Are you *really* scared of going to the dentist?
Like sweaty-palms-pounding-heart-anxiety-through-the-roof scared?
You’re not alone.
Many of the patients we see at Gregory Hills dental clinic and Moss Vale dental clinic experience severe anxiety during dentist appointments. Some even have a complete dental phobia. An extreme fear of the dentist can make even the most routine check-ups feel like a nightmare — let alone a major procedure like dental implants or All on 4.
But what if there was a way you could restore your smile… without really ‘being there’?
Sounds like a dream, right?
With sleep dentistry, it is!
Sleep dentistry (also known as sedation dentistry) allows even the most anxious patients to get the care they need while peacefully under sedation.
Now, we know going under any kind of sedation can seem daunting — especially if you’ve never experienced it before. You’ll likely have a few questions about how sedation works, how much sleep dentistry costs and what to expect. To help put your mind at ease, we’ve put together this article on everything you need to know about sleep dentistry.
What is sleep dentistry?
Sleep dentistry refers to any dental procedure that is carried out while the patient is under sedation. It involves the use of sedatives and/or anaesthesia to help reduce the pain, anxiety and fear associated with dental treatments. Sedation works by slowing down your central nervous system, leading you to feel relaxed and drowsy. Some types of sedation also reduce your awareness of and reaction to external stimuli, such as the sound and feeling of dental tools.
What type of sedation is used for dental implants or All-on-4 treatment?
Most patients opt to have their dental implant surgery under IV sedation (also known as twilight sedation). Twilight sedation is administered via an intravenous (IV) drip into your hand or arm. It involves a controlled dose of sedative, anaesthetic and pain relief medications. Once IV sedation takes effect, you’ll feel extremely relaxed and sleepy — some patients may even fall asleep. Under twilight sedation, you’ll still technically be ‘awake’ and somewhat aware of your surroundings, but you won’t be as reactive to what is going on around you. You’ll also be given a local anaesthetic to numb the mouth so you won’t feel any discomfort or pain during the procedure. Due to its amnesic effect, you’ll feel like barely any time has passed when the twilight sedation wears off and most patients have no recollection of the procedure afterwards.
Common questions about IV sedation:
1- What dental procedures is IV sedation best for?
Sedation is ideal for longer and more complex procedures like dental implants and All on 4. It’s also useful for patients who are dental phobic and find it difficult to undergo dental procedures without some help. It can also be useful when fine or fiddly dental work needs to be done, requiring patients to keep completely still
2- When is the IV drip administered during the appointment? How long does it take to ‘kick in’?
The drip is put in as soon as you are seated in the chair, or sometimes while we are waiting for the chair to be free. It can take 1-2 minutes before you feel the full effect, but rest assured that no dentistry will begin until you are well and truly comfortable.
3- Does the IV drip stay in my arm the whole time? Does it hurt to administer it?
The drip (or more precisely, the cannula) stays in your arm for the entire time you are being sedated. The cannula is tiny, but can sting a little as it goes in. There may also be a slight stinging sensation in your vein as the infusions start but this only lasts a few moments.
4 - Is it possible to be under twilight sedation and still feel pain?
It is very unlikely. Some patients are more or less sensitive to the medications used, or resistant to local anaesthetic effects. However, the doctor administering your sedation is watching you throughout every moment of the procedure, and will increase pain relief at any sign (through monitoring vital signs and body language) of discomfort or agitation.
5- How long does the anaesthetic take to wear off?
Most people are awake and making sense within 15 minutes of their anaesthetic drip being ceased. The agents we use are very short acting and our patients are back to normal by the time they get up out of the chair.
There are ever decreasing amounts of anaesthetic medication in your bloodstream for some time after the infusion finishes. However, the ‘mind altering’ medicine element of the procedure will see you legally unable to drive, sign legal documents or use heavy machinery for 24 hours.
6 - What are the side effects of IV sedation?
The most common side effects are nausea and a lingering feeling of drowsiness and fatigue. Occasionally, patients will wake with a mild headache.
7 - What if I can’t ‘wake up’?
Everyone is ‘awake’ after 15-20 minutes after the infusion ceases. We have never had a patient who couldn’t wake up. If a patient has had poor sleep before their procedure, after they have woken up, they may choose to have a snooze in the chair for some time after the procedure. We do try to facilitate this if possible. We may have to gently wake you from your sleep, however, if the next case is due to start.
8. How is twilight IV sedation different to general anaesthesia?
With twilight sedation, patients are put into a sleep-like state but remain conscious and responsive during their procedure. Under general anaesthesia (GA), patients are completely unconscious for their entire treatment and it can take a few hours for the patient to become fully responsive again afterwards. Twilight sedation is considered to be safer than GA, with fewer side effects and a faster recovery time. It also costs less and can be administered outside of a hospital.
