|Popular Easy Sedation Medication Protocol
Most Widely Available and Effective Sedation Products
Many dentists who perform a variety of dental surgery procedures discovered long ago that one of the most popular combinations of medication services that do not require the involvement of an Anesthesiologist or expensive IV medications that can require the use of extra equipment and a specialty nurse is the combination of Valium, Atavan and Nitrous Oxide.
Although some patients understandably will have greater incidences of Anxiety Reactions or severe Phobic responses (some so debilitating they can't even make it to the office), a good starting point to evaluate what works and what doesn't is to use what is most commonly available at minimal additional cost.
Depending upon location, the expense for a dentist to schedule a professional service from IV Anesthesiologists or Service Providers (IV Nurses in some cases) can add several hundreds of dollars to treatment expense. In these situations, it is prudent to complete as many treatments as possible and feasible to help manage overall treatment costs.
Basic Sedation Support
Patients who are able to divert or at least suspend the anxiety producing thought processes about certain types of procedures can discover good results and treatment outcomes with a simplified, prescribed medication package.
Step 1: During the consult that immediately precedes treatment, a dentist can provide prescribed dosages of Valium. For some patients (assuming surgery is scheduled for the following morning) a Valium is taken at bedtime.
Step 2: A second valium is taken the following morning, one hour before the scheduled appointment. The patient is then driven to the office by a designated driver.
Step 3: Once made comfortable, a prescribed dose of Atavan is taken and pulse monitoring equipment is started.
Step 4: Topical anesthetics and/or novacaine are applied to the areas being prepared for treatment.
Step 5: Nitrous Oxide is started and used throughout the entire treatment.
As a dentist monitors the ongoing effectiveness of novacaine injections, providing additional injections on an as-needed basis, the doctor is similarly able to monitor the depth of the overall sedated level of awareness or consciousness, making adjustments as needed.
In cases where the medication regime is completely inadequate, the patient can be rescheduled for a more thorough sedation experience.
Degree of Successful Pain Management
The Valium - Atavan - Nitrous Oxide sedation sequence is known to effectively block or obscure the perception of pain and discomfort for full mouth edentulations (all teeth are extracted) with full arch socket grafts, ridge splitting bone graft supplements (for compromised ridges of bone) and multiple traditional dental implants followed up with perio flap gum suturing.... ALL for one patient.
There are no induced periods of sleep, although the event of falling asleep or entering a twilight-like level of awareness is not uncommon. Getting sips of water and going to the rest room, at a conscious level, is a routine event.
These types of complex full mouth extractions, general oral surgery and extensive bone and soft tissue grafting and suturing can easily consume 6 to 8 hours.... all during one treatment session ...and... with complete comfort. The patient's perception of the same time frame is reduced significantly... to perhaps minutes or an hour or so.
Muscular aches and pains, especially of the jaw muscles if molar areas required extensive treatment are either non existant or minimal. Prescription strength Ibuprofen is a popular and effective pain management medication for this type of sedation service.
Avoid the Avoidance Behavior Syndrome
Some patients avoid needed dental treatments for years and years. Ten years of avoiding the dentist is not unheard of. Nor is the rapid deterioration of dentition that can occur for some patients.
When a patient is finally "forced" to undergo treatments (usually due to unbearable dental conditions), sedation services of one form or another are used to assure comfort... leading to the invariably asked question: "Why didn't I do this a long time ago?"
Piece of Cake?
Is it possible to overcome YOUR degree of avoidance behavior? The answer is yes. The best way to get started is to simply find a dentist who makes you feel comfortable and has experience in treating some of the severest of dental phobias.
Simply start with a basic sedation support package and work your way up to different types of sedation in the event your first attempt doesn't make you feel as comfortable as you want.
What - This can be Fun?
You too can discover that with the right dentist and dental staff.... getting dental treatments can be fun (because you enjoy the staff) and very rewarding (taking good, smart care of yourself).
In time, your dentist and hs/her staff can help you easily get rid of the anxiety producing things you think you can't get rid of. Why wait?
Material provided in part by:
Ara Nazarian, D.D.S.
Michigan Reconstructive Implant Dentistry
1857 East Big Beaver Road
Troy, Michigan MI 48083