Category Archives: Sedation Dentistry

Oral Health, Sedation Dentistry

How long should a dental cleaning take and why aren’t they sedating me?

I want to know why my dentist isn’t sedating me. My past 2 dental cleanings took almost 2 hours. The first time it took so long that my underarms were soaked and my shirt was wet. It was the craziest experience. My gums were bleeding and when the hygienist rinsed my mouth and told me to suck on that straw thing to dry my mouth, I almost gagged. So did she! I heard her make a gagging sound. At the end of the appointment she and the dentist told me I have gum disease so I have to floss more often and I need to go back more often to get my teeth cleaned. I’ll do whatever it takes to get rid of gum disease but what is taking so long with these cleanings? I only have 23 teeth, so what is the problem people? Last week I went back again and this 2nd appointment took almost 2 hours again. This time neither of us gagged. Maybe that’s improvement… Is the time involved normal? And with all of this bloody mess and my soaked underarms after the appointment why are they not sedating me? How long should a dental cleaning take? Thanks. Geoff

Geoff – Your concern about the length of your dental cleanings and your level of anxiety without sedation are understandable. And your dentist should provide you with the answers.

Average Time for a Dental Cleaning

A dental cleaning for a patient who has good oral health and maintains excellent oral hygiene at home takes about 30 to 40 minutes. The time can vary, depending on the condition of your teeth and the hygienist’s speed. Keep in mind that when you receive a dental cleaning, more is involved than just cleaning and polishing your teeth:

  • X-rays are taken.
  • Your hygienist will check the space between your teeth and gums for signs of periodontal (gum) disease.
  • Your dentist will also need to examine your teeth, gums, tongue, and other oral cavities to ensure they are healthy and disease free.

The “extras” are necessary to help you maintain good oral hygiene. And they naturally add more time to your dental visit. But let’s discuss what might be taking your appointment so long and why you aren’t being sedated.

What’s Taking So Long?

So what’s affecting the time it takes to clean your teeth? Several factors might be involved:

  • The condition of your teeth – A professional dental cleaning removes plaque, tartar, and stains from your teeth. The amount of plaque and tartar buildup is related to how often you brush and floss your teeth. The more you floss between your teeth, the less plaque and tartar there will be. Stains can develop from everyday eating and drinking, but if you smoke, or if you are a heavy coffee or tea drinker, your teeth will have more stains.
  • Periodontal (gum) disease – When the pocket, or space between each tooth and the surrounding gum tissue, is infected, the gum tissue pulls away from your teeth. Deep periodontal pockets need to be thoroughly cleaned to get rid of gum disease. This process, scaling and root planing, is a deeper cleaning than normal and takes more time. In cases of severe periodontal disease, a specialist (periodontist) might be needed.
  • Your anxiety level – It takes a little more time and patience to provide dental care for anxious patients. If your dentist and hygienist know you’re anxious, they will work at a slower pace to ensure your comfort and to take time to explain what’s being done throughout the dental procedure. Some dental professionals do this regardless of a patient’s anxiety level. Sedation can help make dental cleanings easier for you.

Why Aren’t You Being Sedated for Your Dental Cleanings?

Perhaps your dentist and hygienist haven’t noticed your sweaty armpits. Maybe it’s not that noticeable to them, or maybe they need to be more observant. Have you explained how nervous you’re getting with the lengthy dental cleaning appointments?

Your periodontal disease needs to be well controlled, so it’s time to let your hygienist and dentist know just how much the cleaning appointments are affecting you. Ask for sedation so you won’t start to dread your appointments—and possibly start skipping a few.

Your dentist should work with you to provide a level of sedation that matches your anxiety and the length of your dental appointments. If he or she isn’t responsive enough to your anxiety, it might be time to look for another sedation dentist.

This post is sponsored by Plano dentist Dr. Miranda Lacy.

Sedation Dentistry

I’m too anxious even for a sedation dentist

I’ve spent the last 3 years with so many medical issues that I can’t manage to even see a sedation dentist about the problems that I have with my teeth due to my illnesses and medication. The countless hospital stays and doctors’ appointments have tapped out my emotions. Thankfully I am much better physically but I’m just exhausted from seeing healthcare providers. I know that my teeth need extensive work and I will have to see a dentist, but I’m just afraid. I understand that sedation dentistry is my best option, but I’m anxious about going to the dentist. I just want to get my anxiety under control before I take that step. There isn’t a lot of time for me to do this because my teeth are in poor shape and it is starting to affect my confidence. What can I do to get over this hump? Ava

Ava,

Sedation dentists don’t just give you medication so you can get through your dental appointment. They thoroughly understand dental anxiety, and they are compassionate about it. Part of their training involves seeking to understand why a patient is anxious, and that comes through communication with you.

Your experience with a sedation dentist will evolve from conversation, to education and understanding, to dental treatment. A sedation dentist makes the effort to provide a calming office environment, to hire patient staff members, and to ensure your comfort throughout the dental visit.

We suggest that you schedule appointments to speak with at least two sedation dentists—not for dental treatment—but to get to know the dentist and how he or she can help you address your anxiety. Medication is part of the solution, but so is your relationship with the dentist. When you call to schedule the appointment, explain your concerns and that your request is only for a consultation—no exam or x-rays.

You can get to know the dentist and experience the office environment before you commit to dental treatment.

This post is sponsored by Plano dentist Dr. Miranda Lacy. Dr. Lacy’s office is convenient to Addison, Allen, Carrollton, Farmers Branch, Frisco, Garland, Highland Park, and Little Elm.

Sedation Dentistry

What should I say to my dad so he’ll take me to a sedation dentist?

I have a tooth that I think is rotten and I want to see a sedation dentist. I haven’t been to the dentist much in life because my dad’s job doesn’t always give good dental insurance to employees. For the past 2 years they didn’t offer it. My tooth hurts on and off and since January it has been hurting more consistently. I told my dad about the toothache and he keeps saying that he needs to get me to a dentist but he isn’t doing it. One of my classmates went to a sedation dentist to get her wisdom teeth out and I am thinking that’s what I need to get this tooth pulled. I don’t know if I can even mention a sedation dentist to my dad but I am thinking that maybe if I say the right thing to him that I can get some action. I am afraid that my tooth is rotten and is going to mess up my other teeth. What should I say to help my dad know this is serious and I might need a sedation dentist? Thanks Emilee

Emilee,

We’re sorry that you’re having increasing pain in your tooth that isn’t being addressed. Please save a link to this page or print the page for your parents to read.

If your tooth is hurting and appears to be rotting, it’s important to get it treated right away. Preventive dental care will protect your oral health and prevent a tooth infection from spreading to other teeth, your gums and jawbone, and possibly into your bloodstream.

A dentist will need to examine your tooth first. If the tooth is treated quickly, it might not need to be extracted. A root canal treatment can be used to remove the infection and save your tooth.

If your parents are concerned about the cost, there might be state-provided dental care for families with limited income. Some dentists will offer discounted care or provide your parents with a payment plan.

If you suffer with dental anxiety you might need a sedation dentist, but if you’re not nervous about dental appointments, sedation might not be necessary. A dentist will examine your tooth and let you know if local anesthetic is enough to treat it or if sedation is really needed.

If you still can’t help from your parents for seeing a dentist right away, please talk with your school guidance counselor.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy. Dr. Lacy’s office is convenient to Addison, Allen, Carrollton, Farmers Branch, Frisco, Garland, Highland Park, and Little Elm.

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Sedation Dentistry

What can I expect at my sister’s sedation dentistry appointment?

My sister asked me to go with her to the sedation dentist. She is going to get a root canal that she has been putting off for a long time. I convinced her to go to a sedation dentist because the toothache is making her nauseous. She is really nervous about dental appointments, too. I wasn’t expecting her to ask me to be the one to take her to the appointment. I get nervous about anything that has to do with medical or dental procedures. Of course I feel obligated to help her now. Last week, she had an appointment with her dentist to go over the procedure, but I didn’t go with her. I haven’t asked her any questions because I don’t want to give away my own nervousness. Exactly how do I need to help her? What happens if things at the dentist don’t go as planned? Thank you! Elise

Elise,

It’s good that you encouraged your sister to visit a sedation dentist. An infected tooth will only get worse without a root canal treatment. If it progressively travels throughout the body, the infection can become very dangerous for the patient.

You won’t be with your sister in the treatment room during the root canal procedure. You’ll be waiting in the reception area. A dental hygienist or assistant will give you verbal and written instructions for aftercare. Your sister probably already has those instructions, so without giving away your nervousness, you might be able to ask her to e-mail them to you.

Sedation Dentistry Aftercare

Your sister will be drowsy after her procedure, so you’ll be there to drive her home. She will need to rest, so after she’s home, you can check in on her periodically. There are a few things that can be done in advance:

  • Talk to your sister and help her decide if she will rest in bed or on a couch after her dental procedure.
  • Prepare the area so that when she gets home, she can rest right away.
  • Ensure she has on hand soft foods, cold packs, and whatever the dentist recommends to have at home after the procedure.
  • Prescriptions might be written in advance, and those can be filled and picked up before her dental appointment.

It’s very unlikely that there will be a medical issue during the procedure. The dentist and his or her staff will monitor your sister’s vital signs while she is under sedation dentistry. After you take your sister home, the dentist’s office will be available to answer any of your questions. In the unlikely event of a serious emergency, call 911. Keep in mind that it’s unlikely that there will be an emergency.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy. Dr. Lacy’s office is convenient to Addison, Allen, Carrollton, Farmers Branch, Frisco, Garland, Highland Park, and Little Elm.

Sedation Dentistry

Can I use wine for sedation before my dentist’s appointment?

I don’t like artificial things in my body so sedation dentistry isn’t my first choice to help me relax. I don’t drink alcoholic beverages often so when I do they relax me and I usually sleep until the next morning, but I’m not drunk. I am wondering if wine is a good option to help me relax at the dentist. I would drink it maybe 15 minutes before I leave for my appointment. I would have my sister or a friend drive me to the dental appointment. I can arrive very relaxed and sleepy and get through the dental appointment without something artificial being used unnecessarily. Is this something a dentist would agree to? Thanks Leigh

Leigh – Although you want to relax during your dental appointment, you also should be able to respond to the dentist’s instructions and questions during that time. It sounds like alcohol would make you sleep through the entire procedure.

Sedation dentistry helps you relax. If your dentist has an important question for you, you would be able to respond. The medication you would receive is commonly prescribed anti-anxiety medication. It won’t knock you out cold. Only a small amount of the medication is given, so your system won’t be overloaded with an artificial substance. During the procedure, your vital signs are monitored and safety precautions are taken.

Speak with a sedation dentist about your concerns. You might be able to take something natural to help you relax before your appointment, but wine or other alcoholic beverages won’t be the preferred method.

If your current dentist offers sedation, ask what he or she uses to help people relax. Sometimes nitrous oxide (laughing gas) is all that’s needed. If you need a higher level of sedation, you and your dentist can discuss an agreeable method.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy.

Sedation Dentistry

Can sedation dentistry be fatal?

All 4 of my wisdom teeth are impacted. I am having them pulled under sedation dentistry in January. I am managing the pain for the most part, but my schedule is too hectic to get the surgery done before next year. There is no way I can get the teeth pulled without being sedated, but the thought of it is making me nervous. Maybe I shouldn’t have done so much research on it, but I found some accounts of people who actually died from sedation at the dentist. Are there some hidden dangers that my dentist isn’t telling me about? If so maybe I will just take something that normally makes me sleepy so I can get through this. Thanks. Leticia

Leticia,

When you take any type of sedative—whether it’s from a doctor, dentist, or an anesthesiologist, there are always risks. There are also risks and side effects of any type of medication. But the risks are usually minor, and the odds of having a serious reaction with sedation dentistry are very small. The majority of dentists who use sedation don’t have any issues during their entire time of practicing dentistry.

Sedation dentistry is primarily administered through anti-anxiety medication. It will make you drowsy and relaxed, but not unconscious as with general anesthesia. General anesthesia has greater risks, but it is administered by a highly trained anesthesiologist—not by a dentist.

Before you receive any anti-anxiety medication, your sedation dentist will review your medical history and current medication. Your medication will be carefully checked against the anti-anxiety medication to ensure there are no conflicts. If you have an extensive medical history of complications, a conscientious sedation dentist will work with your primary care doctor to ensure you get the correct medication and dosage.

Dentists who administer sedation are required to receive extensive training, and have the legally regulated drugs and equipment for proper treatment. They are also trained on monitoring your vital signs to ensure your safety. The dentist is also trained to handle emergencies and to get appropriate medical help without trying to resolve the issue on his or her own in the dental office. Again, emergencies are rare.

Many patients benefit by speaking with a sedation dentist in advance. It’s an opportunity to discuss your concerns, ask questions, and ensure you understand what to expect before, during, and after your appointment. Ask about the dentist’s emergency protocol in the rare event of an emergency. The details you receive can help increase your comfort about your procedure. If you are dissatisfied with the consultation, find another dentist who can thoroughly address your concerns.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy.

Sedation Dentistry

Will insurance cover sedation dentistry?

I need 3 fillings replaced. I’ve had the fillings since I was 15 years old. 2 weeks ago one of them cracked. It broke a piece of the tooth off so bad that I had to go to an emergency dentist. He said I now need a crown. I am dreading this work that needs to be done. The dentist saw my anxiety level increases as he was explaining everything that needs to be done. He said that a sedation  dentist might help me relax and if I wanted to I could go to another dentist who offers it. I’ve haven’t been to a dentist for about 5 months because my old dentist left his practice. Now the thought of being sedated by a new dentist and having this be the first major work done for me is making me more nervous. Is this something that insurance covers?

Whether or not insurance provides benefits for sedation dentistry depends on your individual plan and the type of sedation offered. Some procedures are billed to dental insurance, and others are billed to dental insurance. In advance of your procedure, the dental office can contact your insurance companies to determine if any benefits are provided. Keep in mind that it is unlikely that insurance will cover the entire cost, but some benefits might be provided.

If sedation dentistry is used during an appointment with an oral surgeon, an anesthesiologist might be present to administer it. The insurance will likely provide some benefits for the sedation, which is often referred to as twilight.

Sedation at a dental office for general procedures is usually nitrous oxide or oral conscious sedation. Anti-anxiety medication is given for oral conscious sedation, and insurance generally doesn’t cover it.

You can search for experienced sedation dentists who use different levels of sedation, depending on your procedure and anxiety level. Ask about each dentist’s training, credentials, and experience. Schedule a consultation with two or three sedation dentists and get a feel for how you are treated as a patient. If you are comfortable with the dentist and his or her office environment, it might be easier to trust the dentist with giving you medication to help you relax.

Remember that you will still be conscious during your appointment and able to respond to the dentist’s questions, and to let the dentist know if you are experiencing any discomfort. Your vital signs are monitored throughout the procedure.

Ensure you are comfortable and have enough information about sedation dentistry and your dental procedures before you schedule an appointment to have your dental work completed. It help your appointment to go smoothly.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy.

Sedation Dentistry

Will sedation dentistry interfere with my PTSD medication?

I take medication for stress from some traumatic events I experienced during childhood. During the past 3 years, I have been able to cope with therapy and medication. Situations that can potentially make me nervous are heightened because I am predisposed to anxiety. Dental appointments are a real challenge for me. I manage to get through the x-rays and exams. Now I need a root canal and crown and the thought of it is making me nauseous. My dentist mentioned sedation. The office has a list of my current medications. Although he says everything will be okay, I am afraid that there might be a conflict between the sedation from the dentist and my PTSD medication. Should I be concerned? – Jen

Jen – If you are taking any medication, you should always be concerned about how it will interact with other medications. The mild anti-anxiety medication given for sedation dentistry is typically compatible with most medication. If your dentist has a list of your current medications, he can double-check for contraindications and you receive a compatible medication.

Sedation dentistry helps you relax so you won’t be focused on what’s happening during your dental appointment. Many patients find that it also dulls their sensitivity to pain.

When you speak with your dentist again, talk to him about your anxiety disorder. Let him know your concerns about sedation dentistry, as well as what can be done to increase your comfort level during the appointment. Some patients are more relaxed when they are notified before a dentist or a staff member enters the room, instead of being quietly approached from behind.

Communication through each step of the treatment process can also help. It might be helpful if you are told in advance what will happen during treatment and why, as well as what you can expect in terms of sounds and sensations.

Another way to increase your comfort level during sedation dentistry is to ask your dentist the name of the medication you will be given to help you relax. Speak with your medical doctor or pharmacist about the medication and any possible contraindication with your current medication. You can also do your own research on any contraindications with the medication.

Best wishes for an anxiety-free dental appointment and a healthy smile.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy.

 

Sedation Dentistry

I am still nervous after nitrous oxide at the dentist

Am I a candidate for sedation dentistry? I have a really embarrassing fear of the dentist. My current dentist is really nice but every time I have to go I get so nervous I shake and I am sometimes literally sick. I’m afraid I’m going to need a cavity filled or something. My dentist before wasn’t that nice. When I leave this dentist everything is fine but when it’s time for the next appointment I start freaking out again. They say it gets better every time you go. But it hasn’t for me. Any tips? I have another apt in 2 weeks and I want to prepare myself for a better visit. I am asking about sedation because my dentist only uses nitrous and it doesn’t help at all. I am still nervous after I receive it. Thanks Brendon

Brendon – Bad dental experiences are a source of fear and anxiety for many patients. It is good that you have found a gentle dentist. You may be a candidate for a higher level of sedation dentistry. Your medical history will need to be reviewed first.

To start, tell your new dentist about your fear and the reason for it. He or she will pay extra attention to the things that make you particularly nervous. Sometimes, a more thorough explanation of the procedure, and what to expect during and afterward will calm you.

You can take an I-pod and listen to music to distract you from the dental procedure. Or, some dentists have televisions in the treatment room.

If you are very anxious, you may need a dentist who uses higher levels of sedation than nitrous oxide, such as as a small amount of anti-anxiety medication that you take in advance, or IV sedation. Dentists vary in the type of sedation dentistry they offer. Not all dentists provide sedation for their patients.

Sedation dentistry completely relaxes you so that your dentist can complete your treatment while you are free of anxiety.

This post is sponsored by Plano, TX dentist Dr. Miranda Lacy.

Comfort Dentistry, Sedation Dentistry

Can I take Benadryl to make me sleepy before I go to the dentist?

For the average person getting cavities filled might not be a problem, but it’s a problem for me. I need something to sedate me or relax me before my dentist’s appointment. I have never had cavities before, and I hate going to even the nicest, most gentle dentist. Now I have 2 cavities that need to be filled. I am going with composite and I know that takes longer than silver fillings. My question is can I take maybe a Benadryl or something for the fillings even though it’s a simple and quick procedure? Will Benadryl affect anything the dentist will do or put in my mouth? I got a suggestion to drink alcohol before the appointment but that doesn’t sound like a good idea to me. What is something safe for me to take before the dental appointment? Manuel

Manuel – Yes, you can be sedated for the simplest of dental procedures. But you shouldn’t try to sedate yourself with Benadryl, alcohol, or by any other means. If you are anxious or nervous, a sedation dentist prefers that you be relaxed before your appointment. If you can’t relax, the dental treatment and your visit won’t be productive. But leave the sedation to your dentist.

A sedation dentist uses nitrous oxide (also referred to as laughing gas), conscious oral sedation (mild, anti-anxiety medication), or IV sedation to help you relax during a dental procedure. The levels of sedation offered varies with the dentist and his or her training. All are common, safe means of helping patients relax.

Many patients cancel dental appointments because of their anxiety. Some patients actually refer to themselves as dental cowards or dental phobic. Speak with your dentist about your concerns and your desire for sedation. If he or she doesn’t offer a level of sedation adequate for your needs, you can consider finding a dentist who does.

Your comfort level with a dentist can contribute to or decrease some of your anxiety. If you need to find a dentist who practices sedation, we suggest that you schedule a consultation first to ensure you are comfortable with the office environment, staff members, and dentist.

This post is sponsored by Plano dentist Dr. Miranda Lacy.