Sedation Dentistry :
In Aquarius Dental we have several options for sedation based on anxiety level.
- Oral sedation (Minimal Sedation) Oral sedation dentistry is a medical procedure involving the administration of oral sedative drugs in the form of pill or liquid, generally to facilitate a dental procedure and reduce patients fear and anxiety related to the dental work. Sometimes referred to as ‘relaxation’, ‘sleep’, or ‘anxiety free’ dentistry, this comfortable care is now offered by trained dentists . Sedative medication helps relax patients by slowing the action of the central nervous system. People remain aware of their surroundings, but are less responsive to external stimuli Like the sound of the drill or the smell of materials. There are several medication that can be used for oral sedation and in Aquarius dental we use different medication based on each patient’s need. Lorazepam or Ativan: commonly prescribed for the treatment of anxiety.It is an effective sedative with a medium length half-life and is useful for appointments that are longer than two hours. Midazolam has the shortest half-life of all of the oral sedation medications, lasting about an 45 minutes, and making it ideal for short appointments or simple procedures. It has many of the same anxiolytic and amnesic benefits of other benzodiazepines. The most important advantage of the midazolam is that the patient doesn’t remember the dental treatment. Triazolam is also short acting and very usefull for treatment that takes 1 to 2 hour
- Nitrousoxide (Minimal Sedation)
Nitrous Oxide, also known as laughing gas is an extremely safe adjunct often used by dentists to reduce the apprehension and nervousness associated with dental procedures. Our dentists are specially trained in the administration of nitrous oxide allowing you or your child to have dental treatment completed safely in the dental office setting while remaining fully awake. Nitrous Oxide induces a feeling of warmth and security, gives most people a pleasant “floating” sensation, and reduces sensations during dental treatment. In addition, its effects are absolutely reversible within minutes, allowing you to return safely to work or school that same day. This is one the safest sedation dentistry option.Nitrous oxide is the safest and easiest method of sedation dentistry.
- Combination of Oral sedation and Nitrous gas(Moderate Sedation) Administration of combination of an oral sedative with nitrous oxide and oxygen could be used by our trained dentist for more nervous patients. This could provide moderate levels of conscious sedation which means patient still can respond to verbal stimulation. We can control or titrate the level of sedation needed with concentration of nitrous oxide gas
- IV Sedation ( Moderate sedation)
For some very anxious patients we can provide IV Sedation IV Sedation - also knows as Moderate Conscious Sedation can be used by dentists with specialized training and special certification. With this type of sedation, medications are administered through an IV. The greatest advantage of IV Sedation is that the patient can be made more comfortable as required. This is completely different than general anesthesia, and patient can breath on their own and can respond to verbal stimuli. The greatest advantage of this technique is, patient may not recall and remember the dental procedure. We can administer several medication depending on the dental procedure and level of the patient anxiety. The most common medications are Midazolam, Diazepam, and fentanyl. Before the sedation we carefully asses every patient and document their weight, airway, allergies , medical and dental conditions. Then we slowly administer those medication till desired level of sedation and relaxation is achieved.
Sedative medication helps relax patients by slowing the action of the central nervous system. People remain aware of their surroundings, but are less responsive to external stimuli Like the sound of the drill or the smell of materials.
We do check the patient vital signs with automated patient monitors for Blood pressure, Blood oxygen level through out the dental treatment.
Sedation Dentistry, sometimes called Relaxation Dentistry, refers to the way dentists manage Pain and Anxiety during dental appointments.
Unlike General Anesthesia where a patient is completely unconscious, asleep, and unable to respond, patients under Conscious Sedation, are able to respond to commands and breathe on their own.
We Use oral Medication and Nitrous Oxide or Laughing gas for the most of anxious patients.
However several medications are available to help create more relaxed, comfortable dental visits. Some drugs control pain, some help you relax, and others put you into a deep sleep during dental treatment. You and your dentist can discuss a number of factors when deciding which drugs to use for your treatment: the type of procedure, your overall health, history of allergies and your anxiety level are considered when determining which approach is best for your particular case. Working together you and your dentist can choose the most appropriate steps to make your dental visit as comfortable as possible.
For some very anxious patients we can provide IV Sedation. IV Sedation – also knows as Moderate Conscious Sedation can be used by Oral Surgeons and dentists with specialized training and special certification. With this type of sedation, medications are administered through an IV. The greatest advantage of IV Sedation is that the patient can be made more comfortable as required.