What Drug Is Used for IV Sedation in Dentistry?

What Drug Is Used for IV Sedation in Dentistry?

Does a trip to the dentist make you feel anxious? Does the thought of sitting in a chair while a dentist rummages around your mouth put you on edge? If so, then sedation dentistry may be just what you need to have a stress-free dental appointment. If you are interested in sedation dentistry, you have likely wondered what drug is used for IV sedation in dentistry. Below, we outline the drugs commonly used in IV sedation and share information concerning the preparation, aftercare, and recovery of dental procedures that may use dental sedatives.

 

Why Is IV Sedation Used in Dentistry?

Estimations say that dental anxiety affects 50-80% of adults in the United States. With dental anxiety being so prevalent, dentists have curated various methods to ease that anxiety and make dental procedures less stressful. A number of these methods involve medications delivered directly into the bloodstream, which trigger what is often referred to as twilight sleep. When twilight sleep occurs, and the sedative makes its way into your system, you will be enveloped in a conscious state of deep relaxation. These medications are particularly helpful in cases of severe dental phobia or when extensive dental work is to be undergone. 

 

Commonly Used Drugs in IV Sedation

Sedation medications can affect everyone differently. As a result, medical professionals have worked diligently to create some alternative medications to ensure access to sedation dentistry for everyone. 

 

Midazolam

Midazolam is a popular choice in IV sedation because of its quick peak effect and relatively short half-life. This short half-life means that after administration, your endodontist can quickly take care of target areas, and the medication will lose its effects very soon afterward. It is also the only benzodiazepine approved by the FDA in newborn children. 

 

Propofol

One of the most common sedative agents used in IV sedation during dental procedures is propofol. Its popularity is derived from its rapid recovery time, even with prolonged infusion. This quality makes it a front-running option for outpatient anesthesia. 

 

Ketamine

Most sedatives have a depressive effect, whereas ketamine creates mild cardiovascular stimulation. Ketamine is effective in treating patients with asthma but should not be used if you have a history of hypertension. 

 

Preparing for IV Sedation

Preparing for IV sedation is overall quite simple, but there are a few dos and don’ts that you should keep in mind. Following these simple guidelines will help ease the procedure and recovery process. That said, your personal care provider will know your medical history, so any information they give you should take precedence. 

 

Do:

  • Have a responsible party available to accompany you. 
  • Opt for loose, comfortable clothing
  • Contact your dentist to reschedule if you are not feeling well

 

Don’t:

  • Eat or drink six hours before sedation. 
  • Smoke at least 12 hours prior to your procedure.
  • Wear contacts, jewelry, makeup, or nail polish.

 

Post Sedation Care and Recovery

Post-sedation care and recovery are as simple as preparation. Post-care focuses on:

  • Rest
  • Staying hydrated
  • Following your doctor’s dietary restrictions
  • Pain management
  • Avoiding any strenuous activities
  • Self-monitoring and reporting for any complications and to assess progress
  • Follow any instructions provided by your care team
  • Keep any follow-up appointments

It is advised to refrain from driving or operating heavy machinery for a minimum of 24 hours following sedation. If you have any concerns, contact your dental provider as soon as possible to address them.

 

IV Sedation Could Be the Answer to Your Dental Anxiety

If you have dental anxiety, IV sedation may be just what you need to kick your anxiety and finally take care of those dental concerns. Experienced dentists have developed a variety of sedation options so anyone can get the dental treatment they need without worry.

Don’t let dental anxiety keep you from getting the smile you deserve. Talk to an experienced dental professional about IV sedation in dentistry today.

Leave a Comment