IV Sedation and Acute Dental Visit Anxiety

To ease anxiety, dentistry has developed sedation methods that help patients relax during dental treatment.

Did you know 50% of people admit to some form of anxiety visiting the dentist, with roughly 1 in 6 avoiding dental care altogether because of it? To ease anxiety, dentistry has developed sedation methods that help patients relax during dental treatment.

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Martha

Their staff was truly caring and respectful in everything they did. The dentist explained what they found in the initial tests, asked us questions about our 82 year old sister, then explained the options that would give the best results.

Response from the owner:Thank you for your thoughtful feedback. We’re grateful for the opportunity to provide compassionate care and appreciate you taking the time to share your experience.

Carol Sue A.

My hygienist, DeLaina Joost, takes excellent care of my teeth with her advanced skills, gentle touch and great “chair side” manner. She is a consummate professional, and such a compassionate person. I look forward to my visits at DAC!

Response from the owner:Thank you for your kind words! We’re so glad to hear you had a positive experience with our team and appreciate you taking the time to share your feedback.

Barbara L.

Everyone was friendly and very professional. I drive approximately 160 miles for this service. Thank you!

Response from the owner:Thank you for your kind words and for making the journey to see us! We truly appreciate your trust in our team.

Karen M.

Devon’s has received his dental services here for several years. The staff are always pleasant. Dr. Hoffman unmatched. His bedside manner is always welcoming. Devon receives amazing care and support based on his assessed needs. Feedback and instruction is clear and detailed. Follow-up is greatly appreciated. I appreciate their acceptance of differences and assurance that Devon will be taken care of.

Response from the owner:Thank you for your kind words and continued trust in our team! We’re grateful to be part of Devon’s care and truly appreciate your thoughtful feedback.

Christopher H.

Best Dentists in St. Louis. Really a great dental experience. I have used this office for regular dental care, cavities, crowns, and cosmetic dentistry. Teeth look great.

Response from the owner:Christopher we apologize for the belated response. We are very pleased to hear you have a great dental experience with our office! Thank you for your kind words. We look forward to seeing you at your next dental appointment!

Types of Sedation Dentistry

Many can achieve relaxation with an oral sedative taken about an hour before a visit. , some with acute anxiety may need deeper sedation through an intravenous (IV) injection of medication. Unlike general anesthesia, which achieves complete unconsciousness to block pain, IV sedation reduces consciousness to a controllable level. Patients aren’t so much “asleep” as in a “semi-awake” state that’s safe and effective for reducing anxiety.

While there are various IV medications, the most popular for dental offices are the benzodiazepines, most often Midazolam (Versed). Benzodiazepines act quickly and wear off faster than similar drugs and have a good amnesic effect (you won’t recall details while under its influence). While relatively safe, they shouldn’t be used with individuals with poor liver function because of their adverse interaction with liver enzymes.

Other drugs or substances are often used in conjunction with IV sedation. Nitrous oxide (“laughing gas”) may be introduced initially to help with anxiety over the IV needle stick. Sometimes, pain-reducing drugs like Fentanyl may be added to the IV solution to boost the sedative effect and reduce the primary drug’s amount.

If we recommend IV sedation for your dental treatment, there are some things you should do to help the procedure go smoothly and safely. Because the after-effects of sedation may impair your driving ability, be sure you have someone with you to take you home. Don’t eat or drink anything after midnight the day before your appointment, and consult with both your physician and dentist about taking any prescription medication beforehand. Wear loose, comfortable clothing, and don’t wear contact lenses or oral appliances like dentures or retainers, watches, or other jewelry.

The Dental Anesthesia Center

Our top priority is safety. We follow strict standards and protocols regarding IV sedation, and you’ll be carefully monitored before, during, and after your procedure. Performed with the utmost care, IV sedation could make your next dental procedure pleasant and uneventful and improve your oral health.