Painless dentistry

Sedation Dentistry

Sleep Dentistry: You’re In Safe Hands!

If you are worried about pain and discomfort that your child will experience during his/her oral surgery or other dental procedure, you will be happy to find out that we offer sleep dentistry to ignore issues such as cavities, broken or loose teeth, and other problems can put your child oral health at serious risk.

What is sleep dentistry?

This is one of the most common questions asked by patients looking for oral dental treatment without having to preserve through all the pain associated with traditional dental procedures. Sleep dentistry also referred to as sedation dentistry. The phobia that many adults have today regarding dental treatment is often the result of poor dental experiences when they were children. Children today receiving dental care can be treated with safe orally administered sedation. Utilizing modern, safe sedative medications, a child can be conscious, yet sleepy, with no memory of their dental treatment.

What is pediatric sedation?

Children aren’t little adults. They have different metabolism and different airway. Dentists who work with children and teens take special training to create a safe and comfortable dental experience for our kids so they can grow up without the fear and anxiety many adults experience. Just like adults, however, a careful review of medical history and discussion of the child’s needs is important to choose the right medications and protocol.

There are three levels of sedation namely

Minimal sedation – you will be awake throughout the process but you relaxed.

Moderate sedation – this is known as conscious sedation. It is characterized by loss of memory and slur conversation.

General anesthesia – you will be completely unconscious throughout the procedure. You will not remember anything that happens while undergoing the dental procedure.

Some patients are skeptical that anything less than a total anesthetic could make them undergo a dental procedure without panicking, but sleep dentistry has a number of benefits, including

  • Anesthesia means no risk of adverse reactions
  • Patients can go home immediately after oral conscious sedation
  • Experience a dentist visit consciously without fear or anxiety

Many patients who undergo sleep dentistry are able to overcome their fear of the dentist gradually with each visit.

What types of sedation are used in dentistry?

The following types of sedation are used in dentistry:

Inhaled Minimal Sedation

You breathe nitrous oxide — otherwise known as “Laughing gas” — combined with oxygen through a mask that’s placed over your nose. The gas helps you relax. Your dentist can control the amount of sedation you receive, and the gas tends to wear off quickly. This is the only form of sedation where you may be able to drive yourself home after the procedure.

IV Moderate Sedation

You receive the sedative drug through a vein, so it goes to work more quickly. This method allows the dentist to continually adjust the level of sedation.

Deep Sedation and General Anesthesia

Will get medications that will make you either almost unconscious or totally unconscious — deeply asleep — during the procedure. While you are under general anesthesia, you cannot easily be awakened until the effects of the anesthesia wear off or are reversed with medication.

How does Sedation Dentistry work?

The process depends on the type of sedation your dentist chooses. If you’re taking an oral sedative, for instance, your dentist will write you a prescription for the drug and give you instructions on how to take it. As long as you follow those instructions, you’ll benefit from reduced anxiety and increased relaxation. Once the medication begins to work, you should start to feel drowsy and content.

You don’t have to prepare at all for nitrous oxide. Your dentist will supply it before, during, and right after the procedure. However, if you choose iv sedation, you might have to prepare in advance.

For instance, your dentist might ask you to fast — not eat or drink anything — for several hours before the dental work. You might also need to avoid taking certain medications the day before you visit the dentist because they can interfere with the sedation medication.

Children can benefit from Sedation for a number of reasons:

1. Avoid fear in children too young to realize the dentist is safe. For children too young to understand that the dentist is necessary, sedation can help minimize fear and discomfort.

2. Build lifelong good habits Children who have dental problems early in life often come away with a fear of the dentist and a dislike of anything oral health-related. This can lead to poor hygiene and an avoidance of the dentist later in life. Sedation can prevent these upsetting memories from forming.

3. Help children with severe dental needs get treatment comfortably. Few people find it easy to sit still at the dentists for extended periods, and children are no different. For kids who need a lot of work done, sedation can help them be more comfortable and hold still longer.

4. Fewer appointments make life easier for parents. It’s a challenge as a parent to schedule multiple appointments around work, school, childcare, and activities. Many parents intend to finish a treatment plan but are unable to make every appointment. Sedation condenses extensive treatment into one no-memory appointment that’s easy to plan for.

5. Shorter recovery time and easier management of discomfort. Dentists can do their best and most careful work on a sedated patient, which makes for a faster recovery time. Additionally, the lack of stress hormones and fear reduces inflammation and speeds recovery as well, and the patient sleeps through the worst of the post-op discomfort!

6. Reduced gag reflex. In many cases, patients who receive laughing gas or other types of sedation before their appointment experience a reduction in their gag reflex. This makes it easier for the dentist to get their work done in a timely manner, and it makes things more comfortable for the patient.

7. Receive multiple treatments. For patients who need to undergo multiple treatments (such as those who haven’t seen the dentist in a long time), sedation dentistry is very helpful. It allows the patient to remain comfortable while having extensive work done on their teeth and gums.

Who needs Sedation Dentistry?

Phobia related to dental procedures

Bad experience with dental work in the past

Particularly sensitive oral nerves

Smallmouth that becomes sore during dental work

Resistance to local anesthetic

General anxiety disorder

Is Sleep Dentistry and General Anaesthesia the same?

Sleep dentistry is very different from general anesthesia. You’re conscious but very relaxed the whole time and you recover much faster. It’s also much safer than having a general anesthetic

Procedures performed under conscious Sedation

Most routine dental work

Deep cleaning, scaling, and root planting

Filling and Root cleaning

Crowns

Extractions

Sleep Apnea Treatment for Child

The Link Between Sleep Apnea and your Dentist

Dentists Treat Sleep Apnea, Too

Did you know that many dentists are trained to help treat and manage your snoring and sleep apnea? Dental sleep medicine is an area of dental practice that focuses on the use of oral appliance therapy to treat sleep-disordered breathing, including snoring and obstructive sleep apnea (OSA). Dentists work together with sleep physicians to identify the best treatment for each patient.

Sleep-related breathing disorders (SRBD) can occur at any age. Obstructive sleep apnea, upper airway resistance syndrome and obstructive hypopnea syndrome all lie on the pathological continuum of SRBD. These disorders can have a great impact on a child’s quality of life and can progress to significant complications

Your Health and Quality of Life

The quality of your sleep has a dramatic impact on your health, well-being and overall quality of life. Snoring and obstructive sleep apnea disrupt your sleep and increase your risk of severe health problems. Remember that snoring is a warning sign that should never be ignored. Across the country, many dentists are prepared to provide oral appliance therapy to treat snoring and obstructive sleep apnea. Talk to your doctor and dentist about your treatment options.

What is a sleep disorder?

Simply put, a sleep disorder is a negative change or problem with the way you sleep. This can range from unwanted activities and occurrences during sleep, like snoring and sleep apnea, to disorders that affect your entire sleep experience, like insomnia.

Sleep disorders don’t just begin and end when your head hits the pillow. In fact, their presence often carries over into your waking life as well. Do you ask yourself “why am I so tired?” on a regular basis, or have you ever been told you gasp for breath while sleeping? Have you ever fallen asleep in the middle of the day when you didn’t mean to, such as at work or while driving? These are all potential symptoms of sleep disorders.

Sleep Apnea

Sleep apnea occurs when there are brief pauses in breathing during sleep, often associated with a partial or complete blockage within the throat. This happens when you lie down to sleep and the muscles in your throat relax. This may lead to a shift in the tongue or soft palate, causing your airway to narrow so much that it briefly closes off completely. This disrupts breathing and may reduce the level of oxygen in the blood.

Drops in oxygen levels alert the brain that something isn’t working as it should. As a result, the brain wakes up the sleeping person so the airway can be reopened. This becomes a problem when the sleeping person is woken up over and over again, sometimes dozens of times an hour.

Root causes

Traditionally, clinicians treating patients with psychiatric disorders have viewed insomnia and other sleep disorders as symptoms of the state of their patients’ psychiatric health and even directly contribute to, the development of some psychiatric disorders.

These connections are especially significant for the mental health field because of what those specific sections of the brain manage and regulate. One section of the brain is responsible for short-term memory, another governs reflections of the self, and the third section is responsible for negative emotion.

Signs and symptoms includes

– Frequent morning headaches

– Clenching both day and night

– Chronically sore jaw and neck muscles

– Joint clicking on the left side

– Bite relationship feels off

– Slight wear on the anterior teeth

– Chronic use of nasal decongestants

TMD-airway connection: The importance of dental and medical screenings There’s much discussion regarding the relationship between TMD and airway disorders. Many dentists look for TMJ issues or problems with a patient’s bite, but often the cause of a patient’s issues is related to airway and breathing complications.

Symptoms for TMD and Occlusal Issues:

– Joint discomfort

– Popping/clicking

– Chronically sore jaw and neck muscles

– Sore muscles

– Bruxism

– Poor bite

– Clenching

– Worn teeth

– Crooked teeth

Mouth breathing bypasses a person’s normal physiologic filtration system through the nose. Breathing dirty air through the mouth can be a source of inflammation and infection in the posterior throat and tonsil area. It can result in swollen tonsils and difficulty breathing through both the nose and mouth, and it can induce problematic ventilation during sleep. In turn, it can lead to both upper airway resistance syndrome (UARS) and, in more severe cases, obstructive sleep apnea (OSA).

Complications

The physiological and behavioral complications of sleep deprivation are enduring and have a significant impact on academic success and quality of life for the child and their family. Early treatment success will minimize these complications. Even with adequate treatment of sleep apnea, neurons may be permanently damaged and additional treatment of daytime sleepiness is needed. Treatment for these complications is needed as part of the overall management of sleep disorders.

 

Medical Care

Muscle weakness within the tongue, mouth, and upper throat may lead to snoring and obstructive sleep apnea. This may be improved with strengthening exercises called myofunctional therapy, especially when used in children.

What is myofunctional therapy?

Myofunctional therapy is a program of specific exercises that target the facial muscles used to chew and swallow. These exercises strengthen the tongue. The oropharynx is the part of the body that includes the mouth and throat. These muscles help us to eat, talk, and breathe. They also help to keep the airway open, especially during sleep. When the muscles of the oropharynx are weak, they may disrupt the flow of air and snoring may ensue.

Myofunctional therapy includes exercises that are meant to improve the strength of the muscles within the oropharynx, including the tongue. In addition, it helps to reinforce the proper position of the tongue within the mouth.

Myofunctional therapy may be an attractive alternative treatment for sleep apnea. There is some evidence that it can decrease sleep apnea severity.

Cognitive-Behavioral Therapy

Family dynamics should be explored and redressed. Sleep patterns of parents and their adolescent children reveal similarities; for example, strained and reciprocal parent-child interactions indicate that a mother’s poor sleep may directly affect parenting style.

CBT uses relatively straightforward and safe strategies for enhancing overall parenting effectiveness as well as ameliorating the aforementioned problems.

 

Cognitive-Behavioral Therapy

Family dynamics should be explored and redressed. Sleep patterns of parents and their adolescent children reveal similarities; for example, strained and reciprocal parent-child interactions indicate that a mother’s poor sleep may directly affect parenting style.

CBT uses relatively straightforward and safe strategies for enhancing overall parenting effectiveness as well as ameliorating the aforementioned problems.

 

Adenotonsillectomy and Ventilatory Support

Adenotonsillectomy is the primary treatment modality in children with OSAS, however recurrence is common post-surgery.[6]Myofunctional therapy in conjuction with orthodontia and craniofacial surgery may be more effective. Tongue and facial muscle exercises improve adult OSAS. Positive airway pressure is needed in cases of continued postoperative symptoms. Continuous positive airway pressure (CPAP), variable pressure devices (eg, bilevel positive airway pressure [BiPAP]), and on-demand pressure when airflow is impeded (D-PAP) may be needed. Weight loss can be helpful for obese patients.

 

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