We know how daunting dental treatment can be. Our Dental Phobia certified experts are here to help ease your mind before treatment by answering your questions.
My dentist offered me IV sedation but I am still terrified – help?
Dr Jennifer – I have an appointment to see a dentist for the 1st time in 30 years on Thursday. I am off the scale phobic, terrified and at the very least have to have root canal treatment. I have spoken to him – through a haze of tears, panic, shaking and diazipam and he has said he will give me IV sedation but told me I will be conscious and will be able to respond to requests from him. I can’t see how this will work – if I can hear, see and smell my surroundings I won’t cope. I have read about conscious sedation but feel terrified that even though after I will ‘forget’ after the event, during the procedure I will be aware. Please, please help – I can’t sleep, am losing weight and feel completely unable to cope. I am on the point of cancelling but my teeth problems are now seriously affecting my health. Please help me.
Its wednesday evening , I hope that you manage to have the courage to go to the appointment you’ve made .
You will find out exactly what treatment you need then .
Iv sedation comes in two ways . The first is to have intravenous midazolam ( Hypnovel ) thats what many dentists who give it themselves do . Its good for procedures which last about 1-2 hours .
You will be in an altered state of consciousness which is not fully unconscious , so that it remains safe . However in this state of sedation you will not be aware of what is happening , and will not remember when you are finished .
The second type of IV sedation is given by dentists with advanced training or by an anesthetist . This uses a cocktail of drugs and the doses are matched to each patients needs to maintain a continuous state of sedation .
The majority of patients find this very suitable , and are able to get their treatment done .
If it turns out that you need an extraction then it might be possible for the dentist to refer you to a hospital for a full general anesthetic .
During sedation you will be given local anesthetics to get the same level of good numbness that you would have if your fully conscious .