Everything you need to know about SEDATION
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- Опубликовано: 7 авг 2024
- For more information visit us at www.kidstowndental.com/
Does the thought of having your teeth cleaned make your entire body tense with fear? Would you rather endure the agony of a toothache than step foot in a dentist's office? You're not alone. A lot of people are so phobic about going to the dentist that they prefer not to have any treatment.
For people who avoid dentists like the plague, sedation dentistry may take away some of their anxiety. Sedation can be used for everything from invasive procedures to a simple tooth cleaning. How it's used depends on the severity of the fear.
What Is Sedation Dentistry?
Sedation dentistry uses medication to help patients relax during dental procedures. It's sometimes referred to as "sleep dentistry," although that's not entirely accurate. Patients are usually awake with the exception of those who are under general anesthesia.
The levels of sedation used include:
Minimal sedation -- you are awake but relaxed.
Moderate sedation (formerly called "conscious sedation") -- you may slur your words when speaking and not remember much of the procedure.
Deep sedation -- you are on the edge of consciousness but can still be awakened.
General anesthesia -- you are completely unconscious.
What Types of Sedation Are Used in Dentistry?
The following types of sedation are used in dentistry:
Inhaled minimal sedation. You breathe nitrous oxide -- otherwise known as "laughing gas" -- combined with oxygen through a mask that's placed over your nose. The gas helps you relax. Your dentist can control the amount of sedation you receive, and the gas tends to wear off quickly. This is the only form of sedation where you may be able to drive yourself home after the procedure.
Oral sedation. Depending on the total dose given, oral sedation can range from minimal to moderate. For minimal sedation, you take a pill. Typically, the pill is Halcion, which is a member of the same drug family as Valium, and it's usually taken about an hour before the procedure. The pill will make you drowsy, although you'll still be awake. A larger dose may be given to produce moderate sedation. This is the type of anesthesia most commonly associated with sedation dentistry. Some people become groggy enough from moderate oral sedation to actually fall asleep during the procedure. They usually can, though, be awakened with a gentle shake.
IV moderate sedation. You receive the sedative drug through a vein, so it goes to work more quickly. This method allows the dentist to continually adjust the level of sedation.
Deep sedation and general anesthesia. You will get medications that will make you either almost unconscious or totally unconscious -- deeply asleep -- during the procedure. While you are under general anesthesia, you cannot easily be awakened until the effects of the anesthesia wear off or are reversed with medication.
Regardless of which type of sedation you receive, you'll also typically need a local anesthetic -- numbing medication at the site where the dentist is working in the mouth -- to relieve pain if the procedure causes any discomfort.
Who Can Have Sedation at the Dentist's?
Sedation is most appropriate for people with a real fear or anxiety that is preventing them from going to the dentist.
Sedation dentistry may also be appropriate for people who:
have a low pain threshold
can't sit still in the dentist's chair
have very sensitive teeth
have a bad gag reflex
need a large amount of dental work completed
Sometimes, children are given sedation if they are terrified of going to the dentist or refuse to cooperate during the visit. Nitrous oxide tends to be safe in children, and just about any dentist can administer it. A smaller percentage of pediatric dentists are trained to give children oral sedation. Oral sedation can be safe when kept within the recommended dose for the child's age and weight.
I Wish that there was sedation dentistry when I was a kid in the 1980s...even though I had no problems or cavities....just to get knocked out for the cleaning and exams....
If my child has the deep sedation in the office is there protocol in case something happens?
I’m having wisdom teeth surgery this year and this will be my first time being put out with General/IV Sedation. What should I expect?
Not sure if you had it done already but from my personal experience. You’ll be sedated through IV. They gave me laughing gas first to calm my nerves and started the iv after that. I was high as a kite and slurring my words from the gas. When the dr came in and gave me the sedative meds in my iv I was out fast. I woke up after the surgery. Honestly the sedation part was a piece of cake. I had double vision afterward but it only lasted an hour or so. The worst part was recovery. You’ll be sore, be swollen and possibly have headaches. Thankfully recovery is quick. Listen to the post op instructions and follow them to keep your mouth clean and to avoid infections. Good luck ❤
Midazolam. Is it going through the pain awake but just not remembering it?
Pretty much. It has no pain relieving properties on its own. A good dentist/doctor will provide pain relief, but the main use for Midazolam is amnesia and making the patient more cooperative
Has anyone heard about what NBC news about dental sedation where some child dies during the process and some were paralized after being treated using that process.
Yes scared me to death
Actually I am extremely concerned about my son too dentist strongly recommended anesthesia but I am so scared 😢 😭
@@kingaroon2839 did you get your sons dental procedure done ? if so did you had to do the general anesthesia and how was it I have my three year old which is scheduled to be done by Monday and I’m just worried about the general anesthesia for her
@@bophalgoo hi hows your son regarding genera anesthesia?
@@bophalgoo same 😞
Why does the shot hurt? (You know the shot that makes you numb) and Do y'all have it?
Because it's a needle...
@@melonypullen6149 no it’s actually not the needle that causes the stinging, the stinging is the reaction of the Lidocaine blocking the positive sodium ions from bringing the information from the nerves to the brain
What sedative medication do you use for moderate oral sedation?
They use versed. A barbiturate drug.
@@aspiechan420Versed (Midazolam) is not a barbiturate - barbiturates haven’t been in common usage for a couple of decades now for safety reasons. It’s a benzodiazepine, which is the same class as Diazepam/Lorazepam etc
My 4 year old has 14 cavities, I feel terrible. He has to go be put under general anesthesia and I am very anxious and fearful. I unfortunately look into all the negative scenarios rather than positive. Being on welfare, my only options are 2 dental colleges with bad reviews and a hospital with only 3 stars. I’m so scared I’m psyching myself out of it, looking for other options like SDF (?), etc. Any advice or hope to offer? Any parents reading this, please don’t be like me and do whatever it takes to prevent this. I wish I would done better.
Did you ever take ur kiddo to get this done ?
SDF is bad option in most cases. I would not trust the negative reviews. Oftentimes people only post reviews if they have something to complain about. You never get to hear from the thousands of people who had no issues.
@@qazwsxzwharp thank you for this! You're very right. Still haven't went, but got paper work done for a Dental Hospital in Chicago.
@@qazwsxzwharp for general anesthesia. They do it multiple time a day they said. I appreciate your thoughts, comforting.
Mine has many cavities also he’s 4 and needs this sedation we tried the oral and laughing gas at two dentist offices he just won’t fall asleep or even go under slightly so hospital is the last option I’m so sad and heartbroken,but I’m trying to watch all the good videos and getting this done as soon as they call with our appointment.one tooth is abseces so he’s on on antibiotics for it starting today,I bought kids mouthwash and oral gel and qtips to keep up with the tooth unitl then.cleaning it each time he eats a big meal.
What’s the best drug for conscious sedation
propofol
They literally didn't explain anything about the deep sedation about what they do, what method it is or anything. They just said they have a nurse to help them with this type of sedation. I still have so many questions.
The nurse administors an IV. Would be nice if they mentioned that.
What is the youngest age you would use sedation to fix decay on a baby's teeth? My daughter just had a appointment with her dentist and they informed me that she is going to need to be referred to a oral surgeon to fix all four of her top teeth due to decay and cavities. She is 13 months old and I have brushed her teeth everyday. She has always fought me brushing her top teeth and I admit that they have not been brushed as well as I had hoped but I had no idea it was as bad as it was. I have a great deal of concern letting my 13 month old go under sadation. Do you recommend holding off on getting these cavities /caps treated until she is older ? She also chipped two of her top teeth in a fall. Does that contribute to cavities and decay?
Hey so this is my exact predicament but with my agonist 3 year old. What did you end up doing? I'm just freaking out cuz she's suppose to have surgery Monday and I'm thinking of canceling it.
How did it worked???
@@janjaf844 do you have an update on your situation ?
Any update
@@janjaf844 omg I’m in the same situation I have a three year old who would be going in Monday to get her cavities fix and her dentist is suggesting that she would need to be under general anesthesia for this procedure I’m just skeptical
I want to know that sedation is save for 2 years 8 months old kid? I m worry about my son...plz give me answer he has 8 cavities
How did it worked for you?
It is completely safe for any patient but with any systemic diseases....
@@nabeehpk6689 what do u mean R u a dentist? Actually I am extremely concerned about my son too dentist strongly recommended anesthesia but I am so scared 😢 😭
@@kingaroon2839 yes I'm a dentist specialized in pediatric patients...and of course anesthesia is an inevitable part of dentistry...it has both local anesthesia and general anesthesia..for doing procedures under local anesthesia you just need to check for allergy towards local anesthetic if any other medical issues are not present...but for a general anesthesia there will always be a pre anesthetic check up including check up of all body systems... conscious sedation is an in between state of local anesthesia and general anesthesia...unless and until your child is having any systemic illnesses it is completely safe
@@nabeehpk6689 hey there thanks for ur reply no he is healthy but I am concerned as he got 8 cavities and must be fixed with general anesthesia...but scared of side effects:(