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SEDATION
DENTISTRY
Sedation
dentistry allows you to be sedated just
enough to be pain free and unaware of
the treatment, as if you were relaxing.
That is why it is normally referred
to as conscious sedation dentistry.
So if you have sensitive teeth, a fear
of dentists, have a bad gag reflex,
hate needles, or have limited time to
spend on dental care at the dentist,
Sedation during dentistry procedures
can help you.
Whatever
the case may be sedation by your dentists
can help you be more anxiety free during
your dentistry treatment. Your dentist's
ultimate goal is to make your visit
to the dentist a relaxing and enjoyable
one. Since you are completely comfortable,
relaxed, and pain free your sedation
dentist can do years of dental treatments
in one or two dental visits.
With sedation your dentist can restore
sore gums to good dental health, fix
a chipped tooth, replace crowns or dentures,
whiten yellow or stained teeth, and
more. All
pain free.
Valium
In
our office, we used diazepam (Valium®)
and meperidine (Demerol®) for many years,
which are excellent medications for
lowering the level of anxiety, for giving
a feeling of euphoria that seems to
be needed in erasing some of the prior
negative conditioning, or, if necessary,
bringing about amnesia: forgetting the
entire appointment. Recently, oral triazolam
(Halcion®) has become very popular with
sedation dentists. It also has a high
level of safety and wears off more quickly
than diazepam, and thus is more convenient
for patients.
Sometimes,
with very high levels of anxiety, patients,
in spite of very adequate levels of
sedative, still cannot seem to endure
the dental treatment. However, after
the appointment, they may not be able
to remember the appointment. The treatment
then is successful in their mind and
this successful experience works for
their benefit by reducing their anxiety
in subsequent appointments.
Often, patients with memories of traumatic
dental care, after a few appointments
with sedation, are able to move away
from the sedation. With a few successful
dental appointments under their belt,
the doctor can lower the level of sedation
so that they remember the appointments
with greater and greater clarity, until
they no longer need sedation.
Oral
sedation with the proper medications
has an excellent safety record. Valium®
by itself is extremely safe, even in
large doses. Hoffman-LaRoche, the manufacturer
of Valium®, has data on file showing
patients who have taken up to 2000 milligrams
(that would be the equivalent of two
full bottles of 10 mg. tablets) in attempts
to commit suicide, and no rescue medications
or other rescue measures were needed,
because vital functions were not adversely
affected. Triazolam is of the same drug
family, and is also extremely safe.
Nevertheless, as a precaution, most
dentists using triazolam or diazepam
employ monitoring equipment.
>>
Next Section General Anaesthesia / IV
Sedation
>>
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