A Calmer Visit: How Sedation Dentistry Can Transform Your Dental Experience

Sedation dentistry is a method of soothing patients during dental procedures, especially long and complex ones. It's ideal for anxious patients, but can be helpful for anyone.

Dental anxiety isn't exclusive to children. Estimates about how common it is vary, but it's prevalent among adults as well.

This leads to a vicious cycle of avoiding appointments due to fear and experiencing more chronic conditions. Research shows that poor dental health can increase your risk of heart disease. The American Heart Association lists it as the top cause of death, taking around 2,500 lives every day.

Your mouth can also affect your risk of:

• Rheumatoid arthritis
• Diabetes
• Cognitive decline

Sedation can be the answer if getting into the dentist's chair feels like climbing a terrifying mountain. It helps make the experience calmer and more effective for everyone.

What Is Sedation Dentistry?

Sedation dentistry involves the use of calming medications during a dental procedure. They help make you less stressed and more comfortable.

Sedation is often recommended for anxious or fearful patients. However, that isn't the only reason it may be used. It can also help patients with:

• Sensitive gag reflexes 
• Sensitive teeth
• Low pain thresholds
• Difficulty sitting still

It's also ideal for helping dentists complete long, complex dental procedures.

What Are the Four Types of Sedation in Dentistry?

There are four primary types of sedation used in dentistry. They range from gentle options, such as nitrous oxide, to full-on general anaesthesia.

The right type depends on the complexity of the procedure. It's also important to consider the patient's:

• Health
• Level of anxiety
• Personal preferences

Nitrous Oxide

Nitrous oxide is also known as laughing gas. You'll inhale it through a nosepiece.

The calming effect occurs within 3 to 5 minutes. The gas levels are adjusted throughout a procedure.

You'll also get pure oxygen through the nosepiece to offset the gas when it's over.

This type of sedation helps to minimize pain and anxiety during minor procedures such as:

• Cleanings
• Placing crowns
• Minor surgery

Oral Conscious Sedation

This type of sedation is delivered orally. You'll take a sedative pill about an hour before the procedure. Common types include:

• Triazolam
• Zalepon
• Lorazepam
• Midazolam syrup

This option is used for patients with moderate anxiety or when performing complex procedures.

IV Sedation

IV sedation is delivered through an IV. An oral surgeon or anaesthesiologist will deliver it. Your heart rate and blood pressure are monitored throughout the process.

This option is best for patients with severe anxiety or complex procedures, such as:

• Dental implants
• Wisdom tooth removal
• Multiple extractions

There is also deep IV sedation. It's similar but more powerful than traditional IV sedation. It brings you to the edge of unconsciousness and leaves you with little memory of the procedure.

General Anaesthesia

This is the most significant form of dental sedation. It resembles what any patient would receive during surgery.

You'll require an artificial airway and have to be monitored closely. The risks are higher, so general anaesthesia is reserved for complex and lengthy dental procedures.

What a Sedation Dentistry Procedure is Like

Preparation can be as important as sedation when it comes to soothing the mind of an anxious patient. Knowing what the procedure is like and how to prepare for it is important and can help you have a comfortable dental experience.

Before

Having the most comfortable experience at the dentist means taking the time to prepare properly. You will start by following the dentist's instructions.

Avoid anything that could interfere with the procedure, including:

• Alcohol
• Nicotine
• Grapefruit juice
• Caffeine

You may need to fast for several hours before the procedure. You may also need to arrange transportation to get home.

Wear comfortable clothes, especially if you're going through a long and extensive procedure. You may have to stay in the same position for a long time.

During

Your dentist should let you know what to expect before the procedure begins. That includes a briefing on the type of sedation you'll be receiving.

After you receive it, you'll also receive shots to numb your teeth and gums. This further helps reduce pain and makes the experience even more comfortable.

What are the Benefits of Sedation Dentistry?

The benefits of sedation dentistry are numerous and apply to every part of oral care. They improve how it feels, from beginning to end. They also help with costs.

The most obvious is the way it helps in overcoming dental anxiety or fear. Sedation keeps you calm and relaxed during the procedure.

You won't even have any negative memories of it, unlike your past dental visits. In fact, you may not remember it at all. Research has proven how helpful this can be.

In a study by Daly et al., around 55% of participants clearly remembered their worst dental visits. Around 33% of participants used sensory details to describe them, such as sounds or pain they recalled.

Sedation makes it harder to remember these details. Keeping them out of your mind makes scheduling your next visit less overwhelming. You won't be thinking about previous negative experiences.

Having one stress-free dental visit can encourage you to schedule more. This improves your dental health by ensuring you get regular checkups. You'll fix issues proactively before they become a major problem.

Your dental care can also be more efficient with sedation. The dentist can complete appointments faster. They can also perform multiple procedures during the same appointment. This reduces the number of appointments you need to schedule and how much you'll pay to improve your dental health.

Risks and Side Effects

Understanding the benefits of sedation dentistry is just as important as understanding the potential risks. The sedation can slow down breathing or heart rate. It can also cause an allergic reaction or interact with certain drugs.

There are also potential side effects. These include:

• Allergic reactions
• IV bruises
• Dry mouth
• Drowsiness
• Headaches
• Nausea and vomiting

Most should disappear within a day. Contact your dentist if they don't.

Children require greater doses of sedation. This may be the reason they may also have unique side effects that differ from what adults experience. These include: 

• Fever
• Irritability
• Nausea and vomiting
• Snoring

These effects should also disappear within 48 hours.

Sedation dentistry is worth it in most cases because the risks are minimal and rare.In a study of pediatric patients in the Journal of Pharmacy and BioAllied Sciences, the incidence of side effects was low at around 5% for nitrous oxide, 10% for oral sedation, and 15% for general anesthesia.

Frequently Asked Questions

Are You Completely Asleep During Sedation Dentistry?

No, most forms of sedation dentistry don't put you completely to sleep.

Nitrous oxide puts you into a "twilight sleep" so that you can still respond to the dentist's questions or requests if needed. Oral sedation or an IV may make you drift in and out of sleep.

Deep IV sedation puts you on the edge of sleep. You can be awakened if needed.

General anaesthesia is the only option that will put you completely to sleep.

Can You Still Feel Pain With Oral Anasthesia?

You shouldn't feel pain, but you may feel minor discomfort. The effects of the sedation will often make it easy to forget. General anaesthesia will put you to sleep, so you won't feel anything.

Who Can't Have Dental Sedation?

You can't have dental sedation if you're allergic to any of the ingredients in it. You may also want to steer clear of it if you have conditions that affect major organs, such as the:

• Heart
• Lungs
• Kidney
• Thyroid
• Brain

It's also important to discuss all your medications with your doctor before going in for the procedure. Certain medications can increase the risk factors associated with sedation. These include:

• Blood thinners
• Diabetes medications
• Weight loss drugs
• Antidepressants
• NSAIDs
• Stimulants 
• Certain antihistamines, such as Benadryl

Pregnant women should also be careful when getting sedation dentistry. Nitrous oxide is generally safe, but IV or oral anaesthetics can spread to the developing baby. The third trimester holds the highest risk.

How Long Does Sedation Stay In Your Body?

The effects of most dental sedation should wear off in about an hour. However, the actual sedation can stay in your body for up to a day.

Why Can't You Be Alone After Sedation?

Your dentist will recommend that you don't go home alone after any procedures involving the more significant forms of sedation dentistry, such as IV or general anaesthesia. They impair judgment and cause drowsiness. You may have trouble driving or performing daily tasks for a short time. Having support keeps you safe.

Find Comfortable Dental Care with Dr. Lynch Today

Sedation dentistry does more than soothe an anxious patient. It also helps make dental care of all types more comfortable, convenient, and affordable for everyone.

Northern Virginia Dental Associates has three practices in Virginia. Our goal is to find the latest technology and methods to make every patient as comfortable as possible. We take a holistic approach to dental health, viewing it as crucial to overall health.

Learn more about our leading doctor, Dr. Lynch, and how his specialization in sedation dentistry can help you today.