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Sedation Dentistry

Sedation dentistry refers to the use of pharmacological agents to calm and relax a patient prior to and during a dental appointment.  The pharmacological agents usually belong to a class of drugs called sedatives, which exert their action by depressing the central nervous system, specifically those areas concerned with conscious awareness.

There are different degrees of central nervous system depression, each corresponding to a level of relaxation which ranges from minimal, moderate, to deep sedation.  In general, minimal sedation refers to a patient who has reduced anxiety, but readily responds to verbal or physical stimulation.  With moderate sedation the patient is even more relaxed, and will respond to purposeful stimulation.  In deep sedation, the patient may not exhibit any signs of consciousness and therefore be unresponsive to stimulation.

Sedation by pharmacologic methods may be obtained by two general routes.  The Enteral route includes medications that are either swallowed, absorbed through the mucosa of the oral cavity, or inserted rectally.  The Parenteral route involves the administration of sedative drugs other than absorption within the alimentary canal.  These methods include intravenous, inhalation, intramuscular, and submucosal administration, among others. 

Minimal (Oral Conscious) Sedation

You will take a small pill an hour prior to your dental appointment.  Your companion will drive you to the office because by the time you arrive, you will be very drowsy.  When you arrive in our office, you will be escorted into the operatory, covered with a thick, warm blanket and placed on a monitor to watch your vital signs.  After you are comfortable, the doctor and the experienced clinical team will take care of your dental needs.  When your treatment is completed, your companion will drive you home to finish your comfortable, relaxing day.

Moderate (Nitrous Oxide) and Deep Sedation (IV)

  1. Preoperative.  The Anesthesiologist will talk with you before the day of surgery.  This may happen in person or over the phone.  He will ask you about your health history, medications you are taking, and previous surgeries.  The Anesthesiologist will gather any necessary labs, tests, and any physician clearance prior to anesthesia.  During this preoperative consult, feel free to discuss in detail the anesthesia you are scheduled to receive.
  2. Induction.  This is when the patient goes to sleep.  This is accomplished by inhaling nitrous oxide gas or receiving medication through an IV.  All monitors are placed, the patient is given a warm blanket and padded with special padding for extra comfort.
  3. Intraoperative.  During surgery, the Anesthesiologist gives medications to keep the patient comfortable.  The Anesthesiologist will monitor blood pressure, heart rate, blood oxygen level, breathing, and temperature.
  4. Recovery.  After the surgery is complete, the patient will wake up feeling relaxed.  Medicaion will be given to prevent pain, nausea, and discomfort.  The patient will reqiure a chaperon for the car ride home, and supervision during the next 24 hours.

Is it completely safe and what can I expect?  Yes, it is completely safe!  You will have little or no memory of the experience.  You won't remember any sounds or smells.  You will relax for up to six hours after surgery.  The time you are snoozing will vary depending on your needed treatment.

How do I know if sedation dentistry is right for me?  Complex dental treatments that often require six to eight appointments, can be done in as little as one!  All while you relax.  People who have difficulty getting numb will find that sedation dentistry eliminates this problem.  Sedation dentistry is a safe way to reduce the fatigue of extended dental treatment requiring long visits.

Will I feel any pain?  Most patients sleep through dental procedures including implants, root canals and extractions.  Patients say they do not remember anything. 

Will I be unconscious?  No, you will be in a deeply relaxed state, and you will normally be responsive.

Will I be monitored?  Yes, one of our team is always with you and your vital signs are monitored during the entire visit.  You are never alone.

How long will I be snoozing?  Depending on your needs, from two to six hours.

Will someone need to accompany me?  Yes, due to the sedative effects of the medication, you will need someone to drive you to our office and home again.

Who is a candidate for sedation dentistry?  People with the following concerns:

  1. High fear
  2. Traumatic dental experiences
  3. Difficulty getting numb
  4. A bad gag reflex
  5. Very sensitive teeth
  6. Complex dental problems
  7. Limited time to complete dental care
  8. Hate needles and shots!
  9. Hate the noises, smells and tastes associated with dental care
  10. Are afraid or embarrassed about their teeth