Oral Sedation

Do you experience high levels of anxiety when visiting the dentist? You may be a candidate for Sedation Dentistry. Dr. Knight is certified to administer (oral conscious) sedation, commonly referred to as “Sleep Dentistry.”

Sedation Dentistry

Advantages to patients include:

  • Treatment is completed when you are in a more relaxed mood.
  • You will have less difficulty sitting through a lengthy procedure.
  • Multiple treatments and full mouth restorations can occur during the same visit.
  • Less discomfort after treatment.

Anti-Anxiety Pills

The most commonly prescribed drugs that treat anxiety belong to the “benzodiazepine” family.  Drugs such as Valium, Halcion, Xanax, or Ativan.  These drugs decrease anxiety by binding and toning down activity within “fear” receptors in the brain.

There are two different types of Benzodiazepines:

  • Sedative-Hypnotics:  These drugs induce calm, including drowsiness and even sleep.  This sleep state is actually a form of hypnosis or type of physiological sleep.
  • Anti-Anxiety Drugs:  These drugs relieve anxiety and induce a state of calm and relaxation.

While benzodiazepines act as sedatives AND anti-anxiety drugs which reduce worry, some are highly targeted at areas within the brain which focus on sleep.  Others act in a more specific way and target fear centers in the brain.  In most cases, higher doses act as sedatives and induce sleep, while in lower doses, they reduce anxiety without sedation.

Benzodiazepines are also Central Nervous System (CNS) depressants (i.e. there can be a decline in blood pressure and breathing).  It is important to note that they should not be mixed with other CNS depressants such as alcohol or narcotic medication.  It’s important that you take only the dose your dentist or doctor recommends.  It is possible to overdose, and this could lower your breathing to dangerous levels, which can result in coma or death.

Please note that you should not travel on your own after you’ve taken any of these drugs.  Make sure you have an escort, even if you arrived by bus or on foot!  It’s easy to become disorientated.

When not to take benzodiazepines:

Some of these drugs can affect your liver and heart.  It’s important to check with your practitioner and/or pharmacist.  You should be sure to inform your doctor or dentist if any of the following apply:  known allergy to the drug, narrow-angle glaucoma, pregnancy, severe respiratory disease (COPD), congestive heart failure (CHF), impaired kidney or liver function, depression/bipolar disorder/psychoses, chronic bronchitis and some other conditions.  It’s also important to let us know if you are taking other medications.  There could be possible drug interactions.