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Sedation Options

Nitrous Oxide

Nitrous oxide is a gas breathed though a small rubber inhaler placed over your nose that helps decrease anxiety, allowing you to feel more relaxed. The recovery time is very short, and the effects pass within minutes, so you will be able to drive yourself home. Nitrous is best used for patients with mild anxieties that are having short, uncomplicated dental treatment. Some contradictions would be pregnancy, asthma, COPD, emphysema, sinus congestion and claustrophobia.Nitrous Oxide

Oral Conscious Sedation

A pill is taken about two hours before your treatment, which will make you feel relaxed and somewhat sleepy. You will, however, remain awake, and will be able to interact with and respond to the dentist. The sedative effects can last for up to eight hours. Sometimes you may also be prescribed a pill to take the night before your treatment to help you sleep. The most commonly used oral conscious sedation medications are Halcion, Ativan and a combination of Phenergan and Demerol. (Demerol 50 mg/Phenergan 25 mg), Valium, all of which generally have a low incidence of side effects.

This mode of sedation is gaining popularity and is now heavily advertised as “sedation dentistry” and “dentistry with oral conscious sedation”. However, if you hear the term “sleep dentistry” associated with the use of oral medications, understand that pills do not and should not put a patient to sleep. If you are a patient who wants to sleep through your dental treatment, oral medications should not be your choice of sedation. You will need to have a responsible, familiar adult drive you home.

General Anesthesia

General Anesthesia produces a state of unconsciousness wherein you are completely asleep during your treatment. General anesthesia is fast-acting, taking effect in approximately one minute, and can be controlled to increase or decrease your level of sedation safely and precisely. If you are afraid of receiving dental treatment, you will not have to “get over” your fear on your own, because you will sleep through your treatment. If you have special needs, such as physical or mental disabilities, are in recovery from an addiction, or have complex medical conditions, general anesthesia may be the safest option for you.

When you receive general anesthesia during your dental treatment, you will feel no pain; you will not hear, smell or taste anything, and you will have no memory of the procedure. This modality is predictable, comfortable, and ensures that your dental treatment can be easily completed. We are also able to administer IV antibiotics, IV pain medications and IV Decadron to insure your post-op period remains seamless.

At Advanced EndoCare, only a Medical Board Certified physician administers and monitors general anesthesia. Advanced EndoCare uses the services of Northside Anesthesia Services, LLC to handle the general anesthesia cases. If you would like to know more about this group, please go to www.nasllc.org.

Sedation Q&A/Information

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  • Who may benefit from these techniques?

    Who may benefit from these techniques?

    Very young uncooperative children who require multiple fillings may be unable to sit for treatment.  By providing dental care with general anesthesia, all of the child’s treatment can usually be completed in one visit.

  • Fear, Anxiety and Phobia:

    Fear, Anxiety and Phobia:

    One of the major reasons why patients don’t go, or delay going to the dentist is severe fear and anxiety.  In some cases, patients have a dental phobia and refuse to go to the dentist until they are in so much pain that they have no other choice.  Their treatment by this time is usually irreversible treatment, such as extractions.  Patients that have these problems are well treated with conscious sedation or general anesthesia.

  • Low Pain Threshold & Inability to get Numb:

    Low Pain Threshold & Inability to get Numb:

    There are many patients who have a low pain threshold and others who are unable to get numb with local anesthesia injections.  These patients are good candidates for oral sedation or in some situations, general anesthesia may be recommended.

  • Extensive Treatment:

    Extensive Treatment:

    Child and adult patients who require a great amount of dental care can have that care provided in a shorter amount of time under oral sedation or general anesthesia.  For example, if a patient has several teeth that require root canal treatment, all these teeth can usually be treated in one visit while the patient is treated with conscious sedation or general anesthesia.  This enables the patient to combine multiple visits into one.

  • Special Needs Patients (Physically and Mentally Challenged):

    Special Needs Patients (Physically and Mentally Challenged):

    It is not unusual for special needs patients: (ie: Autistic, PDD) to require general anesthesia for their treatment.  When general anesthesia is required, Dr. Stuart, Dr. Iqbal and Dr. Edds along with your General Dentist can provide the dental care while an anesthesiologist from NSAS, LLC administers the general anesthesia.

  • Medically Compromised:

    Medically Compromised:

    There are many people who have medical problems that include for example, neurologic or cardiac diagnoses.  Patients with assorted neurological diagnosis have uncontrolled movements which make dental treatment without sedation or general anesthesia impossible.  Patients with some cardiac problems are better treated with sedation, which can reduce cardiac stress during treatment.  Due to some cardiac problems patients may require intravenous antibiotics.  NSAS, LLC can administer these antibiotics for dental treatment provided in this office.

  • Why choose to have treatment with general anesthesia in our office rather than the hospital?

    Why choose to have treatment with general anesthesia in our office rather than the hospital?

    Your dental treatment is a priority in our office.  Treatment with general anesthesia is easier to schedule in our office and can be scheduled early in the morning.  Unfortunately, dentistry in the hospital operating room is not a priority and therefore treatment may not occur until the afternoon.  The dental materials used in our office are of the highest quality.  When the dentists are providing dental care with general anesthesia in our office they are sitting down as they typically provide care; in the hospital they are standing around an operating room table, which makes treatment more difficult to perform.  All radiographs taken in our office are digital, which means less radiation and an increased ability to diagnose problems.  If your child is being treated with general anesthesia in our office you can be with him or her until they fall asleep.  When the treatment plan is fully developed you will be informed of the treatment required.  Our staff will keep you informed of the progression of treatment and when the treatment will be completed.  When your child awakens from the general anesthesia you can be with him in our recovery room.

  • Who administers the general anesthesia?

    Who administers the general anesthesia?

    The anesthesia services are provided by Northside Anesthesia Services, LLC. NAS, LLC is the largest physician anesthesia group serving central Indiana with 85 board certified anesthesiologists. This dedicated group has extensive experience in anesthetic care and performs over 70,000 anesthetic cases per year. Northside Anesthesia Services, LLC practice spans 3 suburban hospitals, all in the St. Vincent Hospital system, as well as 12 free-standing ambulatory surgery centers. To learn more about Northside Anesthesia Services, LLC, please visit www.nasllc.org.