I've had IV sedation twice before and I felt sooooo relaxed both times. No weird feelings or dizziness. The moment it's in your system, you basically fall asleep you won't remember falling asleep. It seems like you just get the IV and then you wake up lol thats how simple it is.
Isn't it GREAT!!!?? It's such an amazing relief for so many patients who suffer from severe anxiety while receiving dental care. Thank you for your positive comments and confirmations for other people searching for relief.
Reading this it makes me feel more confident. I am so afraid of dentist and needles. I am going to have mine in two days ✌️. Thanks for sharing your thoughts 🙏
I need most of my teeth pulled for oral implant surgery. I’ve been sedated before. Is the person sedating me going to be a licensed anesthesiologist or only a dental assistant who has had training in oral sedation?
My first time ever having any kind of surgery and I got the IV sedation for a wisdom tooth removal a few days ago, as soon as they injected it; I blinked and didn’t even realize they did the procedure cause it felt like seconds😂
Had it for an extraction and treatment for a very swollen and painful infection deep under an old root canal, and am so glad for this procedure. It went painlessly, (after the previous day of several hours and 3 tries to freeze the tooth while I was conscious but he could not even get it to freeze properly after 5 very painful injections) I finally consented to sedation, came back the next day and it went smoothly and so fast...just about an hour and I was done, not any memory of pain or even discomfort. I was surprised it was over, and am recovering well at home as I write this.
I had this done had major work done took 3 hours to do. I recommend doing IV sedation 100%! I can only remember one part where it was like the scene from "get out" movie where the guy is in a sunken place it wasn't scary though it was actually really fun and only lasted for a moment. To be honest I cant wait to do IV sedation again!
Literally the best thing I did. The only thing that hurt was the IV and it doesn't even hurt that much. I have a really BAD anxiety days before I was crying multiple times a day. The only thing I remember is the nurse asking me to close my eyes and me opening them back up and it was all over. Don't worry about the procedure guys!
Excellent video Doctor! Now, I understand the process and will be moving forward with the extraction of my remaining 9 upper teeth. Also, kudos on the Meinl AA series brass hanging on the wall! I've purchased and used Zildjian, Paiste and Meinl. For sheer projection and emphasis, I like the Meinl the best! Thanks again!
@michaelhart738 Thank you so much. Those cymbols were a gift from Mike Johnson of Mikeslessons.com. He's been a great friend and mentor to me in the music industry.
This is a great video except I don’t think I needed the music to pay attention to you Just a helpful tip for the future The video was extremely informative though
Thank you so much, I am having some teeth extracted and will have IVF sedation. You have made me feel comfortable, thank you for this wonderful video ..
I really appreciate you taking the time to make this video and explain people's concerns with IV sedation. I was hoping though, that you would address the issue of whether it is a safe procedure? Many anxious patients overthink these things and it would be so helpful to have you explain the safety aspect of this form of sedation.
@Rossiegirl IV sedation is very safe and predictable. More so than oral sedation. But just like all aspects of medicine and the human body, there can be various outcomes depending on the patient and doctor. If the doctor uses too much or too little medication for a patient, you can get too light or too deep of sedation, which can result in unfavorable outcomes. That's something I teach and lecture about, and it's typically an 8 hour day of discussing various outcomes and how to troubleshoot the results. So, it's too much information to add to a quick video like this. The trick to having a successful sedation is TITRATION. Which means giving small doses incrementally to a patient until they reach the desired state of sedation. If a doctor gives too much drug too quickly, the patient can become nauseous and even stop breathing. Both of those results can be managed by competent staff and doctors.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
IV sedation is the best. I swear I still had my eyes open looking at the ceiling. Then sudden darkness and then I'm being woken up. With the procedure already done.
Wish you were in my area. I gave extreme anxiety & dental phobia. I have only been to the dentist when absolutely necessary. They just don't understand those of us with anxiety & fear. They treat us horribly..
I wish you could do my sedation dentistry, you made me feel comfortable in the event something could go wrong, I have extreme anxiety and I'm worried I will get an inexperienced dentist, I have a slight heart arrythmia would I be safe to undergo intravenous sedation ?
thank you so much for all the information, appreciate it! is it possible for you to say why some people, even children say and do funny and ridiculous things and they get overemotional, keep crying and even get hysterical while coming out of iv anaesthesia after their procedure is done? they also hallucinate
I can't say with 100% certainty why the different emotions occur, but I CAN say that the emotions seem to match the patient's personality. If you are a calm and relaxed person, you'll probably be calm or funny with sedation recovery. If you're an anxious personality, you will probably be more likely to cry and be emotional during the recovery. Kids say funny things because they have a tendency to mentally go to a different place when they are sedated. Sometimes that effect is the result of the specific drug that is used. Ketamine for instance, is a dissociative drug and makes kids "go to different places..."
@pradnyapatwardhan1433 Thank you for the kind words. I'm lecturing with the AGD (Academy of General Dentistry) in California this October 2024. You can live stream watch the CE and learn much more from the doctor prescriptive. Go to CAGD.ORG
I have an appointment tomorrow, and I am still afraid. My teeth that are being worked on are extremely sensitive and I never numb properly and I feel pain. I am just hoping the pain is not too bad so I can get through it.
I got to go to the dentist first time in 30 years and i am freaking out watching this . I have bad anxiety and i need my broken tooth pulled ugh . so scared
I hope that your appointment went well. If you have severe anxiety such as you mentioned, sedation could be a GREAT adjunct to receiving the dental care that you need to restore you back to oral health.
@@ginal.salatinodmdfagd6640 well all my gums are infected and they need to do a deep cleaning and they need to extract my broken tooth. But Aspen Dental was really nice and he said we can save your teeth. But if i waited 5 months more they would have to pull all my teeth
Doc love u r video I'm 60 worked in prison system for 30 yrs I'd rather be in the middle of a riot than walk into the Dentists office and I need to go.
Wow! That's saying a lot! But you're right, dental treatment is NO FUN and can cause a lot of anxiety for people. I do this for a living... and I HATE being the patient as well!
@@BIGWOOD3160 typically there are no contraindications for taking an oral sedative prior to sedation. It is recommended that you communicate with your doctor prior to the appointment so that everyone understands what's in your system. Alterations to the administration of the IV sedatives would need to be adjusted during the appointment.
I have coronary artery disease and have had an MI several years ago. Would you need to monitor my heart (like they would during surgery) or is this kind of sedation lite enough that that wouldn’t be necessary?😊
The amnesia aspect of it is amazing. I've had a few oral surgeries in the past. Each time, I was given Versed. It was so powerful that I didn't even remember getting in my girlfriend's car and leaving the clinic. Another time, I remembered still being in the chair and my arm was burning from the nurse taking my IV out. Then I came to again and that same nurse put my sweater and glasses back on for me and I didn't remember. 🤣
I have a cracked molar. New dentist (my old dentist retired) wants to do a crown or filling. Injected me and did not get numb. So did it again. Started getting numb. She rushed it I think. I jumped when she took the filling out. So injected me again! SIX injections. Now, I started feeling bad. Sweating and cold and a headache. They took my BP. I was 190/ 90 for about an hour. Finally went home about 2 hours later. I'm not going back to that dentist. She put a temporary filling in. But would not continue with the crown based on my BP spike. Cardiologist cleared me- He gave me Clonidine for emergency use. Can the tooth be fixed with a filling?
Where are you located ! I live in Jersey ! I have bad anxiety. But my wisdom tooth is impacted . I don’t want to be doing silly things with the Laughing gas make me feel high after the procedure
I had twice failed extraction of the 3rd molar ( last wiadom on left lower) and twice the dentist tried to numb with multiple local anesthesia injections and it didnt work ,so after 2 horrible visits to private dentists, a dental teaching hospital informed me they have a deep sedation option available , my concern is that if i get excruciating pain while being numb and unable to move what will i do then ??i twice got up from chair due to severe pain , though i had 5 root canals , two extractions of the upper two wisdom tooths on each side....yet its getting impossible with local anesthesia and i am in living hell at the moment , one thing i know is that every dentist i came across is reluctant to perform under general anathesia...so what are my options ? We see the docs interviews everyday on youtube but where are rhe genuine patients who went through this IV process ?
Just made my appointment with a sedation dentist. I started getting fillings when I was 11. My long-term dentist did nothing but inflict pain and get mad at me when I said something. He took it as an insult he couldn't get me numb saying in 25 years I was the second person he couldn't numb. Once he got mad because I was in pain and he was telling me what pain was and I wasn't feeling pain but pressure. I got a jagged tooth in the back that scrapes the side of my tongue. I have a front tooth that just split in 2 while I was eating yogurt! I can't live like this
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly. Baby where are you located
IV sedation is DEFINITELY the way to go. I went into more detail with your other question about the gauze, but just know that you can actually practice at home to help decrease your gag reflex. It's not a true reflex, it's a mental response to a physical stimulus. You can use a toothbrush, or other objects in your mouth to mentally overcome this issue (insert bad joke about oral sex....)
I have an extreme phobia of the dentist, and needles are just as bad for me. I haven’t been to the dentist in 2 years because of this. My teeth are pretty healthy but I’m insecure of them because they aren’t perfectly straight, which is also why I’ve been avoiding the dentist. I don’t want to be judged. Since I haven’t been to the dentist in 2 years, I think I have a cavity. I know I need to suck it up and go but I can’t even imagine getting a needle in my mouth. I will have to be sedated but Im scared of the laughing gas, and the IV sedation. Would it be possible to take the oral pill to get sedated and hopefully that will make the injections tolerable?
Why do I have a high tolerance to dental sedation ? My dentist usually uses more than one injection of lidocaine to numb the area. For my wisdom teeth extraction, nitrous oxide and IV sedation did not make me unconscious.
I have to have my teeth removed.. 21 teeth! under this sedation...shouldn't I.be completely out for this?!?! .. I'm so scared and wish someone could answer my questions
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
Hi I’ve been seeing a dentist who is horrible about understanding pain. He lied to me once saying he would procure a laughing gas to elevate my anxiety when I had made appointment for a crown implant. When I arrived for the appointment he quickly was dismissive and acted like I was asking for too much. His explaintion for not having the gas was simply” it’s bad for pregnant staff members????!!! He was rude about my concerns and went on to do the procedure. It hurt I had a sore neck for a week,and I have avoided much needed work. I don’t want to go through that again. Do you have offices in Maryland or can you please recommend someone. After I saw this video, I realized it wasn’t me it was the jerk doctor who was ignorant about his clients pain. I will email to ask you if you can help me with reccomendations of a good dentist.
I am truly sorry for your situation. Unfortunately it sounds like your doctor has a personality problem. Bedside manors are not easily taught and many doctors are not born with the ability to effectively communicate with their patients. I also do not know any colleagues that I have trained in the Maryland area. My best suggestion would be to set up many different consultations to try and meet the doctor. Your gut intuition will guide you to the right dentist for you and your situation. Hopefully there is someone near you that you feel comfortable with your treatment.
If you are referring specifically to dental treatment under the influence of sedation, here are the answers to those questions. Nausea is avoided by using little or no narcotics in conjunction with the sedative medication. Narcotics are typically the cause of nausea and vomiting with sedation. The gag reflex is blunted or lessened as a patient becomes sedated. The gag reflex is not a 'true reflex' because otherwise we would never be able to eat. Patient's who gag are a result of mental and emotional barriers that are triggering patients to react to objects being in their mouth. During sedation, these mental barriers are blunted and we are allowed to help treat patients who frequently gag and struggle during routine care. This is also a great time to accomplish any necessary radiographs. I hope this helps answer your questions.
GO IV SEDATION!!! 😌 zzzzzzzzz Seriously, IV sedation is the best way to go for long appointments, those who have dental phobia, very sensitive gag reflexes, etc. I had full-mouth dental implants placed almost 3 years ago in an 8 hour session under IV sedation. As I never had my impacted wisdom teeth removed during my teens or early 20’s, the periodontist removed those too. I *don’t remember a single thing about the procedure.* We need more dentists like you who are willing to HELP people that other dentists would rather not deal with. A very respected local dentist doesn’t even offer nitrous oxide nor oral sedation, let alone IV sedation; neither did his father. I’m guessing part of the reason is the additional training and possibly additional liability insurance he would need to carry. Just wondering if you use the common Versed/Fentanyl/ Zofran (or other antiemetic) cocktail as your IV med? I had the same IV meds for an upper EGD exam a couple years ago. Same deal as the periodontist- *Don’t remember anything about that procedure either.* And both times coming out of the sedation was sooooo peaceful; like floating on a cloud. And I DID NOT feel nor get sick afterwards, nor have a headache, or feel dizzy or woozy, or any other adverse reactions you can think of. So, in closing, GO IV SEDATION!! 😌 Sorry for rambling this long, but if my experience with IV sedation helps even *1* person get their dental work done under IV sedation, then the rambling was worth it. 😌zzzzzzzzzzzzzzzzzzzzzzz
Thank you so much for your comments! I'm glad that you had such an amazing experience with dental IV sedation and can share that with the world! I want to address your questions: #1 - Less than 5% of the nation's dentists perform IV sedation as I do. One reason for this is because there is additional training that is required after dentists graduate from dental school. The training is very costly, timely, and there are a lot of fears that general dentists have to overcome because of the brainwashing that they experience in dental school. When we are in school the oral surgeons that oversee a lot of our surgical procedures will sometimes tell us how dangerous IV sedation is and that we should save it for oral surgeons. This cycle continues with under-educated general dentists who also try and install fear in the general dentist population from performing sedation. Ironically, IV sedation is much safer and easier to control than oral sedation, but there is a lot of misinformation out there that makes dentists and patients think that oral sedation is safer. It's not. You can't control it, and each pill comes in a specific dose that cannot be effectively titrated. All forms of sedation come with risks, and although you can get into trouble faster with IV sedation, you can also get out of trouble faster because you have a 'life-line' for emergency medications. Another downside getting trained in IV sedation is that our malpractice insurance increases. Typically it increases 3-4 times what it would normally be for a general dentist. #2 - Regarding medications; The typical medications for IV moderate sedation for a general dentist is Midazolam, or Valium, Fentanyl or Demerol, Diphenhydramine (benadryl - another form of an anti-emetic), Toradol (pain manager), Dexamethasone (inflammation and pain reduction), and yes, some doctors may use zofran (anti-emetic). I don't use all of those drugs for every case, and in some cases I only use 1 drug. I use the drugs that are necessary for specific situations. My practice philosophy is, LESS IS MORE. I know that many of the drugs come with side-effects and it's important to use the drugs appropriately. For example, I never use zofran because it's not needed for my sedations because my patients don't get nauseous. The reason for this is because I use less Fentanyl. Fentanyl and other narcotics are the drugs that make patients nauseous during a sedation. If I drug my patients with low doses, slowly, this also reduces the risks of nausea and vomiting. I hope this answers your questions. Again, thank you so much for your comments!
@@raineydayz992 Thank you again for your reply and questions! Let me address the question regarding the training for IV sedation (in a Reader’s Digest version). No, the training is not the same as oral surgeons. Here’s what I mean by that. Dental School is a 4 year accelerated program that requires students to take classroom courses and clinical courses at the same time. It’s a year-round program with little to no breaks at the end of each ‘trimester’. When you graduate you have a choice to go on to private practice, or specialize in various areas of dentistry which include Oral Surgeon, Periodontist, Prosthodontist, Endodontist, Pedodontist, Radiologist, and Dental Anesthesiologist. The years required to graduate from these specialized programs varies depending on the specialty. Oral surgeon programs vary between 4-6 years with the 6 year program giving you the title of 'MD' (Medical Doctor or Doctor of Medicine). Oral surgeon programs usually entail the resident student to work in a training hospital and take hospital rotations throughout the various medical specialties (kind of like on Grey’s Anatomy). Most rotations will vary between 1-4 months of training per specialty. Obviously, the surgeon’s experience in each specialty will vary depending on their programs and the student’s interest in the specialty. For anesthesia, they will usually observe and assist an anesthesiologist during hospital patient’s surgeries. The anesthesia exposure they receive in their residency is primarily focused on General Anesthesia. Keep in mind, general anesthesia is never performed in medicine without the surgeon and anesthesiologist being separate individuals. Only in dentistry do you ever see general anesthesia being performed with the surgeon and anesthesiologist being the same person. That’s something that I’m not a fan of, but I know this is the result of the training and only observing GA instead of Moderate Sedation in the hospital. Also, something to keep in mind, most specialty programs will financially compensate the residents for their additional training in the program (although it’s not much money). This means the students/residents are getting paid to learn (the stipend can be anywhere from $10k-$40k/year and varies). This is not the case when we are undergrad dental students and when general dentists get additional training outside of school. The average dental student in the US is graduating with $300k-$600k of debt (depending on their school) and with an interest rate of 7%. For general dentists who want IV sedation training, the fee is anywhere from $14k-$20k depending on the program, location, time, and travel expenses. (That's about the equivalent of 1 trimester of dental school or less...) There is usually an additional $5k-$10k of equipment set-up costs before you even get started on your first case. And then your malpractice will increase around $6k-$7k before you even get started. Most states require a minimum of 60 hours of training and 20 live-patient experiences during your training. All-in-all you will spend a minimum of 100 hours getting trained to perform IV moderate sedation. And then there’s the fear that you have to overcome when you get back to your private practice. It’s easy to perform sedation when you are being watched by a trained professional, but when you go back to your own practice you usually end of flying solo and that can be very scary for some dentists. The voices in your head can be your worst enemy. It’s not uncommon that when I teach moderate sedation to a class of 10 dentists, at least 3-4 of them will go home and rarely/never perform sedation on their own. The fear will overtake them and paralysis by analysis occurs. This may have been the case with the oral surgeon you spoke of. I think he may have been overwhelmed with the equipment and special care that is required when you perform general anesthesia; I respect his recognition that he may not be qualified to perform it on his own. I also recognize that he may not have been trained in the moderate sedation techniques which allow patients to breathe on their own and require much less intervention to sustain life. The lack of knowledge is a real problem with dental sedation across the board between general dentists and oral surgeons. I also would NEVER recommend a patient come back for 1 extraction per week. That’s absolutely insane and torture to a patient! Obviously, I don’t know the whole story, and I don’t want to speculate or talk ill of someone I don’t know; but it sounds like you made the right choice getting a second opinion. It also kind of sounds like he slipped through the cracks of his training. If you want to hear a crazy story about how someone can sneak through the medical system and have little to no understanding of what they are doing, I recommend you listen to the podcast DR. DEATH. It’s UNREAL!! And hearing your story made me instantly think about that podcast. It’s sad, but true…..I have a great deal of respect for doctors who can recognize their own skills, talents, or lack of ability within their own specialty. Personality flaws are probably the BIGGEST contributor to situations like the DR. DEATH story. That guy had no clue... he still doesn't! The goal is to DO NO HARM. (My Reader’s Digest version turned into a short novel….)
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
I’ve bailed on appointments cause I’m afraid since they want to sedate me to take out my last 11 teeth on the top row being afraid I won’t come back from it
@Chevis Splawn Good for you! Better to get the work done sooner rather than later, when some of the teeth can get infected. Hope everything goes well for you.
I am going for oral surgery at Dalhousie School Of Dentistry to have a extraction done can they sedate me during the procedure I want to be put deeply asleep can they do that I don't want to be awake during the procedure and I have anxiety and I can't stand pain.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
That honestly depends on how relaxed you feel afterwards. The gauze is only used to stop the bleeding. If it's in your mouth but you're not biting on it, it won't stop the bleeding. You have to be biting on it. Sooo.... if you're not bleeding, you don't really need it in your mouth anymore. Also, gagging is not a 'true' reflex, it's a mental reflex. A true physiological gag reflex only occurs further down the throat as a protective measure for the airway. Gagging because of gauze in your mouth is the result of your brain. How do you know this? Because otherwise you would gag every time you put food in your mouth. Soooooo...... you can actually practice and perform mental and physical exercises to overcome this issue. That was a really long answer to your question, but yes, you can gag with the gauze in your mouth afterwards, but if the relaxation drugs are still working, you will have a decreased desire to gag.
What do u feel as soon as they start the med in the iv ...my fear is feeling weird or out of it or high or dizzy or slipping out of consciousness all that is so scary to me
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
For those of us who suffer from severe vasovagal syncope, allergies to epinephrine, and severe dental and needle phobia, I'd like to know what the protocol is for sedating someone who's already in syncope, or who goes in to syncope while sedated. My nightmare scenario is having my blood pressure fall through the floor, becoming dizzy, getting pins and needles, the cold sweats, and going 90% of the way to passing out before then being sedated or during sedation, and being aware in that moment of the absolute nightmarish shit hole than I'm in. I don't care if I don't remember any of it afterwards, I don't want to be aware of it at all. Reply
We usually get a clearance from the primary care physician or cardiologist prior to completing these surgeries. But most patients who can be classified as an ASA III or less should be able to tolerate the sedation with the dental procedure.
I am due next month I am scared of being put to sleep due to watching stuff on tv. I am such a negative thinker but I hope I make it through ! I know I will I’m still scared though
I would like to give you emotional support in your sedation appointment next month. The television stories can seem overwhelming sometimes. Rest assure, 99.9% of sedation cases go very smoothly for people in dentistry. It would take a lot of big factors to go wrong before anything irreversible could happen. I wish you peace of mind that your surgeon and surgical team have your best interest in mind as they prepare for your procedure.
I too do not drink or participate in recreational drugs or mind altering experiences. I enjoy being in control of my capacities. I have had several surgeries and other moderate sedation procedures and have not experienced a 'freak-out'. But that's what the medications are designed to do. They relieve anxiety, thus reducing the likelihood of a patient experiencing a panic attack. It's miraculous!
It usually means that your dentist will need to keep your head and tongue in a position that will allow for air flow. Lot's a chin lifts and head tilts. Most of my sleep apnea patients will sedate easily because of the sleep deprivation.
Sasha, I have treated many patients with sedation who have a history of asthma or active asthma. It is very important to always have your inhaler with you at all dental appointments and inform your dentist about your asthmatic triggers. Benadryl is a commonly used drug during sedation appointments to help prevent possible asthmatic causing triggers such as histamine release.
I had some cavities filled and the sedation caused involuntary movements, mostly jerky movements in one of my legs and my shoulders. has the sedation wore off the involuntary moments went away. the dentist said they had no clue what caused it but I'd probably be fine. I have been having some MS like symptoms for a while and am going to see a neurologist soon but I'm scared especially since my symptoms have worsened when I go back to get the cavitys filled the movements will come back again.
Yes, typically the sedatives are delivered first to relieve anxiety. The local anesthetic is delivered after the patient is comfortable and free of anxiety.
Some offices offer nitrous oxide (laughing gas) that can help relieve anxiety before getting the IV. Some doctors prescribe an anxiety relief pill to take before you come in. Both options are good to discuss with your doctor before hand.
Sorry this is long but I haven't been to the dentist in a few years because once I became an adult do to my terminal illness my health has really started going down the drain. I am going to be scheduling an appointment once this craziness from covid 19 settle down to the point where I can go.. We finally got my health and immune system somewhat stable but not going back up. Two previous bad experiences I had at previous dentists are the following. 1 A this first dentist that I went to had gloves but no mask on while examining me and since I can't see too well and due to the bright light it took me a while to notice and with my health if you're working on me you better be wearing a mask because of my very weak immune system I can get infections that other people couldn't and I can get ill really easily. Next day I woke up with a fever and had to be on my breathing machine a little bit more throughout the day than usual. The second experience was when we started noticing my health starting to decline a bit more and every now and again I would need my nurse to accompany me throughout the day not 24/7 . And when I went to the dentist a different dental office they wouldn't let my nurse accompany me throughout the whole procedure and I was not okay with that so we left. . Now due to where my health is at I do require my 24/7 nurse to be with me at all time because my health problems can flare up at any given time. And it's especially best that she's with me when I am receiving IV therapy I get IV therapy every day. I'm on a 24/7 feeding pump so she manages that along with my IV machine by making the feeding go in faster and slower as needed I'm on a continuous oxygen monitor so that way if my oxygen does drop she can help Me by getting my oxygen concentrator on me and going . and I am a fall risk so when I walk she is my support. But anyways this probably depends on the particular dental office and the provider but will the hygienist and the dentist allow my nurse to be right by me the entire time during my dental appointment and if I do have to have a procedure done that requires some form of sedation? Because if I need some help she has to be there to help me out. She even needs to help me get up and lay down on the chair because I lost a lot of strength. And if the oxygen monitor slows down on the beeping she has to be able to be right by me to get my oxygen concentrator on me and started. I'm a bit nervous to go because one haven't been in a couple years two it's the first time that I will be going with all these changes such as all the equipment and me needing my nurse / caregiver by me at all times I know that whenever I do have to go under sedation I wouldn't be on my feeding but when it comes to just regular exams and cleanings I would be on my continuous feeding. And another thing since my nurse has to stick me with an IV every time she gives some of my Iv treatments she knows how my veins work the best and the best ways to start one on me. I also have what's called a mediport and that always has an IV in it to give me continuous IV medications. The peripheral IV is just for medications given certain times throughout the day. Again it probably depends on the specific office and provider but since starting an IV on me can be tricky I would much rather have my nurse do it since she knows how to start one on me the best. Whenever I go into the hospital for two weeks worth of treatment the nurses always gives me the option of having them start an IV or my 24/7 nurse and most of the time my full-time nurse knows how to start an IV the best for me specifically I mainly only let her do it.. Due to the surgeries that I had where I required a ventilator and due to the liquid iron I was taking at the time I do know that when I do go I'm going to need a bit of dental work done
It’s okay . My dentists always wear full PPE around me during procedures . I usually have IV sedation . I also have to go through a COVID test a week prior and self isolate after . I’m in Ontario Canada and it’s pretty easy right now to self isolate .. we are in lockdown.
I'm soon going to be scheduled for dental surgery, bone graft then a full Zirconia implant top arch. Now, I have no fear at all of dentists, none. I don't fear Novocaine at all, but yesterday they mentioned IV Sedation and I almost had a panic attack. I can't even watch a stranger get a needle in the arm, let alone me. I rather not have any teeth in my mouth then have IV sedation, and I don't know what I'm going to do if they don't give me an alternative. I have never taken any meds my entire life, none. Only meds I've ever swallowed is a low dose aspirin, that's it. My fear is what if I have an allergy to the meds in that needle? They ask you on the form if you're allergic to meds and then they list 20 meds. Well, never having meds, how would I know? I left it blank because I don't know the answer to that question. I'm just one of those people that don't believe in pills, any pills because of all the side effects. What good is a mouth full of beautiful teeth if my liver or kidneys fail? That's how I look at it. Forget giving me Tylenol, I wouldn't swallow one of those pills, period. My husband was a disabled vet and died from Agent Orange and he was on kidney dialysis, and the doctor at the hospital called me at 10pm one night and told me to stop my husbands Avandia pills, don't let him take anymore of them. Come to find out, they took them off the market, they were causing heart failure. I've gone through 76 healthy years , not as much as a cold, nothing, so now I have this major problem happening and I don't know what to do.
I can understand your hesitation and anxiety. For the most part, you would not have any allergies to new drugs that are introduced into your system. You have to have had repeated exposure to the medications for your immune system to start an allergic reaction. That being said, if you have never been sedated, the likelihood of you having complications with allergies to the IV medications would be extremely low to unlikely.
It's a personal choice. Nitrous oxide will relax you, but you'll remember everything. IV sedation also relaxes you, but it also creates amnesia. If you are tough and don't mind the sounds, smells, pressure, and other surgical events, you may be fine. Personally, I'm a wimp... so I always prefer to be sedated when I'm the patient....
@@AmberDennis001 The best advice I can tell you is that it needs to be a personal choice. Sedation is not required to do surgery on wisdom teeth, but it helps make the experience more enjoyable and the recovery better. Many patients do great with just the nitrous. You need to decide how "tough" you are. I am really wimpy when I have procedures done. I don't think I would be tough enough to have my wisdom teeth removed without sedation. But if you are a tough person who can withstand the dental work with just nitrous, then go ahead and do that. Obviously, hindsight is 20-20, so it's hard to say what would be better for you personally. I wish you luck with the decision, and hope everything turns out great for you!
I had teeth pulled yesterday, under general anesthesia, and when you get the laughing gas, it makes you feel so high, that you don’t even feel the needle at all. Also, make sure to ask them to put the iv in the forearm, because I’ve read online, and been told by a nurse that it hurst the least there, and hurts the most on top of the hand. I got it in the forearm, and I didn’t feel a thing. If you go to a good dental surgeon, then the iv shouldn’t hurt at all.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
In theory yes. I would suggest meeting with your pain management sponsor tti discuss the options and potential medications that could be used. Narcotics are not required for all sedation procedures.
If you are under general anesthesia you could opt out of having the local anesthetic. I would not suggest that however because the local anesthetic helps to manage the swelling and pain during and after the procedure.
That's a great question. The sedation medications are specifically designed to treat anxiety AND sedation AND amnesia. That being said, although you are "conscious" most people think that they were actually asleep during the entire procedure because the drugs make you really relaxed, some people even sleep, and at the end of the procedure it produces memory loss of the events. It's honestly a really safe and effective way to treat patients with severe anxiety disorders.
I tried IV sedation method and it was still painful. She must’ve gave me a stronger dose because it started hurting less but I felt everything. I’m afraid of the dentist! Any sedation to where I don’t hear or smell anything? I hate the noise from drilling also.
It sounds like your administering dentist did not titrate the medications to the right affect for you. Every patient is different and the responses vary widely between patients and doses. Moderate sedation does not remove your ability to 'feel' things, but you can achieve a level of moderate sedation that causes extremely relaxation, pain relief, and amnesia from the procedure. Unfortunately some anesthesia providers are only comfortable administering specific doses of the medications in which case you may have required more than what your dentist was comfortable administering.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
Seems like the pain doesn't go away, sedation makes you more willing to endure it, with the added benefit of not remembering it so you're less anxious of future treatment. Is that about right? I mean I can already deal with the pain (I just wish there wasn't any) so maybe sedation isn't worth it for some people?
Sedation is not required or necessary for any dental treatment. It's simply an adjunctive service to help get people through procedures that are uncomfortable or stressful. I have patients who get sedated for cleanings. Is it necessary? No. But that's what they need to get them through the procedure.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
It sounds kind of silly but my one friend did iv sedation for dentist work and actually had an accident in the chair. Is this common? I'm just worried that I may have to wear a diaper or something.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
There is not an exact time that can be given. The time for someone to return back to their baseline can depend on the depth of sedation, their response to the medications, and the types of medications used. The most common medication used for Moderate sedation is midazolam (Versed). It has a half-life of approximately 2-6 hours (depending on the route of administration), but it's duration of action (amnesia)is approximately 20-40 minutes when given IV.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
I need advice I took my 4 year old son to a Paediatric dentist told us he potentially have 6 cavities we are completely shocked and feeling terrible about this . We brush his teeth 2x a day it breaks my heart thinking he has to go under general anesthesia . Just need help I’m not going to put my son under no general anesthesia it has way to many risks. How can I help my son with his cavities I need advice and help . Please which sedation is better for my son thanks
Doing sedation on kids is always a scary thing to consider. I would recommend asking more questions to the pediatric dental office about how they plan to perform the sedation. Are they using oral medications? Nitrous? IV? Are they keeping the child in a state of consciousness or are they planning on actually taking the child into general anesthesia? Are they using a separate anesthesiologist for the sedation if they are planning on using GA? I'm much more comfortable with a pediatric office using an anesthesiologist, dental anesthesiologist, or a nurse anesthetist for pediatric sedation for GA cases. I'm never ok with kids going into GA when they don't have separate operators doing the separate procedures (dentistry and general anesthesia). That's just my professional opinion.
There are a few needle-free options for sedation but they also come with varying sedative effects. #1 - Nitrous oxide (commonly known as laughing gas) is administered through nasal inhalation. It starts working very fast and stops immediately after turning off and breathing room air. Nitrous oxide does not usually provide anesthesia (memory loss), but can provide a level of anxiety relief and comfort depending on the patient and the patient's response. #2- Oral Medications (Pills such as Valium) Oral medications can be very unpredictable and difficult to control as the doctor. Every person has a different tolerance level and a different response to the medications because the pills only come in specific doses and everyone has a completely different response. Some people will have amnesia with the pills, some people will only feel relaxed, some people may feel nothing. This is why I personally dislike sedative medications administered orally. I have little to no control and I never know how the person will respond to the medication. It also lasts for a very long time and can take a very long time to start working. This is another reason why I dislike oral medications.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
No. The drugs are still in the system for a few hours afterwards and it's not safe to drive. You could get a DUI or cause an accident from being impaired.
I was offered to get IV sedation for hygene and recession, not sure the name, surgery. I said no. I don't see the purpose to get extra chemicals in your body. Just local anesthesia and that's it
I've had two diff dentist get sexual.on me when I was on the drugs they gave. I'm still upset still. I'm a guy and they were guys that Did these things. I remember things when I was supposed to not remember.... I've hated the dentist ever since. I just subscribed
I am so sorry to hear that. I will never understand how some people cannot differentiate between right and wrong. Regardless of whether you are a male, female, child, or adult this behavior is never acceptable with a sedated patient. I have treated many other patients who have had similar situations. I hope that more people speak up when an inappropriate act is committed and these offenders are brought to justice.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose. . At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle. Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing. One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
I agree, the shots are probably the worst. I've had several over my years of dental experiences. Maybe one day we'll come up with a better alternative!
@@nelsoncr2817 The guy in the video was wincing when the needle went in. I thought he was sedated. You can see the shot is still hurting him. What's the point of sedation when you can still feel the worst part? It seems like a waste of money.
@Colombia syon The next time you need to get an IV, ask the nurse/doctor/dentist if they can put a numbing cream on your skin before they put the IV needle in.
I actually have a phobia of needles, thanks to idiot doctors. I get all my work done without local anesthesia and just a little nitrous oxide. Most work is okay. A root canal really hurt when they pulled the pulp out but it was okay afterwords. I can't have my impacted wisdom tooth out so that's going to stay in. But the other work I can have done. No way would I let someone give me an IV.
I treat lots of patients with needle phobias. Nitrous is a great adjunct to give to people like you to help get the IV started. Once the needle gets through the skin and into the vein, it comes out and only the plastic tubing stays in. I used to hate needles too. Then I had to be a pin cushion for other dentists when I was training them. And nitrous really helped cut that edge off from the anxiety.
I hope you can help me because I have phobia in teeth.. and I really need your help because all my teeth are decaying.. and I'm afraid to go to dentist 😨😨
Dental phobia is a very real thing and prevents a lot of people from receiving the care they need. I'm always glad to help people through their treatment whether it's with or without sedation.
The way the patient was wincing and grabbing the arms of the chair, this video didn't help. People are trying to alleviate pain. That patient is showing his pain.
Thanks for your input! It sounds like the video did it's job showing that people don't like going to the dentist and this is an option to help alleviate patient's pain and anxiety. Best of luck to you.
I guess my reply was deleted, not by me. The patient in the video is wincing and grabbing the arms if the chair as the needle goes in. I thought this video was supposed to show how relaxed the patient can be. I guess not. The patient on this video is feeling the pain.
Unfortunately there are very few general dentists who do what I do. There's a lot of fear, responsibility, and education that turns a lot of GPs away from doing it.
A dentist beat me as a kid put me in a booster seat , pulled my two teeth out with out any pain medicine, all because I was crying because he showed me the tools he was going to use on me. And I’m terrified of needles is their any ways not to be up when they give me an I.V…?????
Apparently IV sedation is the most expensive of available sedations. I just had a consultation to remove all my bottom teeth. It will be another $2,000 for IV. Seems really high.
I've had IV sedation twice before and I felt sooooo relaxed both times. No weird feelings or dizziness. The moment it's in your system, you basically fall asleep you won't remember falling asleep. It seems like you just get the IV and then you wake up lol thats how simple it is.
Isn't it GREAT!!!?? It's such an amazing relief for so many patients who suffer from severe anxiety while receiving dental care. Thank you for your positive comments and confirmations for other people searching for relief.
Reading this it makes me feel more confident. I am so afraid of dentist and needles. I am going to have mine in two days ✌️. Thanks for sharing your thoughts 🙏
I need most of my teeth pulled for oral implant surgery. I’ve been sedated before. Is the person sedating me going to be a licensed anesthesiologist or only a dental assistant who has had training in oral sedation?
Did you feel pain or hear the noise 😭
My first time ever having any kind of surgery and I got the IV sedation for a wisdom tooth removal a few days ago, as soon as they injected it; I blinked and didn’t even realize they did the procedure cause it felt like seconds😂
Had it for an extraction and treatment for a very swollen and painful infection deep under an old root canal, and am so glad for this procedure. It went painlessly, (after the previous day of several hours and 3 tries to freeze the tooth while I was conscious but he could not even get it to freeze properly after 5 very painful injections) I finally consented to sedation, came back the next day and it went smoothly and so fast...just about an hour and I was done, not any memory of pain or even discomfort. I was surprised it was over, and am recovering well at home as I write this.
I'm so glad the sedation helped you through the procedure! It's such a relief to have that as an option.
Thank you so much for making this video, this has answered so many of my questions and makes me much more comfortable now.
I'm going under in about 2-3 weeks...a bit nervous but I trust the practice I'll. be at
Brilliant video and of great help to many nervous patients.
Thank you for your kind words!
Great video, thank you and much success!
Thank you for your kind words and support!
I had this done had major work done took 3 hours to do. I recommend doing IV sedation 100%! I can only remember one part where it was like the scene from "get out" movie where the guy is in a sunken place it wasn't scary though it was actually really fun and only lasted for a moment. To be honest I cant wait to do IV sedation again!
I’ve had it done,and it’s amazing. I felt the dentist inject into my arm and the next moment I was at home, with no memory of anything.
Literally the best thing I did. The only thing that hurt was the IV and it doesn't even hurt that much. I have a really BAD anxiety days before I was crying multiple times a day. The only thing I remember is the nurse asking me to close my eyes and me opening them back up and it was all over. Don't worry about the procedure guys!
I really needed to hear this I’m getting 2 molars extracted next week
@@Jesdadonn_ I hope your procedure went well.
Excellent video Doctor! Now, I understand the process and will be moving forward with the extraction of my remaining 9 upper teeth. Also, kudos on the Meinl AA series brass hanging on the wall! I've purchased and used Zildjian, Paiste and Meinl. For sheer projection and emphasis, I like the Meinl the best! Thanks again!
@michaelhart738 Thank you so much. Those cymbols were a gift from Mike Johnson of Mikeslessons.com. He's been a great friend and mentor to me in the music industry.
This is a great video except I don’t think I needed the music to pay attention to you
Just a helpful tip for the future
The video was extremely informative though
Great video. most points explained very well and lucidly
@@bhushanakerkar6441 Thank you very much for the kind words.
Thank you so much, I am having some teeth extracted and will have IVF sedation. You have made me feel comfortable, thank you for this wonderful video ..
I'm glad to hear that the video has brought you piece of mind. Trust that your surgeon has your best interest in mind and your surgery will go well!
@@patriciafreeman9986 It was my pleasure.
Thank you, answered my question, i am now going to have IV rather than gas.
I really appreciate you taking the time to make this video and explain people's concerns with IV sedation. I was hoping though, that you would address the issue of whether it is a safe procedure? Many anxious patients overthink these things and it would be so helpful to have you explain the safety aspect of this form of sedation.
@Rossiegirl IV sedation is very safe and predictable. More so than oral sedation. But just like all aspects of medicine and the human body, there can be various outcomes depending on the patient and doctor. If the doctor uses too much or too little medication for a patient, you can get too light or too deep of sedation, which can result in unfavorable outcomes. That's something I teach and lecture about, and it's typically an 8 hour day of discussing various outcomes and how to troubleshoot the results. So, it's too much information to add to a quick video like this. The trick to having a successful sedation is TITRATION. Which means giving small doses incrementally to a patient until they reach the desired state of sedation. If a doctor gives too much drug too quickly, the patient can become nauseous and even stop breathing. Both of those results can be managed by competent staff and doctors.
@ginal.salatinodmdfagd6640 thank you, perfectly said!
Thank you very much for your informations
My pleasure!
Wish I had you as my dentist you seem caring and comfortable with you
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
This video was awesome! I have pulpitis it my teeth plan on getting them extracted with IV Sedation. Will I still feel pressure & movement?
IV sedation is the best. I swear I still had my eyes open looking at the ceiling. Then sudden darkness and then I'm being woken up. With the procedure already done.
@@ey5373 sedation makes dentistry a lot more tolerable.
Wish you were in my area. I gave extreme anxiety & dental phobia. I have only been to the dentist when absolutely necessary. They just don't understand those of us with anxiety & fear. They treat us horribly..
I wish you could do my sedation dentistry, you made me feel comfortable in the event something could go wrong, I have extreme anxiety and I'm worried I will get an inexperienced dentist, I have a slight heart arrythmia would I be safe to undergo intravenous sedation ?
thank you so much for all the information, appreciate it! is it possible for you to say why some people, even children say and do funny and ridiculous things and they get overemotional, keep crying and even get hysterical while coming out of iv anaesthesia after their procedure is done? they also hallucinate
I can't say with 100% certainty why the different emotions occur, but I CAN say that the emotions seem to match the patient's personality. If you are a calm and relaxed person, you'll probably be calm or funny with sedation recovery. If you're an anxious personality, you will probably be more likely to cry and be emotional during the recovery. Kids say funny things because they have a tendency to mentally go to a different place when they are sedated. Sometimes that effect is the result of the specific drug that is used. Ketamine for instance, is a dissociative drug and makes kids "go to different places..."
I had my tooth pulled today but I was given propofol and versed and I don’t remember them giving me the propofol I just remember waking up with gauze
Please provide more educational vdo as i am dentist am in need of a good coaching//books etc regarding conscious sedation. Thanks for informative vdol
@pradnyapatwardhan1433 Thank you for the kind words. I'm lecturing with the AGD (Academy of General Dentistry) in California this October 2024. You can live stream watch the CE and learn much more from the doctor prescriptive. Go to CAGD.ORG
I have an appointment tomorrow, and I am still afraid. My teeth that are being worked on are extremely sensitive and I never numb properly and I feel pain. I am just hoping the pain is not too bad so I can get through it.
I got to go to the dentist first time in 30 years and i am freaking out watching this . I have bad anxiety and i need my broken tooth pulled ugh . so scared
I hope that your appointment went well. If you have severe anxiety such as you mentioned, sedation could be a GREAT adjunct to receiving the dental care that you need to restore you back to oral health.
@@ginal.salatinodmdfagd6640 well all my gums are infected and they need to do a deep cleaning and they need to extract my broken tooth. But Aspen Dental was really nice and he said we can save your teeth. But if i waited 5 months more they would have to pull all my teeth
Is good for fillings ? I have anxiety disorder I need fillings and tooth extract
Only if I can plug in the SG on the wall and jam before hand.
Doc love u r video I'm 60 worked in prison system for 30 yrs I'd rather be in the middle of a riot than walk into the Dentists office and I need to go.
Wow! That's saying a lot! But you're right, dental treatment is NO FUN and can cause a lot of anxiety for people. I do this for a living... and I HATE being the patient as well!
@@BIGWOOD3160 typically there are no contraindications for taking an oral sedative prior to sedation. It is recommended that you communicate with your doctor prior to the appointment so that everyone understands what's in your system. Alterations to the administration of the IV sedatives would need to be adjusted during the appointment.
I have coronary artery disease and have had an MI several years ago. Would you need to monitor my heart (like they would during surgery) or is this kind of sedation lite enough that that wouldn’t be necessary?😊
Ugh id love you as a dentist
The amnesia aspect of it is amazing. I've had a few oral surgeries in the past. Each time, I was given Versed. It was so powerful that I didn't even remember getting in my girlfriend's car and leaving the clinic. Another time, I remembered still being in the chair and my arm was burning from the nurse taking my IV out. Then I came to again and that same nurse put my sweater and glasses back on for me and I didn't remember. 🤣
I have a cracked molar. New dentist (my old dentist retired) wants to do a crown or filling. Injected me and did not get numb. So did it again. Started getting numb. She rushed it I think. I jumped when she took the filling out. So injected me again! SIX injections. Now, I started feeling bad. Sweating and cold and a headache. They took my BP. I was 190/ 90 for about an hour. Finally went home about 2 hours later. I'm not going back to that dentist. She put a temporary filling in. But would not continue with the crown based on my BP spike. Cardiologist cleared me- He gave me Clonidine for emergency use. Can the tooth be fixed with a filling?
Where are you located ! I live in Jersey ! I have bad anxiety. But my wisdom tooth is impacted . I don’t want to be doing silly things with the Laughing gas make me feel high after the procedure
I am located in Rocklin, Ca. It's a little far from you...😬
I had twice failed extraction of the 3rd molar ( last wiadom on left lower) and twice the dentist tried to numb with multiple local anesthesia injections and it didnt work ,so after 2 horrible visits to private dentists, a dental teaching hospital informed me they have a deep sedation option available , my concern is that if i get excruciating pain while being numb and unable to move what will i do then ??i twice got up from chair due to severe pain , though i had 5 root canals , two extractions of the upper two wisdom tooths on each side....yet its getting impossible with local anesthesia and i am in living hell at the moment , one thing i know is that every dentist i came across is reluctant to perform under general anathesia...so what are my options ? We see the docs interviews everyday on youtube but where are rhe genuine patients who went through this IV process ?
Just made my appointment with a sedation dentist. I started getting fillings when I was 11. My long-term dentist did nothing but inflict pain and get mad at me when I said something. He took it as an insult he couldn't get me numb saying in 25 years I was the second person he couldn't numb. Once he got mad because I was in pain and he was telling me what pain was and I wasn't feeling pain but pressure. I got a jagged tooth in the back that scrapes the side of my tongue. I have a front tooth that just split in 2 while I was eating yogurt! I can't live like this
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly. Baby where are you located
i am a general dentist working in Pakistan i want to learn conscious sedation. what's the procedure to contact and learn from you
Strong gag reflex.. iv sedation the way to go? ..I cant even take the bite wing xrays
IV sedation is DEFINITELY the way to go. I went into more detail with your other question about the gauze, but just know that you can actually practice at home to help decrease your gag reflex. It's not a true reflex, it's a mental response to a physical stimulus. You can use a toothbrush, or other objects in your mouth to mentally overcome this issue (insert bad joke about oral sex....)
I have an extreme phobia of the dentist, and needles are just as bad for me. I haven’t been to the dentist in 2 years because of this. My teeth are pretty healthy but I’m insecure of them because they aren’t perfectly straight, which is also why I’ve been avoiding the dentist. I don’t want to be judged. Since I haven’t been to the dentist in 2 years, I think I have a cavity. I know I need to suck it up and go but I can’t even imagine getting a needle in my mouth. I will have to be sedated but Im scared of the laughing gas, and the IV sedation. Would it be possible to take the oral pill to get sedated and hopefully that will make the injections tolerable?
Agreed, I have the same question
Why do I have a high tolerance to dental sedation ? My dentist usually uses more than one injection of lidocaine to numb the area. For my wisdom teeth extraction, nitrous oxide and IV sedation did not make me unconscious.
I have to have my teeth removed.. 21 teeth! under this sedation...shouldn't I.be completely out for this?!?! .. I'm so scared and wish someone could answer my questions
I remember very little also didn’t act silly lol. Glad I chose that option for wisdom teeth removal.
When done correctly, it's the BEST adjunct to treatment!
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
Hi I’ve been seeing a dentist who is horrible about understanding pain. He lied to me once saying he would procure a laughing gas to elevate my anxiety when I had made appointment for a crown implant. When I arrived for the appointment he quickly was dismissive and acted like I was asking for too much. His explaintion for not having the gas was simply” it’s bad for pregnant staff members????!!! He was rude about my concerns and went on to do the procedure. It hurt I had a sore neck for a week,and I have avoided much needed work. I don’t want to go through that again. Do you have offices in Maryland or can you please recommend someone. After I saw this video, I realized it wasn’t me it was the jerk doctor who was ignorant about his clients pain. I will email to ask you if you can help me with reccomendations of a good dentist.
I am truly sorry for your situation. Unfortunately it sounds like your doctor has a personality problem. Bedside manors are not easily taught and many doctors are not born with the ability to effectively communicate with their patients. I also do not know any colleagues that I have trained in the Maryland area. My best suggestion would be to set up many different consultations to try and meet the doctor. Your gut intuition will guide you to the right dentist for you and your situation. Hopefully there is someone near you that you feel comfortable with your treatment.
If you are put on sedation will you feel something like pain or what
How can I avoid nausea ?Also I have a very sensitive gag reflex and had a panic attack the last attack to have dental xray
If you are referring specifically to dental treatment under the influence of sedation, here are the answers to those questions. Nausea is avoided by using little or no narcotics in conjunction with the sedative medication. Narcotics are typically the cause of nausea and vomiting with sedation. The gag reflex is blunted or lessened as a patient becomes sedated. The gag reflex is not a 'true reflex' because otherwise we would never be able to eat. Patient's who gag are a result of mental and emotional barriers that are triggering patients to react to objects being in their mouth. During sedation, these mental barriers are blunted and we are allowed to help treat patients who frequently gag and struggle during routine care. This is also a great time to accomplish any necessary radiographs. I hope this helps answer your questions.
Am scared cause am going to the dentist in 1 week and I want to try sedation but I know nothing about it
Is this the same as deep sedation?
GO IV SEDATION!!! 😌 zzzzzzzzz
Seriously, IV sedation is the best way to go for long appointments, those who have dental phobia, very sensitive gag reflexes, etc. I had full-mouth dental implants placed almost 3 years ago in an 8 hour session under IV sedation. As I never had my impacted wisdom teeth removed during my teens or early 20’s, the periodontist removed those too. I *don’t remember a single thing about the procedure.* We need more dentists like you who are willing to HELP people that other dentists would rather not deal with. A very respected local dentist doesn’t even offer nitrous oxide nor oral sedation, let alone IV sedation; neither did his father. I’m guessing part of the reason is the additional training and possibly additional liability insurance he would need to carry. Just wondering if you use the common Versed/Fentanyl/ Zofran (or other antiemetic) cocktail as your IV med? I had the same IV meds for an upper EGD exam a couple years ago. Same deal as the periodontist- *Don’t remember anything about that procedure either.* And both times coming out of the sedation was sooooo
peaceful; like floating on a cloud. And I DID NOT feel nor get sick afterwards, nor have a headache, or feel dizzy or woozy, or any other adverse reactions you can think of. So, in closing, GO IV SEDATION!! 😌 Sorry for rambling this long, but if my experience with IV sedation helps even *1* person get their dental work done under IV sedation, then the rambling was worth it.
😌zzzzzzzzzzzzzzzzzzzzzzz
Thank you so much for your comments! I'm glad that you had such an amazing experience with dental IV sedation and can share that with the world! I want to address your questions:
#1 - Less than 5% of the nation's dentists perform IV sedation as I do. One reason for this is because there is additional training that is required after dentists graduate from dental school. The training is very costly, timely, and there are a lot of fears that general dentists have to overcome because of the brainwashing that they experience in dental school. When we are in school the oral surgeons that oversee a lot of our surgical procedures will sometimes tell us how dangerous IV sedation is and that we should save it for oral surgeons. This cycle continues with under-educated general dentists who also try and install fear in the general dentist population from performing sedation. Ironically, IV sedation is much safer and easier to control than oral sedation, but there is a lot of misinformation out there that makes dentists and patients think that oral sedation is safer. It's not. You can't control it, and each pill comes in a specific dose that cannot be effectively titrated. All forms of sedation come with risks, and although you can get into trouble faster with IV sedation, you can also get out of trouble faster because you have a 'life-line' for emergency medications. Another downside getting trained in IV sedation is that our malpractice insurance increases. Typically it increases 3-4 times what it would normally be for a general dentist.
#2 - Regarding medications; The typical medications for IV moderate sedation for a general dentist is Midazolam, or Valium, Fentanyl or Demerol, Diphenhydramine (benadryl - another form of an anti-emetic), Toradol (pain manager), Dexamethasone (inflammation and pain reduction), and yes, some doctors may use zofran (anti-emetic). I don't use all of those drugs for every case, and in some cases I only use 1 drug. I use the drugs that are necessary for specific situations. My practice philosophy is, LESS IS MORE. I know that many of the drugs come with side-effects and it's important to use the drugs appropriately. For example, I never use zofran because it's not needed for my sedations because my patients don't get nauseous. The reason for this is because I use less Fentanyl. Fentanyl and other narcotics are the drugs that make patients nauseous during a sedation. If I drug my patients with low doses, slowly, this also reduces the risks of nausea and vomiting.
I hope this answers your questions. Again, thank you so much for your comments!
@@raineydayz992 Thank you again for your reply and questions! Let me address the question regarding the training for IV sedation (in a Reader’s Digest version). No, the training is not the same as oral surgeons. Here’s what I mean by that. Dental School is a 4 year accelerated program that requires students to take classroom courses and clinical courses at the same time. It’s a year-round program with little to no breaks at the end of each ‘trimester’. When you graduate you have a choice to go on to private practice, or specialize in various areas of dentistry which include Oral Surgeon, Periodontist, Prosthodontist, Endodontist, Pedodontist, Radiologist, and Dental Anesthesiologist. The years required to graduate from these specialized programs varies depending on the specialty. Oral surgeon programs vary between 4-6 years with the 6 year program giving you the title of 'MD' (Medical Doctor or Doctor of Medicine). Oral surgeon programs usually entail the resident student to work in a training hospital and take hospital rotations throughout the various medical specialties (kind of like on Grey’s Anatomy). Most rotations will vary between 1-4 months of training per specialty. Obviously, the surgeon’s experience in each specialty will vary depending on their programs and the student’s interest in the specialty. For anesthesia, they will usually observe and assist an anesthesiologist during hospital patient’s surgeries. The anesthesia exposure they receive in their residency is primarily focused on General Anesthesia. Keep in mind, general anesthesia is never performed in medicine without the surgeon and anesthesiologist being separate individuals. Only in dentistry do you ever see general anesthesia being performed with the surgeon and anesthesiologist being the same person. That’s something that I’m not a fan of, but I know this is the result of the training and only observing GA instead of Moderate Sedation in the hospital. Also, something to keep in mind, most specialty programs will financially compensate the residents for their additional training in the program (although it’s not much money). This means the students/residents are getting paid to learn (the stipend can be anywhere from $10k-$40k/year and varies). This is not the case when we are undergrad dental students and when general dentists get additional training outside of school. The average dental student in the US is graduating with $300k-$600k of debt (depending on their school) and with an interest rate of 7%.
For general dentists who want IV sedation training, the fee is anywhere from $14k-$20k depending on the program, location, time, and travel expenses. (That's about the equivalent of 1 trimester of dental school or less...) There is usually an additional $5k-$10k of equipment set-up costs before you even get started on your first case. And then your malpractice will increase around $6k-$7k before you even get started. Most states require a minimum of 60 hours of training and 20 live-patient experiences during your training. All-in-all you will spend a minimum of 100 hours getting trained to perform IV moderate sedation. And then there’s the fear that you have to overcome when you get back to your private practice. It’s easy to perform sedation when you are being watched by a trained professional, but when you go back to your own practice you usually end of flying solo and that can be very scary for some dentists. The voices in your head can be your worst enemy. It’s not uncommon that when I teach moderate sedation to a class of 10 dentists, at least 3-4 of them will go home and rarely/never perform sedation on their own. The fear will overtake them and paralysis by analysis occurs. This may have been the case with the oral surgeon you spoke of. I think he may have been overwhelmed with the equipment and special care that is required when you perform general anesthesia; I respect his recognition that he may not be qualified to perform it on his own. I also recognize that he may not have been trained in the moderate sedation techniques which allow patients to breathe on their own and require much less intervention to sustain life. The lack of knowledge is a real problem with dental sedation across the board between general dentists and oral surgeons. I also would NEVER recommend a patient come back for 1 extraction per week. That’s absolutely insane and torture to a patient! Obviously, I don’t know the whole story, and I don’t want to speculate or talk ill of someone I don’t know; but it sounds like you made the right choice getting a second opinion. It also kind of sounds like he slipped through the cracks of his training. If you want to hear a crazy story about how someone can sneak through the medical system and have little to no understanding of what they are doing, I recommend you listen to the podcast DR. DEATH. It’s UNREAL!! And hearing your story made me instantly think about that podcast. It’s sad, but true…..I have a great deal of respect for doctors who can recognize their own skills, talents, or lack of ability within their own specialty. Personality flaws are probably the BIGGEST contributor to situations like the DR. DEATH story. That guy had no clue... he still doesn't! The goal is to DO NO HARM. (My Reader’s Digest version turned into a short novel….)
I’m anxious about dentistry . I always have sedation . Usually I’m fully asleep . They don’t do conscious sedation because i struggle .
You might be surprised by the actual answer to that statement. If you aren't intubated, then you're probably in moderate (conscious) to deep sedation.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
I’ve bailed on appointments cause I’m afraid since they want to sedate me to take out my last 11 teeth on the top row being afraid I won’t come back from it
Are you afraid you won't "come back" (live through the sedation)? As in, you are afraid you will die from sedation?
I need alot of work done..getting sedation what i need
@Chevis Splawn Good for you! Better to get the work done sooner rather than later, when some of the teeth can get infected. Hope everything goes well for you.
It's definitely the most comfortable option!
Same here....Which city you getting it done?
I am going for oral surgery at Dalhousie School Of Dentistry to have a extraction done can they sedate me during the procedure I want to be put deeply asleep can they do that I don't want to be awake during the procedure and I have anxiety and I can't stand pain.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
Do you have any bit of the nitrous for this one I've had it
Nitrous is great to use on patients while we start the IV. It helps get people relaxed before the 'stick', but it's not necessary for most patients.
If you have wisdom teeth out and you have the gauze In ur mouth can you gag when the procedure is done
That honestly depends on how relaxed you feel afterwards. The gauze is only used to stop the bleeding. If it's in your mouth but you're not biting on it, it won't stop the bleeding. You have to be biting on it. Sooo.... if you're not bleeding, you don't really need it in your mouth anymore. Also, gagging is not a 'true' reflex, it's a mental reflex. A true physiological gag reflex only occurs further down the throat as a protective measure for the airway. Gagging because of gauze in your mouth is the result of your brain. How do you know this? Because otherwise you would gag every time you put food in your mouth. Soooooo...... you can actually practice and perform mental and physical exercises to overcome this issue. That was a really long answer to your question, but yes, you can gag with the gauze in your mouth afterwards, but if the relaxation drugs are still working, you will have a decreased desire to gag.
What do u feel as soon as they start the med in the iv ...my fear is feeling weird or out of it or high or dizzy or slipping out of consciousness all that is so scary to me
It's sooo relaxing. No weird feelings at all.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
For those of us who suffer from severe vasovagal syncope, allergies to epinephrine, and severe dental and needle phobia, I'd like to know what the protocol is for sedating someone who's already in syncope, or who goes in to syncope while sedated. My nightmare scenario is having my blood pressure fall through the floor, becoming dizzy, getting pins and needles, the cold sweats, and going 90% of the way to passing out before then being sedated or during sedation, and being aware in that moment of the absolute nightmarish shit hole than I'm in. I don't care if I don't remember any of it afterwards, I don't want to be aware of it at all.
Reply
What about doing this to a patient with heart failure and a low ejection fracture?
We usually get a clearance from the primary care physician or cardiologist prior to completing these surgeries. But most patients who can be classified as an ASA III or less should be able to tolerate the sedation with the dental procedure.
I am due next month I am scared of being put to sleep due to watching stuff on tv. I am such a negative thinker but I hope I make it through ! I know I will I’m still scared though
I would like to give you emotional support in your sedation appointment next month. The television stories can seem overwhelming sometimes. Rest assure, 99.9% of sedation cases go very smoothly for people in dentistry. It would take a lot of big factors to go wrong before anything irreversible could happen. I wish you peace of mind that your surgeon and surgical team have your best interest in mind as they prepare for your procedure.
What about people with sleep apnea?
I’m afraid to be sedated. I hate being drunk or high. I’m afraid once the sedation starts I will freak out. Will this happen? Please help
I too do not drink or participate in recreational drugs or mind altering experiences. I enjoy being in control of my capacities. I have had several surgeries and other moderate sedation procedures and have not experienced a 'freak-out'. But that's what the medications are designed to do. They relieve anxiety, thus reducing the likelihood of a patient experiencing a panic attack. It's miraculous!
I have severe Sleep Apnoea...how will this affect me?
It usually means that your dentist will need to keep your head and tongue in a position that will allow for air flow. Lot's a chin lifts and head tilts. Most of my sleep apnea patients will sedate easily because of the sleep deprivation.
I have not had a dentist sedutate but with having asthma what is safer and best for me I've a disability tio5
Sasha, I have treated many patients with sedation who have a history of asthma or active asthma. It is very important to always have your inhaler with you at all dental appointments and inform your dentist about your asthmatic triggers. Benadryl is a commonly used drug during sedation appointments to help prevent possible asthmatic causing triggers such as histamine release.
I had some cavities filled and the sedation caused involuntary movements, mostly jerky movements in one of my legs and my shoulders. has the sedation wore off the involuntary moments went away. the dentist said they had no clue what caused it but I'd probably be fine. I have been having some MS like symptoms for a while and am going to see a neurologist soon but I'm scared especially since my symptoms have worsened when I go back to get the cavitys filled the movements will come back again.
Do u give sedation before the shots in the shots in gums
Yes, typically the sedatives are delivered first to relieve anxiety. The local anesthetic is delivered after the patient is comfortable and free of anxiety.
Should I feel any pain after the iv goes in also what should I do because I am terrified of the iv and needles?
Some offices offer nitrous oxide (laughing gas) that can help relieve anxiety before getting the IV. Some doctors prescribe an anxiety relief pill to take before you come in. Both options are good to discuss with your doctor before hand.
Gina L. Salatino DMD, FAGD thank you 😊
Laughing gas didnt work for me do you think iv sedation is the best way
Need to go to the o r to have bone scraped from my jaw,never been under and dream of waking up swallowing that tube
Good luck with your surgery. It's always scary to be the patient. Hopefully the procedure goes smoothly and your recovery is fast!
Informative video about Sedation Dentistry by an Expert. Check out! 🙌
th-cam.com/video/FpW1E1BlagI/w-d-xo.html
Sorry this is long but I haven't been to the dentist in a few years because once I became an adult do to my terminal illness my health has really started going down the drain. I am going to be scheduling an appointment once this craziness from covid 19 settle down to the point where I can go.. We finally got my health and immune system somewhat stable but not going back up. Two previous bad experiences I had at previous dentists are the following. 1 A this first dentist that I went to had gloves but no mask on while examining me and since I can't see too well and due to the bright light it took me a while to notice and with my health if you're working on me you better be wearing a mask because of my very weak immune system I can get infections that other people couldn't and I can get ill really easily. Next day I woke up with a fever and had to be on my breathing machine a little bit more throughout the day than usual.
The second experience was when we started noticing my health starting to decline a bit more and every now and again I would need my nurse to accompany me throughout the day not 24/7 . And when I went to the dentist a different dental office they wouldn't let my nurse accompany me throughout the whole procedure and I was not okay with that so we left. .
Now due to where my health is at I do require my 24/7 nurse to be with me at all time because my health problems can flare up at any given time. And it's especially best that she's with me when I am receiving IV therapy I get IV therapy every day. I'm on a 24/7 feeding pump so she manages that along with my IV machine by making the feeding go in faster and slower as needed I'm on a continuous oxygen monitor so that way if my oxygen does drop she can help Me by getting my oxygen concentrator on me and going . and I am a fall risk so when I walk she is my support. But anyways this probably depends on the particular dental office and the provider but will the hygienist and the dentist allow my nurse to be right by me the entire time during my dental appointment and if I do have to have a procedure done that requires some form of sedation? Because if I need some help she has to be there to help me out. She even needs to help me get up and lay down on the chair because I lost a lot of strength. And if the oxygen monitor slows down on the beeping she has to be able to be right by me to get my oxygen concentrator on me and started. I'm a bit nervous to go because one haven't been in a couple years two it's the first time that I will be going with all these changes such as all the equipment and me needing my nurse / caregiver by me at all times I know that whenever I do have to go under sedation I wouldn't be on my feeding but when it comes to just regular exams and cleanings I would be on my continuous feeding. And another thing since my nurse has to stick me with an IV every time she gives some of my Iv treatments she knows how my veins work the best and the best ways to start one on me. I also have what's called a mediport and that always has an IV in it to give me continuous IV medications. The peripheral IV is just for medications given certain times throughout the day.
Again it probably depends on the specific office and provider but since starting an IV on me can be tricky I would much rather have my nurse do it since she knows how to start one on me the best. Whenever I go into the hospital for two weeks worth of treatment the nurses always gives me the option of having them start an IV or my 24/7 nurse and most of the time my full-time nurse knows how to start an IV the best for me specifically I mainly only let her do it.. Due to the surgeries that I had where I required a ventilator and due to the liquid iron I was taking at the time I do know that when I do go I'm going to need a bit of dental work done
It’s okay . My dentists always wear full PPE around me during procedures . I usually have IV sedation . I also have to go through a COVID test a week prior and self isolate after . I’m in Ontario Canada and it’s pretty easy right now to self isolate .. we are in lockdown.
I'm soon going to be scheduled for dental surgery, bone graft then a full Zirconia implant top arch. Now, I have no fear at all of dentists, none. I don't fear Novocaine at all, but yesterday they mentioned IV Sedation and I almost had a panic attack. I can't even watch a stranger get a needle in the arm, let alone me. I rather not have any teeth in my mouth then have IV sedation, and I don't know what I'm going to do if they don't give me an alternative. I have never taken any meds my entire life, none. Only meds I've ever swallowed is a low dose aspirin, that's it. My fear is what if I have an allergy to the meds in that needle? They ask you on the form if you're allergic to meds and then they list 20 meds. Well, never having meds, how would I know? I left it blank because I don't know the answer to that question. I'm just one of those people that don't believe in pills, any pills because of all the side effects. What good is a mouth full of beautiful teeth if my liver or kidneys fail? That's how I look at it. Forget giving me Tylenol, I wouldn't swallow one of those pills, period. My husband was a disabled vet and died from Agent Orange and he was on kidney dialysis, and the doctor at the hospital called me at 10pm one night and told me to stop my husbands Avandia pills, don't let him take anymore of them. Come to find out, they took them off the market, they were causing heart failure. I've gone through 76 healthy years , not as much as a cold, nothing, so now I have this major problem happening and I don't know what to do.
I can understand your hesitation and anxiety. For the most part, you would not have any allergies to new drugs that are introduced into your system. You have to have had repeated exposure to the medications for your immune system to start an allergic reaction. That being said, if you have never been sedated, the likelihood of you having complications with allergies to the IV medications would be extremely low to unlikely.
Should I get iV sedation or nitrous oxide to get 2 wisdom teeth in my sinus cavity removed? I just turned 25 and was wondering
It's a personal choice. Nitrous oxide will relax you, but you'll remember everything. IV sedation also relaxes you, but it also creates amnesia. If you are tough and don't mind the sounds, smells, pressure, and other surgical events, you may be fine. Personally, I'm a wimp... so I always prefer to be sedated when I'm the patient....
Gina L. Salatino DMD, I'm trying to decide. I've had nitrous before and it just made me feel tired, tingly and made time seem faster.
@@AmberDennis001 The best advice I can tell you is that it needs to be a personal choice. Sedation is not required to do surgery on wisdom teeth, but it helps make the experience more enjoyable and the recovery better. Many patients do great with just the nitrous. You need to decide how "tough" you are. I am really wimpy when I have procedures done. I don't think I would be tough enough to have my wisdom teeth removed without sedation. But if you are a tough person who can withstand the dental work with just nitrous, then go ahead and do that. Obviously, hindsight is 20-20, so it's hard to say what would be better for you personally. I wish you luck with the decision, and hope everything turns out great for you!
I had a terrible reaction to nitrous oxide myself, and i hate the stuff. For me, it intensifies pain and discomfort!
i’ve had bad experiences with needles, with the gas make it to the point where i won’t experience the anxiety of the needle for the iv?
I had teeth pulled yesterday, under general anesthesia, and when you get the laughing gas, it makes you feel so high, that you don’t even feel the needle at all. Also, make sure to ask them to put the iv in the forearm, because I’ve read online, and been told by a nurse that it hurst the least there, and hurts the most on top of the hand. I got it in the forearm, and I didn’t feel a thing. If you go to a good dental surgeon, then the iv shouldn’t hurt at all.
100 Subscribers With Two Videos omg thank you soo much😅
lyzza baby, no problem. 🙏🏾
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
Can someone get sadated if they’re on Methadone medication
In theory yes. I would suggest meeting with your pain management sponsor tti discuss the options and potential medications that could be used. Narcotics are not required for all sedation procedures.
If you get the deep sedation . Can the shot be avoid if the patient chooses so???
If you are under general anesthesia you could opt out of having the local anesthetic. I would not suggest that however because the local anesthetic helps to manage the swelling and pain during and after the procedure.
i got my wisdom teeth out its not bad it still hurts
What if a person doesnt want to be conscious at all due to having an anxiety disorder?
That's a great question. The sedation medications are specifically designed to treat anxiety AND sedation AND amnesia. That being said, although you are "conscious" most people think that they were actually asleep during the entire procedure because the drugs make you really relaxed, some people even sleep, and at the end of the procedure it produces memory loss of the events. It's honestly a really safe and effective way to treat patients with severe anxiety disorders.
@@ginal.salatinodmdfagd6640iv sedation twilight is safe for sleep apnea and heart arrimnia?? Do u really sleep ... it's safe ?
I tried IV sedation method and it was still painful. She must’ve gave me a stronger dose because it started hurting less but I felt everything. I’m afraid of the dentist! Any sedation to where I don’t hear or smell anything? I hate the noise from drilling also.
It sounds like your administering dentist did not titrate the medications to the right affect for you. Every patient is different and the responses vary widely between patients and doses. Moderate sedation does not remove your ability to 'feel' things, but you can achieve a level of moderate sedation that causes extremely relaxation, pain relief, and amnesia from the procedure. Unfortunately some anesthesia providers are only comfortable administering specific doses of the medications in which case you may have required more than what your dentist was comfortable administering.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
I get iv sedation on July 20th I'm so scared 😨😨
Seems like the pain doesn't go away, sedation makes you more willing to endure it, with the added benefit of not remembering it so you're less anxious of future treatment. Is that about right? I mean I can already deal with the pain (I just wish there wasn't any) so maybe sedation isn't worth it for some people?
Sedation is not required or necessary for any dental treatment. It's simply an adjunctive service to help get people through procedures that are uncomfortable or stressful. I have patients who get sedated for cleanings. Is it necessary? No. But that's what they need to get them through the procedure.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
It sounds kind of silly but my one friend did iv sedation for dentist work and actually had an accident in the chair. Is this common? I'm just worried that I may have to wear a diaper or something.
You could always wear a menstrual pad if you’re that worried. I didn’t have anything happen to me though so don’t worry too much about that
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
How long does it take for someone to wake up during sedation?
There is not an exact time that can be given. The time for someone to return back to their baseline can depend on the depth of sedation, their response to the medications, and the types of medications used. The most common medication used for Moderate sedation is midazolam (Versed). It has a half-life of approximately 2-6 hours (depending on the route of administration), but it's duration of action (amnesia)is approximately 20-40 minutes when given IV.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
Hi
How much is the charge for general sedition
We usually bill out in 15-min increments. The typical fee is about $125-$200 per 15 mins.
Can time feel quicker when your under sedation?
Time will feel quicker because you get amnesia (memory loss). It happens to everyone.
@@ginal.salatinodmdfagd6640 Thanks, I ask that because I have to get an extraction on my lower teeth to make room for braces
Is the sedation medication also a pain killer?
No the injection in your jaws is what takes the pain away but it's not that bad. After you wake up you can take pain medicine.
My worst fear is throwing up with the sedation make me do that?
If you let the doctor know that you get nauseous with sedation, they should be able to give you less narcotics which are the cause of nausea.
i got iv sedition
I need advice I took my 4 year old son to a Paediatric dentist told us he potentially have 6 cavities we are completely shocked and feeling terrible about this . We brush his teeth 2x a day it breaks my heart thinking he has to go under general anesthesia . Just need help I’m not going to put my son under no general anesthesia it has way to many risks. How can I help my son with his cavities I need advice and help . Please which sedation is better for my son thanks
Doing sedation on kids is always a scary thing to consider. I would recommend asking more questions to the pediatric dental office about how they plan to perform the sedation. Are they using oral medications? Nitrous? IV? Are they keeping the child in a state of consciousness or are they planning on actually taking the child into general anesthesia? Are they using a separate anesthesiologist for the sedation if they are planning on using GA? I'm much more comfortable with a pediatric office using an anesthesiologist, dental anesthesiologist, or a nurse anesthetist for pediatric sedation for GA cases. I'm never ok with kids going into GA when they don't have separate operators doing the separate procedures (dentistry and general anesthesia). That's just my professional opinion.
Are there a needle free sedations for tooth filling? If so, how long they last?
There are a few needle-free options for sedation but they also come with varying sedative effects.
#1 - Nitrous oxide (commonly known as laughing gas) is administered through nasal inhalation. It starts working very fast and stops immediately after turning off and breathing room air. Nitrous oxide does not usually provide anesthesia (memory loss), but can provide a level of anxiety relief and comfort depending on the patient and the patient's response.
#2- Oral Medications (Pills such as Valium) Oral medications can be very unpredictable and difficult to control as the doctor. Every person has a different tolerance level and a different response to the medications because the pills only come in specific doses and everyone has a completely different response. Some people will have amnesia with the pills, some people will only feel relaxed, some people may feel nothing. This is why I personally dislike sedative medications administered orally. I have little to no control and I never know how the person will respond to the medication. It also lasts for a very long time and can take a very long time to start working. This is another reason why I dislike oral medications.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
Can a patient drive after IV sedation?
No. The drugs are still in the system for a few hours afterwards and it's not safe to drive. You could get a DUI or cause an accident from being impaired.
Removing 4 wisdom teeth in 4 days I’m so scared cause anesthesia i feel I will dye lol
How did it go?
@@ragerouge2825 i survive and you will no feel anything cause of the anesthesia but definitely painful the third day until sixteen day for me 😊
I was offered to get IV sedation for hygene and recession, not sure the name, surgery. I said no. I don't see the purpose to get extra chemicals in your body. Just local anesthesia and that's it
I've had two diff dentist get sexual.on me when I was on the drugs they gave. I'm still upset still. I'm a guy and they were guys that Did these things. I remember things when I was supposed to not remember.... I've hated the dentist ever since. I just subscribed
I am so sorry to hear that. I will never understand how some people cannot differentiate between right and wrong. Regardless of whether you are a male, female, child, or adult this behavior is never acceptable with a sedated patient. I have treated many other patients who have had similar situations. I hope that more people speak up when an inappropriate act is committed and these offenders are brought to justice.
The most expensive thing on the planet is trust. It can take years to buy and simply a question of seconds to lose.
. At the point when you fully trust someone, either you get an individual for life or an exercise forever. There’s no in the middle.
Trust lies at the center of love; there can be no true love without trust. I feel so happy that the trust on one another continues developing.
One of the greatest and toughest intensity of trust is that it is extremely difficult to build, however exceptionally simpler to obliterate. It resembles circulatory strain. It’s silent, vital to great wellbeing, yet whenever abused it is deadly.
I’m scared of the dentist 🦷 I don’t like shot
I agree, the shots are probably the worst. I've had several over my years of dental experiences. Maybe one day we'll come up with a better alternative!
@@ginal.salatinodmdfagd6640 is the dental numbing inj. Really painful thats mostly everyone fear
cece718, if you get an iv, to sleep, then you won’t feel the numbing injections.
@@nelsoncr2817 The guy in the video was wincing when the needle went in. I thought he was sedated. You can see the shot is still hurting him. What's the point of sedation when you can still feel the worst part? It seems like a waste of money.
Iv hurts I’m scared of dentist
Colombia syon it doesn’t trust me, just get numbing creame
@bil’s avacardo You’re right, IV’s don’t have to hurt. Besides the numbing cream, the skill of the nurse or doctor can make a difference too.
@Colombia syon The next time you need to get an IV, ask the nurse/doctor/dentist if they can put a numbing cream on your skin before they put the IV needle in.
I actually have a phobia of needles, thanks to idiot doctors. I get all my work done without local anesthesia and just a little nitrous oxide. Most work is okay. A root canal really hurt when they pulled the pulp out but it was okay afterwords. I can't have my impacted wisdom tooth out so that's going to stay in. But the other work I can have done. No way would I let someone give me an IV.
I treat lots of patients with needle phobias. Nitrous is a great adjunct to give to people like you to help get the IV started. Once the needle gets through the skin and into the vein, it comes out and only the plastic tubing stays in. I used to hate needles too. Then I had to be a pin cushion for other dentists when I was training them. And nitrous really helped cut that edge off from the anxiety.
I hope you can help me because I have phobia in teeth.. and I really need your help because all my teeth are decaying.. and I'm afraid to go to dentist 😨😨
Dental phobia is a very real thing and prevents a lot of people from receiving the care they need. I'm always glad to help people through their treatment whether it's with or without sedation.
The way the patient was wincing and grabbing the arms of the chair, this video didn't help. People are trying to alleviate pain. That patient is showing his pain.
Thanks for your input! It sounds like the video did it's job showing that people don't like going to the dentist and this is an option to help alleviate patient's pain and anxiety. Best of luck to you.
I guess my reply was deleted, not by me. The patient in the video is wincing and grabbing the arms if the chair as the needle goes in. I thought this video was supposed to show how relaxed the patient can be. I guess not. The patient on this video is feeling the pain.
Regular dentist don’t sedate
Unfortunately there are very few general dentists who do what I do. There's a lot of fear, responsibility, and education that turns a lot of GPs away from doing it.
Yeah fuck that pills. gas .IVs . Can't even think of going after that 😱
A dentist beat me as a kid put me in a booster seat , pulled my two teeth out with out any pain medicine, all because I was crying because he showed me the tools he was going to use on me. And I’m terrified of needles is their any ways not to be up when they give me an I.V…?????
Apparently IV sedation is the most expensive of available sedations. I just had a consultation to remove all my bottom teeth. It will be another $2,000 for IV.
Seems really high.