Sandra M. Embree, D.D.S., P.L.L.C.
Posts for tag: sedation dentistry
The next time you’re visiting Boston, why not make time for a stroll in the city’s renowned public garden? It’s got a little something for everyone: acres of greenhouses and formal plantings, a picturesque pond where you can go for a paddle in swan-shaped boats, and the first (and perhaps the only) statue dedicated to an anesthetic gas.
Yes, the Ether Monument (also called “The Good Samaritan”) is a vaguely Moorish-looking sculpture that commemorates the first use of anesthetic in a medical procedure. This ground-breaking event took place at nearby Massachusetts General Hospital in 1846. But if it seems that perhaps the park designers were feeling a bit light-headed when they commissioned this statue* then just think of what it would have been like to have a tooth drilled without it!
Today, of course, ether is no longer used for anesthesia; that’s because medical science has developed far better ways to make sure you don’t feel pain when you’re having a procedure. However, we do still use a gas for people who need a little more help relaxing during dental treatment. It’s called nitrous oxide, but sometimes goes by the nickname “laughing gas.”
This sweet-smelling gas, mixed with oxygen, is often administered in a process called inhalation conscious sedation. It doesn’t put you to sleep — you can still follow directions and respond to verbal cues — but it makes you very comfortable, and may even induce a slightly euphoric feeling, which wears off quickly when the gas is stopped. That’s what makes it ideal for some dental procedures: It’s quite effective for people who might otherwise have a great deal of dental anxiety, yet it’s quick, easy and safe to administer — and you can usually drive yourself home afterward.
Sometimes, however, you may need even more relaxation — for example, if you’re having multiple wisdom teeth extracted. In this case, it may be best to use intravenous (IV) conscious sedation. Here, the precise amount of medication you need is delivered directly into your bloodstream via a tiny needle. As with nitrous oxide, you’ll remain conscious the whole time, but you won’t feel any pain — and afterward, you probably won’t remember a thing.
Sedation dentistry has come a long way since the days of ether… but making sure you don’t feel pain or anxiety remains a critical part of what we do. Before a procedure, we’ll talk to you about what type of anesthesia is best — and if you have any questions or concerns, we’ll work with you to make sure you have the best experience possible. If you would like more information about sedation dentistry or relieving dental anxiety, call our office for a consultation. You can learn more in the Dear Doctor magazine articles “Oral Sedation Dentistry” and “Sedation Dentistry For Kids.”
Lessen Dental Anxiety with Oral Sedation—It’s Safe and it Works
Why do People Have Anxiety About Dental Visits?
How is oral sedation administered?
What will I experience after taking an oral sedative?
What are the Benefits of Oral Sedation?
Studies have shown that as many as 75 out of every 100 people fear dental visits; and for 10 to 15 of them, the fear is so great that they never get treatment — leading to serious dental problems and worse. Untreated disease in your teeth and gums can negatively affect the health of your entire body.
How can you conquer your fears so you can get the treatment you need? The answer includes (a) working with us to overcome your fears and have a positive experience while undergoing dental treatment, and (b) using oral sedation or anti-anxiety medication to help you quell your fears and relax.
Overcoming Your Fears
People develop fear of the dentist when they have a bad dental experience themselves, or sometimes when they hear of a bad experience someone else has had. The more you are afraid, the more you feel the symptoms of fear, and the more you connect those symptoms with the experience. You need to stop this negative memory sequence and replace the feelings of fear and loss of control with memories of good experiences and feelings of being in control.
It helps to know that you are not alone in your fears and that you can do something positive about them. First, make an appointment to discuss your fears with us, your dental professionals. Start with small procedures that cause only mild anxiety, and give yourself adequate time to get over your fears.
Using Oral Sedation
You have already gradually reduced your fear through your discussions and previous appointments. When you are ready to go to the next step, consider using oral sedatives or “anxiolytics” (meaning that they dissolve anxiety) to help you feel relaxed and comfortable.
Oral sedation — so called because you take it by mouth — allows you to let your guard down and focus on feeling peaceful, yet you remain awake and in control. The medication is either placed under your tongue and dissolved there (sublingual) or swallowed whole. Since it is taken by mouth, it does not require an injection, so it is easily taken by people who are afraid of injections.
The oral sedative and anxiolytic medications dentists use have been subjected to rigorous research and testing and have a long safety record after decades of use.
By using this two-step process you can reduce your fears and begin to get the care you need. And we, your dental professionals, are able to work more efficiently because we can focus on the work at hand, knowing that you are comfortable and relaxed.
Contact us today to schedule an appointment to talk about any fears you may have. You can also learn more by reading the Dear Doctor magazine articles “Overcoming Dental Fear & Anxiety” and “Oral Sedation Dentistry.”