Sedation Dentistry Intravenous

Sedation dentistry: Is a mid-day nap right for you?

Do you feel that dental appointments “stress you out”? Do you find it difficult to sleep the night before your dental visit? Is dentistry an anxiety ridden nuisance?

A safe, relaxed and comfortable dental visit is possible.

Feelings of stress and tension are commonly associated with dental treatment. For many people the level of fear and anxiety can be overwhelming. Patients use words such as: Apprehension, Stress, Fear, Anxiety, and Phobia when describing emotions associated with dental care.

Have you have been dealing with recurring sensitivity, dental pain or swelling because of your fears? If so, you are not alone and sedation dentistry may be the answer.

Many people tolerate great discomfort, choosing to avoid treatment, rather than subject themselves to dental care. Dr. Kotlarek understands the emotions of stress and anxiety that patients face during dental care. Roman Dental, Dr. Kotlarek’s West Houston, Texas dental practice located near Katy, Texas in the 77079 Zip code area, provides different levels anxiety relief and sedation based on specific patient needs. Dr. Kotlarek received his anesthesia training at Albert Einstein College of Medicine / Montefiore hospital in New York. Dr. Roman Kotlarek is certified by the American Heart Association in Advanced Cardiac Life Support (ACLS). Additionally, he is an active member of The American Dental Society of Anesthesiology.

Sedation dentistry is used for all types of dental care, from cosmetic smile makeovers, porcelain veneers, crown and bridge, root canal therapy, surgical tooth removal with immediate denture placement, dental implant procedures, periodontal (gum) treatment and dental cleanings. The method of sedation varies dependent upon both the patient’s level of dental fear and the type of dental treatment being accomplished. Some fearful patients simply require emotional reassurance along with profound local anesthesia (“Novocain/ Lidocaine” injection). A comfortable experience for others may require nitrous oxide (laughing gas), oral sedation (swallowing a “sleeping / hypnotic” tablet), or for those who want to be totally unaware, Dr. Kotlarek offers the benefits of IV sedation. In most situations we can help .

sedation dentisty

Nitrous Oxide/ Oxygen administration (Laughing Gas)

Nitrous oxide is a gas that is inhaled through a mask placed around the nose. It is used for patients of all ages. Nitrous oxide is often combined with local anesthetics, pain and anxiety medications. Nitrous oxide raises the pain threshold making dental anesthetic injections comfortable. Additionally, nitrous oxide may make treatment time appear to pass more quickly.

Nitrous oxide provides “conscious sedation.” The patient is awake and capable of rational response to requests and questions. Nitrous oxide commonly produces a giddiness or euphoria, earning it the reference “Laughing Gas”.

Nitrous oxide has some advantages over other sedatives: it’s fast acting, has few side effects and rapid recovery time enables patients to safely drive a vehicle after treatment.

Oral Sedation

Oral sedation creates a deeper level of relaxation and comfort than can be achieved through nitrous oxide alone. A sedative medication is taken by mouth the night prior to the dental visit and then another tablet is taken about an hour before treatment.  Oral sedation may be used in combination with nitrous oxide for increased levels of relaxation and comfort. 

Oral sedation works well for patients who can normally cope with dental treatment.  Patients experience a drowsy sensation but are awake and able to respond to questions and requests.  Oral sedation works well for patients that enjoy the sedative effect that makes time seem to pass more quickly, treatment more comfortable, less stressful and simply more pleasant.


  • It works effectively for mild to moderate levels of anxiety.
  • It is simple and safe. Sedative/hypnotic tablets are taken prior to your visit.
  • Often patients have little memory of the procedure.
  • Sedation lasts for several hours after you take the medication.
  • You will need a companion to drive you to and from your appointment.

Intravenous  Sedation

Intravenous sedation is often simply called IV Sedation or twilight sleep.  This is the most effective and predictable method of sedation for patients that are very apprehensive regarding dental care as well as for those having extensive treatments.This is the choice of sedation for patients who don’t want any memory of their dental experience. Patients must avoid food and drink for 8 hours prior to treatment.  Patients need an escort to drive them home after treatment.   Sedative and analgesic medicine is delivered through needle access in the arm.  This method allows for great control of sedation level, pain control and anxiety relief.  Although patients are clinically awake, patients have a complete sense of relaxation and comfort.  Following treatment, patients rarely have any recollection of the dental procedure.  IV sedation removes anxiety, stress and memory of dental care.


  • It is effective for significant levels of anxiety.
  • It is effective and can be controlled to last as long as necessary.
  • Patients rarely have any memory of the dental procedure.
  • Time appears to pass quickly; lengthy dental visits seem brief.
  • Treatment can be completed more quickly and in fewer visits.
  • You will need a companion to drive you to and from your appointment.


IV sedation is a more reliable and effective method for comfortably delivering all types of treatment. IV Sedation’s onset of action is immediate and can be controlled to meet the individual’s needs. The intravenous route of sedation allows better control of the depth and duration of the sedation procedure. Conversely, oral sedation offers little control over how long the sedation lasts and how deep the level of relaxation. Oral sedation creates a relaxed feeling but is not as reliable. Some anxious patients find oral sedation to be “just not enough sedation.” If you’ve been hiding your smile, have pain, sensitivity, difficulty chewing, or are avoiding dental care due to fear, a bad previous experience or anxiety, we can help. Dr. M. Roman Kotlarek offers safe and effective sedation techniques. Have your treatments performed quickly and easily in a relaxing atmosphere. If you or someone you know could be helped with sedation dentistry, our dental practice is located at 14535 Memorial Dr. Houston, Texas 77079, give us a call: we are one of few dental practices that offer IV sedation for general dental procedures. We are near Dairy Ashford close to I-10 West between Katy, Texas and the Houston Galleria. Our courteous staff will take the time to listen and help.