nervous patients


 

sedation clinic overview

Many patients are apprehensive about visiting the dentist; in fact it is very often the reason why they may not have been in a very long time. If the sight of needles, and the smells, sounds and tastes associated with many dental procedures make you very nervous, then sedation dentistry might be of benefit to you..

At Crescent Dental we offer both intravenous and inhalation sedation.  Intravenous sedation is used to create a carefully controlled, dream-like state of deep relaxation for the entire duration of your dental procedure. Inhalation sedation can be used for both adult and paediatric patients to provide anxiety relief for the duration of treatment without deep sedation.

Dr. Miriam Quilty has been treating very anxious patients for over 10 years and has completed a postgraduate Diploma in Conscious Sedation at Trinity College Dublin.

What is Intravenous Sedation?

Intravenous Midaziolam sedation is administered through a cannula (small needle) in the arm or hand to create a state of deep, calm relaxation for the duration of your dental procedure.

You receive the same treatment as you would with traditional dentistry, but it is carried out while you are in a relaxed state . You may be somewhat aware of what is going on around you, and you will be able to answer when spoken to  but you will be relaxed throughout your appointment. Your respiration, heart rate and blood pressure  will be monitored continuously throughout your sedation appointment.

After the Procedure

When you wake up you will usually have no memory of your dental treatment, and it will feel like no time has passed. You will just feel like you’ve had a deep and satisfying sleep, with no pain, no discomfort and no fear.  In addition, the recovery time is shorter than with general anaesthesia, typically lasting less than one hour after your treatment is complete.

Additional Benefits of Sedation Dentistry

Because you will be comfortable and free of anxiety, we can work even more efficiently and for a longer period than usual, often accomplishing in a single visit what might normally require multiple visits, such as placement of multiple fillings, or a combination of different treatments. This also makes sedation an ideal choice for people who prefer to undergo complex procedures in one visit, instead of having them spread out over several appointments. In addition, people who experience a strong gag reflex (which tends to interfere with dental treatment) will be freed from the problem, since such reflexes will be signifcantly reduced during intravenous Midazolam sedation.

Who Is a Candidate For Sedation Dentistry?

People who have…

  • High fear
  • A past history of difficult dental procedures
  • An unpleasant childhood memory of dentistry
  • Difficulty getting numb
  • A bad gag reflex
  • Very sensitive teeth
  • Complex dental problems

Will I be unconscious?

No, you will be in a deeply relaxed state, but you will be able to respond. Time will appear to go very quickly and an hour of treatment will appear to take about 10 minutes.

Will I be monitored?

Yes, at least two members of our team are always with you and your vital signs are monitored during the entire visit. You are never alone.

How long will I be asleep?

Depending on your needs, about an hour.

Will someone need to come with me?

Yes, due to the after effects of the sedation, you will need someone to drive you home from our clinic and also to stay with you and mind you for the rest of the day.

 

 
 

PRE-OPERATIVE INSTRUCTIONS

You have been offered sedation in order to help you relax and most people find this a pleasant and acceptable way of receiving treatment. After receiving the sedation agent through a scratch on the back of your hand you will feel drowsy and relaxed. During the procedure you will feel relaxed but will not be asleep. Most patients do not remember anything about their treatment. At the end of the session you will be allowed to sit in the recovery room for half an hour or until you feel fit enough to be discharged home.

If you follow these instructions you will find treatment under sedation both pleasant and uneventful. Please feel free at anytime to ask a nurse or dentist ant questions that you may have about your treatment.

It is important that you observe the following instructions on the day of your appointment. They are as follows :

  1. You MUST NOT eat or drink anything for two hours prior to your appointment. Before this you should have a light meal e.g. toast and tea, coffee or fruit juice.
  2. You MUST be accompanied by a responsible adult who must remain in the practice throughout your appointment, escort you home afterwards and arrange for you to be looked after for the following 24 hours.
  3. You MUST NOT drive any vehicle , operate any machinery or use any domestic appliances for 24 hours following sedation
  4. You MUST NOT drink any alcohol, return to work, make any appointments or sign any legal documents for 24 hours after sedation.
  5. If you are taking any medicines they should be taken at the usual times and should also be brought with you so that the dentist may know what they contain.
  6. Any illness occurring before the appointment should be reported immediately, as this may affect your treatment.
  7. Your escort should take you home after your treatment by private car rather than by public transport.
  8. Please do not bring children to intravenous sedation appointments.
 

 
 

Post-Operative Instructions

It is important that you observe the following instructions after your sedation session. They are as follows:

  1. You MUST be accompanied by a responsible adult who must remain in the practice throughout your appointment, escort you home afterwards and arrange for you to be looked after for the following 24 hours.
  2. You MUST NOT drive any vehicle , operate any machinery or use any domestic appliances for 24 hours following sedation.
  3. You MUST NOT drink any alcohol, return to work, make any appointments or sign any legal documents for 24 hours after sedation.
  4. If you are taking any medicines they should be taken at the usual times supervised by your escort for the 24 hours following sedation.
  5. Any illness occurring after the appointment should be reported immediately to the practice.
  6. Your escort should take you home after your treatment by private car rather than by public transport.
 

 
 

PARENT'S GUIDE TO SEDATION

Your child has been offered inhalation sedation in order to make their dental treatment more acceptable and to alleviate any anxiety they may have about dental treatment. Inhalation sedation is a simple alternative to general anaesthetic and uses Nitrous oxide and oxygen to relax young patients.

Inhalation sedation does not put your child to sleep but simply relaxes your child and reduces the discomfort of treatment. Inhalation sedation is most suitable for anxious young patients or where extensive treatment may be required. The complete procedure involves the following steps which apply to all young patients referred for inhalation sedation.

  1. An initial assessment is carried out to meet the child and assess their suitability for sedation. This is a very informal chat with your child and a dental examination. At this time the dentist will discuss the best approach for completing any required treatment.
  2. On most occasions inhalation sedation will be carried out at the first visit to acclimatise your child or to complete some treatment. Inhalation sedation takes approximately 30 minutes after which your child will feel perfectly normal and hopefully happy that they have completed some dental treatment.
  3. The use of inhalation sedation does not allow all treatment to be completed in one session and treatment will be carried out in a method best suited to your child. The most common approach is to begin treatment with the most straight forward treatment working up to things which may be more difficult to tolerate. At the first visit the full treatment plan will be discussed with you.
  4. Inhalation sedation is suitable for approximately 80% of nervous young patients, however in some cases due to a very young age or poor co-operation it is not suitable for all patients. If this is the case for your child this will be discussed with you and alternative arrangements for treatment will be made.
  5. If your child has a cold or blocked nose in the days before an appointment it would be best to contact the clinic to rearrange an appointment . A clear airway is essential for inhalation sedation.
  6. Before your childs first assessment appointment it is best to tell them that we will be checking their teeth and may be using some ‘laughing gas’. Also, if your child has any CD they like to play they can bring this along to their visit.
  7. If you have any queries about your childs treatment please do not hesitate to contact the clinic.
 

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