Posts for tag: oral sedation

If my child is being sedated for dental work, does that mean that they don't need a shot?

Typically sedation for a child is not used to eliminate the need for a needle. The sedation is used to decrease or eliminate the anxiety/apprehension of a child before and during dental treatment. While the sedation does relax the child, it does not typically affect their ability to feel pain. For this reason, local anesthetic(the numbing injection) is still used even when a child is sedated. The goal is to eliminate anxiety using the sedation while pain control is managed by the local anesthetic. In some circumstances, dental treatment can be performed without shots, but this is highly contingent  on the type of work, the length of work and the child's pain threshold. Discuss this with your dentist for further clarification. 

How does a dentist protect my child if he/she is sedating them?

Sedation does potentially compromise your child's reflexes as well as making their airway more vulnerable. Because of this, dentists will often times use an isolation device to protect the back of the throat(the airway) but also to better isolate your child's teeth so that the lip, tongue and cheek are not obstructing the dentist's ability to fix the teeth. The two most common isolation mechanisms are the rubber dam(a rubber square sheet that is stretched over a clamp that is placed on your childs back tooth) and the Isolite(rubber mouthpiece thats serves as a bite block, cheek/lip/tongue retactor and suction mechanism). Using an isolation mechanism shields water, air, tooth debris and filling materials from the child's throat/airway. Using cotton rolls and suction is simply not enough!! 

Is your child scared of going to the dentist because of a bad experience or fear of the unknown?
Are they apprehensive of needles?
Do they have a gag reflex or sensory issue that keeps them from getting dental work?
Does your child require extensive work that requires multiple appointment?
If the answer is YES to any of these....Enter Pediatric Dental Sedation!
Oral Sedation for dental treatment is an excellent treatment modality to help your child have a more pain-free, relaxing appointment at the dentist. Dr.Glasmeier has performed over 500 sedation-related procedures with great success. Many children have experienced tremendous success with oral sedation do they do not have to go the hospital for general anesthesia. Talk to Dr.Glasmeier about how oral sedation can improve the dental experience for your child!

Does Dental Insurance Cover Sedation Procedures for Dental Work?


It varies from insurance company to insurance company and from procedure to procedure. Most dental insurance companies will cover multiple extractions under IV sedation and certain surgical procedures; however, routine dentistry such as cosmetic work and fillings are not typically covered. Insurance companies will also only cover up to a certain amount of time so if you had dental work that would take 3 hours...your insurance company may only be responsible for 1-2 hours leaving the patient responsible for the remaining time.

Talk with your dentist about your coverage and or contact the insurance company. Questions you should ask your insurance company:


1. Is oral, IV, or laughing gas sedation a covered service?

2. If so, are there limitations on sedation based on procedures and amount of

work that is needing to be done?

3. Is there a frequency or time duration limit on the sedation?

4. Do they require preauthorization before treatment is performed?

5. What is my financial responsbility for the sedation portion of the dental work.

What Kind of Dental Work Can Be Done Under Sedation?


Most dental procedures can be performed safely under sedation such as fillings, crowns, root canals, deep cleanings, extractions etc. The more important limiting factor is the amount of work that needs to be accomplished as the type of sedation will determine how much work can be completed. For example, more extensive work can be performed acceptably and much safer under IV sedation versus oral sedation or laughing gas. The type of sedation prescribed to the patient is based on medical history of the patient, level of anxiety and the amount of dental work needed!