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Why is Sedation Dentistry necessary for some patients?

It is common and perfectly normal to have some degree of apprehension or anxiety prior to receiving dental treatment. Some people, however, have stronger feelings in this regard than others. These feelings may be the result of less than pleasant past experiences, stories told by family and friends, or by the nature of the dental procedure itself (wisdom teeth removal). Dental treatment may be especially frightening to young children and patients with developmental disabilities. Whatever the cause, apprehension or anxiety can produce many unpleasant effects including heart palpitations, high blood pressure, upset stomach and trouble sleeping the night before the appointment. Many highly apprehensive patients avoid dental care for many years until their problems become so severe that they are forced to seek emergency care.

What is Sedation Dentistry?

Sedation can make practically all dental and oral surgical procedures more pleasant and safer for the apprehensive patients. During the procedure, the anxiety that many people have can be controlled by administering sedative medication. A sedated patient will not only be more relaxed but can also have potentially limited memory of the procedure performed. In either case local anesthesia (lidocaine) is also administered to block the pain sensations during the procedure and to keep the mouth numb during recovery.

How is the medication administered?

Sedative medication can be administered by breathing (nitrous oxide/laughing gas), orally (pill form) or intravenously (IV).

• Nitrous oxide is the most common agent used to treat apprehensive patients and can be used either by itself or in combination with Oral Sedation.
• Non- IV conscious sedation involves Nitrous Oxide in combination with an oral medication. Patients become very relaxed and potentially slightly sleepy but are still able to speak and answer questions. Some patients may experience an amnesic effect and don’t remember much of the visit the next day. Oral medication takes time to work (approximately 30-45 minutes) and has limits on how sedated you can safely become.
• IV sedation: Medication given intravenously (IV) has its effect rapidly so your dentist can give the precise amount needed for your level of anxiety. In addition, if more medication is needed during the procedure, the IV allows easy administration of additional medications. Patients are generally very sleepy and may experience more amnestic effects from IV sedation than through the other previously mentioned methods.

Which type of sedation is right for me?

The route selected by you and your dentist will depend on your current health status and your particular needs.

How am I monitored during the procedure?

Depending on the depth of sedation or anesthesia being used, as well as your own medical condition, various monitors will be used during your procedure to ensure your safety. These monitors vary from automatic blood pressure cuffs to the use of pulse oximeters which, through a light sensor, measure the oxygen concentration in your blood. For our conscious and IV sedation patients, an EKG monitor is also used to monitor your heart rhythm in addition to capnography (measuring carbon dioxide levels from the breath). In addition to the monitoring devices, your doctor along with trained staff will always be with you and will be observing you closely during your treatment.

Is Sedation Dentistry safe?

The use of sedation in dentistry has a commendable record of safety. This is due to the advanced training your doctor has and her commitment to your overall health. It is important to advise your doctor of all medications that you take as well as any changes in your health since your last visit. In Texas, a special permit is required to administer sedation and anesthesia.Dr. Dillon Patel is trained in Level 2 (Nitrous and Oral conscious sedation) and Level 3 (IVModerate sedation) and can administer IV sedation. The ability to handle emergency situations as well as having specific emergency medications and equipment is a mandatory part of the permitting process. Additionally, Dr. Dillon Patel is certified in Basic Life Support, AdvancedCardiac Life Support, and Advanced Trauma Life Support.

Source: the American Dental society of Anesthesiology

Any questions or concerns? Call to schedule an appointment at your nearest Enamel Dentistry Location.

If you’re a new parent and your toddler has swollen gums, you may be concerned. Is this normal? Do you need to call a dentist? How can you help them with the pain and discomfort of gum swelling? In this blog from Enamel Dentistry, we’ll answer all of your questions about toddlers and swollen gums.

Should I Be Worried About My Toddler’s Swollen Gums? 

In most cases, the answer is no. Gum health issues like gingivitis are very rare in toddlers. If your toddler’s gums are swollen and tender, this is likely due to the natural teething process.

As the teeth begin to move beneath the surface of the gums, the gums may look swollen or red, and seem inflamed. Your toddler may also be cranky or complain of pain in their mouth if they’re old enough to do so. 

However, this is completely normal. As their tooth erupts, their gums will stop swelling and will become less inflamed. Once the tooth has fully erupted, you will no longer notice any serious inflammation or swelling around the area. 

Throughout the teething process, make sure to follow proper pediatric oral care precautions to keep your child’s mouth healthy. Brush their teeth with a blob of fluoride toothpaste no larger than a grain of rice (until the age of 3), and make sure you see your dentist at Enamel Dentistry every six months for a consultation.

Tips To Mitigate Teething Pain At Home

Teething can cause your child a lot of discomfort, but there are a few easy ways you can mitigate teething pain at home. 

• Rub your child’s gums with wet gauze or a clean finger. The pressure helps reduce discomfort.
• Use a cold spoon or teething ring to soothe your child’s gums. Cooling down the gums can help with pain.
• Try over-the-counter medicine like Tylenol or Motrin for kids. The analgesic (pain-relieving) and anti-inflammatory properties of these NSAIDs (non-steroidal anti-inflammatory drugs) will provide your child with relief from teething discomfort.

When Should I Call My Dentist? 

While this is rare in toddlers who are receiving proper oral care, it’s possible for toddlers to be affected by gingivitis or gum infections. If your toddler’s gums are very swollen, discolored, and bleed easily, they may have gingivitis.

Other potential signs of an issue include a high fever, pus draining from any area of their gums, or red streaks leading from a particular area of their gums. If you notice any of these issues, you should call your pediatric dentist for an emergency consultation immediately. 

Get The Dental Care You Need For Your Toddler At Enamel Dentistry

At Enamel Dentistry, we serve all of Austin with expert preventive and pediatric dental care. If your child is teething and you want to make sure their mouth is healthy, don’t wait. Contact us online to visit us at our South Lamar, Parmer Park, Lantana Place, or Saltillo location, and get your little one the care they need. 

Pain Management Protocol

Start with:

• Ibuprofen 600mg or 800mg (Advil, Motrin) unless otherwise directed by your doctor or dentist
• Take every 8 hours
  
  *Over-the-counter Ibuprofen typically comes in 200mg tablets, so you can take 3-4 tablets to reach the recommended 600-800mg dosage. Do not exceed 3200mg daily.

If necessary add:

• Acetaminophen 500mg (Tylenol)
• Take every 6 hours
• Recommended to be taken 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
  
  *Over-the-counter Acetaminophen typically comes in 375mg or 500mg tablets, so you can take the 1-2 tablets to reach the recommended 500mg dosage. Do not exceed 2000mg daily.

If discomfort persists, discontinue Acetaminophen 500mg and replace with:

• Norco 5/325mg OR Tylenol #3 (depending on what was prescribed to you)
• >Both listed medications contain Tylenol so please be aware of your total daily consumption (do not exceed 2000mg Tylenol a day).
• >Take 1 tablet every 6 hours as needed for additional pain control
• >Recommended to take 3 hours after dose of Ibuprofen, but can be taken at same time as Ibuprofen
• >Do not drive or operate heavy machinery while taking these medications as they can cause drowsiness
• >If pain is more prominent at night, save these medications for use closer to bedtime as tolerance can build quickly