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  • Dental Implants
    • Dental Implants
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    • Dentures vs. Dental Implants
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      • Guide to Eating After Dental Implants
      • Questions to Ask About Dental Implants
      • How Dental Implants Work: The Benefits
  • Procedures
    • Cleanings & Prevention
      • Overview
      • Dental Exams & Cleanings
      • Digital X-Rays
      • Fluoride Treatment
      • Home Dental Care
      • How to Properly Brush & Floss
      • i-CAT® 3D Imaging
      • Oral Hygiene Aids
      • Panoramic X-Rays
    • Periodontal Disease
      • Periodontal Disease Overview
      • Periodontal Disease
      • Mouth – Body Connection
      • Periodontal Disease and Diabetes
      • Periodontal Disease, Heart Disease, and Stroke
      • Periodontal Disease and Pregnancy
      • Periodontal Disease and Osteoporosis
      • Periodontal Disease and Respiratory Disease
    • Periodontics
      • Periodontist
      • Bone Grafting
      • Crown Lengthening
      • Gum & Jawbone Corrective Treatments
      • Gum Grafting
      • Gum Recession
      • Oral Pathology
      • Platelet Rich Plasma (PRP)
      • Impacted Canines
      • Simple Tooth Extractions
      • Antibiotic Treatment
      • Bruxism
      • Oral Cancer Exam
      • Periodontal Scaling & Root Planing
      • Pocket Irrigation
      • Pocket Reduction Surgery
      • Prophylaxis (Teeth Cleaning)
      • Regenerative Procedures
      • Ridge Modification
      • Root Amputation
      • Sinus Augmentation
      • Soft Tissue Grafting
    • Gum Disease Treatment
    • Dental Anxiety and Fear
    • Sedation Dentistry
    • All Procedures
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Sedation Dentistry in Charlotte

You are here: Home / Procedures / Sedation Dentistry

About Sedation Dentistry

A significant number of Americans do not visit the dentist for regular checkups because they are too fearful or suffer from dental anxiety. Sedation dentistry offers an excellent way to provide a safe, anxiety-free, dental experience to those who are afraid of the dentist. Oral conscious sedation and IV sedation work to calm anxiety throughout the dental visit.

Here are some advantages associated with sedation dentistry:

  • Anxiety is alleviated.
  • Few side effects.
  • More can be accomplished during each visit.
  • No pain.
  • Safe.
  • Procedures seem to take less time.

What kinds of sedatives are available?

The most effective types of dental sedatives are oral conscious sedation, and IV sedation. Different levels of sedation (mild, moderate and deep) can be utilized depending on individual needs. Before administering any sedative, the dentist must analyze the full medical history of the patient, taking note of any current medications.

Here is an overview of some of the most common types of dental sedatives:

  1. Nitrous Oxide – Nitrous oxide, or “laughing gas,” is used as a mild sedative. It is delivered through a nose hood, and is administered throughout the entire procedure. Nitrous oxide elevates the general mood and can evoke a general sense of well-being. Most importantly, it relieves anxiety and reduces pain during the procedure. In addition, some tingling and numbness may be felt. There are few side effects associated with nitrous oxide, and it has been safely used in dentistry for many years.
  2. IV Sedation – Intravenous sedation is a moderate type of sedation. Patients who have previously experienced IV sedation often report feeling like they slept through the entire procedure. Generally, IV sedation is used for shorter treatments. It is administered directly through an IV, which means the effects are immediate. Sometimes patients feel groggy and sleepy when the IV sedatives are withdrawn. This is why it is important to bring a designated driver for the drive home.
  3. Oral Conscious Sedation – Oral conscious sedation is an excellent choice for people who fear needles. Oral medication is provided prior to treatment in order to induce a moderate state of sedation. Though oral sedatives do not cause sleep, they usually dull the senses. This means that most patients cannot remember the pain, smells or noises associated with the procedure. Usually, a dose of medication is taken prior to the appointment, and then topped up during the procedure as required.

What types of drugs are used in oral conscious sedation?

Most of the drugs used in sedation dentistry are classified as benzodiazepines. Benzodiazepines reduce anxiety, muscle spasms, insomnia and seizures. Each medication has a different half-life, meaning that the effects last for varying amounts of time. The estimated length of the procedure determines which type of drug is going to be most effective.

Here are some of the most common drugs used in oral conscious sedation:

  • Valium® – This sedative has amnesic properties and a long half-life. It is usually used for time-consuming, complex procedures.
  • Halcion® – Usually used to treat insomnia, Halcion is an effective sedative with amnesic properties. A short half-life makes this sedative useful for shorter procedures.
  • Ativan® – This sedative is well known for reducing anxiety. It has amnesic properties and a medium half-life. Ativan is typically used for treatments shorter than two hours.
  • Versed® – This sedative has the shortest half-life and is therefore less commonly used. It alleviates anxiety in much the same way as nitrous oxide, and is used for visits that will take less than 30 minutes.

If you have questions or concerns about sedation dentistry, please contact our office.

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About Dr. Ficca

Dr. Matthew Ficca is a board-certified periodontist and one of the most respected practitioners in the Charlotte area.

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Specializing in Dental Implants and Periodontal Health in Charlotte, NC

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At Metrolina Periodontics & Dental Implants in Charlotte, NC, Dr. Ficca specializes in the placement of dental implants and the prevention and treatment of periodontal disease. He is board-certified by the American Board of Periodontology and provides a standard of excellence in personalized dental care that allows him to provide some of the best quality dental services his patients deserve.

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