IV sedation is a very predictable procedure, excellent for treating patients with any kind of dental phobia. It can also be used very successfully in treating patients with TMD or other jaw related problems and medical issues which make it difficult for a patient to either sit or relax, e.g. Parkinson's Disease. In most cases a tranquilizer such as Midazolam is used which is very safe and provides profound amnesia. It is introduced into the patient using an intravenous drip. Local anesthetic is also required.
In most cases, we require an evaluation appointment prior to the actual treatment to discuss all aspects of sedation and the actual treatment. However, for patients coming a long distance, necessary x-rays and a specific plan of treatment by the referring dentist may suffice.
When choosing IV Sedation it is necessary to have a driver remain in the office during the whole procedure. A driver is necessary as the patient should not drive for 24 hours following the sedation. The patient will not be sedated until a driver is present to speak to the staff.
Nitrous Oxide or “laughing gas” can help in some cases of mild to moderate dental phobia. It cannot be used for surgical procedures because of the nose piece that must remain stationary and the head cannot be rotated, which usually occurs during surgical treatment. This procedure does not require a driver.
For some patients, a mild oral sedative is all that is necessary for “mental” comfort. Oral Sedation consists of one or two small tablets that are administered by letting them dissolve under the tongue and are usually prescribed by the general dentist. The outcome is more profound than Nitrous Oxide, but is not as effective as IV Sedation. As with IV Sedation, the office needs to know prior to treatment if the patient desires oral sedation as a driver must accompany the patient and remain in the office during the entire procedure.