Posts for tag: Sedation Dentist Nashville

Question: Is Valium still used for oral sedation at the dental office?

Answer: While valium remains a medication used in oral sedation dentistry, its effectivess as well as the longevity it provides makes it not the best choice. Valium is typically part of a prescription regimen that is used but not used exclusively. Most dentists will prescribe valium the night before the dental appointment to help the patient sleep the night before; however, Triazolam (aka Halcion) is usually given the day of the dental appointment to help heighten the level of anxiolysis/sedation for the patient. Adding additional sedatives to the regimen also warrants that the dentist is monitoring specific vital signs such as blood pressure, pulse, respirations and O2 saturation.

 

Bad breath

 

 

Question: How do I fix my bad breath?

 

Answer: It depends on what the source of the bad breath is. This

question is like asking, my car won't drive, what do I do to fix it?

Obviously it needs to be examined to see what it could and could

not be. The most frequent causes of bad breath are:

 

1. Halitosis of the tongue

2. Periodontal(Gum) Disease

3. Tooth Decay

4. Dry Mouth

5. Chronic Usage of Alcohol Based Rinses/Mouthwashes

6. Diet

7. Oral Hygiene

8. Medical history (e.g. Diabetics)

9. Chronic Sinusitis (Heavy Congestion from Sinuses)

 

While this list is not all inclusive, this represents some of the major

causes of bad breath. While all can contribute to unpleasant odor in

the oral cavity, treatment will vary on this based on the source of the

problem. Talk to Dr.Glasmeier about the cause of your bad breath

and how it may be corrected!

 

Question: If someone is getting sedated for their dental work, do they still need to be numb (i.e. get injections?)?

 

Answer: Yes, even though sedation will relax the patient (perhaps even make them sleep) and cause an amnesia-like effect, injections are still often necessary. Sedation does not eliminate the perception of pain therefore the patient will still need to be numb. The combination of the sedation and the injections provide the best pain free and relaxing situation for a fearful patient.

 

Despite the injections, however, the sedation will lessen the anxiety about the injections as well as promoting more comfortable injections. Most patients have no recollection of injections or the procedure!

What are the most commonly used medications in IV sedation?

 

Typically there is a combination of medications(sedatives and narcotics) used to achieve sedation in order eliminate anxiety as well as providing pain control. The types and amounts greatly depend on the length of the procedure, the medical history of the patient, and the types of procedures.

 

Usually a combination of sedative(benzodiazepines) such as Versed or Valium will be given to help with anxiety control. In addition, a pain medicine is administered along with the sedative to help with pain control but to also further assist with the sedation process. Usually, Demerol or Fentanyl are the pain medications administered IV.

 

Other IV meds sometimes used in IV sedation are Phenergan(to offset nausea from the other medications), and Dexamethasone (steroids that control postoperative swelling/inflammation). Propofol, is also a commonly used IV medication to assist with the sedation but is only indicated in very short procedures and has very limited use in dentistry because of the dangers if not used appropriately.

 

IV sedation is very safe an in fact, is much safer than oral sedation as IV sedation relies on medications being placed through the IV so the effects can be felt much faster, be better controlled, and easier to reverse should an emergency occur. Ask your dentist about the types of sedation he/she offers and how it can benefit you!