Have you ever been scared of going to the dentist?
Do you experience agitation and have trouble sleeping the night before your dental appointment?
Have you ever wished that you could just fall asleep and then awake and all treatment is done?
You are not alone: today nearly 1 in 3 people experience fear of going to the dentist!
Dr. Anthony Mobasser aka ” Celebrity Dentist ” who practices in Los Angeles, near Beverly Hills and West Hollywood Ca area, recommends Sedation Dentistry for his apprehensive patients, or his Executive patients who want their dentistry done in a day, having as much treatment done in one session. Most of his out of town patients, or patients visiting him from around the world want their treatment done in a shorter period of time, efficiently and without any discomfort what so ever, that is why he does bring in a dental Anesthesiologist to cater to their needs. Dr. Mobasser also recommends Iv sedation for his medically compromised patients who suffer from high blood pressure, diabetes, epilepsy, and other medical complications. Of course, a complete consultation with Dr. Mobasser and his Anesthesiologist is a must.
Dental Sedation common procedures in Los Angeles:
comes in 3 main forms:
Oral Sedation or Conscious Sedation
IV (intravenous) Sedation Dentistry or Twilight Sleep
General Anesthesia (usually performed in surgical centers or hospitals)
Sedation dentistry allows you to be sedated just enough to be pain-free and unaware of the treatment as if you were relaxing the entire time. This is why it is commonly referred to as conscious sedation dentistry. So if you have sensitive teeth, a fear of dentists, bad gag reflexes, if you detest needles, or have limited time to spend at the dentist, sedation dentistry may be right for you.
Why is Intravenous Sedation right for you? Intravenous sedation, the most powerful form of sedation available, is also termed Sleep Dentistry. This method involves using an IV line to administer a very precisely calculated dose of relaxing agents or drugs directly into your body to immediately quiet your mind. It is our preferred method of sedation and the most common choice of discriminating patients who do not do well sitting in dental chairs.
CONSCIOUS SEDATION or Oral Sedation Dentistry:
Anti-anxiety sedatives (i.e. benzodiazepine) are typically used orally. Pills such as Valium, Xanax or Ativan can be administered to relax the patient sufficiently. Consistent with standard procedure for anesthesia, one must not operate a vehicle after the sedation and the individual must arrange for a ride home.
In the event of lengthy, complex procedures, barbiturates and/or opiates can be utilized in combination with the other drugs or compounds. However, in such events, a highly trained dental anesthesiologist is present for the procedure to monitor the patient.
What are the main advantages of IV sedation? The onset of action is very rapid, and drug dosage and level of sedation can be tailored to meet the individual’s needs. This is a major advantage compared to oral sedation, where the effects can be very unreliable. IV sedation, on the other hand, is both highly effective and very reliable.
The maximum level of sedation which can be reached with IV Sedation is deeper than with Conscious or inhalation sedation (such as Nitrous Oxide or N2O gas). The gag reflex is largely diminished – people receiving IV sedation rarely experience difficulty with gagging. However, if minimizing a severe gag reflex is the main objective, other methods such as topical anesthetic must be considered first.
Another advantage of conscious IV Sedation (as compared to general anesthesia), is it doesn’t really introduce any compromises in terms of carrying out the actual procedures, since the patient is conscious and able to cooperate with instructions. Further, there is no airway tube to deal with.
Conscious Sedation Anti-anxiety medication is the simplest form of sedation where you take a pill the night before and a half hour before your dental visit. This pill will allow you to relax a bit before the procedure but you will still need an injection of local anesthesia ensure proper sedation. Sometimes, getting over a little anxiety is all it takes for you to proceed with necessary treatment and avoid further breakdown.
Choosing the right Sedation Dentist
Today there are many dentists promoting “sedation dentistry”, but an exact definition of the term “sedation dentist” does not exist. Suffice it to say that proper training in the field and of course EXPERIENCE AND EXPERTISE is of vital importance when evaluating a dentist. Today, people are looking for something more than a shot of Novocaine. Some people would just rather “sleep through it”, and for this they need someone they can really trust.
Keep in mind the following issues to discuss with a sedation dentist:
- Is the dentist experienced at Sedation Dentistry? Get the details. Is he or she affiliated with any local hospitals?
- What types of patients does the sedation dentist treat routinely? If you’re not the kind of patient seen regularly in that practice, you may want to keep looking.
- What type(s) of sedation does this dentist offer? Conscious, IV , Or General Sedation ? Sedation options are definitely not “one-size-fits-all,” and they’re not interchangeable with each other.
- Does the dentist have partnerships with dental specialists such as prosthodontists, periodontists, and endodontists to make sure that all of your dental needs can be met? Can he or she have such specialists treat you while you’re under sedation? Could treatments be combined to reduce the number of appointments necessary?
- For your child: Is this dentist considered a pediatric sedation dentist? The same questions as above apply.
- Can this sedation dentist work with your insurance plan?
Is Sedation Dentistry Covered by Dental Insurance?
It is very uncommon for insurance companies to cover sedation dentistry. However, in certain select cases, insurance can cover the additional cost (if for example, a treatment that would otherwise require multiple visits is conducted during one visit). Intravenous sedation is usually not covered under any of the common circumstances.
The cost of IV sedation is usually a separate fee added to the cost of the dental procedure. The hourly rate can range from $250 to $1000 per hour depending on duration, past medical history, and the experience of the anesthesiologist.
Is IV Sedation Safe?
IV sedation is Entirely safe! Specialized training is required for the operating dentist, and if certain drugs are used, an anesthesiologist must also be present. However, when carried out correctly and under proper conditions, IV sedation is even safer than localized anesthetic on its own!
Exceptions: if you are pregnant, have known allergies to benzodiazepine, are intolerant of alcohol, suffer from CNS depression, or have some instances of glaucoma, IV sedation cannot be performed. Additional concerns are considered in instances of psychosis, impaired function of lungs, kidney or liver, or advanced age.
What to do after IV Sedation Dentistry:
- Make sure you are escorted home by a responsible party. It is recommended that you stay home for the remainder of the day.
- Stay in the presence of a responsible party until you are fully alert again.
- Avoid any tiring or laborious activity (including driving) for the rest of the day.
- Do not consume a heavy meal right away. If you feel hungry, you are better off with light foods like a piece of toast.
- If you are feeling sick and experiencing nausea, lie down. A soft drink can help as well.
- Do not consume alcohol or take medications for the remainder of the day, unless otherwise directed by the dentist.
- Take further medications as directed by your dentist.
- If anything unusual occurs, call your dentist.
If you are interested in sedation dentistry in the Los Angeles, Beverly Hills, Hollywood, CA area, contact Dr. Mobasser today!