Tag Archives: Plano TX sedation dentistry

Should I have to pay for sedation dentistry again?

In May I got a new partial denture and I think I’m going to have to go back under sedation to have it fixed. A metal clasp on the left side of my mouth is putting a lot of pressure on the next tooth. I thought that maybe it would loosen with time but it’s quite uncomfortable. Can this clasp be adjusted? If it can be, should I have to pay out of pocket for sedation dentistry? I’ve used all of my insurance allowance for sedation. I just can’t get through a dental appointment without it. If this is an issue my dentist is responsible for, shouldn’t she cover fixing the partial and waive the fee for sedation? – Patrick T.


Although partial dentures are made at a dental lab, most general dentists are able to loosen a clasp on the denture. Partial dentures are usually uncomfortable when you first receive them. The tight clasp might not necessarily be your dentist’s fault. Ask her to explain the reason for the discomfort.

Call your dentist to let her know your concern. If you’ve had the partial denture for longer than a month, she will want to promptly check it. A clasp that is too tight on a tooth for a long period can potentially damage the tooth.

Ask Your Dentist about Sedation

You should speak with your dentist about your need for sedation and ask if she is willing to waive the fee. You can also contact your insurance company, explain the circumstances, and ask for special consideration for any insurance claim that will be submitted for sedation fees.

Options for Replacing Missing Teeth

Dental implants are an option for permanently replacing teeth without the adjustment period or the discomfort of partial dentures.  But dental implants are a more expensive option, and your dentist must determine if you are a candidate for them. They have several advantages over a partial denture:

  • Surgically implanted in your jawbone
  • Stimulate bone growth and prevent shrinkage
  • Look and feel like your natural teeth
  • Don’t need to be secured to an adjacent tooth
  • More cost-effective in the long-term because they are permanent

If your budget permits, you can consider dental implants as an alternative in the future when you need a new partial denture.

We hope you have a successful outcome with adjusting your partial denture and getting assistance with the cost of sedation dentistry.

This blog is sponsored by Plano sedation dentist Dr. Miranda Lacy.

Will sedation dentistry work if I’m already on anti-anxiety meds?

Will sedation dentistry work if I’m already on anti-anxiety meds? I also take an anti-depressant. The thought of needing 2 root canals is making me very nervous. My concern is that the medication I’m already taking will cancel out the sedation drugs. I’m also concerned about interactions. Each day my teeth are really getting uncomfortable so I know I’m going to have to act soon. If I can’t get sedation I’m not sure I could make it through the appointment. What would a dentist do in my case? Thanks. Rody

Rody – The medication a dentist selects for sedation during dental treatment is based on several factors, including:

  • His or her treatment philosophy
  • Experience using the drug
  • A patient’s medical history
  • The dental procedure

Sedation dentists who regularly treat anxious patients know how to assist those who have general anxiety and already take some form of anti-anxiety medication.

Remember to provide your dentist with a complete list of your medications, the dosage, and how often you take them. The information you provide will prevent negative drug interactions. It will also help the dentist determine which anti-anxiety medication to use. There are a variety of options to help you relax during dental treatment.

You can also contact the dental office and ask if you can fax or e-mail the list of your medications before your consultation. It will give the dentist time to review it and provide you with an idea of which medications can be used during dental treatment.

Whenever necessary, your dentist will be willing to work with your primary care doctor and your pharmacist to select sedation medication that will be effective during your dental procedure.

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

After a sedation dentistry appointment, can I stay at the office until I can drive home?

I finally decided to see a sedation dentist for 4 crowns that I need badly. I need 2 fillings also and am anticipating being in the office for a while. I am wondering if sedation dentists have provisions for patients to stay in the office until the medication wears off. If it can wear off in the office, I prefer to drive myself home. How long does it take for the medication to wear off? Jamison

Jamison – You first need to have a consultation with a sedation dentist to determine which level of sedation you will receive. If you receive oral conscious sedation, you will likely be drowsy for the rest of the day. You will still need a ride home.

What to Expect with Sedation Dentistry

Below is some helpful information on what’s involved in receiving sedation dentistry

  • Your first appointment is a consultation for diagnosis of the issues with your teeth, along with treatment options.
  • Your medical, prescription, and dental history will be reviewed to determine if you are a candidate for sedation and which medication should be used.
  • For the day of your appointment, the sedation dentist will advise you to have an adult drive you to the office, take you home, and stay with you for the rest of the day. This is a precaution for you, because if you’re at home and you need anything, your drowsiness can contribute to an accident.
  • After your procedure plan to stay at home, preferably in bed or on a sofa.

Sedation allows dentists to complete as much work as possible. But if any of your teeth require extensive work, you’ll probably have to return to the office until treatment is complete.

After your consultation, your dentist will provide you with a treatment plan. Your sedation dentist will let you know if all of your dental work can be completed in one day, or if multiple appointments are required. Dental crowns usually require at least two appointments. Crowns are usually made in a lab, so you would return to the office to have them bonded to the natural teeth that the crowns are preserving.

Depending on your comfort level with the dentist, after your first treatment appointment, you might prefer to only receive local anesthetic and to waive medication that will make you drowsy. In that case, you would be able to drive home.

We suggest that you find a sedation dentist who is also a cosmetic dentist. A trained cosmetic dentist will produce natural-looking results that help you smile with confidence.

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


After every sedation dentistry appointment I’m so sick

Sedation dentistry has been the best thing for me as far as the dental appointment is concerned. As long as I can see a dentist and get through the appointment without having a panic attack I’m good. The problem is not what happens at the dentist but what happens when I get home. Last week was my 3rd sedation dentistry appointment and when I got home, I started vomiting and I got dizzy and felt like I was going to pass out. The next day I’m just fine but after this last episode I started wondering what if this happens every time and I choke or something and I can’t get to the phone to call 911. I try to remember to keep my phone in a pocket at all times, but what if I can’t talk or something that? What do patients do to prevent sedation dentistry from making them so sick that they might not be able to call for help? Shem


It’s good to know that sedation dentistry is helping you maintain good oral health. But we are concerned that it’s making you so sick afterward. What you are experiencing isn’t normal, so don’t continue to endure the results afterward just because you can make it through your dental appointments.

Is Sedation Dentistry Making You Sick?

Tell your dentist

Have you told your dentist about your episodes? Your nausea and vomiting might be the result of the anti-anxiety medication. Be sure to let your dentist know the effect the medication is having on you. Your dentist can try a different type of medication, or perhaps you just need a lower lose.

Don’t stay home alone

Another concern is that you’re alone after your appointment. Although you might get a ride home after your dental appointment, an adult should remain with you for the rest of the day, if not overnight.

If you need assistance, or if you get sick as you have described, an adult who is present can help you or call 911 for you. Never stay alone after a sedation dentistry appointment.

Don’t get discouraged

Side effects can occur with just about any medication. Don’t get discouraged. You’re not the first patient to experience side effects from medication. If necessary, your dentist will work with your medical doctor or a pharmacist to find the right anti-anxiety medication for you.

Be certain to contact your dentist about this issue before your next procedure.

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.


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


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.

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.

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


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.

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.


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.