1. Midazolam
Midazolam is from a class of drugs called benzodiazepines that are frequently used in dental sedatives. It is recommended for patients with fears or phobias because of its memory loss and anxiety reduction benefits. It has minimal effects on the heart or lungs when injected into a vein. Within 2-3 minutes it will take effect and last for 60-120 minutes, giving your dentist plenty of time to perform your procedure.
2. Fentanyl
It is synthetic narcotic that it is commonly and safely used in the medical environment. It is known for its quick onset and short duration of effect. This allows patient to quickly regain their mental and physical abilities.
3. Ketamine
Ketamine is derived from a psychedelic drug called phencyclidine that is known to relieve pain and cause memory loss, so you won’t remember your procedure. The sedative will kick in after 60 seconds after it has been injected. Generally, a single dose lasts for 5-10 minutes, which varies on the amount administered. It is often used for shorter treatments, but your dentist can mix it with other medications for additional benefits.
4. Dexmedetomidine
Dexmedetomidine, also known by the brand name Precedex is unlike the previous sedatives because it induces a sleep pattern that’s like natural sleep. Similarly to when you’re sleeping at night, you can be awakened easily to respond to verbal instructions from your dental team. Depending on your needs, low doses can be administered intravenously to reduce any adverse reactions. This medication has become increasingly popular because of it’s unique safety profile; It provides sedation without inducing respiratory drive.
Is IV Sedation Right for You?
Dental sedation is safe for most patients when administered by a trained professional. Some people with underlying health conditions or taking certain medications can be at risk of complications. Your dentist will review your medical history and any prescribed or OTC medications you’re taking to choose the safest sedative for you.
You will be monitored closely by your dental team to intervene at the first sign of a problem. Complications with dental sedation are rare, so there’s no reason to worry.
If you have an upcoming dental procedure, ask your dentist if IV sedation is an option for you. Maintaining a healthy smile doesn’t have to be painful.
About Dr. Roman Kotlarek
Dr. Kotlarek earned his dental degree from The University of Texas Health and Science Center in San Antonio. Additionally he has completed continuing education programs including anesthesia training at Montefiore Einstein Hospital In New York City. He is a member of various professional organizations, including the American Dental Society of Anesthesiology. As a general dentist in Houston, Texas he is one of the few licensed providers of iv sedation for all dental procedures including periodontal treatments, root canals, extractions and implants. If you need a little help to relax or desire a memory-free dental experience, contact our office today to see if IV sedation is right for you.
