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Ask The Dentist: A Sedation Dentistry Q&A Blog

Will it last long enough?

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Is it possible to just have conscious sedation when having 8 teeth pulled very loose, and then 4 implants inserted (2 at an angle), or have IV sedation?  Will it last long enough to have the above done?


Dr. Rechter: Yes, you can have the extractions and immediate placed implants under either conscious sedation or IV sedation.  Both methods can be planned to last the appropriate amount of time.

What if I wake up?

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I have had so many bad dental experiences that I am terrified of the dentist. Now I have 5 root canals to be done and 2 cavities and he has suggested sedation and assures me I will feel no pain. Is this too good to be true and I am a easy gagger, what if I gag and wake up????I keep asking for dentures but they won't listen to me either.


Dr. Rechter: Sedation is a terrific tool for the highly anxious dental patient.  Oral sedation will allow you to be very relaxed.  In addition local anesthesia will be administered to get you numb and comfortable.  Most likely after the procedure you won't remember too much of the experience even though you will be awake and alert.  For those who dont want to know anything then IV sedation may be the preferred route.  Either way you can have a considerable amount of dentistry completed in fewer sessions.

No insurance and scared

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Okay, right now I have no money and no dental insurance and am 100% terrified at the thought of setting foot within a mile of a dentist office and I have 30+ cavities that need filling. I also need my wisdom teeth out and need to have two or more root canals as well as a lot of tooth decay. So my question is... what would be the best plan of action to take? Or what are some payment methods that don't involve running me into the ground credit wise? I just got a job.. but it doesn't have insurance.

I have a lot of pain from my wisdom teeth and a lot of sensitivity in some of my back teeth. Its not that I haven't taken care of my teeth over the years, I have really weak enamel and when I was a kid my parents couldn't afford to take me and even now, as a young adult, I can't even afford to go (not that I would willingly go to any dentist where I would be conscious). What should I do?


Dr. Rechter: You need to address pain and potential infection issues first.  Even though there may be considerable amounts of dentistry to be done these will always be your priorities.  You may want to check out any of the Dental School or Dental Residency programs if finances are an issue.  After you locate the facility that will work within your means then a  comprehensive evaluation and radiographs are indicated.  A diagnosis needs to be made first and then a treatment plan for proper triage and sequencing.  Anesthesia and sedation issues can be adressed at that time.

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