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Sedation Dentistry

Advanced Dental Care & Aesthetics
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Did You Know?

  • 36% of Americans report having fear or anxiety related to dental treatment.
  • The American Dental Association estimates that 22% of Americans avoid dental care due to fear and anxiety.
  • Untreated dental disease not only leads to tooth loss, pain, and severe infection but also increases the risks of developing heart disease, stroke, high blood pressure, certain cancers, diabetes, rheumatoid arthritis, Alzheimer’s disease, and low birthweight babies.

Read More About Sedation Dentistry at Advanced Dental Care & Aesthetics:

  • Our Sedation Team
  • Is Sedation Right for You?
  • Types of Sedation
  • Frequently Asked Questions

 

Our Sedation Team:

Dr. Steven Walters
B.A. from Depauw University
D.D.S. from University of Michigan
Residency at Metro Hospital, Cleveland
IV Sedation License from the Ohio State Dental Board

Dr. Samuel Stevens
B.S. from University of Pittsburgh
D.M.D. from University of Pittsburgh
Residency at SUMMA Hospital, Akron
IV Sedation License from the Ohio State Dental Board

 

Important Things to Ask When Selecting Your Sedation Dentist:

What training, monitoring equipment and special licensing do the doctors have?

Our doctors have had extensive hospital training and have been licensed by the State Dental Board to provide IV sedation. The Board has reviewed the office’s procedures, equipment, and protocols to ensure that your treatment is conducted with the highest of safety standards.

What other licensed team members work with the doctors to maximize the experience and safety?

For IV sedation procedures, we have a Certified Registered Nurse Anesthetist from the Cleveland Clinic on our team. She is highly trained, experienced, and licensed to manage medications and safety protocols to ensure your comfort and allow for little to no memory of your dental treatment. If you have a complex medical history, we will have an anesthesiologist providing your anesthesia for maximum safety.

Sedation May Be Right for You If:

  • Fear or anxiety of having dental treatment keeps you from getting the care you need to get and stay healthy.
  • You have difficulty getting numb.
  • You have fear of shots or needles.
  • You have a very sensitive gag reflex.
  • You have a lot of treatment needed and would like to be relaxed when getting it done in as few appointments as possible.
  • You’ve had a traumatic experience in the past and you would like to have little to no memory of your treatment appointment.
  • You have special needs and cannot sit for dental treatment without sedation.

Which Sedation Option is Right for You?

Your doctor will help you decide based on:

  • Your medical history
  • Reason for needing sedation
  • Type and amount of dental treatment needed: Drs. Walters and Stevens have had advanced training enabling them to provide comprehensive dental care, including root canals, oral surgery, dental implants, treatment for gum disease, crowns, and dentures. This allows many patients to have all their dental treatment completed in just one visit.

Types of Dental Sedation:

Nitrous Oxide

  • Safe for children and adults of all ages
  • Effective for mild to moderate dental fear or anxiety
  • Patients can drive themselves to their appointments and home
  • Effectiveness can be decreased if you are congested or have difficulty breathing through your nose
  • Can be difficult for those who feel claustrophobic with something on their nose
  • Lowest cost

Oral Sedation

  • Effective for mild to moderate dental fear or anxiety
  • Patients must be driven to their appointments and home
  • Difficult to adjust the effect of the medication quickly because of the slow absorption of oral medication, therefore making it more difficult to achieve optimal sedation
  • Lower cost

IV Sedation (Conscious Sedation)

  • Effective for moderate to severe dental fear or anxiety
  • Effective for patients difficult to numb or with sensitive gag reflex
  • Level of sedation needed is more predictably reached because of the quick absorption of medication
  • Patients must be driven to their appointments and home
  • Patient has little to no memory of their appointment

Frequently Asked Questions:

Read our blogs about sedation

  1. Nitrous Oxide (laughing gas)
  2. Oral Sedation (with or without nitrous oxide)
  3. IV Sedation (twilight sedation)
  4. General Sedation with an anesthesiologist (if patients are not a candidate for IV Sedation)

     With IV sedation:

  1. Patient is still breathing on their own
  2. Patient can still maintain their own reflexes
  3. Patient can still communicate with us
  1. Relieves anxiety and fear related to dental treatment
  2. Reduces the body’s stress response
  3. Minimizes strong gag reflex
  4. Allows us to complete a lot of dental care in fewer appointments

No. A very small percentage of general dentists have completed the advanced training, testing and licensing by the state that are required to provide IV sedation.

Every potential sedation patient needs to have an exam by our doctor to assess physical characteristics and past and current medical history. There are many factors that can affect if IV sedation is the right choice for each patient. Some patients that are at a higher risk for complications may need to be seen in a hospital setting or by an anesthesiologist for the appropriate care.

Yes, local anesthetic is used for all sedation patients. Patients are numbed after the sedation medications are administered.

IV sedation and oral sedation require drivers. Nitrous oxide does not.

Nitrous yes, with IV Sedation and Oral Sedation no.

The medications used to sedation are known to cause permanent damage to an unborn baby and can cause early termination of a pregnancy. Female patients need to take the test the day of the appointment to confirm they are not pregnant.

No most do not and it is not required. We choose to have a CRNA in the office in order to have another medical professional in the room with the patient who’s sole responsibility it is to monitor their anesthesia, allowing the Dr. to focus on their dental care. Our CRNA handles the anesthesia for the cardiac unit at the Cleveland Clinic on days she is not with us.

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