I.V. Sedation (Twilight Sedation)
This mode of care serves patients well for a plethora of dental and surgical procedures. An I.V. is started, medications are titrated, and the result is that most patients become very tranquil and drift in and out of sleep, or fall asleep during their procedure. Most patients have amnesia of their care rendered – if not complete amnesia of their care – and find this to be very relaxing (much like that which occurs if you’ve ever had a colonoscopy). It can be used for miniscule procedures or for advanced or technically difficult procedures. A fee applies.
Instead of an I.V. route of administration for medications, an oral sedative (i.e. a benzodiazepine) is prescribed and taken an hour before the appointment. This mode of care offers some tranquility – possibly some amnesia – but can have its drawbacks with efficacy. It can help with pediatric patient management (and with adults) for small/medium procedures. Whether anxiolytic or sedative dosages are administered and monitored, a fee applies.
Nitrous Oxide/Oxygen Inhalation Conscious Sedation (Laughing Gas)
Nitrous oxide/oxygen (laughing gas) doesn’t really make one laugh. Instead, it can help relax you. In general, it will not provide the effect obtained with I.V. sedation. It can be used in conjunction with I.V. sedation or oral sedation. I avoid laughing gas whenever possible, because the face mask is in the field and obstructing our access. I.V. sedation is more predictable in terms of being able to actually sedate a patient.
Generally, we do not offer general anesthesia for most patients, but arrangements can be made. I.V. sedation is sufficient for most of the simple or technically advanced or complex procedures we offer.