Are dental fears keeping you from having a healthy mouth?
Are you afraid of going to the dentist?
Has it been along time since your last dental apointment due to dental fear?
Do you have sensitive teeth and gums?
Are you immune to traditional methods of numbing techniques?
If you answered "yes" to any of these questions then conscious sedation is for you.
Dr. Gabriel Yammine & Dr. David Umansky are trained to administer IV Sedation or Intravenous Sedation. A procedure that only about 3% of dentist in the United States are trained to safely administer.
Who Benefits from Conscious Sedation?
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Anyone who has fear and anxiety about dental treatment of any kind.
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Any who has put off dental care for years because of dental anxieties.
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Anyone who want to have all their dental care completed in ore or two visits.
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Anyone who want to be treated in a relaxed, caring and comforatable environment.
What To Expect
You will need a driver to escort you to and form the dental office.
We ask you not to eat or drink for 6-8 hours before dental appointment.
We are able to provide to you sedation with Gas, Oral Medication or Intravenous Medication.
IV Sedation is the most predictable and most effective. it is only safe with highly trained healthcare provider. It requires the dentist to sit at the patient side at all time until recovery is complete.
You'll be sedated just enough to be unaware of the treatment, as if you were asleep. Our doctors and experienced clinical team at Smiles Dental can perform a wide range of dental procedures in a single visit.
What does it feel like? Will I be asleep?
A lot of dental offices use terms such as "sleep dentistry" or "twilight sleep" when talking about IV sedation. This is confusing, because it suggests that IV sedation involves being put to sleep. In reality, you remain conscious during IV sedation. You will also be able to understand and respond to requests from your dentist.
However, you may not remember much about what went on because of two factors: firstly, in most people, IV sedation induces a state of deep relaxation and a feeling of not being bothered by what's going on. Secondly, the drugs used for IV sedation can produce either partial or full memory loss (amnesia) for the period of time when the drug first kicks in until it wears off. As a result, time will appear to pass very quickly and you will not recall much, or perhaps even nothing at all, of what happened. So it may, indeed, appear as if you were "asleep" during the procedure.

How is IV sedation administered?
"Intravenous" means that the drug is put into a vein. An extremely thin needle is put into a vein close to the surface of the skin in either the arm or the back of your hand. This needle is wrapped up with a soft plastic tube. The needle makes the entry into the vein, then is slid out leaving the soft plastic tube in place. The drugs are put in through that tube (which is correctly referred to as an "indwelling catheter")The tube stays in place throughout the procedure. Throughout the procedure, your pulse and oxygen levels are measured using a "pulse oximeter", and a Blood Pressure monitor. In addition, you heart beat are monitored through an EKG monitor and respiration through exhaled carbon dioxide and chest movement.
you are provided with this treatment option with an emphasis on safety.
What are the main advantages of IV sedation?
* IV sedation tends to be the method of choice if you don't want to be aware of the procedure - you "don't want to know". The alternative in the US is oral sedation using mainly Halcion (or other similar drugs), but oral sedation is not as reliably effective as 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 huge advantage compared to oral sedation, where the effects can be very unreliable. IV sedation, on the other hand, is both highly effective and higly reliable.
* The maximum level of sedation which can be reached with IV is deeper than with oral or inhalation sedation.
* Benzodiazepines produce amnesia for the procedure.
* The gag reflex is hugely diminished - people receiving IV sedation rarely experience difficulty with gagging. However, if minimizing a severe gag reflex is the main objective, inhalation sedation is usually tried first. Only if that fails to diminish the gag reflex should IV sedation be used for this purpose.
* Can be ideal for those with a phobia of dental injections.
* Unlike General Anaesthesia or Deep Sedation, conscious IV sedation doesn't really introduce any compromises per se in terms of carrying out the actual procedures, because people are conscious and they can cooperate with instructions, and there is no airway tube involved.
* IV sedation tends to be the method of choice if you don't want to be aware of the procedure - you "don't want to know". The alternative in the US is oral sedation using mainly Halcion (or other similar drugs), but oral sedation is not as reliably effective as 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 huge advantage compared to oral sedation, where the effects can be very unreliable. IV sedation, on the other hand, is both highly effective and higly reliable.
* The maximum level of sedation which can be reached with IV is deeper than with oral or inhalation sedation.
* Benzodiazepines produce amnesia for the procedure.
* The gag reflex is hugely diminished - people receiving IV sedation rarely experience difficulty with gagging. However, if minimizing a severe gag reflex is the main objective, inhalation sedation is usually tried first. Only if that fails to diminish the gag reflex should IV sedation be used for this purpose.
* Can be ideal for those with a phobia of dental injections.
* Unlike General Anaesthesia or Deep Sedation, conscious IV sedation doesn't really introduce any compromises per se in terms of carrying out the actual procedures, because people are conscious and they can cooperate with instructions, and there is no airway tube involved.
Treatment Completion
Upon completion of your dental treatment under conscious sedation, you will feel relaxed with little or most likely no memory of the procedure.
After IV Sedation:
(1) Have your escort take you home and rest for the remainder of the day.
(2) Have an adult stay with you until you're fully alert.
(3) Don't perform any strenuous or hazardous activities and don't drive a motor vehicle for the rest of the day.
(4) Don't eat a heavy meal immediately. If you're hungry, eat something light, e. g. liquids and toast.
(5) If you experience nausea, lie down for a while or drink a glass of coke.
(6) Don't drink alcohol or take medications for the rest of the day unless you've contacted your dentist first.
(7) Take medications as directed by your dentist.
(8) If you have any unusual problems, call your dentist. |