Oral Surgery

Sedation Dentistry:

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1. Nitrous Oxide Sedation (Laughing Gas)

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Nitrous oxide, commonly known as laughing gas, is one of the most widely used sedation techniques in dentistry.

It is administered through a small nosepiece or mask, mixed with oxygen, allowing patients to breathe normally during treatment.

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How It Works:

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• As the gas enters the system, patients feel light, calm, and sometimes slightly euphoric.

• The sedative effect starts within minutes and wears off quickly once the mask is removed.

• Dentists can easily adjust the dosage during the procedure.
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Benefits:

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• Immediate relaxation: Patients feel less anxious and more cooperative.

• Safe and controlled: Effects disappear quickly, with minimal to no side effects.

• No downtime: Patients can usually return to daily activities, including driving, immediately.

• Great for children: Safe option for kids with dental anxiety.
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Best For:

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• Minor procedures such as dental cleaning, cavity fillings, or fluoride treatments

• Patients who want a light and temporary sedation without aftereffects. Suitable for those with mild anxiety or children nervous about dental visits.

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2. Oral Sedation:

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Oral sedation involves taking prescribed medication, usually in pill form, prior to the dental appointment.

Commonly used sedatives include Valium (Diazepam), Halcion (Triazolam), or Ativan (Lorazepam).

It ranges from minimal (light relaxation) to moderate (drowsy but awake) depending on the dosage.

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How It Works:

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• Patients take the medication about 30–60 minutes before the procedure.

• The sedative induces drowsiness, reduces anxiety, and in some cases, causes partial or full memory loss of the procedure.

• Though conscious, patients feel very relaxed and less aware of surroundings.

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Benefits:

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• Easy to administer: No needles or IV needed.

• Anxiety relief: Greatly helps those with fear of dental tools or noises.

• Amnesia effect: Many patients do not remember the procedure afterward.

• Suitable for longer treatments: Keeps patients calm during extended procedure.

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Best For:

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• Dental procedures such as root canals, crown placements, and scaling.

• Patients with moderate dental anxiety or sensitive gag reflex.

• Those requiring more than one procedure in a single session.

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3. IV Sedation (Intravenous Sedation):

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IV sedation is a deeper form of conscious sedation administered through a vein.

It is also known as "twilight sedation," as patients are deeply relaxed but not completely unconscious.

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How It Works:

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• A dentist or anesthesiologist inserts an IV line, and medication enters the bloodstream directly.

• The sedative takes effect almost instantly, and dosage can be adjusted throughout the procedure.

• Patients often feel sleepy, relaxed, and may remember little or nothing afterward.

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Benefits:

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• Fast-acting: Works within seconds after administration.

• Adjustable: Dosage can be increased or decreased instantly based on patient response.

• Deeper relaxation: Ideal for patients with severe anxiety or lengthy treatments.

• Memory suppression: Reduces or eliminates recall of the procedure.

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Best For:

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• Surgical extractions (e.g., wisdom teeth removal).

• Dental implant surgeries.

• Patients with strong dental phobia or who have not responded to oral/nitrous oxide sedation.

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4. General Anesthesia:

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General anesthesia is the strongest form of sedation and induces complete unconsciousness.

It is performed in specialized dental clinics or hospitals under the care of an anesthesiologist.

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How It Works:

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• Administered either through inhalation gases or IV.

• Patient is completely asleep, has no awareness, and feels no pain during the procedure.

• Vital signs such as breathing, heart rate, and blood pressure are closely monitored.

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Benefits:

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• No fear, no pain: Full unconsciousness ensures zero discomfort or anxiety.

• Multiple procedures in one session: Dentists can complete extensive treatments in fewer visits.

• Useful for special needs patients: Especially those who cannot tolerate other sedation methods.

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Best For:

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• Complex oral surgeries, jaw reconstructions, or multiple tooth extractions.

• Patients with extreme dental fear, severe gag reflex, or medical conditions requiring unconsciousness.

• Children or adults with special healthcare needs who cannot cooperate under lighter sedation.

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5. Minimal to Moderate Sedation for Specific Procedures:

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This is a customised sedation plan, tailored to the patient’s needs and the complexity of the dental treatment.

It may involve nitrous oxide, oral sedatives, or mild IV sedation in controlled amounts.

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How It Works:

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• Dentist evaluates the patient’s anxiety level, pain threshold, and medical history.

• A sedation level (minimal, mild, or moderate) is chosen for procedures that require extended time or precision.

• Patient remains awake but calm, comfortable, and less sensitive to discomfort.

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Benefits:

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• Flexible and personalized: Adjusted to fit the treatment and patient’s comfort.

• Balance of awareness and relaxation: Patients are conscious but relaxed.

• Safer for longer treatments: Reduces stress and movement, making procedures smoother.

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Best For:

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• Dental implants, cosmetic restorations, or periodontal surgeries.

• Patients with moderate anxiety or sensitivity to pain.

• Those who want a comfortable experience without being fully unconscious.