What is conscious sedation?
Conscious sedation using intravenous midazolam is a technique to reduce your anxiety about dental treatment whilst keeping you conscious at all times.
If you hate the noises, smells and tastes associated with dental care and offices and you can’t block them out, then you may want to experience “dental sedation” while we do the work.
Recent research has indicated that the number one reason adults postpone needed dental care was fear! That’s right, not time, not money, but fear!
Dr Prab Sandhu works closely with her team of sedation nurses and often anaesthetists with many years of professional experience. She makes sure that you have a pleasant experience!
How Sedation Works
With safe and proven techniques, patients receive sedative drugs which work rapidly to create a relaxed state that is maintained and monitored throughout treatment. Beyond creating an optimal environment for you, the patient, dentistry with IV Sedation also allows us to complete multiple procedures in one appointment…
An IV is started by the anesthetist allowing all medications for relaxation to enter your body. You will not remember or be aware of any procedures or especially “getting numb.” You breathe on your own. This is not like the hospital anesthesia where a machine breathes for you.
- It Really Works! You really can relax through your dental appointment.
- You will have little or no memory of the experience.
Are you a Candidate for Sedation Dentistry?
If you have any of the following fears you are likely to be a candidate for dental sedation.
- Fear of dental treatment
- History of traumatic dental experiences
- Difficulty getting numb
- Very sensitive gag reflex or difficulty opening
- Extremely sensitive teeth
- Complex dental problems; or a need for surgery
- Above average disdain for “getting numb”
- In denial of a dental problem until the pain is unbearable
- Have not received professional dental care in many years, perhaps decades
- Go from dentist to dentist, or doctors, to renew painkiller prescriptions for dental problems
- Experience sweaty palms or find yourself gripping the armrests
Is it like having a General Anaesthetic (GA)?
NO. At no time will you be unconscious but you may fall asleep as you become more relaxed.
Why Can’t I Have GA?
GA has not been permitted in dental practices since 1998 and can only be performed where proper intensive care facilities are close by. There is little justification for performing GA for simple dental work when IV sedation works so well.
What Is ‘’IV’’ Midazolam?
IV stands for intravenous and means that the drug is delivered into a vein using a special device. This involves a needle at the start but once in the vein, the needle is removed and not used again. Midazolam is the drug used and is a modern relative of Valium. It has been used successfully since 1986 and is the drug of choice for dental sedation.
What will happen when I have sedation?
When it is time for your sedation appointment you will be taken into the surgery and sat in the dental chair. Your medical history will then be Re-checked and your blood pressure, heart rate, oxygen content of your blood will be measured. This is to ensure precise monitoring of your health throughout the sedation.
The IV device will then be placed into your arm and the midazolam slowly administered. As this happens you will slowly begin to feel more relaxed and sleepy. Some patients describe this like having had a few glasses of their favorite wine or beer. Once your dentist is satisfied that you are adequately sedated, the procedure will begin.
How will I feel afterwards?
Most people feel a little sleepy for a few hours, which is why you and your escort are given detailed instructions on what you should not do for 24 hours afterwards. You will also experience memory loss that may last several hours and this will mean that you probably won’t remember the dental work being carried out and of course means that you should not make any important decisions during this time. The vast majority of patients are fully recovered 24 hours after their sedations.
Are there any dangers associated with IV Sedation?
The method, which we will use to sedate you, is designed to minimize any potential problems and will make this a very safe procedure. The main risk is that you may become so relaxed that you forget to breathe as much as you should. This is why your blood –oxygen level is constantly monitored so that we can prompt you to take a deep breath should that happen. In the unlikely event that you ignore our requests to breathe and your blood oxygen continues to drop, we simply administer a reversal drug which immediately brings you out of the sedation. As with any dental or medical procedure, if you have any fears that are not allayed by asking further questions, then you should not go ahead with it.