Sedation Dentistry
Once you've experienced sedation
dentistry, you'll never be afraid to go to the dentist again.
You'll be sedated just enough to be unaware of the treatment. When
the procedure is completed, you'll have little or no memory of what was
accomplished.
Because sedation is safe and predictable, we can use it to relieve your
anxieties and increase your comfort while we fill your teeth, place or replace crowns or dentures, restore
sore gums to good health, whiten yellow or stained teeth, fix a chipped tooth,
or during virtually any other dental procedure normally done without sedation.
Imagine being able to smile with confidence and chew your food without pain. No
wonder so many patients say: "Sedation dentistry changed my
life."
There are many reasons 50% of the
population put dental care at the bottom of the healthcare list.
Some people are downright fearful while others have suffered bad
experiences in the past including difficulty getting numb or a bad gag
reflex. Some need extensive care and simply can't find enough
hours in the day.
It's time to
rest easy. Sedation Dentistry is here!
After an
initial visit with us where all your questions and concerns will be
answered, we'll schedule your sedation appointment(s). You'll find
your treatment is performed more comfortably than you might ever have
thought possible. You'll be drowsy, and unaware of the time
passing by. Our specially trained team will
monitor you
continually throughout the appointment. The big plus? We can
accomplish extensive amounts of dentistry at one time, and you'll have
little or no memory of the experience.
For anxious
patients, this treatment is a miracle. Your dental health is
important and need not be neglected because you are nervous.
Sedation Dentistry is as simple as taking a pill for many patients.
Relaxing Restoration
Sedation
Dentistry — We offer IV Sedation for the patient looking for a painless dental
experience.
Ours is one of the few general dental practices in the Unifour Area offering
intravenous (IV) sedation. We serve patients with a wide range of needs
including those with dental phobias, anxiety, fear of shots, and severe gag reflexes. In addition, we provide treatment to patients
who seek IV sedation for the purpose of relaxation or convenience, thereby
turning a stressful or lengthy appointment into a pleasant and comfortable
experience.
Whatever the reasons- and regardless of how complex, simple or minimal the
dental procedure - we make IV sedation available to any patient who requests it
as long as you are fairly healthy.
We are committed to minimizing stress and maximizing safety. We
are just as committed to eliminating pain. As you
are discharged from our office after your dental treatment, we'll provide you
with a prescription for adequate pain control as well.
Different Levels of Sedation for Different Needs
Intravenous sedation/conscious sedation is deeper, more reliable and
controllable, and easily adjusted to each individual patient. This is in
contrast to other typical dental office agents like nitrous oxide (laughing gas)
or pills (oral sedation) that only provide lighter levels of relaxation.
Mild or moderate sedation/procedural sedation in which you are awake but
drowsy is a very effective way to relieve anxiety. With slightly deeper
sedation, you will be breathing on your own while monitored, but you will have
little or no
memory of your procedure once it's completed.
The level of sedation will be adjusted according to your needs.
Why IV or Conscious Sedation?
The cost of hospital sedation for dental treatment is cost prohibitive for
many patients. Over the years, I had thought to myself how dedicated those
patients must be who "tough it out" in the office for lengthy
treatment plans or even for a single stressful appointment, whether emergency or
routine. Some patients were actually terrified, but they endured it. And I
would constantly hear stories of patients who had bad experiences and would no
longer come close to a dental office. There were just too many patients
that were too afraid to see a dentist for even the most routine dental care.
Finally I decided to make dentistry EASY for everybody right here in Caldwell
County.
I thought there must be a better way to help those frightened people get the
dental work they want or need, and so I decided to offer IV sedation in my
private office. For those patients who were medically eligible or not
seriously medically compromised, IV Sedation is the perfect solution.
IV Sedation Dentistry
The more relaxed a patient is during their dental visit, the more comfortable
and successful their dental experience will be. Until recently, doctors have
been able to do little to relax patients who suffer anxiety at just the
thought of a visit to the dentist.
Intravenous sedation is the answer for many patients. Dr. Hollar is trained in
conscious IV sedation and administers relaxant drugs intravenously to the
patient, using specific protocols. Dr. Hollar uses medical equipment to monitor the patient’s blood pressure, pulse, oxygen saturation
and respiratory rates
continuously to ensure that the patient is completely comfortable and
reacting normally throughout the procedure.
While sedated, patients are able to respond to verbal commands but they are so
relaxed that they do not experience any pain, discomfort or anxiety. In fact,
patients usually report not remembering much of the procedure and actually
believe they were asleep throughout their appointment.
Sedation in Dentistry
The Sedation Dental Care
Standard
The standard of treating patients using sedation was set by physicians in the
U.S. approximately 40 years ago . It is nothing new for patients to be sedated
for operations on knees, feet, wrists, ears, noses, or practically anything
else. A lady told me the other day, "I had to go in for a MRI (a type of x-ray).
I was very nervous so my doctor gave me some sedation." Patients ask dentists
for sedation and the dentists do everything they can to talk them out of it.
Most dentists do not want to go through the additional training and
accreditation process that is necessary to sedate patients.
You wouldn't think of having an ear operation or a nose operation without
sedation. But, you move one inch to the teeth and it becomes acceptable to
endure time-consuming, strenuous, noisy, and uncomfortable procedures on the
most sensitive, personal part of the body (the mouth) with no sedation. Dentists
attempt to work outside of the already established standard of using sedation.
Hence, we as dentists treat only 50% of the population while physicians treat
over 90%.
I have found that fearful patients mentally have no problem being sedated for
dental treatment. You ask a nervous patient, "Would you rather have this work
done in six appointments over the next two months or in one appointment while
you sleep?", and they look at you like you're crazy. "Put me to sleep," is all
they say.
Sedation for certain types of dental care has been used for over thirty years.
If you asked a hundred patients who have had their wisdom teeth removed how they
had it done, most would say they were put to sleep to have them removed. The
problem is that dentists say, "Oh root canals and drilling on teeth is not bad
enough." This is why 50% of the population does not go to the dentist. The
patient is the one who needs to determine what is bad enough for them to warrant
sedation, not the dentist.
If you feel that sedation, which is the standard of care for the rest of the
body, is necessary for your dental care, call us at 828-754-1600. Well
help you get the treatment you want or need, and get it the comfortable
way!
Frequently Asked Questions about IV Sedation
Q: Is gentle dentistry using IV sedation for everyone?
A: This therapy is especially useful for those who:
* experience medium to severe anxiety in anticipation of pain or
discomfort (usually the result of a traumatic dental experience in
childhood)
* have had difficulty in the past with local anesthetics ‘not working’
for them (medium to extreme anxiety can sometimes heighten sensitivity)
* find it difficult or uncomfortable to keep their mouth open for
prolonged periods (usually caused by TMJ problems or other medical
conditions)
* find it very uncomfortable to have hands and instruments in their mouths
(invasion of personal space)
* have difficulty controlling their gag reflex
* have a lot of work to be done and little time to spend (the dentist can
work more quickly when a patient is sedated and is therefore unable to
experience any discomfort)
Q: Will I really be totally relaxed?
A: Yes. You'll receive just enough sedation so that you'll be relaxed and
unconcerned about the dental treatment.
Q:
Will I remember anything?
A: Typically, no. At the end of the treatment, you'll have little or no memory
of what was accomplished.
Q: Will I feel any pain?
A: Most patients experience no discomfort whatsoever during treatment and feel
surprisingly good afterwards.
Q: What treatments can I have under sedation?
A: Any procedure that's usually done in our office without sedation—
extractions, fillings, crowns, bridges, even
teeth cleaning.
Q: Is gentle dentistry using IV sedation safe for me?
A: We'll review your medical history and if necessary, consult with your
medical doctor to be sure, and you’ll be constantly monitored while under
sedation.
Q: Will my insurance cover it?
A: It’s best to check with your dental plan provider. However, we'll review
your coverage and, if necessary, make financial arrangements so you get the
care you need.
Q: How long will I be off work?
A: Each
patient is different, so this is a difficult question to answer. However, we
find that patients only need to take off the day of the procedure. Most are
working the next day.
Q:
Why
don't more dentists do IV Sedation?
A: North
Carolina law requires a dentist to have special
authorization to perform IV Sedation. The training is extensive to qualify for this
authorization. Dr. Hollar was trained in IV Sedation at the Medical College of Georgia
School of Dentistry. To maintain the special authorization requires specialized courses on sedation which
are costly and take additional time away from the office.
Q: How do I prepare for IV Conscious Sedation?
A: If you have been scheduled for a dental procedure using intravenous conscious
sedation, please follow the following instructions. Do NOT have anything to eat
or drink eight hours before your appointment. Continue to take prescribed
medications unless previously instructed otherwise by Dr. Hollar. Bring a responsible person with you to drive you home after the
procedure. Your driver must be in the office reception area before your sedation
can be started.
Q:
How long will I be under Sedation?
A: The length of your appointment will depend upon the procedure being done. There
will also be a recovery period of 15 to 20 minutes after the procedure is
finished. Because of the drowsiness, you will then be taken in a wheel chair
to your driver's vehicle. You must not drive or operate any machinery until the day after your
intravenous sedation.
Gentle Dental Options
Gentle dentistry - oral or inhalation methods - is also
available. Dr. Hollar is an experienced ‘Gentle
Dentist’ who is trained to administer oral (relaxants) and inhalation
(nitrous oxide and oxygen) sedation to patients who need a little help
relaxing during their dental visit.
Remember, the more relaxed you are during a visit the more likely it is that
you will experience less trauma and pain from your procedure. Your body will
not be “fighting” the stress of a dental procedure and your recovery time
can be significantly reduced.