Category Archives: Sedation Dentistry

Why can’t I get numb?

I’ve been to the dentist twice to get a procedure done, but he hasn’t been able to get me numb.  We end up abandoning the procedure.  What’s the deal?

Danny B. – New Jersey

Danny,

It’s possible that you have some form of dental anxiety, even without realizing it.  That can cause your body to burn up the anesthetic before it has a chance to really take effect.

Sometimes using something as simple as nitrous oxide will relax you enough for the numbing medicine to take effect.  If that doesn’t work, you’ll need a stronger type of dental sedation.

I would go to a sedation dentist and let them know what is going on. You will likely have your first completely pain free dental appointment, which should really help with that anxiety.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Dental procedure for alzheimer patient

My mother has alzheimers. She can be quite difficult at times.  Today she was screaming about her mouth hurting. When I finally got her asleep, I peeked inside her mouth.  There is a huge cavity and what looks like an abscess based on what I infer from the articles I looked up online. I know she needs to see a dentist, but I have no idea how to actually get her to let the dentist treat her.  Are there dentists who specialize in alzheimer patients?

Amy S. – Boston

Amy,

There isn’t a specialization for alzheimer patients, but many dentist have treated them.  If I were in your position, I would go to a dentist who does sedation dentistry.  That can make the appointment trouble free for you, your mother, and the dentist.

There are different levels of sedation. Not all dentists who use sedation use all the types, so you’ll have to call around.  My suggestion would be to find someone who uses oral conscious sedation.  It’s a lot stronger than nitrous oxide.

You’ll give her a pill before her appointment and she’ll be completely relaxed. I mean completely relaxed.  Even people without alzheimers often don’t even remember the procedure.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Special needs child needs a dentist

I have a son who is special needs-severely special needs.  He will let me touch him and no one else.  Even with me it’s not a guarantee that he’s not going to fly into a panic and disappear into his private world.  I try to help him clean his teeth as best I can, but you can imagine that isn’t easy.  Now I’ve noticed what I think is a cavity starting on one of his teeth. I don’t know what to do and  I don’t think he’ll respond well to a dentist.  I’m desperate. Any advice?

Melissa B. – Conway, AR

Melissa,

You’re in an incredibly difficult situation.  I’m sure you feel stressed all the time, not to mention the pain when you can’t hold your son.  I want to take one worry off your shoulders. There is a way you can get your son the treatment he needs.

I would get a pediatric dentist who is also a sedation dentist. Your son can be given a pill to take before his appointment that will make him oblivious to what is going on around him.  It will completely relax him and they your dentist will be able to do whatever procedure is necessary.

There are other types of sedation too, such as I.V., but a needle might be harder for your son that a pill.  I would schedule an apppointment with the dentist and give him a full picture of what your son is like. Pediatric dentists are generally good with these kinds of situations.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Will insurance cover sedation dentistry?

I haven’t been to a dentist’s office in a while because of finances.  My husband had been out of work for three years.  He got a new job and they actually have dental insurance. I have some dental anxiety. I’m sure the appointment will be even worse than I remember, becuase of how long I’ve been away.  I don’t see sedation dentists listed.  Does insurance cover sedation dentistry?

Melissa H. – Ft. Worth, TX

Melissa,

Congratulations on your husband’s job!  I know that must be a relief and hopefully take some pressure off of you.  I think the confusion lies in the way you’re looking. There isn’t a sedation dentistry specialist.  In fact, most dentists practice some form of sedation dentistry.

Dental insurance will normally cover the basic procedure.  At least some of the cost for sedation will have to come out of pocket, but it is totally worth it.  Your dentist can help you navigate how to get the most out of your insurance.

You’ll find sedation will allow you to get a lot more work done in each appointment, which will save you money in the long run with fewer appointments.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Can children use sedation dentistry

My son had a bad experience at the dentist’s office last appointment. He’s not too thrilled about going back. Is it safe to use sedation dentistry on children?

Morgan – Las Vegas

Morgan,

Yes, it is generally safe to use sedation dentistry on children, as long as they don’t have any allergies to the medication used.  Your dentist can go over all of that with you to make sure your child is a good candidate.

It’s great you’re being proactive about your son’s experiences.  Fortunately, sedation dentistry can completely change the way people respond to going to the dentist.

A few good appointments and you’re son will start looking forward to his teeth cleanings.

This blog is brought to you Gilbert Dentist Dr. Matt Roper.

Anti-depression medication and sedation dentistry

If I’m on anti-depression medication. Is it still possible for me to use sedation dentistry?

Laura K. –  Lawrence, Kansas

Laura,

It will depend on what type of anti-depression medication you’re on. Some classes of anti-depressants can interact with the sedative agents. If yours doesn’t interfere, then you can continue taking them as normal.

If yours does have some counter indications, you can still have dental sedation, but you may need to stop taking it for a day or two.

Make sure you speak to your dentist before you schedule the procedure. Also, let your dentist know everything else you’re taking including any over-the-counter medication.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Bulimic who’s scared of the dentist

I’m bulimic and I need to go to the dentist. Something is wrong with my teeth. I think it is because of how much I purge. I know it’s important, but I am terrified of the dentist.  What I really want to do is not go, but my mouth is hurting. Is there a way to home treat this?

Brittney – Alabama

Brittney,

I’m sorry you’re hurting. You’re probably right that the purging is causing problems in your teeth.  The acid from the vomit will eat away at the enamel on your teeth. That leaves you susceptible to decay, gum disease, and infection.

I realize that you are scared of the dentist, but to protect your teeth, you’ll likely need some dental crowns.  However, there is a way you can get the treatment you need without having to worry about pain.

See if your dentist is a sedation dentist. If not, then you can do an internet search for a dentist who uses sedation. They can give you a pill that will make you sleepy and you can have all your work done without feeling a thing.

Be sure to let your dentist know about the bulimia. It will help him no how to help you.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Child scared of the dentist

My nine year old daughter had a bad experience at the dentist last year. Since then, she hasn’t wanted to go.  In fact, she’s terrified.  Is there a way to help children with this?

Elaine D. –  South Dakota

Elaine,

What will help her the most is a series of good experiences at the dentist, but I realize you have to get her there calmly first.  There is sedation dentistry. It is safe for children.

There are different levels of sedation: nitrous oxide (laughing gas), oral conscious sedation,  and IV sedation.  I would discuss what is going on with your dentist and decide which option is better. If he’s not compassionate with your daughter’s fear, then you need to find a different dentist.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

I want to get knocked out for dental work

I need a significant amount of dental work done. I was hoping that I could get knocked out to have it done. Is that possible? Like anesthesia?

Bennie B. – Oregon

Bennie,

While it is possible to get anesthesia, you have a much more affordable option. I suggest you look for a sedation dentist who performs IV sedation.

This is a little different from anesthesia. Think of it as conscious sedation. You’ll still feel “knocked out”, but you’ll retain all your reflexes and muscle control.

Most patients who do IV sedation don’t even remember the appointment. The additional benefit is it will be significantly cheaper.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.

Can I get all my teeth pulled?

I absolutely hate going to the dentist. Like HATE it. Every time I go in, he causes me more pain than I was in when I got there. Do you think the dentist will just take out all my teeth and give me dentures? I think it will solve a lot of problems.

Elizabeth M. – Tennessee

Elizabeth,

You may find a dentist willing to do that, but I don’t think it will solve your dental problems. Instead you will find every day difficult, instead of just dental visits.   Even the best dentures drop your chewing efficiency to about twenty percent.

Plus, they are uncomfortable and will eventually start to slip and slide because your jawbone decreases the longer you wear them.  Your other option would be to spend thousands and thousands of dollars getting dental implants. That will solve many of the above mentioned problems, but they’re still not the same as having your own teeth. Plus, it will require surgery and months of healing.

There is a simple solution to your problem. Have you considered sedation dentistry?  That will enable you to get your teeth worked on in a pain free way. It will also allow your dentist to do more work in one sitting. It will let you catch up on any dental work you’ve neglected out of fear.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.