Category Archives: Sedation Dentistry

Sedation Dentistry

Is sedation dentistry like anesthesia?

Is sedation dentistry like anesthesia during outpatient surgery? I’ve received a few postcards from new dentists in the area who do sedation. My dentist doesn’t offer it at all, but I am not attached to him because I’ve only been going to the practice for a year. I like him, but I feel no commitment. I think my anxiety at the dentist would be much better if I got sedation so I am thinking of making the switch. Before I get talked into it I would just like more information on how it works. Is sedation like anesthesia? Thanks Kerry

Kerry,

The main difference between sedation dentistry and general anesthesia is that with sedation dentistry you are awake. There are different levels of the treatment, depending on your level of anxiety. A sedation dentist may offer some or all of the levels.

The levels of sedation are nitrous oxide, oral conscious sedation, and IV sedation. The treatment makes you drowsy. Some patients actually fall asleep through the dental procedure, including tooth extractions, root canal treatment, dental crowns, or whatever treatment they are receiving. Since you won’t be unconscious, you will be able to respond to your dentist’s questions and commands throughout your procedure.

Sedation dentistry relieves a lot of anxiety before, during, and after your dental procedure. Often just the anticipation of a dental appointment can make you nervous. Your sedation dentist will speak with you about the cause of your anxiety. He or she will match your anxiety level with the procedure being done and determine whether you need nitrous oxide, oral conscious sedation, or IV sedation.

After your dental appointment, you will still be drowsy. Like outpatient surgery, you will need transportation and need to take the rest of the day off.

We recommend that you visit at least two sedation dentists. The levels of sedation offered can vary, so you may want to find a dentist who offers at least two levels. Before you receive any dental treatment with sedation, the dentist will review your medical history to ensure you are a candidate for it. Ensure you are comfortable with the dentist first before you receive sedation. Your trust in his or her qualifications will give you confidence in the dentist during your appointment.

 

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

Cosmetic Dentistry, Sedation Dentistry

Will sedation help me get all my teeth fixed in one appointment?

I was without dental insurance for 5 years. During that time all I could afford to do was get my teeth cleaned once a year. Before my insurance ended I had major problems with my teeth. So the crowns and fillings she recommended were put on hold. Now I have some major cavities. I am guessing that I will need at least 3 caps on my teeth. One of the teeth is starting to hurt so I hope it doesn’t need a root canal. I am not a person who is usually afraid of the dentist but all the work I think that I will need is making me lean toward a sedation dentist. Just the number of teeth that need to be fixed is making me nervous. I am wondering if a sedation dentist will do all of this work in one appointment. If so it will be worth it for me to find a sedation dentist. Thanks Cheryl

 

Cheryl,

It is good that you are already thinking about seeing a sedation dentist. The amount of work that needs to be completed on your teeth makes sedation appropriate. This treatment allows a dentist to accomplish as much as possible during a single visit.

In order to determine what dental treatment you really need and how much of it can be completed in a single visit, an examination and x-rays are required.

We suggest that you first find two or three experienced sedation dentists who are also cosmetic dentists. Schedule a consultation with each dentist. Find out what levels of sedation are offered and how the dentist determines which level of sedation is right for you.

An examination and x-rays will reveal whether you need root canal treatment and dental crowns. A cosmetic dentist will most likely select treatment options that preserve as much of your tooth structure as possible. At times, porcelain inlays or onlays are a more conservative way to treat teeth. This avoids the need to shave down the tooth structure to accommodate a dental crown.

During the consultation, ask about the forms of payment that are accepted in addition to your dental insurance. You will likely have out-of-pocket costs.

Choose a sedation dentist that you’re comfortable with. Ensure that you’re also comfortable with the staff and office environment. The right dentist will ensure your comfort and give you a beautiful smile.

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

 

Sedation Dentistry

I have PTS and need my service dog at dental appointments

Hi. I am a Vet with PTS and there are certain situations that make my anxiety worse. Before the incident that caused the PTS I was nervous about dentists appointments but now it’s over the top. I agreed to sedation but under the condition that my service dog is present with me for dental procedures. My dog isn’t just a service dog. If in any way I am being harmed she will come to my defense. It is just the state of my being drowsy and out of full control that makes me uneasy. I’ve had the dog at the office before but when I told my hygienist that I needed to bring the dog for any dental procedure beyond my cleaning it was clear to me that she doesn’t like dogs. I could tell by the way the conversation went. I know its not up to her but I can’t take any flack about this. I just can’t. Do you have any suggestions about how to deal with this? I am thinking about switching to a woman dentist for a little more compassion by the dentist and staff. Jamison

Jamison,

Your anxiety and the history of it make it understandable that dental appointments are a challenge for you. Sedation dentistry is the right choice. Your oral health is important, so whatever is needed for you to achieve it should be respected.

Dental offices have different policies about animals in the office, but they should be understanding and respectful of your service dog. Speak with your dentist in person to explain the cause of your anxiety and why it’s so important to be accompanied by your service dog.

Sedation dentists understand anxiety. They are empathetic to patients who are anxious, and they are interested in knowing the source of your anxiety. Your candid conversation will help your dentist and the staff members properly care for your needs.

If for some reason your wishes are not respected, contact several other sedation dentists’ offices and request a consultation with each dentist. You will find the right dentist who will make the effort to ensure your dental visit is comfortable and productive.

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

 

Sedation Dentistry

Any problems with taking Xanax before a dental appointment?

I’m sure that my question about taking Xanax before a dental appointment pretty much tells you how much I hate dental appointments. I already have a prescription that I use as needed. So I am thinking that taking the medication before my appointment is probably a good way for me to chill and get the work done. Two of my crowns need to be replaced and although I don’t anticipate having a whole lot of pain I am still nervous. Is there any problem with taking a Xanax before my appointment? I haven’t found a new dentist. My last dentist was a woman so I am again looking for a female dentist who also does sedation. Interestingly I have found that two of my previous male dentists were not sympathetic to my anxiety. Maybe it’s because I am a guy. Who knows.  If Plano wasn’t so far I would try your dentist. I don’t think it will be too hard to find one, though. I am rattling on. Thanks for answering my question about Xanax. – Gene

Gene – Before any patient is given sedation dentistry, his or her dentist will carefully review prescription and medical history. Be sure to let your dentist know that you already have a prescription for anti-anxiety medication and let him or know the type of medication. Since your medication that works well for you, it won’t hurt to take it in advance of your dental appointment.

Dental anxiety is common among millions of Americans. It’s good that you are willing to make an adjustment so that your anxiety won’t prevent you from maintaining good oral health.

Many dentists focus on catering to anxious patients. The dentist and staff ensure that you have a good dental experience. Remember that you will need to arrange for transportation to and from your dental appointment.

 

This post is sponsored by Plano, TX dentist Dr. Miranda Lacy. Dr. Lacy is a female dentist who provides sedation dentistry to help patients relax.

Oral Health, Sedation Dentistry

Marijuana before my dental appointment

Marijuana makes me feel easy and calm like I’m hand gliding over the beach on a warm day. I use it on weekends to help me relax. Every once in a while I will use it during the week depending on my stress level. I have been on anti-depressants before and they made me get thoughts of hurting myself, but I’ve never had those thoughts with MJ. So I don’t need it as often as I took the prescription meds. I’m going to schedule a root canal for one tooth, another one needs to be pulled, and later I’ll get a dental bridge for the one that will be pulled. After the dentist described everything he had to do, I thought to myself that a little MJ before my appointment would be in order. Instead my dentist talked to me for 10 minutes about sedation and a little pill I would take before the appointment. I am not feeling the anti-anxiety meds idea, not at all. So here’s my question: if MJ is my relaxation method of choice can I refuse sedation and maybe sign off on something to say that I realize what I am doing. Thank you very kindly. Mitch

Mitch – Although you use marijuana to help you relax, it shouldn’t be used before or after your dental appointments. Here’s why:

  • Smoking of any sort interferes with the oral healing process. An abstract from February 2008 Journal of the American Medical Association noted that in one study, it was found that periodontal (gum) disease is linked to regular marijuana use—and it increases the risk.
  • When a tooth is extracted or when a root canal is performed, your gums are at risk of infection. It’s best to avoid anything that can prevent proper healing. Keep in mind that the things you need to avoid after your dental procedures aren’t limited to smoking. You will be given instruction for proper after care. The goal is to help you have successful, infection-free treatment.
  • The action of sucking or drawing from tobacco or marijuana cigarettes can dislodge blood clots. The smoke itself is harmful to the teeth and gums.

Sedation dentistry provides a low dose of anti-anxiety medication. It is not for daily, long-term use, but instead is taken before your dental appointment. Speak with your dentist about your concerns for the medication used to help you relax. He will answer your questions and discuss your options.

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

Sedation Dentistry

Dentist wants to sedate me but I am not nervous

Why would a dentist tell me that she wants to sedate me when I am not nervous? My tolerance for pain is high and I prefer to be aware of everything that is going on. This just doesn’t make sense to me. I am beginning to wonder if I need to get a second opinion because she may be trying to make more money from me. This has never been an issue nor have I ever presented myself with having problems in her office, so why now? Should I find another dentist or at least get a second opinion, or should I trust her and go ahead with the sedation? Thanks. Edis

Edis – The dental procedure that you are going to have may be the reason that your dentist is recommending sedation, but you didn’t mention what that procedure will be. If a root canal is needed, a tooth will be extracted, or if any procedure is being done that is known for causing a lot of pain or discomfort, your dentist will recommend sedation.

Although you may have a high tolerance for pain, you may not be able to anticipate the level of pain for the procedure you will have. But based on experience and patient reaction, your dentist makes a recommendation. It is best to speak with your dentist and ask why sedation is being recommended for your upcoming procedure. Her explanation may be all that is needed to give you confidence that you can trust her judgement.

If you speak with your dentist and still question the recommendation, then you can receive a second opinion. Although a patient may be able to withstand a procedure without sedation, a dentist is often able to accomplish more in one office visit with sedation than without it.

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

Sedation Dentistry

Nitrous sedation at the dentist doesn’t work for my daughter

My 9 yr old daughter is at a new dentist that she really likes. We’ve had our 3rd visit to the new dentist. Even though my daughter likes the dentist and her staff, she still get really nervous. This is all coming from the previous family dentist who I thought was nice but later found out intimidates kids if they even look like they don’t want to be there. I describe it as passive aggressive or nice/nasty. Kids can pick up on that behavior quickly and my daughter did. I didn’t know it was a problem because I didn’t usually go back with her to the room for cleanings. I thought she was in good hands and she never complained. I didn’t find out about it until my niece was visiting and talking about her own dental appointment. Then my daughter started talking about her previous dentist. After I found out that our previous dentist was trouble, I quickly switched my daughter and our whole family to a new practice. As I mentioned in the beginning, she is still nervous. Now her nervousness is obvious to me. The new dentist gives her nitrous which really doesn’t seem to calm her much. I am not happy about asking for something stronger, but is there something else that I should ask for? Zuli

Zuli – Yes, there are safe oral sedatives that dentists use for children. You can ask your family dentist if she uses oral sedatives for children who need more help relaxing than what nitrous oxide provides.

You will need to inform your dentist of any medications, over-the-counter medications, and supplements your daughter takes. Find out what medication your dentist uses and do your own research on it. Look for possible reactions with the sedative that may interfere with medication or supplements your daughter takes. If you are uncertain about possible reactions, ask your pharmacist and your daughter’s pediatrician about it.

Oral conscious sedation is a new phase of dentistry for your daughter. You may consider increasing her comfort level with this new phase by accompanying her in the treatment room for at least a few visits.

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

 

Sedation Dentistry

What is done to make sure sedation at the dentist is safe?

I keep reading reading that sedation dentistry is safe. Will you please give me a little more information on why it is considered safe? This is a procedure that I interested in but I feel like I don’t know enough about it. I don’t want more trouble at a dentist’s office than I came in with. What is done at a dentist’s office to make sure I am safe with sedation? Thanks. Dionna

Dionna,

Most states require that dentists receive training and certification in sedation dentistry. Precautions are taken to ensure safe and effective treatment before, during, and after your dental appointment.

  • Before sedation is given to you, a review of your medical history will be completed to determine if you are a candidate for sedation. Be certain to tell your dentist about all medications and supplements you take, as well as any allergies you may have.
  • The sedation methods include common substances to help you relax—nitrous oxide and anti-anxiety medication.
  • During your dental procedure, your vital signs will be monitored. So in advance of your appointment, the dental staff will ensure that the monitoring equipment is working properly.
  • Your blood pressure and oxygen level will be monitored. Many dentists use an EKG to observe your heart rate. This is always true for patients with a risk of cardiovascular disease.
  • Although sedation dentistry is safe, emergency equipment and emergency medication are readily available.
  • For oral surgery, all post-operative materials will be prepared in advance.

Before you choose a sedation dentist, ask about his or her training experience. Find out how often the dentist uses sedation. You will also want to know what levels of sedation the dentist uses (nitrous oxide, conscious oral, or IV sedation).

If you have additional questions about what to expect before, during, and after your dental procedure, don’t hesitate to ask them.

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

Sedation Dentistry

What if I’m allergic to conscious oral sedative?

Hi. I have lots of allergies and I am either very sensitive or allergic to many prescription medications. I am afraid that I will have a bad reaction to a conscious oral sedative from a dentist. At the same time, I really need to be sedated for extensive dental work. What can be done if I am allergic to the sedative a dentist is planning on using? Maia

Maia – Before you receive sedation, your dentist will thoroughly review your medical history. If you have a known allergy to a specific class of sedatives, a different class can likely be used. Be certain to provide a list of all your current medications, as well as any medications to which you are allergic, or have sensitivities.

Nitrous oxide—a lower level of sedation—may be effective for you. If you require a higher level of sedation, your dentist will work to find a medication, or a means of sedation, that is right for you. If needed, your dentist will work with your medical doctor or pharmacist to meet your needs. Your dental work can likely be done in phases to ensure your comfort.

Your oral health and overall well-being will be of primary importance when identifying conscious oral sedatives that will safely help you relax during dental procedures.

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

Sedation Dentistry

Is sedation dentistry addictive?

I’m investigating sedation dentistry but I don’t see any info on whether or not it’s something I can get addicted to? I don’t want to take that risk just because I am nervous at the dentist. I would rather take my own meds. Theo

Theo – There are various levels of sedation, and if used only for dental appointments, it is uncommon to become addicted to them. You will be given a level of sedation that matches your level of anxiety.

The medication you receive is mild, commonly prescribed anti-anxiety medication. The medication you receive will make you drowsy and help you relax.  The effects will wear off in several hours. Also, the medication is not taken on an ongoing basis. It is only used when you have a dental appointment that requires it.

If you have a dentist who uses sedation, or if you are choosing one who does, speak with him or her about the types of sedation available in the office, as well as the side effects.

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