Posts for tag: sleep dentistry

Can I take Xanax before my dental appointment to help manage anxiety?

If you are attempting to take a sedative or sleep agent prior to your dental appointment, you will need to notify the dentist IMMEDIATELY. Sedatives impair your decision making ability as well as cause issues with your ability to drive. Sedatives can also promote respiratory depression if used incorrectly and the dentist may not have appropriate training to manage your care under the influence of a sedative. Self dosing is not acceptable as the dentist needs to be making the assessment and diagnosis based on the extent of the work as well as the time needed. If you are taking any sedatives/sleep agents, please notify your provider immediately so arrangements can be made.

 

 

Frequently, I have patients inquire about oral vs IV sedation with regard to what is safer, what is more pain free and what works best. Patients have even asked if its possible for a patient to receive both for a procedure. In my practice, oral sedation is almost ALWAYS used in addition to IV sedation for the following reasons:

 

1. Oral sedation the night before provides a better night of sleep for the patient so that they are well rested and not as irritable from lack of

     sleep(due to "thinking about it all night").

 

2. Oral sedation provides adequate anxiolysis(i.e. nerve control) for the fearful person who has difficulty with needles or IVs being started

    for the actual sedation procedure.

 

3. The sedation process has already had an opportunity to relax the patient so that I can gauge how they will respond to the IV sedation

     so less time is needed to get the patient into a comfortable state.

 

4.  The oral sedation further heights the possibility of amnesia postoperatively meaning they are even less likely to recall any of the

     procedure which is greatly beneficial to someone who desires no recollection of being at the dentist.

 

I personally feel IV sedation is a much safer, more predictable option but I do feel oral sedation is a good option but greatly depends on multiple variables. I typically use both for patient comfort reasons as well making sure all work will be completed without hesitation. Talk to me about how IV and/oral sedation can benefit your dental treatment!!!        Dr.G

 

Is dental sedation right for you? The answer is YES if:

 1. You have a fear of needles

 2. You can't tolerate the sounds and smells of dentistry

 3. You prefer to have no memory or recollection of the procedures that you require.

 4. You are limited on time and prefer to get ALL work done in one visit

 5. You have medical problems that complicate your ability to get the work done that you need.

 6. You have issues with keeping your jaw open or have a bad gag reflex

While these are the common reasons for seeking sedation dentistry, there are others that patients seek Dr.Glasmeier for dental sedation in Nashville, TN. Visit Dr.Glasmeier to discuss your fears and concerns and see if the sedation is RIGHT for you!

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.

Question: Can sedation help if I have a really big gag reflex?

 

Answer: Yes, sedation can minimize and often times completely eliminate it completely. The gag reflex refers to the response cause when the tissue in the back of the throat is irritated. There are multiple nerve endings located in the back of the throat and the "uvula", the flap of tissue that hands down in the throat and vibrates when a person says "ahhhhh". When foreign objects come in contact with this area such as impression material, filling material, cotton, the gag reflex is stimulated further producing a vomiting response. There is a great deal of variety of the intensity in gag reflex from person to person.

 

There are multiple treatment modalities to help improve or lessen the gag reflex. Topical anesthetic spray can be used at the back of the throat producing numbness or suppression of the gag reflex within seconds and up to 15-20 minutes. Nitrous oxide, aka laughing gas, can also work on the higher centers of the brain to also help with reducing gagging. If topical spray and laughing gas are not sufficient, oral and/or IV sedation can likely remove all the normal gag reflex reactions. With sedation, the muscles in the mouth and throat are more relaxed decreasing the likelihood of a gag reaction.

 

With sedation, routine dentistry, impressions, extractions, etc. can be accomplished in a short amount of time while minimizing the gag reflex often encountered in patients.