IV Sedation for Bone Graft and Dental Implant: Is this Neccessary?
David asks:
I have been speaking with my dentist about an implant on UL4, which has been subject to a previous apicectomy, and needs a sinus lift and (artificial) bone graft. He normally uses IV sedation for this procedure, and I am quite nervous about this, because I hate needles. I am not too squeemish about drills, but am I crazy to contemplate this procedure without sedation? He said he can do oral pre-med, but will I regret not getting the IV drugs? What are my options here? Thanks for your help.
Disclaimer: The information provided here is for educational and informational purposes ONLY. It is not medical advice. The use of the Web Site is at your own risk. >>Read More
Topics
Implants for Dummies
Do you feel like a dummy when it comes to dental implants? Don't worry. We can help. Below are popular posts for those just starting out with implants.
Featured Local Doctor
Dental Implants Advice
-
There is a wide range of fees charged for dental implants, and it changes according to the...
-
I have found 2 mini implants to be inadequate for denture function/retention(4 would be better...
-
Mini implants can be successful when used properly.
The standard protocol for mini... -
Hi
Mini implants overall have high rate of failure and are not as stable as conventional...
-
Successful implants are fused to the bone in a process called osseointegration. If your implant...
IV sedation for implants or bone grafting
In my experience, IV sedation is a terrific option for any patient having bone grafting or dental implants. Patients report wonderful experiences when surgery is performed under IV sedation. It is appropriately given by oral surgeons who are well familiar with the technique.
Some data about IV sedation and its safety:
* Administered in our office by Dr. H. Ryan Kazemi
* Requires an IV access and full monitoring
* Recovery is quick: 30-45 minutes and the patient is often ready to go home
* Requires patient to avoid drinking or eating anything for 8 hours before and to have some one as escort post-procedure.
Dr. H. Ryan Kazemi
http://www.facialart.com/
IV sedation
David:
From a periodontist's viewpoint, IV sedation is almost never required for extractions, sinus lifts, and grafting related to implant placement. Less than 0.2% of the above procedures that are done in my office have been done with sedation and the other 98.8% of the procedures were completed comfortably for the patient under local anesthesia.
Your dentist should be able to control all sensation with local anesthesia and can reduce your anxiety level with either oral medication or nitrous oxide analgesia.
I utilize IV sedation only for the most anxious of patients who have longer appointments, much more complex treatment, and who usually also have a dental phobia. It should also be noted that I am NOT an oral surgeon, I cannot administer IV sedation myself, and need to call in a dental anesthesiologist for such procedures. It is much more routine to adminsiter IV sedation in an oral surgery office, and patients who have that level of apprehension should absolutely take advantage of that service if it will help them obtain the treatment they require.
In summation, IV sedation is used for these procedures but the procedure can absolutely be completed comfortably for the patient without it.
I hope this has helped you and good luck with your procedure.
Dr. Brook
Dr. Jeffrey Brook
http://www.periowellness.com/
IV sedation
I would agree with Dr Kazemi with the use of IV sedation. Drugs used are in our office reversible, which means I can give another drug to reverse the sedative effects of the inital drug. I am a general dentist and have done IV sedation, sinus lifts for almost 20 years and implant placemnts for almost 25 years.
I have had couple patients request no sedation, but later regreted not having it done. If you are relaxed, the doctor can work more effeciently. A very win win situation for both. I feel as though I can treat the patient's better and be able to concentrate on the procedure, without having to stop and give a play by play description or have to wait till the patient gets comfortable again. The best part for the patient is the drugs give you amnesia for the procedure.
If you have feelings of insecrity I would discuss this with your doctor or staff. If it would be me I would be sedated for the procedure you decribed. Being a general dentist I rely on referal from patients to get more patients, thus I need to make sure we do procedures as comfortable to the patient as possible, some specialist get referal from other doctors and never see the patient again. If I do not treat the patients with care, THEY WILL NOT COME BACK.
Good luck
Sedative techniques
Hello David
I am an Oral & Maxillofacial Surgeon with 35 years experience doing intravenous anesthesia and dental implant procedures. Approximately 5% of procedures like yours are done with I.V. general or I.V. sedation in my office. These patients are anxious and appreciate the amnesia they achieve.
You may also consider Oral Concious Sedation. Valium is prescribed the night before and Halcion in pill form is given pre and intra-operatively. This technique is very safe when professionally administered and monitored, requires that you be driven to and from the office,achives amnesia,and is often supplemented with nitrous oxide(laughing gas).
Both techniques can be tailored to your needs.A decision should be made during the pre-operative consultation with your dentist.
Sincerely
Theodore M. Grossman D.M.D.
Dental Options - Adventura, Fl.
www.Fortlauderdaleoralsurgery.com
Dr. Theodore M. Grossman
Post new comment