Sedation and Anesthesia

Sedation and Anesthesia: Sedation techniques are used in our office to make dental treatment more comfortable and accomplish more extensive or longer procedures.

Inhalation sedation: Nitrous oxide is an anti-anxiety agent mixed with oxygen and inhaled through a small mask covering your nose- used to help children and adults relax. Its effects wear off shortly after the mask is removed – and most adults can come and leave the office without an escort.

Conscious sedation: Oral and parenteral medications (given by intramuscular / intravenous injection) or intranasal medication – you are awake and responsive but calm. You may feel drowsy and relaxed. It may be used with our without nitrous oxide inhalation sedation.

Moderate to deep sedation: Usually reserved for longer or more complex dental treatments like surgical tooth extractions or full mouth restorations. You are deeply asleep and unaware of the passage of time.

Conscious and deep sedation techniques require the dentist to use “monitoring” techniques to continuously asses the patient’s condition, including ECG (electrocardiogram), NIBP (non-invasive blood pressure), and pulse oximetry (for heart rate and oxygen saturation of the blood). Our office also uses an amplified precordial stethoscope for continuous monitoring of breathing. Certification to use parenteral sedation or general anesthesia in dental practice is required by New York State.

Prior to placement of an IV, we use nitrous oxide sedation and/or numbing cream so that placement is not felt. THe skin is disinfected with CHLORA-PREP. Our InFusor machine is used to precisely titrate sedative drugs (including propofol and Midazolam) to desired effect by patient weight.

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