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Conscious Sedation Dentistry

What is dental phobia and why do so many people hate the dentist?
   
 

Dental phobia is a severe fear of the dentist that over time causes loss of teeth because of the patient's inability to go to the dentist and receive regular care. The heart of the matter is that dental phobia can rob patients of their self esteem as they become embarrassed about the appearance of their teeth and withdraw from friends, coworkers and loved ones.

Why do people hate and fear the dentist ? Fear of the dentist is most commonly something that patients learn from traumatic personal dental experiences. If these experiences occur as a child and are accompanied by a real sense of panic, the resulting reaction to the dentist may become deep seated, visceral and life-long. Such patients don't feel safe in the dental chair. Patients recall of their traumatic childhood experiences often includes being held down against their will, being yelled at, pain and terror. A recent article in the Journal of the American Medical Association showed that people, who suffer abuse as children, may have life-long alterations in their response to stress. If a patient suffers from post-traumatic stress disorder, the dental office may be just one of many situations where such patients feel unsafe. Patients who suffer from panic attacks associated with dental care will do anything not to have that awful feeling again. Sedation, which can block the panic response, can be particularly helpful for dental patients with anxiety attacks.

Other patients may simply have difficulty getting numb after the dentist gives them an injection. If the patient is extremely anxious the patient may be sensitive to the slightest sensation because of the emotional component of their pain. Many patients may not be particularly anxious but still may feel pain during dental care because of anatomical reasons, the presence of infection or hypersensitivity of the tooth. Local anesthetics (AKA Novacaine, Novocain or Novocaine), used by dentists to numb the tooth or jaw may rarely cause patients to become excitable or anxious in large doses, especially in combination with epinephrine, a common additive. Newly developed injection techniques may help in these situations.

Some patients suffer from a severe fear of needles, also known as needle phobia. As a result people have trouble going to the dentist, and medical. A wide variety of techniques to help at the dentist are available, such as anesthetic pads or gels administered without piercing the skin. Patients can also be sedated with an elixir or pill before any injection.

What can be done to help people who avoid the dentist because of fear, pain, or embarrasment?
   
 

If you have a severe fear of the dentist, the most important thing is to recognize that there are people ready to help you. Take the time to find the right person. Take the time to communicate your feelings and concerns to your dentist. Make sure the treatment plan that you and your dentist have chosen reflects your cosmetic and long term oral health goals. Choose a quality office that is dedicated to a high level of care and patient satisfaction. Make sure the dentist you've chosen has the tools to care for you comfortably and has the patience and experience to guide you through the complete treatment plan. Consider relaxation and distraction techniques available by the dentist such as deep (diaphragmatic) breathing, or headphones.

Oral medications such as a Valium, or something similar, can be used to help you relax and feel more comfortable during long procedures. Intravenous sedation or even general anesthesia may be best for very anxious patients who won't have dental procedures any other way. Patients who have a very sensitive gag reflex, or have a lot of trouble getting numb with dental injections can also benefit from intravenous sedation. Nitrous oxide (sweet air, laughing gas) also provides pain relief and distraction. Nitrous oxide does help relieve anxiety as well as Valium and its related medicines when taken orally or intravenously. All medications should be administered by dentists (called Dental Anesthesiologists, or sometimes Sleep Dentists) who are well trained and experienced for the best and safest experience. Sedation Dentistry, also called Sleep Dentistry can be a beneficial way for patients to experience dental care without fear, pain or anxiety. Most importantly, it is possible for you to have your dental care in comfort.

What is Conscious Sedation?
   
 

This type of sedation induces an altered state of consciousness that minimizes pain and discomfort through the use of pain relievers and sedatives. Patients who receive conscious sedation usually are able to speak and respond to verbal cues throughout the procedure, communicating any discomfort they experience to the provider. The medication will help you rest. Many of our patients sleep while receiving Sedation dental Care. A brief period of amnesia may erase any memory of the procedure.

IV Conscious Sedation Dentistry
   
 

When you visit our office for IV Sedation you will be warmly welcomed and you should feel confident that your comfort and safety is our primary concern. Dr. Seidler has extensive training and experience in the administration of anesthesia. He and his team are all certified in Advanced Cardiac Life Support and are always with you to monitor your vital signs and keep you comfortable.

Most people are able to have intravenous sedation. There are some medical conditions that do, however, rule it out as an option. As part of your consultation, the doctor will review your medical history and discuss the different anesthesia options with you.

Oral Conscious Sedation Dentistry.
   
 

A pill will be administered to you, which you will take in our special comfort room or at home, one hour before your visit. Please bring a friend with you to drive you home after your treatment is completed, because you will be very sleepy.

After you arrive, we will make sure you are safe and comfortable and cover you with one of our cozy blankets. A member of our highly skilled team will monitor your vital signs. When you are completely relaxed and ready for care, Dr. Dougherty will provide you with an excellent dental experience.

After your treatment is complete, your friend will take you back home to relax for the rest of the day. You will have little or no memory of your treatment.

Significant dental care, which previously required multiple appointments, can now be performed in a single visit; all while you are in a completely relaxed state.

Sedation dentistry is the perfect alternative for people who have trouble with anesthesia, dental fear or troublesome gag reflexes. It is a very safe way to eliminate the fatigue of extended visits for multiple dental treatments.

What should I bring to my Sedation Appointment?
   
  Anything that makes you more comfortable or secure is welcome. We provide music, blankets, pillows, and other comfort amenities. Please bring with you any medications you are currently taking, including asthma inhalers, supplemental oxygen, or any thing you need on a daily basis or have used in the past for emergency situations. Plan to have someone drive you to and from your sedation appointment.
Who can Administer Conscious Sedation?
   
  Conscious sedation is extremely safe when administered by qualified providers. Certified Registered Nurse Anesthetists (CRNAs), anesthesiologists, other physicians, dentists, and oral surgeons are qualified providers of conscious sedation. Specifically trained Registered Nurses may assist in the administration of conscious sedation.
Who should monitor Conscious Sedation?
   
  Your dentist or qualified assistant monitor patient heart rate, blood pressure, breathing, oxygen level and alertness throughout and after the procedure.
What are the side effects Conscious Sedation?
   
  A brief period of amnesia after the procedure may follow the administration of conscious sedation. Occasional side effects may include headache, nausea, hangover/jet lag feeling, or limited memory of the appointment.
What should patients expect immediately following the surgical or diagnostic procedure?
   
 

A qualified provider monitors the patient immediately following the procedure. Written post-operative care instructions will be given to the patient to take home.

Patients should not drive a vehicle, operate dangerous equipment or make any important decisions for at least 24 hours after receiving Sedation Dental Care. A follow-up phone call is made by the healthcare provider to check on the patient's condition and answer any remaining questions.

Conscious sedation allows patients to recover quickly and resume normal daily activities in a short period of time.

 
 
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