What is Sedation and Anesthesia?

During Dental and oral surgical procedures local anesthesia (Novocain) is administered to block sensations.  However, the anxiety that most people have can be controlled by administering sedative drugs, such as Valium type medications.  Additional medications such as agents similar to pentothal are sometimes used to cause anesthesia, which places the patient more deeply asleep.

How is the Medication  Administered?

The sedative and anesthetic medications are typically given intravenously (IV).  Since the effects are so rapid by this means of administration,  the doctor can precisely give the correct amounts of the medications to make you relaxed and comfortable unlike the so-called advertised "Sedation dentistry pill".  Also, if more medications are needed during the procedure,  an IV allows easy administration of additional medications. This route of administration is simply more controllable and safer when it comes to giving the correct amount of medication to relax a patient through any dental procedure.

How am I Monitored During the Procedure?

Depending on the depth of the sedation and anesthetic being used,  as well as your own medical condition, various monitors are used.  These vary from automatic blood pressure cuffs, to the use of pulse oximeters which through a light sensor measures the oxygen concentration in your blood.   Sometimes an EKG may be used as well.

The doctor along with at least one trained member of the staff will always be with you and closely observing you throughout your treatment.

Is Anesthesia Safe?

The use of sedation and anesthesia in dentistry has a commendable record of safety.  This is due to the advanced training the doctor has and his/her commitment to your overall health.  It is important to advise the doctor of all medications that you take as well as any changes in your health since your last visit.

In most states a special permit is required to administer intravenous medications.  In order to qualify the doctor had to provide evidence of advanced training in anesthesia and often a site visit is required.  The ability to handle emergency situations as well as having specific emergency medications and equipment is also mandatory.

THE DENTIST’S EDUCATION AND TRAINING
The American Dental Association has established guidelines for training dentists in the proper and safe use of these techniques.  The guidelines are used by all American dental schools for specialty training and for continuing education programs. Educational requirements and instruction are rigorous and assure that dentist are adequately prepared to provide safe, quality oral health care.  Dentists who give general anesthesia or IV (parenteral) sedation are required to receive special training beyond dental school.  Your Dentist must be Licensed to administer IV medications. 

WHAT ROLE DO YOU PLAY?
Taking an active part in your health care is important in helping assure that you will have the healthiest mouth possible.  This includes knowing about your health and letting your dentist know:
· if you have any illnesses;
· what medications you are taking (both prescription and non-prescription);
· if you’ve had any problems with the medications;
· if you have any drug allergies.

If you have questions regarding prescribed medications, like when to take them, reactions that you might expect, or any restrictions, be sure to ask your dentist or pharmacist and carefully follow their directions and advice.