Patient Q&A

Having Anesthesia/Sedation for Dental Procedures
It is common for many patients to feel nervous or anxious about their dental procedures. Your dentist has advanced training in ways to help with your anxiety which may include other medications to make you feel more comfortable. By having a more relaxed patient your dentist may be able to complete more of your dentistry in one appointment. In other cases, a more relaxed patient may be safer for them as well as being more relaxed.
This brochure will address the most commonly asked questions regarding anesthesia. The decisions of which type of sedation/anesthesia will be determined by you in consultation with your doctor.

What is Sedation and Anesthesia?
During Dental and oral surgical procedures local anesthesia (Novocain) is administered to block sensations. However, the anxiety that some people have can be controlled by administering sedative drugs, such as Valium type medications. A sedated patient may remember the procedures, but will be more relaxed. Additional medications such as agents similar to pentothal are sometimes used to cause anesthesia, which places the patient more deeply asleep.

How is the Medication Administered?
The sedative and anesthetic medications are typically given intravenously (IV). SInce the effects are so rapid by this means of administration, your doctor can precisely give the correct amounts of the medications to make you relaxed and comfortable. Also, if more medications are needed during the procedure, the IV allows easy administration of additional medications.

How am I Monitored During the Procedure?
Depending on the depth of the sedation and anesthetic being used, as well as your own medical condition, various monitors are used. These vary from automatic blood pressure cuffs, to the use of pulse oximeters which through a light sensor measure the oxygen concentration in your blood. Sometimes an EKG may be used as well.
The doctor along with at least one trained member of the staff will always be with you and closely observing you throughout your treatment.

Is Anesthesia Safe?
The use of sedation and anesthesia in dentistry has a commendable record of safety. This is due to the advanced training your doctor has and his/her commitment to your overall health. It is important to advise your doctor of all medications that you take as well as any changes in your health since your last visit.
In most states a special permit is required to administer intravenous medications. In order to qualify your doctor had to provide evidence of advanced training in anesthesia and often a site visit is required. The ability to handle emergency situations as well as having specific emergency medications and equipment is also mandatory.

What is the ADSA?
The American Dental Society of Anesthesiology is a group of dentists who are committed to the task of making dental care more pleasant through a variety of advanced pain and anxiety control techniques. Membership in this organization is evidence of his/her concern for your comfort and health.