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Sedation Dentistry

A significant number of Americans do not visit the dentist for regular checkups because they are too fearful or suffer from dental anxiety.  Sedation dentistry offers an excellent way to provide a safe, anxiety-free, dental experience to those who are afraid of the dentist.

Sedation dentistry is often mistakenly thought to induce sleep.  In fact, most sedatives allow the patient to stay awake during the procedure.  Sleepiness is a side effect of some medications, but nitrous oxide, oral conscious sedation and IV sedation only work to calm anxiety throughout the dental visit.

Sedation dentistry is popular because most sedatives can be taken by mouth, meaning no injections, no anxiety and no pain.  Some sedatives work so effectively that even the smells and details of the procedure cannot be recalled afterwards.  Safety and compliance are two important aspects of treatments, so sedation dentistry offers both the individual and the dentist the best alternative.

Whatever the form of sedative, it is essential to be accompanied by a caregiver.  Sometimes, sedatives are provided the night before the dental visit, which means that driving to or from the appointment is not advisable.

Here are some advantages associated with sedation dentistry:

  • Anxiety is alleviated.
  • Few side effects.
  • More can be accomplished during each visit.
  • No needles.
  • No pain.
  • Perfectly safe.
  • Procedures seem to take less time.

What kinds of sedatives are available?

The most popular types of dental sedatives are nitrous oxide, oral conscious sedation, and IV sedation.  Different levels of sedation (mild, moderate and deep) can be utilized depending on individual needs.  Before administering any sedative, the dentist must analyze the full medical history of the patient, taking note of any current medications.

Here is an overview of some of the most common types of dental sedatives:

Nitrous Oxide

Nitrous oxide, or “laughing gas,” is used as a mild sedative.  It is delivered through a nose hood, and is administered throughout the entire procedure.  Nitrous oxide elevates the general mood and can evoke a general sense of well-being.  Most importantly, it relieves anxiety and reduces pain during the procedure.  In addition, some tingling and numbness may be felt. There are few side effects associated with nitrous oxide, and it has been safely used in dentistry for many years.

Oral Conscious Sedation

Oral conscious sedation is an excellent choice for people who fear needles.  Oral medication is provided prior to treatment in order to induce a moderate state of sedation.  Though oral sedatives do not cause sleep, they usually dull the senses.  This means that most patients cannot remember the pain, smells or noises associated with the procedure.  Usually, a dose of medication is taken prior to the appointment, and then topped up during the procedure as required.

What types of drugs are used in oral conscious sedation?

Most of the drugs used in sedation dentistry are classified as benzodiazepines.  Benzodiazepines reduce anxiety, muscle spasms, insomnia and seizures.  Each medication has a different half-life, meaning that the effects last for varying amounts of time.  The estimated length of the procedure determines which type of drug is going to be most effective.

Here are some of the most common drugs used in oral conscious sedation:

Valium® – This sedative has amnesic properties and a long half-life. It is usually used for time-consuming, complex procedures.

Halcion® – Usually used to treat insomnia, Halcion is an effective sedative with amnesic properties.  A short half-life makes this sedative useful for shorter procedures.

Versed® – This sedative has the shortest half-life and is therefore less commonly used.  It alleviates anxiety in much the same way as nitrous oxide, and is used for visits that will take less than 30 minutes.

If you have questions or concerns about sedation dentistry, please contact our office.

Testimonials.

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Testimonials

Dr. Hekmat and all of his staff are gentle and friendly. They take the fear out of going to the dentist. He has done quality work on my teeth for the last three years and fixed problems I had from previous, poor quality dental work too! I am more than willing to drive 40 miles from where I live because I've never had such a great dental experience anywhere else!

Taylor w

Dr. Hekmat is absolutely wonderful, I couldn't imagine going to anyone else. He and his entire staff are caring and knowledgable; the quality of care is as good as it gets.
This is not your typical dentist experience. When I walk in today for my appointment, there was no check-in process- the assistant working at the front desk recognized me and told me the hygienist would be with me shortly (2 minutes later, right on time). They actually take the time to get to know their patients, which is especially comforting for those of us who get a little antsy when it comes time for a dental appointment.
The facility is top-notch. It's incredibly clean, TV in the lobby, and the chairs have massagers in the back so you can focus on something besides having your teeth cleaned. The pictures on their website might look too good to be true, but it's just genuinely that nice.
Dr. Hekmat and his staff are all phenomenal. They know what they're doing, take the time to explain what they're doing, and to answer questions. I would recommend Dr. Hekmat to anyone looking for a dentist or to change dentists, he's the best!

Chelsea S.

Dr. Hekmat's offices are so clean, soothing, and modern that it almost (ALMOST ... it's still the dentist!) feels like visiting the spa when you visit. I drive up all the way from the UTC area because I trust him and his staff with my teeth and my jittery nerves! They even take a photo of you at your first visit, so that when you come back, the receptionist greets you by name and already knows who you are - very welcoming, and a unique touch. Even the lighting is warm and relaxing, and the view from the chair is of a large, grassy pond filled with ducks.

Dr. Hekmat himself is friendly, calming, and talented. He replaced several silver filings with white filings for me - and he was really, really fast. Which was really appreciated by me, because I'm a big baby when it comes to the dentist. Several months later, and I'm silver-free and my filings have done great.

Ann M.

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