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Sedation Dentistry Benefits

Reviewed By: Laura Martin,

SOURCES: 2008 Medical Reference from Medstar. Todd Thierer, DDS, MPH, Dentist, University of Rochester Medical Center, Rochester, N.Y.

© 1999-2011 Medstar Television

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Narrator:

A few years ago, Amy Benway wouldn't have willingly sat in a dentist's chair.

Amy Benway:

I was terrified. I didn't go to a dentist for a long, long time.

Narrator:

But after an abscessed tooth forced the issue, Amy found a dentist who could perform the procedure using IV sedation.

Amy Benway:

When I woke up, after he had given me the IV, the nitrous oxide, and I woke up, I thought he hadn't started yet.

Narrator:

Amy's sedation experience, that feeling of just shutting your eyes and waking up, is common. But patients aren't actually asleep.

Todd Thierer, D.D.S., M.P.H.:

It can put you in a state where you don't remember exactly what's going on, you're not conscious of what's going on. And so when you think back on your procedure, you may think you were asleep, but actually, you were awake.

Narrator:

Doctor Thierer says sedation dentistry uses a variety of medications to relax patients.

Todd Thierer, D.D.S., M.P.H.:

Versed, which is a shorter acting version of Valium. And sometimes they use a narcotic called fentanyl.

Narrator:

Though shorter-acting, the medicines are still powerful. That means you can't stay under for too long.

Monitor beeping.

Todd Thierer, D.D.S., M.P.H.:

I would say for people who are pretty severely anxious, 90-minutes to two hours is probably the time limit.

Narrator:

Another thing to consider, IV is easier to control than oral meds.

Todd Thierer, D.D.S., M.P.H.:

So if people are getting too deep, I can use the reversal agent and bring people out of it. Those agents, that can't be done if you give something by mouth.

Narrator:

All details sedation patients should ask about before drifting off and opening wide. For WebMD, I'm Sandee LaMotte.

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