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Oral Sedation

Oral Sedation

Relaxing in the Dental Office.

Do you experience high levels of anxiety when visiting the dentist? You may be a candidate for dental sedation. Dr. Sachdeva administers (oral conscious) sedation using safe monitoring equipment for your oxygen levels, blood pressure, and pulse. Contact us today.

Dental Sedation – Advantages to patients include:

  • Treatment is completed when you are in a more relaxed mood
  • You will have less difficulty sitting through a lengthy procedure
  • Multiple treatments and full mouth restorations can occur during the same visit
  • Helps with gagging
  • Less discomfort after treatment

Oral Sedatives

The most commonly prescribed dental related drugs that treat anxiety belong to the benzodiazepine family, which includes drugs such as Valium, Halcion, Xanax, or Ativan. These drugs decrease anxiety by binding and toning down activity within fear receptors in the brain.

There are two different types of benzodiazepines:

  • Sedative-hypnotics: These drugs induce calm, including drowsiness and even sleep.

This sleep state is actually a form of hypnosis which is a form of physiological sleep.

  • Anti-anxiety drugs: These are drugs which relieve anxiety and induce a state of calm and relaxation.

While benzodiazepines act as sedatives AND anti-anxiety drugs, some are highly targeted at areas within the brain which focus on sleep. Others act in a more specific way and target fear centers in the brain. In most cases, higher doses act as sedatives and induce sleep, while in lower doses they reduce anxiety without sedation. Benzodiazepines are also central nervous system (CNS) depressants (i.e. there can be a decline in blood pressure and breathing). It is important to note that they shouldn’t be mixed with other CNS depressants such as alcohol. It’s important that you utilize the dose your dentist or doctor recommends. It is possible to overdose, and overdoses could lower your breathing to dangerously low levels, which could result in coma or death.

Please note that you shouldn’t travel on your own after you’ve taken any of these drugs. Make sure you have an escort, even if you traveled by bus or foot. It’s easy to become disorientated.

When to Avoid Benzodiazepines

Some of these drugs can affect the liver and heart. Its important to check with your practitioner and/or pharmacist. You should be sure to inform your doctor or dentist if any of the following apply: known allergy to the drug, narrow-angle glaucoma, pregnancy, severe respiratory disease (COPD), congestive heart failure (CHF), impaired kidney or liver function, depression/bipolar disorder/psychoses, chronic bronchitis, and some other conditions. It’s also important to let us know if you are taking other medications. There could be possible drug interactions.

The Comfort of Nitrous Oxide

Nitrous oxide is a safe and effective sedative agent that is mixed with oxygen and inhaled through a small mask that fits over your nose to help you relax.
Nitrous oxide, sometimes called laughing gas is one way to help make you more comfortable during certain procedures. It is not intended to put you to sleep. You will be able to hear and respond to any requests or directions the dentist may have. Your dentist will ask you to breathe normally through your nose, and within a few short minutes you should start to feel the effects of the nitrous oxide. You may feel light-headed or a tingling in your arms and legs. Some people say their arms and legs feel heavy. Ultimately, you should feel calm and comfortable. The effects of nitrous oxide wear off soon after the mask is removed