Feel nervous about visiting the dentist? So do a lot of
other people.
It’s common to have phobias about visiting medical
facilities, but it’s important to remember that whether you’re in a hospital or
a dentist office, you’re there to feel better. Or at the very least continue
being healthy with periodic checkups.
However, if you’re one of the millions of Americans that
isn’t fond of the dentist, sedation dentistry
is just what the doctor ordered.
Origins of Sedation Dentistry
The first recorded uses of successful sedation dentistry
date back over a century and a half ago. Doctor William T.G. Morton used a
sulfur-ether compound on a live patient at Harvard University in front of an
audience of students and doctors back in 1846.
The surgery was a rousing success thanks to the effects of
the sedation, but these results were spurred by an even earlier example, used
by a dentist.
Horace Wells attempted to use nitrous oxide in a similar
experiment a year earlier, but was unsuccessful. He did not have the dosages
correct and as a result, the patient remained conscious and aware of sensation.
Little did he know, despite his failure, nitrous oxide would
become one of the most common methods used in sedation dentistry.
Nitrous Oxide
Sedation Dentistry
Often referred to as laughing gas, nitrous oxide has a
curious effect on patients, causing them to relax and feel at ease, despite
being in a situation that might otherwise cause them anxiety.
Unlike Dr. Wells, today’s dentists are quite adept at
adjusting the dosages of nitrous oxide, often adjusting them on the fly while
they work. This is all in an effort to keep the patient conscious, while
simultaneously dulling their senses to a point where pain becomes little more
than an aware presence of a minor sensation.
The primary benefit of nitrous oxide is to not only reduce
sensation but also to calm the patient. While agitated or fearful, a patient is
more likely to make sudden movements as reflex actions, which can cause a procedure
to be prolonged or halted to protect the patient.
While under the effects of nitrous oxide, the patient is
more likely to lie still and allow the dentist to continue unimpeded.
IV Sedation Dentistry
For more involved dental procedures, the patient may need to
be brought to the edge of consciousness. IV sedation reduces the sensation of
all feelings, nearly to the point of not feeling them at all, and has a very
profound effect on a patient.
Just like with nitrous oxide, the IV sedation dentistry
is continually monitored and adjusted so the patient is right on the edge of
consciousness. In some cases, the patient is barely conscious so that we may
give them instructions, or they may be barely unconscious, so that we can
complete a lot of work in a single session.
In either case, IV sedation can really calm a patient,
eliminating fear and greatly increasing their pain tolerance.
Safety
As we mentioned, both gas and IV sedation dentistry are
continually monitored to adjust dosages on the fly.
Both forms of sedation are safe for adults and children
alike, though for use as a kids dentist in Houston,
the anesthesiologist must be board certified in pediatric anesthesiology, which
is more stringent than the adult counterpart.
No matter how heavily a child or adult is sedated, a simple
nudge of the shoulder is often enough to wake them.
After a dental procedure with sedation dentistry, the most
common side effect is grogginess, which can last up to a couple of hours, so
it’s best not to operate any machinery in this time.
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