Once you and your dental professional have agreed on conscious dental sedation for use during your dental treatment, there are a variety of ways in which it can be administered.
Inhalation sedation or the use of nitrous oxide (laughing gas) is a light form of conscious sedation. Your sedation dentist will administer a combination of nitrous oxide and oxygen through a mask that is placed over your nose. During the procedure, you inhale the gas through your nose and back out through your mouth. Nitrous oxide wears off almost immediately upon completion of the procedure with minimal to no recovery time or side effects.
Oral medication used for sedation purposes produces medium or moderate sedation effects, depending on the strength of the prescription administered by your sedation dentist. Oral sedation usually comes in pill form and is taken approximately one hour prior to the procedure. You may feel sleepy, but should still be able to respond to your dentist’s commands. Recovery time is longer with oral sedation, and requires someone to drive you home. Side effects are rare, but may include nausea or vomiting.
Another moderate form of conscious sedation is intravenous (IV) sedation. In the case of IV sedation, the drugs are administered directly into your veins through a needle. The effects of IV sedation are much quicker than oral sedation. IV sedation allows your dental professional to adjust the levels of sedation during treatment. With IV sedation, you may begin to feel alert soon after the medication has stopped; however, you should not drive or operate heavy machinery for at least 24 hours after the procedure.
Conscious sedation should only be performed by a dental professional with appropriate training. Your sedation dentist will consider your health history when choosing the appropriate form of sedation to best suit your needs. While conscious sedation is considered safe, it is best to work with a qualified sedation dentist to determine the best form of administration for your dental treatment.
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If the prospect of a root canal procedure has you running for the hills, you may want to consider reading over this list of frequently asked questions before you end up cowering in a corner:
- What is root canal therapy? Root canal treatment is performed when decay or trauma has damaged a tooth causing it to die. A dentist or endodontist performs a procedure to remove the diseased or damaged pulp from the tooth and then refills the tooth cavity.
- Is root canal therapy painful? In reality, root canal treatment is intended to relieve pain, not cause it. Because the procedures are very similar, you should experience no more discomfort than having a cavity filled.
- What happens after root canal therapy? Your tooth may be slightly sensitive for a few days, but over-the-counter pain relievers are usually sufficient to relieve any pain you may experience. In order for your tooth to return to full functionality, a crown or other restoration will need to be placed after the root canal therapy is performed.
- What if I opt not to choose root canal therapy? Untreated damage or infection in your tooth can travel through the roots and lead to an abscess or larger infection.
- Is there an alternative to root canal therapy? You could relieve the pain and infection by having your tooth removed. However, this can cause problems such as bone loss, migration of teeth, and bite problems.
In the case of a severely damaged or decayed tooth, the ideal solution is to save your natural tooth through root canal therapy and restoration. Contrary to popular belief, a root canal procedure is no more uncomfortable than having a filling placed in a cavity, and can have enormous benefits to your long-term oral health. Consult with your dental professional to get answers to any other questions or concerns you may have regarding root canal therapy so you can alleviate your fears and return to your healthy smile.
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If you suspect you have an infected tooth, you might wonder if root canal treatment might be in your future. Do you have another option? Yes! One such alternative has been in existence for decades, but has only recently come to be more effective due to advancements in materials. This process is called pulp capping.
Pulp capping can help patients whose root infections have not yet reached the tooth’s nerve. Root infections begin when bacteria enters the pulp of the tooth through a crack or a large cavity. In a standard root canal procedure, the pulp and nerve of the tooth is hollowed out, cleaned and sealed, typically with a crown restoration.
With pulp capping, the nerve is preserved and the tooth is often repaired with a filling instead of a crown. Pulp capping allows the dentist to clean and protect the pulp, defending it from infection with medicine. With a successful pulp cap, the dentin of the tooth begins to regrow over the pulp cap. Advancements in the sealants used during these types of procedures has allowed for a greater percentage of success.
If you have a toothache, it’s important to see your dentist immediately. Pulp capping has a narrow window in which it can be performed. If your tooth is too infected, the pulp and nerve of your tooth may already be infected, and it’s too late for pulp capping to be effective.
A pulp cap is a far less invasive procedure than a root canal treatment or a tooth extraction, and there is less recovery time and tooth sensitivity following the treatment.
If you suspect you may have a tooth in trouble, talk to your dentist now. You might be able to save yourself a root canal treatment.
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If you are about to undergo root canal treatment to save a compromised tooth, your oral surgeon or dentist will likely provide you with a list of aftercare instructions. It is vitally important that you follow these recommendations to avoid complications and ensure the success of your endodontic treatment.
There are a few tips you can follow to speed up your recovery time, promote healing, and prevent serious dental problems and infections following root canal treatment:
- Do not chew on the treated side of your mouth until all of the numbness from the anesthetic has worn off completely.
- To manage swelling, apply an ice pack or bag of frozen peas on the treated area for thirty minutes. Repeat once an hour for about fifteen minutes each time until swelling subsides.
- For several nights after treatment, keep your head elevated while sleeping.
- Gently rinse your mouth with warm salt water regularly for the first few days after root canal treatment.
- Refrain from smoking for a minimum of 24 hours and try to curb tobacco usage as much as possible during the healing period.
- Avoid strenuous physical activity or exercise for 48 hours after your root canal procedure.
Contact your dentist immediately if you experience any excessive swelling or pain, the appearance of a rash or hives, or a return of original symptoms. By listening to the recommendations of your dentist, and following these extra tips, you can assure yourself the best chance of a rapid and complication-free recovery from root canal treatment.
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Sedation dentistry is rapidly becoming an extremely popular choice for patients, offering them the best oral care available while providing them with a comfortable, stress-free experience. Benefits exist for both the patient and the dentist, especially for certain patient groups, who may only be able to obtain dental care they need while under some kind of sedation.
Sedation dentistry uses various medications to help the patient relax while undergoing a dental procedure. The sedation allows the patient to be free of fear, anxiety and stress, and in some cases, to have a reduced memory of the treatment itself. This allows for a much more favorable experience, especially when undergoing invasive, extensive or multiple-visit treatments such as extractions, gum surgery, root canals, or some dentistry procedures.
Because sedation dentistry is specifically designed to reduce or to alleviate fear and anxiety, the patient is more relaxed during the dental visit. Dentists working on tense or anxious patients are often aware of the problem and have to work with greater care. The removal of this patient tension allows the dentist to work more quickly and surely, leading to a shorter appointment and a more positive experience for both doctor and patient.
Dentists require cooperation from the patient in order to proceed with any dental procedure. Patients who are very young, have special needs, an acute gag reflex, or movement control issues can be extremely challenging for dentists to administer the necessary care. Sedation dentistry can solve this problem, allowing for patients to be cooperative and still, providing the safest, best experience for patient and doctor alike.
Patients who have positive experiences at the dentist are more likely to return for regular dental check-ups. These patients have overall better dental hygiene and tend to have fewer serious dental issues over time. Patients who have good oral care will feel better about their smiles and will be more confident and comfortable throughout the day.
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Root canal therapy is a painless procedure performed when decay has caused enough damage to a tooth that the tooth is dying or has already died. During treatment, your dentist or endodontist removes the diseased or damaged pulp from the tooth and then refills the tooth cavity. To ensure a successful and pleasant treatment, here are some basic do’s and don’ts to follow:
- Do take any medication your dentist has prescribed for you to take prior to root canal therapy.
- Don’t anticipate pain; be calm and relaxed during your treatment.
- Do expect mild discomfort for 2-3 days following the procedure. Apply an ice pack and sleep with your head elevated to minimize swelling.
- Don’t skip on taking prescribed pain medications, even if you are not experiencing extreme pain.
- Do avoid biting on hard foods or meddling with the affected tooth during the course of treatment.
- Don’t drink excessively hot or cold beverages until the completion of treatment.
- Do continue normal brushing on the root canal treated tooth.
- Don’t smoke or drink alcohol within 24 hours of root canal therapy.
- Do eat a soft diet for several days and avoid chewing on the treated tooth until a permanent restoration is placed.
- Don’t delay having the treated tooth capped with a crown or other restoration to avoid fracture or additional damage, causing failure of your root canal therapy.
- Do contact your dental professional immediately should you have any complications or questions during your recovery, and make sure to keep any follow-up appointments scheduled by your dentist or endodontist.
Root canal therapy has a 95% success rate. By following these simple guidelines, you can help to ensure a positive result from your root canal therapy and enjoy many more years of a healthy smile.
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