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Conscious Sedation:
What Patients Should Expect
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.
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.
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 of 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
or you can login to the post-operative section to access
instructions these instructions online. Click
here to login to the post-operative section.
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.

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 of pain or embarrassment?
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.

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