300 Hickman Road, Suite 201
Charlottesville, VA 22911
2700 Hydraulic Road
Charlottesville, VA 22901
Dr. Joseph N. Tregaskes, DMD
2008 Bremo Road
Richmond, VA, 23226
Trey Weis ,D.D.S. DMD P.C
5915 High Street West
Portsmouth , VA, 23703
7450 Richmond Road
Herndon, VA, 20171
Trudeau, Michael D.D.S.
756 Mcguire Pl
Newport News, VA, 23601-1630
We'd like to offer one comforting and wonderful fact about today's dentistry: it's much less stressful than it used to be.
Technology, new procedures, and some very sophisticated approaches to dental anesthesia have all contributed to comfortable dentistry, from cleaning to cavity preparations to root canals.
But what if you didn't grow up with modern dentistry, and remember it differently?
If you have had difficult dental experiences, you may be among the 150 million Americans who white-knuckle their way through treatment, or avoid the dentist altogether. The fact is, about 80% of the fearful can overcome dental phobia, with a little help from conscious sedation.
Many dentists understand dental fear and where it comes from. And many are becoming trained in forming good working relationships with fearful patients. Your dentist should encourage you to voice your anxiety and discuss your problems with him or her, before he or she touches a tooth in your mouth.
They should listen to your needs, and agree on small things that help you maintain a sense of control - a hand signal works with some patients. But talking about fear with your dentist - being assertive and letting him or her know what bothers you - is the first step.
If you're moderately anxious, the dental team can provide distracting diversions to put those concerns to rest. If you're extremely anxious, they can virtually put anxiety to rest via oral sedation. This approach involves taking a mild sedative before you arrive for your appointment. You remain awake, but extremely relaxed - so relaxed that many patients have all their needed dental work completed in a single office visit. If dental anxiety has kept you from making an appointment you know is needed - a sedation dentist can help!
Patient comfort and care is a top priority for a sedation dentist. They recognize that dental anxiety or discomfort can be associated with some dentistry procedures. Fortunately, a variety of dental procedures using dental anesthetics are available to relieve both anxiety and discomfort. Talk with your dentist to find out which is right for you.
This is the most frequently used type of dental anesthetic for sedation dentistry procedures. Although often referred to as "Novocain," this once popular painkilling drug has actually been replaced by more effective anesthetics such as Lidocaine for a comfortable dental care treatment. It also works very well for temporary relief of a tooth ache.
However, the name has become so much a part of the American vocabulary, it's now used in generic terms. Prior to injecting the local anesthetic, the dentist often swabs a topical anesthetic over the injection site to prevent the patient from even feeling the needle.
Patients seeking comfortable dentistry can consult with their dentists to choose anti-anxiety agents either administered by mouth, inhalation or injection. Nitrous oxide, often referred to as laughing gas, helps to ease patient anxiety. The gas is inhaled by patients, inducing relaxation, so they can approach dental procedures with less stress.
This may be required for complex procedures or for dental patients with special needs. With the administration of general anesthesia, the patient is unconscious; with deep sedation dentistry or sleep dentistry, dental patients are deeply relaxed and not fully aware of their surroundings during their dental treatment.
Prior to treatment, your dentist will need to know a few things regarding your health history such as:
Some medicines may interfere with the efficiency of an anesthetic requiring an adjustment in your medication schedule. Your health history is very important information for the dentist. During the consultation, you can ask questions about any dental procedures that may be of concern during your dental procedure.
The drugs used as dental anesthetics are approved by the Food and Drug Administration and are safe. Anesthetic providers are professionals with a commitment to patient safety and comfort.
A dental anesthetic can be administered by a general dentist, a dental anesthesiologist or an M.D. Certification is required and is regulated on a state-by-state basis. Discuss sedation with your dentist at your next visit.
By Brian J. Gray, DDS, MAGD, FICO