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Sedation Dentistry

Certain individuals avoid the dentist at all costs, choosing to live with cavities, gum disease and more, as they fear the chair more than anything. Others put off visiting a dental practitioner until the pain has become so overwhelming they can no longer live with it. This phobia is more common than many people realize, and it shows in oral health statistics. This doesn’t need to be the case, however, thanks to sedation dentistry. Dentists use sedation for those patients who experience anxiety, whether they are simply having a cavity filled or need to have their teeth cleaned. It’s no longer reserved only for major work.

What is Sedation Dentistry?

Sedation dentistry involves the use of medications to allow a patient to relax when they are having a procedure done. Often known as sleep dentistry, sedation dentistry doesn’t truly involve putting a patient to sleep, in most cases. Only those patients who require general anesthesia will actually be put to sleep. Dentists now offer anything from minimal sedation, where the patient is awake and relaxed, to general anesthesia. Other options include moderate sedation, where the patient is awake yet won’t remember much of the work done and typically can’t speak clearly, and deep sedation, where the patient can be awoken, yet is on the edge of consciousness.

Sedation Dentistry Options

Oral sedation often comes in the form of a pill, in many cases Halcion. The dosage of the pill determines the amount of sedation provided, anywhere from minimal to moderate, and it is usually taken approximately one hour before the dental work takes place. Patients tend to remain awake with minimal sedation, but may doze off if a bigger dose is given. If a patient does fall asleep, he or she can easily be woken up once the work is done.

Laughing gas or nitrous oxide combined with oxygen is another form of minimal sedation. The dentist determines the amount of sedation needed, and patients find the effects wear off quickly. Patients who choose this option drive themselves home after the dental work is finished, and this is the only type of sedation where this is an option.

Moderate sedation may also be obtained through the use of a sedative drug provided via IV. This sedation works quickly, and the dentist can change the amount of sedation provided at any time during the procedure. Some patients like knowing they don’t have to worry about the sedation wearing off before they are done.

For those with a strong fear of the dentist, general anesthesia or deep sedation offers the highest level of unconsciousness. Patients using these medications will be totally or almost unconscious throughout the work. Patients can’t be easily awakened until the sedation wears off or until medication is provided to reverse the sedative.

One thing patients need to understand is local anesthesia will still be needed. This is the medication injected at the site where the dentist will be performing the work. This local anesthetic ensures pain at the site of the procedure isn’t an issue.

Who Benefits From Sedation Dentistry?

Patients who fear the dentist find they can have the needed work with the help of sedation dentistry, and the same is true of those who become anxious when in the dental chair. Individuals who struggle with a low pain threshold, have an exaggerated gag reflex or need a great deal of work often turn to sedation dentistry. The same is true of those with sensitive teeth and those unable to remain still while having work done on their teeth. Certain forms of sedation may also be used on children, such as nitrous oxide, although other types often require specialized care.

Dentists vary in terms of the type of sedation they may provide. Only those who have completed a program in general anesthesia or deep sedation through the Commission on Dental Accreditation can provide this type of care, and some practices now employ a dentist anesthesiologist for this reason. The dentist anesthesiologist undergoes training for every kind of sedation for both adults and children.

The Safety Of Sedation Dentistry

Individuals need to understand the use of anesthesia always comes with risks. In most cases, however, it’s safe when administered by someone with the proper training. Certain individuals, such as those with obstructive sleep apnea or ones who are obese, need to speak to their physician before being sedated, as their risk of complications is higher.

When providing sedation, your dentist will need your complete medical history, know which medications are currently being taken, and will review the risks with the patient. Vital signs need to be monitored throughout the procedure, and drugs that reverse the sedation effects and oxygen must be on hand at all times.

Sedation dentistry allows patients to obtain the dental care they need. Everyone must care for their teeth, as oral health plays a role in overall health. If you fear the dentist or have a problem that prevents you from getting this care, or have any questions regarding our dentistry services, contact us at (202) 873-1341. We’ll work with you to find a solution that meets your needs and lets you get the care required.

Our Happy Patients

"My favorite dentist. Dr. Brown is hands down my favorite dentist. Highly skilled, fantastic bedside (chair side?) manner and a great team of skilled techs. Dr. Brown thoroughly explains proposed treatment, and keeps you informed the entire way. Her husband, Dr. Polowitz, is also great. Our whole family sees them."

Bill S.

"Dr. Brown and Pollowitz are highly skilled dentists, very talented artists, and have the best bedside or should I say "chair side" manner I have ever experienced. I trust them completely and have been seeing Dr. Brown and Pollowitz for almost 20 years now. When I lived out of town for two years, the dentist I saw there was amazed at the skill and perfection of the veneer and implant Dr Brown did and got the whole staff to come look at my mouth! I had an accident when I was a kid and have had lots of problems with my teeth ever since, and that includes many unpleasant experiences, but their kindness has given me a renewed respect and love for dentistry. It means a lot that Dr Brown will call me and find out if I am OK after a crown or something painful. She knows I am sensitive and takes time to take extra good care. Love them both."

Jenny L.

"As always my experience was top notch for a dental appointment. Dr Pollowitz explained the details of what he was going to do as he worked. It was an appointment to both replace a filling and to take care of the cavity on the outside of that filling. He proceeded slowly and there was never any feel of him rushing to get to the next patient. And Sylvia was very professional as always. Rate this office as a 5 star!"

Joan M.
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