How Dental Sedation Can Help People With Special Needs

Sleep Dentistry or Dental Sedation can provide relief for people who suffer from fear of the dentist or of having dental procedures.  This anxiety can range from severe anxiety into a terror that’s termed ‘Dental Phobia’.  Using moderate sedation and varying degrees of anesthesia has allowed these patients to get their dental processes while managing their anxiety and anxiety, completed.

Others can also benefit from some kind of Sleep Dentistry which relaxes them and enables positioning to get the best results with their dental treatment.  Some individuals with a variety of physical disorders can be treated more quickly, reducing the time they are in the dentist’s office, in addition to diminishing their pain and discomfort.

When a patient having some form of physical deformity or spastic, involuntary motions, is relaxed and mildly sedated, he could be placed properly and he will be comfortable.   Spastic movements will decrease with sedation and also the accessibility to the patient’s mouth is enhanced.  X-rays and procedures can be completed with outcomes that were better and effectiveness.  Dental Sedation by Go Dental is helpful in treating people who suffer from crippling or debilitating diseases such as:

Multiple Sclerosis

Cerebral Palsy

Severe Rheumatoid Arthritis

Parkinson’s Disease

Particular Allergic Diseases 

Post-Stroke Patients with Restricted Mobility

Some accommodations to the dental operatory may be essential to manage bulky wheelchairs and adaptive devices.  A patient with severe arthritic deformities may not be able to sit down in the typical dental chair.  A review of the medications as well as patients with cardiac problems or those who have suffered a stroke may need monitoring.  Special attention should be given to heart rate and their own blood pressure.  Those with chronic lung disorders and emphysema patients may require oxygen and close observation of the status.

The individual who is taking coumadin or even a blood-thinning drug presents exceptional challenges and also the threat of prolonged bleeding following any form of oral surgery.  Many medicines have to be discontinued for a period of time before any dental treatment.  The patient’s physician should be consulted by the dentist concerning the plan of care.

Patients with such conditions frequently require extra time at work for a comprehensive assessment of their dental problems -as well as their physical disorders.  Explanations are required both for the patient and his family.  If the dental team is accustomed to handling these kinds of physical conditions, their confidence is reassuring to the patients.  Additionally, a well-equipped workplace is reassuring its important to have sufficient equipment available to ensure the patient’s comfort.

Dental Sedation should be explained in terms that the individual and his family members will know.  The benefits have to be outlined as they relate to this individual and his disability or physical illness.  It will be easier to take care of.  Sleep Dentistry is your means of providing great dental care -not just people who are fearful or phobic. 

Dental Sedation For Children With Autism

Oral health care for a young child with the diagnosis of autism is not much different from the oral health care of other kids.  But children with autism often have difficulty in communicating skills, so collaboration from your kid may be a challenge when seeing the dentist.  For parents of kids with disabilities, a visit to the dentist will be much more than a kid opening their mouth and getting a reward after.  If your child is tough to work with and the demand for a dental procedure is enough, a dentist may have no choice but to use dental hygiene in order to execute his job.

What’s dental hygiene?  Is it mandatory?  Is it secure?

Sedation is the utilization of medications known as”sedatives” to produce a state of comfort.  It is normally done to ease a health, or in this case, dental operation.  There are three degrees of sedation that may be utilized with patients that require extensive dental hygiene:

-Conscious sedation is inducing a minimally depressed level of consciousness that retains the patient’s ability to keep an open airway independently and continuously and respond appropriately to physical stimulation or verbal commands.

-Deep sedation is a sort of sedation where the patient isn’t easily stimulated and which might be accompanied by a partial loss of protective reflexes, including the ability to maintain an airway or to respond correctly to physical stimulation or verbal commands.

-General anesthesia is an induced state of unconsciousness.  The individual can’t answer physical or verbal stimulation of any sort and it will be up to the dentist to make certain that an airway is preserved.

Many people immediately associate sedation using general anesthesia, where the patient is put to sleep throughout the entire process and awakens then in a recovery room.  This is generally the last possible choice for a dentist.  He’ll recommend a lower level of sedation if he can, attempting to use whichever kind of anesthesia has while being successful, the smallest risk.  To create his choice he will take the child’s age, cognitive level, coping and communication skills, physical health, the attitude of the parents toward anesthesia and the urgency of the procedure into account.

Even though the decision regarding which level of sedation to be employed on your son or daughter must ultimately be made by the dentist, you as the parent should have a say in the matter.  If you are not comfortable with the proposal of your dentist, make sure that your concerns about it are all heard.   The AAPD recommends appropriate sedation for:

-guzzling kids who Can’t understand or collaborate for definitive therapy 

-physicians requiring dental hygiene who Can’t cooperate due to a lack of emotional or emotional maturity

-physicians requiring dental therapy who cannot cooperate due to a cognitive, physical or medical disability

-Patients who require dental care but are fearful and anxious and Can’t cooperate for Treatment

The AAPD recommends deep sedation or general anesthesia for:

-Patients with specific physical, mental or medically compromising conditions

-Patients with dental restorative or surgical needs for whom local anesthesia is ineffective

-The extremely uncooperative, fearful, anxious or physically immune child or adolescent with substantial dental needs and no anticipation that the behavior will improve shortly 

-Patients who have sustained extensive orofacial or dental trauma Patients with dental needs that otherwise Wouldn’t receive comprehensive dental care

Sedation Procedure

Dental Sedation is often done in an outpatient dental clinic that is well-equipped.  The procedure won’t require more than 90 minutes for many processes.  Although some details vary depending upon the dentist’s clinic among other things, Generally Speaking, the process will proceed like this:

-First assessment of the pediatric dentist and scheduling of the actual procedure.

-Consent registering by the parents

-Strategies are given before the process – your little one will be asked to go on an NPO (nothing per orem or mouth) diet 6-8 hours before the procedure.  This is a standard procedure for any sedation procedure.  It will avoid any episodes of nausea after the procedure is finished and helps in your child’s proper venting.

-Sedation medicine is introduced through injection, an IV line, a rectal line (just like if you give suppositories for Stress ), orally or via inhalation.

-Dental procedures are finished.  Your child may or might not be strapped onto a papoose board.  Boards that are papoose help in strengthening your child through the procedure and also restrain the child’s limbs.  In the event necessary, oxygen and pulse oximeters should be available and used.

-Monitoring of the patient until the sedative wears off.

Safety of Sedation

Sedation is a recognized standard of care.  The 3 levels of sedation are accepted and encouraged by the American Academy of Pediatric Dentistry, the American Dental Association, the American Medical Association, and the U.S. Department of Health and Human Services.

Pediatrics dentists are also trained and licensed to perform sedation as part of the profession.  Usually, dentists who specialize in treating pediatric patients are also equipped to deal with children.