Dental Blog

Sedation Dentistry

Sedation dentistry helps you feel calm, relaxed and at ease during dental procedures. It’s a moderate level of sedation, so you’re still technically awake but feeling very carefree. It’s sometimes called conscious sedation dentistry or “twilight sleep” because it creates a state of short-term amnesia (forgetfulness) where you experience insensitivity to pain without the loss of consciousness.

What types of sedation are used in dentistry?

There are varying levels of sedation dentistry based on your unique needs. Factors include your level of anxiety, the length of your procedure, your health history and personal preferences. The most common types of sedation dentistry include nitrous oxide, oral conscious sedation and intravenous (IV) sedation.

Nitrous oxide

Nitrous oxide is commonly known as “laughing gas.” You inhale nitrous oxide through a mask or nosepiece, and calming effects begin within three to five minutes. Your dentist controls the amount of sedation you receive and adjusts dosages accordingly throughout your procedure. Once your treatment is over, your dentist gives you pure oxygen to flush the nitrous oxide out of your system. Because the laughing gas leaves your system so quickly, you’ll be able to drive yourself home after the procedure.

Oral conscious sedation

With oral conscious sedation, your dentist gives you sedative medication (usually in pill form) about an hour before your procedure begins. Most dentists use triazolam (Halcion®), which is in the diazepam (Valium®) family. But your dentist might use other medications, too, including zaleplon and lorazepam. Dentists often used liquid sedation in pediatric dentistry, such as midazolam oral syrup.

Oral sedation makes you quite groggy, and you may even fall asleep. But you’ll still be able to communicate with your dentist if necessary, and you’ll awaken with a gentle nudge. Because oral sedation temporarily affects your memory and motor skills, you’ll need a friend or family member to drive you home after your procedure.

Intravenous (IV) sedation

IV sedation dentistry is the deepest form of conscious sedation available in a dental office setting. Your healthcare provider delivers sedative medications directly to your bloodstream through an IV line. During your procedure, your dentist monitors your heart rate blood pressure and oxygen levels. They can adjust your dosage at any point and can use reversal medications if necessary. Most people who receive IV sedation dentistry fall asleep and have little to no memory of their treatment when they wake up. This option is best for people with severe dental anxiety or those who are undergoing lengthy procedures.

What happens before sedation dentistry?

You’ll talk with your dentist about sedation options during your initial consultation. They’ll discuss your health history and ask about any medications or supplements you’re taking. Once they’ve gathered all the necessary information, they’ll make sedation recommendations based on your specific needs.

In most cases, you shouldn’t eat or drink anything for at least six hours before your dental appointment. Unless otherwise noted by your dentist, you should take all routine medications without interruption.

Be sure to tell your dentist if you’re taking any blood thinners, though, such as warfarin. They may ask you to skip these medications for a few days leading up to your procedure.

What happens during sedation dentistry?

Your dentist gives you sedative medications before beginning your procedure. You’ll still receive local anesthetic to numb your teeth and gums, but your dentist usually does this once you’re already feeling comfortable from the sedatives.

What happens after sedation dentistry?

Unless you choose nitrous oxide as your sedation option, you’ll need a trusted friend or family member to drive you home after your appointment. You should go straight home and rest while the sedative medication wears off.

What are the advantages of sedation dentistry?

Sedation dentistry eases anxieties and phobias, helping you remain calm and comfortable during dental procedures. Because your dentist can often work faster when you’re under sedation, it can result in fewer appointments. Finally, many people have so much dental anxiety that they avoid going to the dentist altogether. Sedation dentistry helps you feel more comfortable so you can receive the care you need and deserve.

Recovery time

Recovery times vary. It depends on what type of sedation you choose and how your body responds to the medications. In general, people who have nitrous oxide recover within 15 to 30 minutes and can drive themselves home following their appointment. Those who choose oral conscious sedation or IV sedation typically need about 24 hours for full recovery.

https://my.clevelandclinic.org/health/treatments/22275-sedation-dentistry

Cosmetic dentistry

If you’re not satisfied with your smile, modern cosmetic dentistry can help. This method of professional oral care focuses on improving the appearance of your mouth, teeth, gums, and overall smile. Common procedures include teeth whitening, veneers, fillings, and implants.

Cosmetic dentistry is becoming more and more popular, with the industry as a whole projected to reach $32 billion by 2026. Although it’s not an essential procedure, cosmetic treatment can restore confidence in your smile.

What Does a Cosmetic Dentist Do?

A cosmetic dentist is responsible for a variety of procedures — from minor fixes to major surgeries. Here are a few of the cosmetic procedures they offer.

Inlays and Onlays

Inlays and onlays, also known as indirect fillings, are used when a tooth is too decayed to support a typical filling. These fillings are created in a dental laboratory and bonded in place by a cosmetic dentist.

An “inlay” is when the material is bonded in the center of the tooth. An “onlay” is when the filling covers one or more parts of the tooth or covers the tooth’s entire surface.

This procedure is an alternative to the crown, preserving more of the tooth’s natural surface while still strengthening and restoring the tooth after decay or deterioration.

Dental Implants

After severe tooth decay or tooth loss, dental implants are used to replace teeth. The cosmetic dentist first attaches a screw to the jaw to provide support. Then, the implant is inserted into the bone socket of the missing tooth.

Over time, the bone and tissue fuse to the implant, securing the replacement tooth inside the mouth. Once properly attached, the dental implant should blend into the surrounding teeth.

Dental Bonding

For dental bonding, the cosmetic dentist applies a moldable resin to the tooth and hardens it with ultraviolet light. Then, they trim, shape, and polish the material to blend into the surface of the tooth.

Bonding can repair chips, cracks, misshapen teeth, and tooth decay. For minor cosmetic issues, bonding is a more affordable alternative to fillings or crowns.

Reasons to See a Cosmetic Dentist

There are many reasons you might see a cosmetic dentist, including:

• Tooth decay
• Damage (cracks, chips, etc.)
• Crooked teeth
• Misshapen teeth
• Discoloration
• Missing teeth

People with damaged, decaying, crooked, or discolored teeth may also have difficulty when eating and speaking. For others, dental issues may affect their self-esteem.

According to a 2015 survey by the American Dental Association, 33% of young people are reluctant to smile due to conditions of the teeth and mouth. Another 23% of adults have cut back on their participation in social activities due to embarrassment about their smiles.

If you feel dissatisfied with your smile, a cosmetic dentist can improve the condition of your teeth.

https://www.webmd.com/a-to-z-guides/