Do you experience high levels of anxiety when visiting the dentist? You may be a candidate for Sedation Dentistry. Dr. Bishop is Board Certified to administer (oral conscious) sedation, commonly referred to as “Sleep Dentistry.”
Advantages to patients include:
- Treatment is completed when you are in a more relaxed mood.
- You will have less difficulty sitting through a lengthy procedure.
- Multiple treatments and full mouth restorations can occur at during the same visit.
- Less discomfort after treatment.
The most commonly prescribed dental related drugs that treat anxiety belong to the “benzodiazepine” family. Drugs such as Valium, Halcion, Xanax, or Ativan. These drugs decrease anxiety by binding and toning down activity within “fear” receptors in the brain.
There are two different types of Benzodiazepines:
- Sedative-Hypnotics: These drugs induce calm, including drowsiness and even sleep. This sleep state is actually a form of hypnosis which is a form of physiological sleep.
- Anti-Anxiety Drugs: These are drugs which relieve anxiety and induce a state of calm and relaxation.
While benzodiazepines act as sedatives AND anti-anxiety drugs, some are highly targeted at areas within the brain which focus on sleep. Others act in a more specific way and target fear centers in the brain. In most cases, higher doses act as sedatives and induce sleep, while in lower doses, they reduce anxiety without sedation.
Benzodiazepines are also Central Nervous System (CNS) depressants (i.e. there can be a decline in blood pressure and breathing). It is important to note that they shouldn’t be mixed with other CNS depressants such as alcohol. Its important that you utilize the dose your dentist or doctor recommends. It is possible to overdose, and overdoses could lower your breathing to dangerously low levels, which could result in coma or death.
Please note that you shouldn’t travel on your own after you’ve taken any of these drugs. Make sure you have an escort, even if you traveled by bus or foot! It’s easy to become disorientated.
When not to take benzodiazepines:
Some of these drugs can affect your liver and heart. It’s important to check with your practitioner and/or pharmacist. You should be sure to inform your doctor or dentist if any of the following apply: known allergy to the drug, narrow-angle glaucoma, pregnancy, severe respiratory disease (COPD), congestive heart failure (CHF), impaired kidney or liver function, depression/bipolar disorder/psychoses, chronic bronchitis and some other conditions. It’s also important to let us know if you are taking other medications. There could be possible drug interactions.
Frequently Asked Questions
Q. Do I have a needle in my arm to be sedated?
A. No, this is not IV-Sedation.
Q. Will I be unconscious?
A. No, but you will be sedated and be very relaxed. You will still be responsive.
Q. Will I feel pain?
A. No, you will feel nothing.
Q. Will someone need to accompany me?
A. Yes, due to the sedative effects of the medication, you must have someone drive you to and from our office.
Q. Will you need to use shots to deaden my mouth?
A. Yes, but thanks to the sedation, you will not feel any pain at all.
Q. How does Conscious Sedation work?
A. We begin with a consultation appointment to review your medical history, discuss your treatment needs, and any concerns you have before treatment. Then, you will be given a prescription for a sedative to take the night before your treatment appointment. This will guarantee a good night’s sleep and make sure you wake up relaxed. You will then take one more pill one hour before your appointment. Your escort will drive you to the office. Additional medication and nitrous oxide will be provided for relaxation, and you will be monitored your entire visit. At the completion of your appointment, your escort will drive you home.