Sedation Dentistry
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Sedation Dentistry Portland
When you undergo dental sedation, you are in an altered state of consciousness and deep relaxation. This state of altered consciousness can vary from light sedation to deep sedation depending on the method of sedation used. Oral sedation and IV sedation can provide an added benefit of amnesia in most cases depending on the sedative drug used.
Regardless of the severity of your dental phobia or dental anxiety, these sedation methods can take away your fear of the dentist and dental procedures in the vast majority of patients.
Types of Dental Sedation
1. Nitrous Oxide or “Laughing Gas” is one of the safest and the lightest forms of sedation available and can take the anxiety out of most routine dental procedures for patients of all ages. Nitrous Oxide is non-allergenic and non-irritating. Most patients feel the effects quickly. These effects are completely reversed within a few minutes, allowing you to safely drive home and/or the return to school or work right after your appointment! Almost anyone can have nitrous oxide treatment. We can vary the depth of sedation depending on your level of anxiety. Most patients describe a feeling of well being and relaxation during their treatment and with no negative side effects. Nitrous oxide also tends to reduce gag reflexes and saliva flow. Nitrous Oxide is administered through a simple rubber hood that rests on your nose providing a feeling of numbness, security, and warmth. Near the end of your treatment, we provide you with 100% oxygen so you will feel completely normal within a few minutes. At that point, you are ready to independently carry on your life. This is an excellent choice for the on-the-go business person or parent who needs a light sedation yet doesn’t have time to arrange for an escort to drive them to and from the appointment. We will take your vital signs at the beginning and end of the procedure. Bring your IPOD or MP3 player.
2. Oral Sedation (by mouth) is a safe, convenient and economical way to administer drugs. When properly administered, oral sedation can be more effective and deliver a deeper state of relaxation than nitrous oxide. During the initial consultation, we will determine the best sedation option for you, take your baseline vital signs and review your medical history. At your treatment appointment, we will give you an oral sedative to relax you and will wait for the sedative to take effect. You will remain awake, but will feel very relaxed and drowsy. During the procedure, we will continuously monitor your pulse, oxygen saturation rate, blood pressure, heart rhythm, airway and we will remain by your side. You will need to arrange for an escort to drive you home after your oral sedation appointment.
3. IV Sedation “Moderate or Deep Sedation” is the most preferred and predictable method of sedation when deep sedation is desired. A profound state of relaxation and amnesia is achieved during IV sedation. It is the most preferred method for both patients and doctor alike for several reasons: – A superior deep sedation state can be achieved by using multiple sedative medications customized to achieve the optimal sedation state. – Superior safety where IV “intravenous” access is readily available for administration of reversal medications if necessary. – A customized state of sedation. Not all people respond to sedatives the same so multiple sedatives may be used to achieve the right state of sedation. – Predictable level of sedation. The degree of sedation can be controlled by the doctor very accurately until the desired state of sedation is achieved. – IV access to other medications to help your recovery. These long lasting medications may include anti-nausea, and anti-inflammatory and post-operative pain relief medications. – It is the best sedation method for patients with a high level of dental anxiety. – Most or all of the dental treatment can be performed in one or two visits.
“During IV sedation, we will continuously monitor your pulse, oxygen saturation rate, blood pressure, heart rhythm, airway and breathing rate with state of the art patient monitoring equipment. Highly-trained personnel will be with you at all times and during your recovery. In some cases we may combine both oral and IV sedation depending on your particular needs. You will need to arrange for an escort to drive you home after your IV sedation appointment.”
4. General sedation is sedation where the individual is completely unconscious, unresponsive and unaware. Breathing is provided with a breathing machine. While the first three types of sedation are administered by Dr. Saleh and Dr. Shaer, this type of sedation is administered by a specialized licensed anesthesiologist. This type of sedation is most often indicated for special needs patients and is safely provided in our facility.
