St. Louis Sedation, Sleep & Special Needs Dentistry :: The Dental Anesthesia Center

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IV Sedation for Dental Treatment: What to Expect

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At The Dental Anesthesia Center, we value our patient relationships, making it our priority to deliver gentle dental care that you deserve from sedation dentists in St. Louis.

Many dental procedures can be lengthy and cause stress for patients, especially those who are suffering from dental anxiety. Small children, patients who cannot stay still for long because of other conditions or patients with anxiety can all benefit from sedation dentistry. It allows them to go through the procedures they need without any stress or discomfort.

The Different Types of Dental Sedation

There are different types of sedation used in dental medicine, and they vary in intensity, ways of administration and the effects they have. We will list the main types of dental sedation, ordered by the intensity:

  • Laughing gas (nitrous oxide) is administered through a breathing mask and its effects last very shortly, wearing off immediately after the procedure. It allows the patient to drive themselves home.
  • Oral sedation is administered in the form of pills, which need to be taken at a certain time before the procedure. It leaves the patient conscious and able to answer questions and interact with the doctors, but not able to drive themselves afterward.
  • IV sedation is administered intravenously and provides maximum comfort for the patient, who won’t remember much of the procedure.
  • General anesthesia leaves the patient unconscious and unable to move, and it is reserved for more serious cases.

Your St. Louis sedation dentist will have a discussion with you prior to the procedure and decide which type of sedation is fit for you, depending on your medical history and the procedure you have to go through.

What Are the Risks of IV Sedation?

The most common complication from an IV sedation is a rash at the IV site. Other complications may include allergic reactions, difficulty breathing or other respiratory complications.

While you are on IV sedation, the doctors will closely monitor your vital signs like oxygen saturation, pulse, blood pressure, and so on. Most complications can happen when you are in the dentist chair. Extreme rare cases involve symptoms that appear later when you are at home.

If any strange symptom appears after you were under IV sedation, call your doctor right away or get to an emergency unit. But don’t be worried about your scheduled IV sedation, as very few cases actually end up with such complications.

How to Prepare for IV Sedation and What to Expect?

Making sure you follow the doctor’s instructions closely before and after the procedure will keep the risks under control. You need to follow a few simple rules that will make the procedure and the IV sedation comfortable and minimally invasive:

  • Don’t drink or eat anything for 6-8 hours before your appointment
  • Don’t take any medicine that was not pre-approved by your St. Louis sedation dentist, as it might interfere with the medication
  • Get someone to drive you home after the procedure and monitor you for a few hours after the sedation
  • Wear comfortable clothing and remove any accessories like jewelry, belts, etc.

St. Louis Dental Sedation

At The Dental Anesthesia Center, we value our patient relationships, making it our priority to deliver gentle dental care that you deserve from sedation dentists in St. Louis. We work hard to make you feel at ease by providing exceptional patient care in a relaxed, convenient atmosphere.

When you come in for your appointment Dr. Hoffmann, Dr.Thoms, or Dr. Mayer will decide which level is best for you. We look forward to meeting you. Call us at (314) 862-7844 and one of our friendly team members will be happy to speak with you.

Is Dental Sedation an Option for Teeth Cleaning?

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Even the most non-invasive procedure can be difficult for patients with special needs, causing them to miss their regular appointments or refuse routine procedures like dental cleaning.

Sedation dentistry is part of an approach to oral health, which is much more focused on the patient’s education and comfort than ever before. The goal of a good dentist is to make you feel safe and comfortable in the dentist chair and to be ready to come back anytime for your regular check-ups or any treatment you may need.

Sedation can range from the mildest type to general anesthesia, depending on how serious the procedure is, and the medical history of the patient. However, even the most non-invasive procedure can be difficult for patients with dental anxiety or special needs, causing them to miss their regular appointments or refuse routine procedures like dental cleaning.

Typically, a dental cleaning does not involve the use of sedation because many patients are able to sit through a cleaning with little or no pain and/or anxiety. However, in certain cases, yes, sedation can be used for cleaning a patients teeth.

When Sedation is Needed for a Teeth Cleaning

Special needs patients are those who due to their mental, physical, medical, cognitive and developmental conditions require special consideration when receiving dental treatment. Some of the conditions that require special needs dentistry, include:

Special needs dentistry addresses the specific issues of each patient and provides the special needs dental care he or she requires.

It takes compassion and understanding to care for patients with special needs. While most dentists are able to accommodate certain special needs patients, The Dental Anesthesia Center focuses on meeting the needs and limitations of these patients. We understand that some patients need sedation for even a routine teeth cleaning. If your child or loved one requires special needs dentistry, we will be glad to schedule your next appointment.

St. Louis Sedation, Sleep & Special Needs Dentistry

Your initial oral examination includes a visual examination, charting, diagnosis and treatment recommendations. We will also take x-rays, which includes the panoramic x-ray for proper diagnosis of the anterior (front) and posterior (back) teeth as well as the bite-wing x-ray series for proper diagnosis of proximal decay of posterior teeth.

Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!

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Is Laughing Gas Safe for Everyone?

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While nitrous oxide (also known as laughing gas) is generally safe, there are certain patients it is not recommended for.

Commonly known as laughing gas, nitrous oxide is a type of inhalation sedation that has been widely used in sedation dentistry since the 19th century when it was introduced to medicine. It is generally one of the safest substances that is used in sedation dentistry, as it’s effect doesn’t last long.

st. louis woman being sedated at dentist

While it may seem perfectly harmless, laughing gas is still a sedative and should be taken only with a recommendation from your St. Louis sedation dentist, as it can have side effects when interacting with other medications or when administered to a person with an incompatible condition. That is why doctors choose the sedation option that is best for the patient instead of adapting the patient to the medication.

When Is Nitrous Oxide Recommended?

Laughing gas is often recommended when a patient has dentist anxiety or when he has to go through a long and tiring procedure. Sedation is an option also when the gag reflex is stronger than average or when the patient simply wants to make the treatment a bit easier to go through.

When it comes to patients that should not be put under stress, like patients with cardiac bypass or suffering from strong anxiety, administering nitrous oxide will generally make the dental procedure safer, as it takes away the associated stress.

Usually, young children that have to go through a dental procedure have trouble being still and patient for so long. Laughing gas can make the procedure possible.

Why It May Not Be Recommended

Although generally safe, there are times it should not be used. That’s why your St. Louis sedation dentist will check your medical history first before determining the best course of action.

Patients who have limited lung capacity or obstructive pulmonary disease should not be administered laughing gas. The safety of nitrous oxide is given by the fact that it acts quickly and wears out quickly as well. With these patients, however, the gas takes longer to act, as it is absorbed slower, and it leaves the body slowly as well. This greatly reduces the advantage of laughing gas has over other forms of sedation. 

Patients who have a stuffy nose and are forced to breathe through their mouths may not be good candidates for nitrous oxide either. Laughing gas is administered through nasal airways and it won’t be as effective if the patient cannot breathe well through their nose.

Patients who cough are also to be administered other kinds of sedatives.

Pregnant women should not be administered nitrous oxide unless it is an emergency and the amount of sedatives is approved by an obstetrician. The toxicity of nitrous oxide to multiplying cells can be a threat to the fetus, especially in the first weeks of pregnancy.

Patients with intracranial disorders shouldn’t be administered laughing gas, as it can increase the pressure levels in the skull.

Additionally, if you take certain medications or you use drugs, you need to specify this to your doctor before being given laughing gas, as they might interact badly and manifest side effects. 

Speak With The Only Board Certified Dental Anesthesiologists in the State of Missouri

The bottom line is that it is extremely important to discuss all of your medical history with an experienced certified dental anesthesiologist before proceeding with treatment. To speak with the only certified dental anesthesiologists in the state of Missouri, call The Dental Anesthesia Center to day at (314) 862-7844.

5 Sneaky Sugar Offenders to Watch out for as a Parent

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A parent’s job never ends when it comes to health education, but we sometimes make mistakes even when we are driven by the best intentions in the world.

st. louis boy drinking lemonade

When it comes to your child’s diet, choosing the healthiest options is not always easy. Cooking at home is not always possible and toddlers are known to prefer foods like chicken nuggets, fries and bread, and ignore everything else. A parent’s job never ends when it comes to health education, but we sometimes make mistakes even when we are driven by the best intentions in the world.

This applies to what we feed our children, too. While trying to offer them a healthy, balanced diet full of nutritious meals and organic produce, we might ignore some habits that are actually bad for your children’s health.

Sugar is the main culprit when it comes to unhealthy diet choices for children. The vast majority of the products that are marketed towards children are packed with refined sugar and processed fats, making them a poor choice even for adults. Actually, even when you totally avoid processed foods and you only give your kids food made from scratch, you might still make a few mistakes and offer them too much sugar unknowingly.

Here are five sneaky sugar offenders you should avoid feeding your child.

Dried Fruit

You may think that you are only offering fruit to your child and that it doesn’t have any added sugar, but in fact, dried fruit is a snack that is very high in sugar and should be offered in very limited amounts, or not at all. It may be good as an ingredient in a trail mix when your kids need extra energy.

Flavored Yogurt

Besides fruit puree, flavored yogurt has added sugar and other ingredients that your kid can skip. If your child doesn’t like plain yogurt, it’s a better idea to just add pureed fruit yourself.

Granola and Granola Bars

Granola seems like an ideal choice for your child’s breakfast or mid-day snack, but it is, in fact, one of the sneaky sugar sources we might offer them without knowing. Most granola mix has an added sweetener.

Flavored Milk

Flavored milk is not such a sneaky sugar source, just as flavored yogurt, but many parents are tempted to offer it to their children because it is marketed towards children. It’s generally best to avoid flavored milk and offer plain milk instead. If you must, you can add pureed strawberries, vanilla beans or carob powder for extra flavor.

Smoothies and Juices

One of the sneakiest sources of sugar in a child’s diet are fruit juices and smoothies. According to the World Health Organisation, fruit should be offered as it is, instead of juicing or turning it into smoothies, because of the high sugar amount that is released when breaking the fibers, and the ease with which a child can ingest several fruits when they are not actually chewing them.

Sugar can lead to many health problems for your children, some that may last a lifetime. It is best to avoid any added sugar for as long as possible, which in turn will create a healthy preference for good diet choices. Eliminate sneaky sugar sources from your child’s diet and you will notice how the effects of the sugar excess will disappear. 

6 Questions to Ask Your Dentist Before Opting for Sedation

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Sedation dentistry is becoming more common than ever before, as dentists focus on offering a less traumatic and more relaxing experience to their patients.

woman speaking with St. Louis dentist

Dentist anxiety, while it still is one of the most common phobias people have, is less justified in the context of today’s gentle medical practices.

If you are scheduled to receive a certain dental procedure in the near future, you might consider sedation to be an option. You may have heard about others’ experience with it and you are curious about it. The best way to get informed about sedation dentistry is to discuss it with your St. Louis sedation dentist.

Here are the six questions you should prepare for the discussion prior to your procedure to make sure you understand everything you need about your dental sedation options.

Why Would You Recommend Sedation Dentistry for Me?

First of all, you need to see if using sedation for your dental procedure is really necessary. If you are dealing with mild anxiety, your doctor could try other options before giving you sedatives. Some clinics use different methods of relaxation, such as watching movies, listening to music and even enjoying hot towels or a massage while you receive your treatment.

What Sedation Options Do You Offer?

Let your doctor tell you more about each sedation option that you are eligible for. If possible, you will be able to choose between them and make an informed decision. Talk about their effect, the preparations, the associated risks, and so on.

Which Level of Sedation Is Best For Me?

There are different levels of sedation that can be used in dentistry, from nitrous oxide inhalation (laughing gas,) oral sedation (pills,) IV sedation or even general anesthesia. Depending on the complexity and length of the procedure and your capacity to sit still for a long time, your St. Louis sedation dentist will recommend the best option for you.

How Experienced Are You in Dental Sedation?

Not all dentists can perform all types of sedation. They need to be trained by specific institutions to perform general anesthesia or IV sedation, for example. Sometimes, your doctor will work with an anesthesiologist who can focus exclusively on your sedation and vital signs, while the dentist does the procedure.

What Are the Associated Risks of This Type of Sedation?

After discussing your medical history with your doctor, they should be able to tell you exactly what the associated risks with the type of sedation chosen for you are. Ask about the measures they are planning to take in case something happens.

How Do I Need to Prepare for the Procedure?

Depending on the type of sedation you will receive, there are certain preparations you need to make before your appointment. Some types of sedation require you to plan for a designated driver to come and pick you up after the procedure. Others require you to not eat for a few hours before the procedure. Make sure your doctor tells you exactly what you need to do before your appointment.

Asking these six questions is very helpful when considering sedation for the first time. Keep yourself well informed and make sure you collaborate with the Only Board Certified Dental Anesthesiologists in the State of Missouri, including the St. Louis Metro Area. Call The Dental Anesthesia Center today at (314) 862-7844 to learn more!

Is It Safe for My Kid to Get Dental Implants?

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If your child loses or chips a tooth, don’t panic. There are plenty of solutions for it.

Kids are little explorers – they always love testing their environment and limits through play, and sometimes they play rough. Getting hurt is inevitable, and small bruises and scratches serve as proof of the lessons learned. However, sometimes your child can get a more serious injury.

If your child loses or chips a tooth, don’t panic. There are plenty of solutions for it.

st. louis child at dentist

How to Save a Dislodged Tooth

Saving a dislodged tooth is not impossible. Your body is able to do it, as long as the tooth is kept alive. A popular myth is that the broken tooth should be put in milk while you’re on your way to the dentist. While it may be much better than nothing, saline solution is more fit for this. Use a sterile saline solution that is compatible with the human body fluids.

Options for Tooth Loss in Kids

If you did not have the chance to save the broken tooth, there are plenty of options available for your kid. But, if you are considering a dental implant, it may not be the first solution available to you.

Let’s explore the solutions in case your child breaks a tooth.

Dental Implants

Dental implants may be a permanent solution, almost identical to the lost tooth and solidly fixed onto the jaw bone to give it full functionality, but children should not have them done before their jaw is fully developed.

The minimum age to get a dental implant is generally 15 for girls and 17 for boys. It is around that age when the jaw is fully developed and the implant doesn’t affect the future tooth alignment.

Bridge

A bridge is a partial denture that uses the healthy teeth next to the gap to stay in place. The dentist can ground a healthy tooth and fix a crow on it that holds the partial denture in the gap. But, that is not the only way to get a bridge. It can also be done by bonding the denture to the healthy teeth with resin.

Artificial Tooth Attached to Braces

If you were planning on getting braces for your child anyway, they can be the perfect option for missing teeth. Fake ones can be attached to the braces and fit perfectly while the others are being straightened.

Partial Denture

A minimally invasive solution is a partial denture. The dental technician will create a fake tooth that will fit in the empty space left by the missing one.

Your St. Louis pediatric dentist will provide the best option for your child until they are old enough to get a dental implant. Give us a call today at (314) 862-7844!