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Sedation Dentistry: What to Expect and How It Works

At The Dental Anesthesia Center, we understand that dental anxiety is a genuine concern for many patients.

Sedation dentistry offers a solution, allowing those with fears or special needs to receive necessary dental care comfortably. We’ll walk you through the types of sedation available, how they work, and what you can expect during your visit.

sedation
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.
TWENTY YEARS! That is how long our special needs son has been seeing Dr Hoffman and his dedicated team! Our son suffers from an intellectual disability, is non-verbal, and is unable to cooperate for dental cleaning, x-rays, or other routine dental work. He requires general anesthesia. It is such a blessing to avoid a hospital setting just for dental work.

The team is always well staffed, friendly, personable and very professional. Every single year we have been supported by a deeply caring team who are dedicated to patients with a very wide range of disabilities and needs. They have shared useful dental advice and tools (3 sided toothbrushes, blocks to hold open their mouth for daily at-home care, etc.) which improved our son’s daily dental care. We always receive a call back the day after to check his recovery-even on weekends!

Highly recommended and so appreciative to have this team supporting our ever long road of raising a special needs son.
Response from the owner:Wow — thank you for sharing such a heartfelt review! We are so grateful for your trust and for allowing our team to be part of your family’s journey over the years. It means so much to us to know that our care and support have made a difference. We truly appreciate your kind words and recommendation!
We've been coming to Dr.Hoffman for twenty years. There's a reason we keep coming back! He's great. His staff is great. He's double boarded as an MD (Anesthesia) and DDS!!! Our son with special needs needs sedation for even a cleaning. You get what you pay for. He's expensive and... we know he's getting the best care!
Response from the owner:Thank you for trusting our team over the years and for your kind words about Dr. Hoffmann and our staff. We truly value your confidence in the care we provide!
Omg!! This place is Amazing! The people who work here are so very nice and understanding. I love this team
Response from the owner:Thank you so much for your kind words! We truly appreciate your support and are grateful to have such wonderful patients.
Searching for a new dental clinic is challenging for someone who has
dental anxiety, fear, and traumatic experiences in a dental chair. The staff and doctors at the Dental Anesthesia Center were immediately very welcoming. Dr. Thoms put together a very detailed plan to repair and replace the previous work that I had in the past that was now causing problems. Putting my faith in him was the best thing that I could have done for my situation. I am more than completely satisfied with all of the extensive dental work that I’ve had with Dr.Thoms. I had my fourth sleep dentistry experience yesterday and I’m very happy with my results. I highly recommend this practice and truly want to give them more than five stars! Thank you for giving me back my health and confidence.
Response from the owner:We know it isn’t always easy to find a dental office where you feel at ease, so your words mean the world to us. We’re so glad you feel comfortable with our team and truly appreciate your trust and recommendation!

What is Sedation Dentistry?

Sedation dentistry uses medication to help patients relax during dental procedures. It’s often called “sleep dentistry,” although patients usually remain awake except under general anesthesia. Sedation can be used for everything from simple cleaning to more complex procedures.

Nitrous Oxide (Laughing Gas)

Nitrous oxide, commonly known as laughing gas, is a mild sedative inhaled through a mask placed over your nose. It helps you relax and can produce feelings of euphoria. The effects wear off quickly once the mask is removed.

What to expect: You’ll feel relaxed and slightly giddy but remain fully conscious. How it works: The gas is mixed with oxygen and inhaled throughout the procedure. It is best for mild anxiety, short procedures, and patients who want to drive themselves home afterward.

Oral Sedation

Oral sedation involves taking a prescribed pill, usually from the benzodiazepine family, about an hour before your procedure.

What to expect: You’ll feel drowsy but remain awake. Some patients may fall asleep but can be easily awakened. How it works: The medication helps reduce anxiety and may cause amnesia about the procedure. It is best for moderate anxiety and more prolonged procedures.

IV Sedation

Intravenous (IV) sedation delivers sedative medication directly into your bloodstream.

What to expect: You’ll be in a deep state of relaxation and may not remember much of the procedure. How it works: A trained anesthesiologist administers and monitors the sedation throughout the procedure. It is best for severe anxiety, complex procedures, and patients with special needs.

General Anesthesia

General anesthesia renders you completely unconscious during the dental procedure.

What to expect: You’ll be completely unaware of your surroundings and feel no pain. How it works: Medication is administered through IV or inhalation and carefully monitored by an anesthesiologist. It is best for extensive procedures, patients with severe anxiety, or certain medical conditions.

The Sedation Dentistry Process

Before the Procedure:

  • Your dentist will review your medical history and current medications to determine the most appropriate type of sedation.
  • You’ll receive instructions about eating and drinking before the procedure, depending on the type of sedation used.
  • For oral sedation, IV sedation, or general anesthesia, you’ll need someone to drive you home afterward.

During the Procedure:

  • Your vital signs will be monitored throughout the procedure.
  • The level of sedation can be adjusted as needed.
  • Local anesthetic will still be used to ensure you don’t feel pain.

After the Procedure:

  • Recovery time varies depending on the type of sedation used.
  • You may feel groggy or sleepy for several hours after the procedure.
  • Your dentist will provide aftercare instructions specific to your procedure and type of sedation.

Benefits of Sedation Dentistry

  1. Anxiety Relief: Helps patients with dental phobias receive necessary care.
  2. Pain Management: Reduces discomfort during lengthy or complex procedures.
  3. Time Efficiency: Allows dentists to perform multiple procedures in one visit.
  4. Reduced Gag Reflex: Helps patients who have a sensitive gag reflex.
  5. Memory Suppression: Many patients have little to no memory of the procedure.
Sedation Dentist in St. Louis
St. Louis Sedation Dentistry

Is Sedation Dentistry Right for You?

Sedation dentistry can be beneficial for patients who:

  • Have dental anxiety or phobia
  • Have a low pain threshold
  • Can’t sit still in the dentist’s chair
  • Have a strong gag reflex
  • Need a large amount of dental work completed

However, it’s not suitable for everyone. Factors like pregnancy, certain medical conditions, or taking specific medications may affect your eligibility for sedation.

Safety and Risks

When administered by trained professionals, sedation dentistry is very safe. However, as with any medical procedure, there are some risks. These can include:

  • Nausea and vomiting
  • Headache
  • Prolonged drowsiness
  • In rare cases, allergic reactions or complications from underlying health conditions

At The Dental Anesthesia Center, our experienced professionals prioritize your safety and comfort. We carefully assess each patient’s needs and medical history to determine the most appropriate and safest form of sedation.

Sedation dentistry has revolutionized dental care for many patients, making it possible to receive necessary treatments without anxiety or discomfort. Understanding the options available and what to expect lets you decide whether sedation dentistry is right for you.

Contact us

If you have questions about sedation dentistry or want to discuss options, please get in touch with us at The Dental Anesthesia Center. We’re committed to providing comfortable, anxiety-free dental experiences for all our patients.

Updated: July 2, 2024

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