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.