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ORAL
SEDATION DENTISTRY
What is involved in Sedation
Dentistry?
Sedation Dentistry allows the dentist to perform
treatment safely and more comfortably than ever expected. After
taking a pill or a prepared drink, the treated patient is drowsy
or in a sleepy state, detached from the sounds and procedures and
unaware of time.
After the initial examination, diagnosis and consultation, the Sedation
and treatment appointment will be scheduled. A small sensor will
be placed on a fingertip and a blood pressure cuff will be placed
for visible monitoring. The patient is given one or more small pills
or a liquid drink and allowed to reach a constantly monitored relaxed
sleeplike state. When the patient is completely relaxed and comfortable,
the doctor will begin the treatment. A companion driver will be
required since the patient will not be able to drive. Most will
have little, if any memory of the appointment.
Who is a Good Candidate for Sedation Dentistry?
Sedation Dentistry is useful for adults who:Have
high anxiety about dental visits , needles, etc.
- Have had past traumatic dental experiences
- Have difficulty getting numb
- Have a strong gag reflex
- Hate the noises and/or smells associated with
dental care
- Do not have the time for multiple visits and
would have difficulty tolerating long appointments.
More Important Facts
You will not be unconscious. You will be very relaxed, but you will
be able to respond. You will probably not, however, remember much
about your visit.
You will not have an IV. No tubes or needles are necessary for the
sedation. You just simply swallow a pill or liquid.
Depending on age of patient and dentist discretion, you companion
may leave the office during treatment. During the actual procedure,
your companion is free to stay, or leave and come back to pick you
up at the end of the procedure.
There are age limits. Sedation Dentistry is recommended
for adults age 18 to 80, but a careful screening will be performed
for any medical conditions that may prevent you from being a candidate.
Most will experience comfort. Most likely you will fill no pain;
however, those who feel, usually describe it as an unconcerned awareness.
Length of sedation: You will be sedated
for 2 to 8 hours, depending on your dental care needs. You will
often still be drowsy after you leave our office and should not
plan any activities for several hours.
Inhalation Sedation
(Nitrous Oxide, AKA Laughing Gas)
We treat all patients in a kind
and gentle manner. This is the best way to reduce nerves in the
long term. Some patients are, however, extremely nervous and require,
at least initially, some form of sedation. Sometimes
sedation is required if a particularly unpleasant
procedure, such as surgery, has to be performed.
Our philosophy regarding sedation is based on treating
all our patients in a kind and gentle way so that eventually they
find that they do not need the sedation at all.
Inhalation sedation,
laughing gas, relative analgesia, RA, happy gas, gas, nitrous, nitrous
oxide, N2O-O2... this one has more synonyms than any other sedation
technique! And deservedly so. Inhalation sedation
with nitrous oxide (N2O) and oxygen (O2) has been described as "representing
the most nearly 'ideal' clinical sedative circumstance"..
Nitrous Oxide Facts
- Nitrous oxide works very rapidly - it reaches
the brain within 20 seconds, and relaxation and pain-reducing
properties develop after 2 or 3 minutes.
- The depth of sedation can be altered from moment
to moment, allowing the person who administers the gas to increase
or decrease the depth of sedation.
- Other sedation techniques have a fixed duration
of action.
- There's usually no "hangover" effect
- the gas is eliminated from the body within 3 to 5 minutes
after the gas supply is stopped. You can safely drive home and
don't need an escort.
- With nitrous oxide, it's easy to give incremental
doses until the desired action is obtained (this is called "titration").
- Inhalation sedation is very safe. It has very
few side effects and the drugs used have no ill effects on the
heart, lungs, liver, kidneys, or brain.
- For certain procedures, especially those
involving soft tissues (e. g. deep cleaning), inhalation sedation
may be used instead of local anesthesia in some patients. N2O
acts as a painkiller; however, its pain-relieving effects vary
a lot from person to person and can't be relied upon. * Inhalation
sedation has been found to be very effective in eliminating
or at least minimizing severe gagging.
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