Posts for tag: nashville sedation dentist

Overcoming the fear and anxiety to visiting the dentist is quite an accomplishment in of itself! Conquering the first hurdle of going to dentist is quite daunting but then finding someone you can trust and understand (and certainly be able to provide sedation) is another. I get a great deal of questions of how does a patient select the most appropriate/qualified dentist for their dental/sedation needs? I have compiled a list of questions I would encourage you to use when selecting a dentist for your needs:

1. What types of sedation are offered? Do they offer nitrous, oral, IV sedations or general anesthesia?

2. How long has the dentist been providing these services?

3. Where did they receive their training and do they stay updated on the new trends of sedation dentistry?

4. What type of equipment do they used to monitor and are they prepared for emergency situations?

5. Does the dentist have any of the following training:  CPR, ACLS, PALS?

6. Does the dentist belong to DOCS organization (our governing body over dental sedation)?

There are many things to consider when selecting a sedation dentist, but these are the preliminary questions I would recommend you ask the dental office of your choosing to determine if they can provide you the comfort/pain free visit you are seeking!

Happy hunting!

Dr.Glasmeier

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.

Question: Why do I have to be monitored during sedation...my dentist used to give me Valium and never had to monitor before?

Answer: This is very common question especially since monitoring was not alway considered a standard until recently. Most patients that undergo sedation typically are administered multiple medications for not only preparation for the visit but during the visit. A common example is a patient who elects for oral sedation and is prescribed Valium the night before and Triazolam/Vistaril the day of the appointment. In this particular situation, the Valium is used to assist with sleep the night before since most patients have a great deal of anxiety leading up to the appointment. The valium, too, will stay in your body much longer than some of the other medications which can help prolong and strengthen the level of sedation when given with other medications.

The triazolam/hydroxyzine is typically given the day of the apppointment which increases the level of "anxiolysis" or sedaton effects for the patient. While the valium alone does not typically have much effect on the patient in re: vital signs and level of consciousness, additional meds such as triazolam can heighten the sedation to a point where we can see changes in a person's breathing or blood pressure. As the sedation becomes greater the more relaxed a patient can become but also the muscles in the airway and others used for breathing. This is the answer to the original question because sedation can affect the respiratory ability of a patient, it is absolutely imperative that patients are monitored to detect for even the smallest of changes.

By monitoring blood pressure, pulse, oxygen saturation, respirations and sometimes heart rhythms, we can deliver safe levels of sedation to a patient without being as concerned about what may happen in response to the administration of multiple oral medications. Monitoring is an ABSOLUTE must!

Hope this helps!

Dr.G

Question: Why do dentists prescribe different sedatives for oral sedation procedures? My dentist prescribed Valium the night before and Triazolam the day of the procedure. Why two different sedatives?

 

Answer: Valium and Triazolam have different lengths of activity as well as time of onset. Likely the dentist prescribed the Valium the night before to help the patient sleep as well as promote some initial sedation that will linger due to its "half life" being much longer than Triazolam. Triazolam is short acting but works very quickly, therefore this is given the day of or 1 hour prior to procedure to help improve/deepen the level of sedation. The prescription of these sedatives is determined by: medical history, type of procedures involved as well as length, level of anxiety and others (e.g. gag reflex). Talk to Dr.Glasmeier about what sedatives are needed for oral sedation dentistry!

Question: Will I be able to drive home after my sedation appointment?

 

 

Answer: Depending on the type of sedation you receive, you will likely not be able to drive home. With the exception of laughing gas, you will not be able to drive home on your own. For oral and IV sedation, are you required to have an escort accompany you to the appointment, drive you home and stay with you for the remainder of the day. In addition to not being able to drive, you are restricted from going to work that day, operating heavy machinery, making major decisions while under the influence, and being alone. It is for these reasons that you must have a responsible escort be with you at all times for the duration of the day.