Sedation
dentistry refers to the use of sedation during dental treatment. Sedation
is most commonly used during extensive procedures, for patients with
dental phobia or for patients who find it difficult to sit still.
There are different types of sedation, including nitrous oxide ("laughing
gas"), IV sedation, oral sedatives and general anesthetic.
Sedation can range from the use of nitrous oxide to calm a patient
to general anesthetics used to put patients to sleep. Patients with
dental phobia, low pain tolerance, major dental treatment, physical
handicaps or strong gag reflexes may require sedation. Procedures
like fillings, crowns, bridges, root canals, extractions, cosmetic
procedures and periodontal treatments often require sedation.
Sedation is endorsed by the American Dental Association and is an
effective way to make many patients comfortable during their dental
visit. Before using a sedative or anesthetic, it is important to tell
your dentist about any medications or medical treatments you are receiving.
Before administering any sedative or anesthetic, your dentist will
talk to you about the process of sedation and pre- and post-sedation
instructions.
"Laughing Gas"
Nitrous oxide, more commonly known as laughing gas, is often used
as a conscious sedative during a dental visit. The gas is administered
with a mixture of oxygen and has a calming effect that helps phobic
or anxious patients relax during their dental treatment. Because it
is a mild sedative, patients are still conscious and can talk to their
dentist during their visit. After treatment, the nitrous is turned
off and oxygen is administered for five to 10 minutes to help flush
any remaining gas. The effects wear off almost immediately. Nitrous
oxide rarely has side effects, although some patients may experience
minor nausea and constipation. Your doctor will provide you with pre-
and post-sedation instructions.
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