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Going to the Dentist: What's the Deal With Sedation?

Tue, 09/18/2007 - 12:30pm by FitSugar
6,350 Views - 12 comments

Even if you are one of those people who absolutely dreads going to the dentist, you know it is still really important to go regularly. You need to keep your teeth and gums healthy, so your dentist can prevent small problems from growing into dental disasters.

Now many dentists offer sedation dentistry. To ensure panicked patients make it to the twice yearly visits, many dentists offer sedation dentistry. You can opt for this method if you have sensitive teeth or gums, you don't easily go numb, if you have a lot of dental work that needs to get done, or if you have major dental anxiety or a phobia about going to the dentist. Whatever your reason, there are different degrees of dental sedation that are available.

Here's the run down of sedation methods you can try:

Nitrous Oxide Sedation: Ahh, laughing gas. I used to get this as a kid and it really helps to calm you down. You inhale it and it puts you in a state of complete relaxation, but you are still totally conscious. Since laughing gas doesn't block the pain, your dentist will still need to give you a shot of local anesthesia, aka Novocaine.

Oral Sedatives: Diazepam is one form of medication you can take the night before, or 30-60 minutes before an appointment, depending on the severity of the anxiety. Although you will feel calmer, with this option you will still feel the pain. So with this method you also still need to get a shot of Novocaine to numb you.

There are 2 more methods. To hear what they are read more

Intravenous (IV) Sedation: You basically get anti-anxiety drugs administered into the bloodstream. This also doesn't block the pain, so you'll still need to get a shot of Novocaine. You'll remain conscious and be able to understand and respond to requests from your dentist, but you may not remember much of what happened while you were in the chair. IV sedation makes you feel utterly relaxed and makes you not care about what's going on, and the drugs may also cause full or partial amnesia (only during the period of time when they're in your bloodstream. Time will feel like it passes quickly, almost like you were asleep.

General Anesthesia: This is where you are unconscious and completely pain free, so you don't even need the Novocaine. You won't be able to respond to anything, since you are basically out of it, and you'll need help breathing. This method is used if you need oral surgery, like all 4 of your wisdom teeth pulled. Someone will need to drive you to the office, stay with you during the procedure, and then will need to drive you home. Some people have negative reactions to the anesthesia and experience bouts of vomiting.

These 4 methods can be used to offer different degrees of sedation, ranging from being awake yet calm, to totally unconscious. You and your doctor can figure out what method may be right for you, depending on your level of comfort and the procedures that need to be done.

I think sedation dentistry is a brilliant idea. I don't know anyone who likes going to the dentist, so this can make necessary procedures a lot easier to handle for people who are afraid to have them done.

Fit's Tips: Looking for a dentist in your area who offers sedation? Click here to find one near you.

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12 Comments Add a Comment

  • cageyme's picture
    cageyme
    1

    As a general rule, going to the dentist doesn't bother me. However, I did have general anesthesia when I had my wisdom teeth out. Laughing out loud

    1 year 16 weeks ago Report Comment
  • Lovely_1's picture
    Lovely_1
    2

    My mom is SO scared of dentists she is prescribed two valiums to pop half an hour before her appointment. Poor mom Sad
    She had a really bad dentist when she was younger hence the phobia she has now.

    1 year 16 weeks ago Report Comment
  • Renees3's picture
    Renees3
    3

    From what I've heard not a lot of dentists will do this unless it's Major work. Ive always DREADED the dentist. Until I found a good one! Mine is nice, young, smart. I'm amazed at the difference when you find a good dentist. I had a TON of work done, and I stopped even worrying. I actually fell asleep in the chair once (no anesthesia)!

    1 year 16 weeks ago Report Comment
  • leeluvfashion's picture
    leeluvfashion
    4

    I only get sedation when I had to have teeth pulled; I had 4 teeth pulled since I had to many teeth for the size of my jaw. And the only way to get my teeth staight was to have them removed. I had the IV or they call it "Twilight Sleep." It was nice since the 45 minutes only felt like 3.

    1 year 16 weeks ago Report Comment
  • purrtykitty's picture
    purrtykitty
    5

    i'm definitely in the minority, but i don't mind going to the dentist...except when they have to drill on my bottom jaw. for some reason novocaine doesn't work on me there and i feel everything. my dentist even gave me 2 full shots of novocaine in slightly different areas and i still felt EVERYTHING!!! even still, i know the importance of good dental health, so i go every 6 months (and more often if needed).

    1 year 16 weeks ago Report Comment
  • amandaaa's picture
    amandaaa
    6

    my dentist refuses to do it, and i wish he did. things would be so much less painful if i weren't conscious!!! a lot of dentists don't do it because there's been cases of dentists taking advantage of unconscious patients.

    1 year 16 weeks ago Report Comment
  • Spectra's picture
    Spectra
    7

    I don't mind the dentist at all. I actually don't like being anesthetized, so I try to avoid it when I can. My dentist only offers the sedation when she's doing a filling or going to pull a tooth or give a root canal or something. That's the only time I'd have it done.

    1 year 16 weeks ago Report Comment
  • fls2691's picture
    fls2691
    8

    The dentist doesn't bother me too much. But I like my hygienist and dentist so I guess that's a plus. The only thing that bothers me there is that I have a horrible gag reflex and so that's no fun. I'm pretty sure that my dentist only uses laughing gas on patients when they are getting teeth pulled. I don't know who would want an IV at the dentist though! That freaks me out so much more than someone scraping at my teeth!!!

    1 year 16 weeks ago Report Comment
  • alliep627's picture
    alliep627
    9

    Ok, this is probably going to make you go "What???!" But it is true. I have always wondered why I couldn't get sedation or nitrous or something for all the other doctors you're supposed to go to? I have so much anxiety and dread about seeing all of the other doctors that I just simply do not go unless absolutely necessary. It's horrible to be so stressed out and nervous about seeing a doctor that I don't go for years and years. I do see the dentist regularly. And the eye doctor and I do take really good care of myself. Don't suggest I go to the psychiatrist - that's just another doctor. LOL I laugh but it's really not funny. It's just awful to be so anxious and nervous about it. I envy the people who go to a super nice doctor and have this great relationship where they can just go and be themselves and get the care they want and need.

    1 year 15 weeks ago Report Comment
  • Beaner's picture
    Beaner
    10

    I think this is a great idea. I had really bad experiences with dentists that hurt me when I was a kid, so when I went away to college, I didn't go for all 4 years, which really screwed up my teeth. When I finally did go, I had a bunch of cavities, and needed to get TWO crowns. Let me tell you, it was NOT fun sitting in the chair for 2 hours each time.

    My advice is to find a gentle dentist you like, who explains everything and understands that you're not that psyched to be there. Go every year to avoid major problems in the future.

    1 year 15 weeks ago Report Comment
  • CestLaVie's picture
    CestLaVie
    11

    It's not "fun" but 2X yearly checkups are so important. I have had quite a bit of work done and am in a (lengthy and expensive) process of getting my silver fillings replaced with Cerec ones but I really do look at my teeth as an invenstment and something I take care and pride in.

    1 year 15 weeks ago Report Comment
  • tdamji's picture
    tdamji
    12

    i was totally under when i had y wisdom teeth removed, since i had all 4 removed

    1 year 15 weeks ago Report Comment

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