Many people have a dental phobia and feel unable to have any dental treatment whilst fully conscious.
At Mottingham Dental Practice we carry out 2 forms of conscious dental sedation known as intravenous (IV) sedation and inhalation (RA) sedation.
IV sedation is were we use cannulation to administer a sedative medication directly into the blood system. This usually works within 5mins and last for up to 3hours, although the medication can be altered to a more specific time frame.
The medication we use at the practice causes anterograde amnesia which is where short term memory is affected and most patients have no memory of the dental treatment.
RA sedation is for children between the ages of 6-12yrs, and the Nitrous gas is delivered through a small nasal hood which is worn over the childs nose. The RA begins to take effect within 5mins and is controlled using a mixture of Nitrous Oxide (also known as laughing gas) and Oxygen
With both forms of sedation we may still have to anesthetise the area of the mouth where we are carrying out dental treatment, this is because the medication we use does not block pain receptors.
Sedation for dental treatment is available to our NHS and private patients.
IV sedation carried out at our practice is very different from general anaesthetic carried out in a hospital setting. You are still mildly awake and can respond to us should we need you to, you breath on your own and require no assistance from us in that respect.
If you are undergoing sedation you must bring an adult escort to accompany you and they must stay on or close to the premises and take you home. They can either hand you into the care of another adult or they must stay with you. This is a safety issue and must be abided by.
Some advice for our patients having dental treatment under IV sedation.
Please do not have any acrylic nails or gel nail varnish on, this is because it affects how we read your oxygen levels
Do not wear heels or flip flops, this is because the medication causes you to become drowsy and you could fall more easily
Wear loose clothing on the upper arms, this is so we can take your blood pressure during your treatment with ease
Eat a light meal 2hours before your appointment, this is to avoid a medical emergency and to help us with access for the cannulation
Do not have alcohol 24hours prior to treatment, this is because it can affect how the medication is absorbed in the body/brain
Take all medications as usual unless told otherwise, this is to make sure no other medical issues arise
An adult must escort you home, this is a safety issue and must be followed
You must not be allowed to care for children for 12hours, this is because your memory is affected
You must not be left home alone for 12hours, this is because of health and safety risks
A full consultation will be given before going ahead with any dental treatment under sedation to make sure you are suitable