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FAQ:  Sedation Dentistry - Part A


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Dental Phobia: Alternatives to sedation medications
  • I've been reading on Conscious Sedation and what it is used for. To be honest, I have no known phobias in dentistry. My problem is that I have a gag reflex that's outta this world. Is conscious sedation effective in eliminating this problem or at least reducing it? ...John in TX     (answer)

  • Which method of sedation puts you out the most (deepest sleep) - oral, gas, or IV? ...Kristin in MI     (answer)

  • I can't seem to find a Dentist that uses nitrious oxide, I can not and do not respond well to novacane unless I have had "the gas" administered. The pain has gotten so bad the past two days. How can I get it to stop, at least until I get enough money to pay for the work I need done? I've tried the remedy section that is on this website, it isn't working. George in NY     (answer)

  • I have a bad wisdom tooth and have seen my local dentist...he has told me I have to be refered to the sedation clinic in Bristol. So off I went. When I got there I saw people walk in to the dentist's room quite normally but they walked out all over the place. I didn't like the look of it. Then a couple came in and the woman was called in. All of a sudden a I heard a couple of load screams. That was it - my palms started to sweat, my pulse went up and I left the surgery. Still with my bad wisdom tooth. While I was there the dentist also told me that both lowers had to come out and then explained to me that both uppers had to come out as well. That sounds like a lot of work in one sitting. Question: If I get sedated will I know what's going on and will I feel the pain? I have an awful thought of being not able to move or talk but feeling and watching every thing that's going on. Please reply soon. ...Steve in Somerset, England     (answer)

  • I have a heart murmur and high blood presure. Can I use Nitrous Oxide? ...Star in Hollywood, CA     (answer)

  • I have to have a widsom tooth out and would like to be sedated due to a previous bad experience with extraction. However, I'm a nursing mother to a 9 month old. How will the anesthesia affect my baby? I'm nursing 3 times a day: 6:00 a.m., 4:00 p.m., and 9:00 p.m. How long will it be in my system? Any help you could give would be appreciated since many dentists around here have no idea about the effects on nursing. ...Angela in PA     (answer)

  • I have a 2 1/2 year old who needs extensive dental work. Something like 4 caps on his upper left teeth, a filling on one of his molars and another filling to repair a weak area in one of his bottom teeth. The original dentist we saw was going to do this work under IV sedation in a hospital. Due to the fact that she can't get to him for another 3 months and it only took 3 months for his tooth to go from a tiny pinhole to being half gone, we have decided to consult another dentist who can get him in earlier. This particular dentist doesn't do any work in a hospital and never knocks his patients out. They said they use only nitrous oxide and some kind of injectable sedative. I am wondering which is best. I know it is scary to have them totally sedate him, but I also don't want this to be a totally traumatic experience for him either. Just wondering what your take on this would be? Thank you.     (answer)

  • I'm extremely fearful of dental work. I have full blown panic attack once I go. I thrown up, pass out, hyperventilate and I've bitten two dentists (broke skin - not on purpose - just did it). With the exception of the dentist I saw last fall, I've only been to one dentist in about 20 years. I struggle with just brushing my teeth. It always makes me gag and more often than not I throw up. Anything I can do to try and go to the dentist?     (answer)

  • I am being treated for depression with Prozac. I take Mirapex for restless leg syndrome and Celebrex for arthritis, Prevacid for GERD, Atenenol for blood pressure. I need dental attention badly but become very stressed thinking about treatment. With the meds I take am I a candidate for sedation dentistry? ...Visitor from NJ     (answer)

  • First let me say I'm sorry for taking up your valuble time, I know for myself time is hard to come by and I'm only 28 single and no kids. To start with I can be classified as having dental phobia but it's not really a fear of the dentist as much as a fear of the discomfort. The sound of a drill does not bother me it is actually painful to me. My teeth have always been so sensitive that every experience I had with a dentist as a child was excruciating. I have never drank bevrages with ice and it has probably been twenty years since I had ice-cream. I know I need some type of sedation but I'm not sure which kind and whatever dentist I see will surely push something in his line of expertise and not really what's best for me. I am missing several teeth, some in front, and a couple badly decayed and broken. I know you've heard all that before and I'm sorry for bothering you with it but i just wanted to give you a breif history of myself and how my neglect started. I saw one sedaton dentist and after driving close to 100 miles and him telling me that he could give me a beatiful smile in no time and I could sleep through the whole process with anesthesia; he then tells me $10,000, I don't take insurance and I'll need it upfront. My appearence means alot to me and I know having nice teeth would really help me in the buisness world but I don't have ten grand. Basicly I need your help in finding out what forms of sedation are available, which are effective and in which ways, and would it be cheaper and a better long term to go with a dental implant, I really don't want to have a full set of dentures at 28, or try to repair what I have and fill in the gaps with bridges and stuff. The Doctor who wanted to charge me ten grand said he wanted to fix what I had, but I really didn't think that was a good idea, ten years of neglect is not just gonna go away over night I'm sure I would have been going back and spending more money the next time something broke. Again thank you for your time, I really hope you can help because there is nowhere else to go to ask dental question you just have to sign the check and hope the Dentist has your best intrest in mind and not his wallet. ...Visitor from NJ     (answer)

  • I have never had a problem or have been nervous about going to the dentist. However, the last few visits I have had some problems. It seems now that whenever I get a shot of novocaine I feel a little flush and then my heart races and pounds really fast. I have had a few cavities over the years and this never used to happen except recently (within the past 2 years) At first the Dentist thought it might have been lidocaine that caused it so the next time he gave me something called carbocaine. Well the carbocaine seemed to work the first time and I didn't feel any heart racing.... but just the other day I had another cavity replaced and he says he gave me carbocaine but I did get the heart pounding/racing this time too. What causes this, and why has this just started in the past 2 years? I'm only 34 and I am worried about this. Is it a dangerous condition? What can I do to prevent this from occuring again? Is there anyother type of novocaine that will not cause the heart to race/pound? Also, where can I read up on this or get some more info? ...Visitor from MA     (answer)

  • Hello, I'm a 43 yr old female. I was diagnosed with Multiple Chemical Sensitivity in early 96. My health has improved quite a bit since then but I am still very sensitive to many common use products. I have heard there is a lab in CO or UT that tests a patients blood to see what meds and composites can be used without an allergic reaction. Have you any information? I have mercury fillings from the 60's that are worn down and desparately need replacement. And last but never least! I have dental phobia...sorry...Is there anyone who can help me? I want to have all my old fillings removed (12 or 13) and replaced with something much better. This is the year for me to move forward with improved dental health and hopefully physical health as well...Thank you for being here your expertise is greatly appreciated by myself and others! ...Visitor from CA     (answer)

  • I take Lisinopril for blood pressure. Is there any reason I can't have sedation for a root canal? ...Visitor from Nebraska     (answer)

  • Today I had an appointment for sleep sedation dentistry. I had been through this before with a former dentist. I had been told by that dentist that it normally took 4-5 tablets to be able to perform the needed work. The new dentist was aware from me what my former dentist had told me and my fears. When they had me come 2 days prior to make the payment arrangements and do vitals I asked if he had a limit on administering the Triazolam with my former saying it took 4 to 5 tables. I was assured that would not be a problem. This was not the case. After taking the day off (so missed time) finding a driver and after 3 tablets he was ready to work. I however was still very much aware and awake. He went to pick up the needle to start injecting and I told him that wait I am not under yet! That I had not recalled getting the injections from my previous dentists so I was sure now why I needed the 4 to 5 tablets. I asked to be given one more and he refused. Told his assistant to call my ride and that was that. I got to the car and basically was out for the rest of the day. Question: how much does it usually take to have a patient under? I guess I would pretty much say that I need to find another dentist. Which is sad, being as I was begining to build a trust with this dentist and to come away feeling that I was lied to about the lack of willingness to sedate the patient as needed and his atittude that he had other patients so out the door I go. Which in working in the medical profession if we start with a patient we are typically obligated to finish with the patient. I guess that does not hold true in the dental profession. I did leave with a prescription for an antibiotic and a pain killer I guess to hold me over till I can find someone who cares about the patient. ...Visitor from CA     (answer)

  • I am extremely fearful getting my wisdom teeth extracted. I am supposed to have 6 teeth pulled under local anesthetic(4 wisdom teeth and two molars). Two of the wisdom teeth are horizontaly impacted. My biggest consern is that I have a condition called mitral valve prolapse, which makes my heart skip beats. Would it be better for me to be put under (to sleep) durring the sugery? I dont want any complications with my heart during the sugery, and although MVP is not life threatening, I am concerned that I will be so nervous that something might go wrong. What should I do? Also, is it wise to have 6 teeth extracted during the same visit? ...Visitor from CA     (answer)

  • I have severe sleep apnea, but suffer from claustrophobia. Can I still use sedation dentistry to meet my dental needs? ...Visitor from MN     (answer)



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