Whether you experience dental anxiety or need oral surgery, IV sedation can be important for reducing negative feelings and suppressing pain.
Learn about the advantages that IV sedation offers.
Method of Anesthesia
Description of Technique
The patient remains totally conscious throughout the procedure. A local anesthetic (e.g., lidocaine) is administered in the area where the surgery is to be performed. Local anesthetic is used in conjunction with the other methods of anesthesia in all oral surgery procedures.
Dental procedures such as fillings, crowns, root canals, minor soft tissue procedures, and simple tooth extractions.
Nitrous Oxide Sedation with Local Anesthetic
A mixture of nitrous oxide (laughing gas) and oxygen is administered through a nasal breathing apparatus. The patient remains conscious in a relaxed condition. Nitrous oxide has a sedative and analgesic (pain-controlling) effect.
Simple oral surgery procedures to more involved procedures such as removal of wisdom teeth and placement of dental implants, or any dental procedure in which the patient would like to feel more relaxed.
Office-Based General Anesthesia with Local Anesthetic* (Sleep Dentistry)
Medications are administered through an intravenous line (I.V.). The patient falls asleep and is completely unaware of the procedure being performed. Medications most commonly used are Fentanyl (opiate), Versed (benzodiazepine), Ketamine, and Diprivan. Supplemental oxygen is delivered through a nasal breathing apparatus, and the patient’s vital signs are closely monitored.
General anesthesia is available for all types of oral surgery. Patients may choose general anesthesia for simple procedures depending on their level of anxiety. Most people having their wisdom teeth removed or having a dental implant placed will choose general anesthesia. General anesthesia may be necessary if local anesthesia fails to anesthetize the surgical site which often occurs in the presence of infection.
Hospital or Surgery Center-Based General Anesthesia
A patient is admitted to a hospital or surgery center where anesthesia is administered by an anesthesiologist.
Indicated for patients undergoing extensive procedures such as face and jaw reconstruction or TMJ surgery. Also indicated for patients with medical conditions such as heart or lung disease who require general anesthesia.
If you qualify for IV sedation, our anesthesiologist will supply the sedation intravenously. Within minutes, this sedation will relax you. It will suppress discomfort, and you are unlikely to have any memory of the procedure.
That said, you will not be unconscious: you will be able to respond to instructions. The anesthesiologist will monitor you throughout the procedure to ensure your safety.
You should not operate a vehicle after the procedure. We also recommend against drinking or engaging in significant physical activity. Getting enough sleep will help you feel better. Once 24 hours have passed, you can resume activity as normal.
At Ferber Dental Group, we understand that your comfort in our office is essential for ensuring you come back for regularly scheduled appointments. That’s why we always endeavor to make our office a warm, comforting environment.
If you think sedation might be necessary for your comfort, please don’t hesitate to let us know.
Depending on the study you look at, anywhere from 50-80% of adults experience dental anxiety. 20+% of those patients miss regular appointments because of this anxiety.
IV sedation’s ability to calm nerves is essential for helping anxious patients protect their oral health.
Even if you don’t have dental anxiety, IV sedation can be beneficial. It’s useful for patients who need oral surgery, or who plan to have multiple treatments within the same appointment. It’s also useful if you:
There are some patients who are not good candidates for IV sedation. Heart and liver disease can increase the likelihood of complications. We also discourage sedation if you are pregnant or nursing.
If you are undergoing multiple procedures during the same appointment, you may be a better candidate for general sedation. All of this will be discussed during your initial consultation with us.
Don’t hesitate to reach out to us. We’re always happy to ensure patient comfort.