Modern sedation dentistry allows patients to undergo complicated dental procedures without discomfort and pain. Some people with acute dental anxiety can also benefit from these methods. But which dental procedures require sedation? In this article, we will answer this question and discuss the types of sedation commonly used in dentistry.

Which Dental Procedures Require Sedation?

In most cases, sedation is used when the procedure is complicated and time-consuming, requiring the patient to remain still for a long time. Such procedures include:

Bone Grafting

Bone grafting is used to prompt the regeneration of the jaw bone and improve its density. This procedure can be recommended in preparation for dental implants or dentures. During the procedure, your doctor will make incisions in the gums to access the jaw bone and then place the grafts made of natural or medical synthetic material. In some cases, grafts are sourced from the patient’s own tissue. Once the grafts are placed, stitches are applied.

Dental Implants Placement

Dental implant placement can take quite a long time and requires precision, especially when more than one implant is placed at once. During the procedure, metal posts are inserted directly into the jawbone, where they fuse over time.

Tooth Extractions

In some cases, tooth extractions can be complicated due to the position of the teeth’s roots, leading to your dentist recommending sedation. 

Emergency Procedures

Accidents can cause severe oral trauma, including multiple knocked-out teeth, broken jaw, lacerations in the mouth, etc. If the injury is extensive and requires surgical treatment, your doctor is most likely to recommend sedation.

Depending on the patient and the patient’s pain tolerance, the procedures listed above can be performed without sedation and only use a local anesthetic.

What Is Sedation Dentistry?

Sedation dentistry is using one of the available sedatives to make a procedure as comfortable and painless for a patient as possible. In some cases, even if the procedure does not technically require sedation due to its difficulty, a patient can still opt for sedation if they experience acute dental anxiety. In general, sedation dentistry might be recommended for the following patients:

• People with a very low pain tolerance 
• People who have reactive gas reflex
• People who find it challenging to remain still in one position for a long time
• People who are undergoing invasive procedures or procedures that take an extensive period
• People with severe dental anxiety

Types of Sedation Used In Dentistry

Depending on the complexity of the case and the needs of a particular patient, a dental specialist might offer one of the following types of sedation:

IV Sedation

IV sedation does not put a patient to sleep, meaning that you will remain conscious during the procedure but feel calm, relaxed, and less aware of the procedure. With IV sedation, patients can still understand and respond to what the doctor is saying or asking them to do. As the name suggests, this type of sedation is administered intravenously. The benefits of IV sedation include:

• It works quickly after it is administered.
• The dosage can be adjusted easily based on the patient’s needs.
• It allows the patient to cooperate with a doctor.
• It significantly reduces stress during the appointment and allows the patient to remember less of the procedure.

Nitrous Oxide

Nitrous oxide, also called a laughing gas, has been used in dentistry for decades. Typically, in modern dentistry, nitrous oxide is used in combination with oxygen and inhaled. This type of sedation is safe, and its effect usually passes right after the procedure so the patient can return to their daily activities. On its own, nitrous oxide does not reduce pain enough, so the local anesthetic is usually still used together with it. 

Nitrous oxide is often used in pediatric dentistry, as it effectively reduces children’s fear of the procedure.

Oral Sedation

Oral sedation typically comes in the form of a pill administered through the mouth. The level of such sedation is usually moderate, allowing the patients to feel calm and relaxed for the duration of the procedure.

General Anesthesia

With general anesthesia, the patient is in deep sleep, unaware of their surroundings or the procedure, and does not feel any pain. After the procedure, the patient will also not have any memory of it. General anesthesia is induced through a vein. 

Make an Appointment Today

Do not hesitate to make an appointment with a full-service dentist in Arcadia today. We provide a safe and stress-free environment and use modern methods to ensure your oral health. We look forward to your visit to Smiles of Arcadia.

Dental sedation is a very helpful modern method that helps both the patient and the dentist. Some patients might experience acute anxiety during dental procedures. This makes the process extremely uncomfortable. On top of that, if the procedure is difficult or long, having the patient sedated can help the dentist to perform the procedure in a proper manner. 

Is Sedation Dentistry Safe While Pregnant?

Typically, sedation is considered safe for general patients. However, expecting a child is a delicate condition, and patients want to know if sedation dentistry is safe while pregnant. In this article, we will go through the possible concerns patients may have about the effects sedation can have on the unborn child. Also, the article will help you determine if sedation dentistry is right for you when you are pregnant.

What Is Sedation Dentistry

The main focus of sedation dentistry is to alleviate stress and pain during dental procedures. The levels of sedation depend on the individual needs of the patient and on the length and difficulty of the procedure. There are different types of sedation:

Oral conscious sedation

Medication for this type of sedation usually comes in a pill form. Typically, a patient takes the medication an hour before the procedure. You might expect feeling sleepy or actually falling asleep after taking the medication. But it is easy to wake the patient up, and they can communicate with their dentist without any issues. Patients have to make sure that they have someone to drive them back home after the procedure, as the medication can temporary affect memory and motor skills. 

Intravenous sedation

IV sedation is a deeper form of sedation than oral conscious sedation. The medication is delivered into the bloodstream through an IV line. The dosage of the medication can be adjusted at any point during the procedure if necessary. Also, reversal medications can be used if need be. Typically, after receiving IV sedation, patients fall asleep and later have almost no memory of the procedure. This method is usually used in cases of very long and complicated procedures or if the level of anxiety is unbearable for the patient.

Nitrous oxide (also known as laughing gas)

The medication is delivered by inhaling nitrous oxide through the mask. You can expect the calming effects to start in 3 to 5 minutes. The amount of sedation can also be adjusted during the procedure. After the dental procedure, the patient receives oxygen to remove nitrous oxide from their body, which happens quite quickly. Usually, this method does not have any effects once the procedure is over, and the patient can drive home by themselves.

Your general health condition and medical history will determine the choice of sedation appropriate for you.

Is Sedation Dentistry Safe While Pregnant

Even though there are different opinions on sedation dentistry during pregnancy, some doctors advise against using this method when pregnant. In fact, sedation has not been proven safe for pregnant patients. The concern is that some of the chemicals contained in sedation medication might pass through the placenta. This can result in developmental issues in the unborn child. 

The stage of pregnancy can also determine if you can have sedation in cases when it is unavoidable. Usually, the second trimester is considered to be the safest time to undergo sedation. Undergoing sedation during both the first and third trimesters can cause problems with development and labor. 

Dental Treatments While Pregnant

There are still options to alleviate the pain during dental procedures while pregnant. Topically applied numbing medications are safe to use for both you and the child.

On top of that, preventative dentistry is a big help when it comes to pregnant patients. Pregnancy brings a lot of hormonal changes to the body. There is also a possibility of higher carbohydrate consumption and an increased amount of acid in the mouth caused by morning sickness. These lead to weakening of the tooth enamel and to cavities and tooth decay. Make sure to constantly maintain good oral hygiene to avoid acid and food debris collecting in your mouth. This can ensure that complex treatments will not be necessary while you are pregnant.

It is a good idea to see your dentist regularly while pregnant to have checkups and cleanings that are totally safe for pregnant patients. These preventative measures will help you avoid health complications caused by tooth decay and infections.

Make an appointment with one of our qualified dentists at Smiles of Arcadia to ensure your and your unborn child’s health.