺𝗶𝗻𝘂𝘁𝗲𝘀!
Using this method 𝘁𝘄𝗶𝗰𝗲 𝗮 𝗱𝗮𝘆 ensures you don’t miss any teeth when brushing, and keeps your mouth and teeth clean and healthy!

Put on your favourite song and let’s get brushing! 🦷💃🏾🕺🏾
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MA*****NA…

Cannabis; W**d; G***a; Hashish; H**p, Herb, 420

Many are celebrating #420 today. But you may be wondering, what has ma*****na got to do with Dentistry?

Many Dentists, including myself, always ask patients if they smoke ma*****na. Not only is it important because it has an effect on gum health, but because it is known (through experience) by clinicians to directly affect the effectiveness of local anaesthetic (LA) aka the ‘numbing injection’.

We give LA for many reasons, including fillings and extractions to ensure that the patient doesn’t feel pain as we perform the treatment.

Here’s where ma*****na comes in… experience has taught us that smokers almost always require MORE anaesthetic to become profoundly numb, or in many cases, CANNOT GET NUMB AT ALL.

It is unclear how long ma*****na is detectable in the body and how long the effects of smoking it last. In my experience it can take up as many as 3 weeks of stopping smoking before treatment in patients who smoke frequently (3 blunts a day) for it not to affect local anaesthetic and be ‘out’ of your system.

In my experience, it is harder to get numb if:
- You smoke frequently
- You smoke closer to the day of treatment
- You smoke a high dose/strong strain.

That being said, I’ve had patients where even smoking ONCE a day totally prevents LA from working.

Unfortunately, research in this are is limited and hard to come by. Nevertheless, experience suggests that smoking ma*****na before dental treatment is a big NO NO. More often than not, patients will have difficulty getting numb.

I encourage people to be open and honest with their Dentist (and other health care professionals) about their ma*****na use.

Pro Tip: Better safe than sorry… DON’T SMOKE MA*****NA BEFORE COMING TO THE DENTIST!

*****na **d ***a

Things that make you say WOAH! 😯

What do you do when you have a wisdom tooth with roots overlapping the inferior alveolar nerve (IAN)?

I extracted this #17 this week.

Roots that have proximity to the IAN; as can be seen by the overlapping nerves on the xray, increase the risk of exposing or damaging it during the extraction. This makes what would have been a simple extraction, a more complex case. This damage can be partial temporary damage or, in cases of complete severance of the nerve, permanent damage.

Risk of IAN damage can be reduced with careful surgical technique.

Tooth removal should be performed with an elevator, focusing on luxating the tooth completely loose, avoiding applying apical pressure with forceps as to avoid the risk of nerve compression or stretching.

It’s also really important to achieve proper profound anaesthesia.
In this case I used 2 carpules of 2% Lidocaine with 1:100,000 epinephrine and 1 carpule of 4% Articane with 1:100,000 epinephrine. This was for inferior alveolar nerve block, local infiltration, PDL block, long buccal never block, and lingual nerve block.

Though the roots were long, their fusion made this extraction less challenging.

It took 20 minutes in total.

🖋 Feel free to comment or DM your questions about this case, or wisdom teeth extractions in general!

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𝗫-𝗥𝗔𝗬𝗦! 𝗪𝗵𝗮𝘁 𝗮𝗿𝗲 𝘁𝗵𝗲𝘆 𝗮𝗹𝗹 𝗮𝗯𝗼𝘂𝘁?

Have you ever been to the dentist, finished your appointment, and your dentist rattled off all these things that need to be done next time, but used all these terms you’ve never heard of?

When we talk about 𝗫-𝗥𝗔𝗬𝗦, there are several different types we can do. Each type of x-ray helps us to see different things and diagnosis different lesions.

𝗕𝗶𝘁𝗲𝘄𝗶𝗻𝗴𝘀
- These help us to detect caries (tooth decay) inbetween the teeth and interproximal bone height useful for diagnosing periodontal disease.

𝗣𝗲𝗿𝗶𝗮𝗽𝗶𝗰𝗮𝗹
- This helps us to see the entire tooth including the roots, in relation to the jaw bone. We can detect if there is an infection at the apex of the root, of if there is any damage to the root, including fracture or resorption.

𝗣𝗮𝗹𝗮𝘁𝗮𝗹/𝗢𝗰𝗰𝗹𝘂𝘀𝗮𝗹
- This is used to help us detect what’s occurring at the roof of the mouth. This type of x-ray can be used to detect fracture of the tooth, cleft palates, cysts and abscesses, and fractures of the jaw bones.

𝗣𝗮𝗻𝗼𝗿𝗮𝗺𝗶𝗰
- This helps us see all the teeth in the mouth, in relation to each other and other anatomical structures in the face. Useful for detecting impacted teeth and complications of the of the jaws and sinus, including rumours and cysts. We can use this type of x-ray when doing major dental work such as orthodontic braces.

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Dr. Ayanna Ogun, DDS, MSc now takes appointments on their Page.

😖“Doc I have a piece of gum that’s covering my tooth! Sometimes it becomes inflamed and tender! What can you do to help me?”

🦷

(Posted • )

Operculectomy is the surgical procedure of removing the operculum, or the flap of gum that partially covers a tooth. This procedure is done to treat pericoronitis, a condition characterised by pain and inflammation of the operculum.

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Let’s talk about DENTAL ABCESS! 🦷🦠

A 𝙳𝙴𝙽𝚃𝙰𝙻 𝙰𝙱𝚂𝙲𝙴𝚂𝚂 is a collection/pocket of pus caused by bacterial infection, that can form in the gums, bone and teeth.

I had a patient come in last week complaining about a gum swelling and tenderness. to see what’s going on.

*HISTORY* 📋
44 yr old male patients history of smoking in his 20s. Gum swelling and 3/10 tenderness for the last 3 days. Orofacial examination revealed palpable tender left submandibular lymph node.
Exam revealed generalised moderate supra- and subgingival calculus and several carious lesions, including #15 MO.

Tooth abscess can occur for a few reasons:
- 𝚃𝚘𝚘𝚝𝚑 𝙳𝚎𝚌𝚊𝚢: poor oral hygiene (brushing and flossing) can cause caries (dental decay), which erode the enamel and dentin, allowing bacteria into the pulp (innermost later where nerves and blood vessels run).

- 𝙿𝚎𝚛𝚒𝚘𝚍𝚘𝚗𝚝𝚊𝚕 (𝚐𝚞𝚖) 𝙳𝚒𝚜𝚎𝚊𝚜𝚎: Gum disease causes the gums to pull away from the teeth. This leaves deep pockets where bacteria can grow. If tartar builds up too much, or if food gets stuck in the pockets, pus forms. If the pus can't drain, it forms an abscess.

- 𝙲𝚛𝚊𝚌𝚔𝚎𝚍 𝚃𝚘𝚘𝚝𝚑: with the inside of the tooth exposed, bacteria has direct access to the pulp, leading to infection

Depending on the severity of the abscess, we can treat it several different ways:
- Antibiotics
- Extraction
- Root Canal
- Incision and Drainage.

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‼️EDUCATIONAL POST - CROWNS & VENEERS‼️

Not all that glitters is gold...

I’ve seen an increase in young people getting crowns and veneers. As the article states, ‘shaving down’ your teeth is permanent and irreversible. The only solution is to place a prosthesis (crown or veneer etc).

Many describe getting veneers, but the level of reduction seen in the pictures from the article are actually for CROWNS!
to see the difference.

VENEERS usually cover one surface of the tooth, and can be as thin as 0.5mm. Very little of the tooth needs to be ‘shaved down’ (aka tooth reduction). We can also do ‘no-prep’ veneers, which don’t require any tooth reduction.
CROWNS cover all surfaces of the teeth, and usually require 2mm of tooth reduction, thus being a more destructive procedure.

Although long lasting, they may need replacement after 10-15 years which can be costly. For crowns, teeth may eventually require root canal or extraction as each time the crown is replaced, more tooth structure is removed. Eventually, the tooth may be deemed ‘non-restorable’ as there may be insufficient tooth structure left to restore it. Patients may also experience sensitivity due to compromised tooth integrity and increase in temperature of the tooth during the procedure.

Though the crown/veneer cannot develop decay, the tooth underneath it is still susceptible, particularly where there are loose or open margins where the tooth and crown meet. Dental plaque can collect around this margin, introducing bacteria to the tooth which can lead to decay. So it is particularly important to have good oral hygiene (brushing and flossing) following a crown or veneer.

So, what’s good about crowns and veneers? Crowns and veneers can be excellent treatment options for those with already compromised teeth, including teeth that are already heavily restored, chipped, broken, crooked, decayed, root canal treated, discoloured, small, or have other abnormalities.

For uncompromised ‘healthy’ teeth, there are many other less invasive procedure that can improve your smile:
- Whitening
- Orthodontic treatment
- Composite bonding
To name a few!

The article can be found here : https://theheartysoul.com/young-influencers-filing-down-teeth/?utm_source=3ampp&fbclid=IwAR3SLmvRdTqrPB49gPTcKmMmwMf84LcKg0uTv3q86qM6SzX2chi83_M1UXY

— Dr Ayanna 👩🏾‍⚕️🦷
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He was also hilarious! When I explained he needs extractions he proclaimed “tooth be or not tooth be! That is the question”
😂😂😂😂😂

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Wisdom tooth extractions on a Tuesday!

(✅ in the comments!)

32 year old male patient.
Came in after experiencing sharp spontaneous pain, referring to the ear. #17 PA x-ray. Gross decay seen MO.
Tender to percussion.

What’s your diagnosis?

Tag your your dental friends and classmates!

(P.s. the little hairs are bits of gauze from me trying to wipe off the blood!)

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🦷Sockets and Sutures!🦷

to see the HUGE 2 rooted premolars that came from these sockets.

I extracted #4 and #5 (right maxillary 1st and 2nd premolars) using 1 carpule of 2% Lidocaine with 1:100,000 epinephrine for right MSA nerve block. 💉

As you can see, I placed 1 interrupted suture using 3.0 absorbable catgut to ensure proper reattachment of the papilla.

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Stains be gone‼️🦷

(✅ in the comments)

My 63 year old female patient came in for a routine cleaning (oral prophylaxis)

Guess what, she’s a frequent tea drinker! The results of which can be seen on the lingual surfaces of her mandibular anterior teeth.

I performed the prophylaxis using an ultrasonic scaler to remove those stubborn stains.

❓Dentists and Dental Students❓
What advice would you give to a patient to help them prevent these extrinsic stains?

Leave your answer in the comments or message me!

Share with your classmates and colleagues. 🦷
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