Dr. Bradley Dean is a sedation dentist who offers a variety of techniques, including IV sedation and oral sedation. He delivers these sedation options while carefully supervising each patient at his Plano, TX, dental office. We provide the safest and most reliable methods of worry-free sedation dentistry available.
Dr. Dean’s in-depth experience with dental sedation is highly unique. This allows patients to receive the necessary dental care without fear or anxiety. Your dentist can perform more procedures in a single dental visit, saving you time and money.
Types of Sedation Dentistry
IV Sedation Dentistry
Oral surgery can feel overwhelming, especially if you’re anxious. Fortunately, IV sedation is a solution that allows patients to undergo treatment comfortably, safely, and stress-free. At Advanced Implant & Oral Surgery, our doctors are specialized in helping patients experience a pain-free, relaxed environment with IV sedation.
Our doctors offers multiple options to keep you comfortable during the procedure, from local anesthesia only to nitrous (laughing gas), moderate (twilight) IV sedation, and deep IV sedation. They are up-to-date with BLS, ACLS, and PALS certifications.
IV sedation dentistry provides a highly effective solution for patients who experience severe dental anxiety or need extensive dental procedures. This method involves administering sedative medication directly into the bloodstream through an intravenous (IV) line, allowing fast-acting and adjustable sedation. Unlike general anesthesia, IV sedation keeps patients in a semi-conscious state, meaning they can respond to verbal cues but remain deeply relaxed and unaware of the procedure.
Our staff has complete control over IV sedation. The medication’s dosage can be adjusted throughout the procedure to maintain the patient’s comfort. Additionally, IV sedation is often combined with local anesthesia to ensure a pain-free experience. Because the effects take time to wear off, patients need a trusted companion to drive them home after their appointment.
Oral Dental Sedation
Oral sedation dentistry is administered by taking a pill. The pill relaxes you to the point where you feel like you want to fall asleep. However, you remain awake and still have full control over your body functions and breathing rate. You will be able to answer questions and respond to Dr. Dean.
This form of sedation offers an amnesia-like effect, and you won’t remember much from the procedure. It may take several hours to completely wear off, and patients will need to arrange for transportation after treatment.
What Exactly Is IV Sedation?
IV (intravenous) sedation is an anesthetic technique used to help patients relax during oral surgery. An IV is placed in your arm and medications are administered through the IV; numbing injections are administered only after you are asleep. The effect is rapid and ensures you’re completely relaxed throughout the procedure.
Unlike general anesthesia, you will remain breathing on your own. Before, during, and after the procedure, our doctors will closely monitor your heart rate, EKG, blood pressure, oxygen saturation, inspiration and expiration. Our doctor only sedates one patient at a time and will be fully focused on your care until you emerge from anesthesia. Our doctors offers deep IV sedation in which you will be fully unconscious as well as moderate (twilight) IV sedation. He will discuss your goals with you at your initial consultation to ensure you have the best experience possible.
Prior to IV sedation, there are important guidelines to follow to ensure your safety. You will need a driver and nothing to eat or drink for 8 hours prior to the procedure; further instructions will be provided in detail at your consultation.
For patients who experience high levels of dental anxiety or are undergoing extensive oral surgery, IV sedation ensures the experience is comfortable and stress-free.
IV sedation, also known as deep conscious sedation, is a specialized service. Only dentists and oral surgeons who complete training and receive certification can perform this treatment. Plano, TX, periodontist Dr. Bradley Dean is highly trained in sedation dentistry, including IV sedation.
We want to provide pain-free dental care. With comfortable and relaxing treatment, you can get the care you need to improve your health.
How Does IV Sedation Dentistry Work?
To prepare for your treatments with IV sedation, you should follow fasting guidelines. You should not eat or drink 6 hours before your procedure. However, you can drink water up to two hours before treatment. Do not consume alcohol for 24 hours before your procedure.
You should give Dr. Dean a list of all your medications. Sometimes, medications can interfere with the effectiveness of the treatment. You may be allergic to the anti-anxiety medication used during your procedure.
Afterward, you will feel sleepy and unsteady. Do not go to work or make plans after your treatment. Go home to rest and heal. You will need transportation from our dental office because you will likely feel too tired to drive.
Benefits of IV Sedation Dentistry
There are many benefits to IV sedation. It provides:
- More reliable treatment
- Relaxation and anxiety relief
- Time to complete dental work in fewer visits
- Faster recovery with fewer side effects compared to other options
- Expert treatment from our certified Texas dentist
If you avoid visiting the dentist because you fear dental pain or loud dental tools, we can help. We offer IV sedation to ensure you do not feel discomfort during treatment. If you require long or complex treatments like tooth removal or implant treatment, IV sedation can make it seem like treatment flies by.
In addition to sedation, we work to accommodate your needs. If you have dental fear or anxiety, you can tour our office before your upcoming visit. You can also bring a family member with you to your visit. For routine treatments, you can bring music or a comforting object to help you relax.
We usually do not need to sedate patients for routine cleanings or general treatments.
When we administer IV, we use an intravenous tube in the arm. A constant “drip” of medication flows through the tube to keep you relaxed throughout the procedure. Various medications are available. We carefully select your medication based on your medical history review and evaluation.
All medications are safe, effective, and carefully controlled. You will remain awake but will likely have no memory of the treatment. However, it will feel like you were asleep during your procedure.
The goal in sedation dentistry is to use as little medication as necessary to achieve relaxation. Compared to alternatives, IV sedation is safer and more effective, with less risk of side effects. We can also reverse the medication’s effects.
Why Should You Choose Oral Sedation Dentistry in our Plano Office?
Dr. Bradley Dean has extensive experience and training in administering different types of sedation, such as oral and IV sedation dentistry. The medications we offer are safe, effective, and carefully controlled.
Dr. Dean can complete most procedures with commonly prescribed medications. These medications are tested, studied, and approved for use. In your total state of relaxation, you can still respond to his questions and breathe independently.
Benefits of Oral Sedation Dentistry
Oral sedation has many benefits over other methods:
- No needles
- Provides medication taken before your visit
- More affordable, compared to IV options
- Allows the dentist to perform more dental work in fewer visits
We will prescribe your medication and give you instructions on when to take it before your visit. However, we will not recommend oral sedation if you have an allergy to anxiety medication. We will obtain information about your medical history and note any allergies before we prepare treatment.
How Does Oral Sedation Dentistry in Plano, TX Work?
Oral sedation provides “light sedation” to ease anxiety. Dr. Dean will prescribe medication that you can take before your scheduled visit. You must have a responsible adult escort to and from your appointment. Oral medications will impair your ability to drive or travel alone.
As the medication enters the bloodstream, you will enter a deep, relaxed, and dream-like state. You will remain fully conscious and able to breathe independently. Some patients may even fall asleep. As the medication wears off, most patients experience some degree of amnesia. They will not remember their treatment.
A drawback to sedation is the side effects and reactions. The recovery can sometimes be uncomfortable. You may experience unwanted side effects such as drowsiness, headache, and/or nausea. This is why taking time to recover after your treatment is essential. After your procedure, rest at home. It will take time for the effects to wear off.
Who Benefits From Sedation Dentistry?
Sedation dentistry helps many people get the dental care they need without fear or discomfort. Many different people can benefit from sedation dentistry, including those with dental anxiety, sensitive teeth, a strong gag reflex, or special healthcare needs.
Patients with Dental Anxiety
One of the most common reasons people avoid the dentist is anxiety. Some patients feel nervous or scared before and during dental visits, which can cause them to delay or skip necessary treatments. Sedation dentistry allows these individuals to feel calm and comfortable while receiving care. Dentists can adjust the level based on a patient’s needs, ranging from mild relaxation to deeper sedation. This makes getting regular checkups, fillings, or even more complex procedures easier without fear.
People with Sensitive Teeth or Gums
Some individuals experience extreme sensitivity in their teeth and gums. Even routine cleanings can cause discomfort. Sedation helps numb this sensitivity so patients do not feel pain during their procedures. This allows dentists to perform thorough cleanings and treatments without causing stress or discomfort to the patient.
Those With a Strong Gag Reflex
A strong gag reflex can make dental treatments difficult. Some people struggle to keep their mouths open for extended periods or react strongly when a dentist works near the back of their mouth. This reflex can slow down procedures and make the experience uncomfortable. Sedation dentistry relaxes the muscles and reduces the gag reflex, allowing the dentist to work efficiently while keeping the patient comfortable.
Patients Needing Extensive or Complex Procedures
Long dental procedures, such as root canals, dental implants, or multiple fillings, can be exhausting for patients. Sitting still with the mouth open for an extended time can cause discomfort and make it harder for the dentist to complete the work. Sedation allows patients to remain relaxed, often making the procedure feel much shorter. It also helps the dentist work more effectively, reducing the required visits.
Children or Adults with Special Needs
Some children and adults with special healthcare needs may struggle with dental care due to difficulty sitting still, understanding procedures, or managing anxiety. Sedation dentistry allows them to receive necessary treatments in a safe, controlled environment. Dentists trained in sedation can provide care that ensures patient comfort while protecting oral health.
Benefits of Sedation Dentistry
Whether you have dental anxiety, a severe gag reflex, jaw joint soreness, difficulty getting numb, or just have a hectic schedule, sedation can allow you to safely and comfortably get the dental care you need. Sedation dentistry delivers an amnesia-quality effect, which, for most patients, prevents their memory of the visit.
Sometimes, we refer to this technique as “sleep dentistry” because of its other pleasant effects. Some benefits include:
- Enhances the effectiveness of anesthetic
- Decreases gag reflex
- Alleviates anxiety
- Eliminates joint and muscle soreness
- Dentists can perform more dental procedures with fewer visits
- Worry-free dental appointments
General FAQs for Sedation Dentistry
Learn more about dental sedation by reading the answers to these commonly asked questions.
Do I have the option of being sedated during oral surgery?
Yes. We offer two types of sedation dentistry in our Plano, TX dental office: Oral Sedation and IV Sedation. Oral sedation dentistry utilizes prescription medication ingested prior to the dental visit to help you feel relaxed. IV Conscious Sedation is carefully controlled in the dental office setting to help you achieve a natural, light “sleep” during your surgery.
Will I feel pain if I choose to use sedation during my treatment?
If you require a local anesthetic, we will give it to you once you are already sedated. That will numb most of the pain, and then the sedative will further mask the pain. It will lower your awareness level so that you will feel little or no pain during the procedure.
How fast does IV sedation wear off?
IV sedation usually wears off relatively quickly. However, the exact time can vary based on the drugs the anesthesiologist used, the patient’s metabolism, and the duration of the procedure. Most patients feel more alert within 20-30 minutes after the IV sedation. But full alertness can take several hours. It’s important to have someone drive you home after the procedure. The sedative effects can take 12-24 hours to wear off completely.
Does dental insurance cover sedation?
Dental insurance policies vary. Many do not cover dental sedation, which insurance companies often consider an elective or “non-essential” service. However, they may cover sedation if they deem it medically necessary for a specific dental procedure. For instance, certain complex surgeries or patients with specific conditions might qualify.
However, patients often pay out-of-pocket for sedation for most standard dental treatments. It’s always best to review your insurance policy or speak directly with your insurance provider to understand what will and will not be covered.
Are you awake during IV sedation dentistry?
Yes. During IV sedation dentistry, you’re technically awake but in deep relaxation. IV sedation doesn’t put you to sleep but numbs your senses. Most patients feel drowsy, and while they might remember some of the procedures, many have little to no memory of them afterward. The primary goal of IV sedation is to ensure the patient’s comfort and reduce anxiety during dental procedures.
Which is better, oral sedation or IV sedation?
Oral sedation and IV sedation both have their merits. Oral sedation can provide relaxation, and dentists consider it safe. However, many patients favor IV sedation due to its speed, reliability, and ability to cause more deep sedative conditions. Dentists usually recommend it for patients with intense anxiety or complex dental procedures. Ultimately, deciding between oral and IV sedation depends on the patient and their comfort level. It will also rely on the advice of the dentist.
Is IV sedation stronger than laughing gas?
IV sedation is generally stronger than laughing gas (nitrous oxide). While laughing gas helps patients relax, they remain fully conscious. IV sedation, on the other hand, places patients in a deeper state of relaxation. Sometimes, it works so well that patients don’t remember the procedure. Both have their uses, depending on the procedure and the patient’s anxiety level.
Do I need sedation for a dental implant?
Whether or not you need sedation for a dental implant procedure will depend on various factors. Your dentist or oral surgeon will consider your comfort level, anxiety, and the complexity of the procedure. While local anesthesia is usually acceptable to numb the area and prevent pain, some patients prefer additional sedation to help them relax. It’s best to discuss this with your dentist or oral surgeon. They will consider your individual needs and preferences.
Is sedation dentistry safe?
Yes, sedation dentistry is completely safe when administered by a trained, licensed, and experienced medical professional. In our Plano, TX dental office, your comfort and safety are our foremost concerns. Dr. Dean utilizes the safest and most reliable sedation methods.
For your safety, you will be monitored throughout the entire procedure. We will discuss your medical history, list of current medications, and any conditions you may have to determine whether you are a good candidate for sedation.
In many cases, IV sedation is preferred over oral sedation dentistry for the following reasons:
- Safety. IV sedation is quickly reversible with an antidote when necessary. The dosage of medication used in IV sedation is also completely customized and controlled for each individual patient, which can be more challenging with oral medications.
- Speed. When medication is delivered intravenously, it begins to take effect almost immediately. The amount of medication can be controlled and consistent throughout the procedure. Dr. Dean can increase or decrease the dosage during treatment to achieve the appropriate level of sedation. With a pill, the medicine’s absorption takes 30-45 minutes, and you must hope that you will be properly sedated (not under or over-sedated).
What are Dr. Dean’s qualifications in sedation dentistry?
To offer sedation dentistry in Texas, a dentist must obtain an anesthesia permit through the Texas State Board of Dental Examiners. Dr. Dean was required to submit to the highest standards to be licensed to offer IV sedation dentistry. Sedation dentists must be in good standing with the TSBDE. Dr. Dean is required to take 12 hours of continuing education every two years to renew his anesthesia permit.
Does dental insurance cover sedation dentistry?
Sedation used in dentistry is often considered optional, a luxury, and not a medical necessity. Your provider will most likely not cover it. Ultimately, it will depend on your provider and plan. Most dental insurance policies only cover a certain amount in treatment costs, and the treatment plus sedation will most likely be over that amount. We will answer all your insurance and financial questions before your appointment.
IV Sedation FAQs
Learn more about sedation with answers to these commonly asked questions:
Is sedation dentistry right for me?
Dr. Dean will perform a complete evaluation and review of your medical history before recommending sedation. The treatment is safe and effective for most healthy adults (and even some children). However, it may not be safe in some cases:
- Pregnancy
- Allergies to specific medications
- Alcohol intoxication
- Heart conditions
- Central Nervous System (CNS) depression
Let us know which medications you are currently taking and if you have allergies. In addition, let us know if there are any changes in your health that we need to know before your care. We take note of your medical history when you join as a new patient. Tell us when this information changes.
How does IV sedation dentistry work?
Medication is administered through an intravenous tube. A constant “drip” of medication flows through the tube to keep you relaxed throughout the procedure. We carefully select your medication based on your medical history and current state of health.
All medications are safe, effective, and carefully controlled. You will remain awake throughout the procedure. However, you will likely have no memory of the treatment.
What do you wear to a procedure that uses IV sedation?
We recommend wearing loose, comfortable clothing to our office. Wear short-sleeved clothing. We can easily place the IV with short-sleeve clothing without altering clothing.
Will I be awake with IV sedation?
You will not be asleep. However, you are in a much safer and more comfortable “semi-awake” state. You may have little or no memory of your dental procedures. Anti-anxiety medications will reduce your fear and will keep you deeply relaxed. During IV sedation, you can respond to commands or light physical touch.
How will I feel after IV sedation?
After IV sedation, you may feel tired and “out of it.” This is normal. These feelings should wear off within twelve hours. Remember that the full effects of sedation will not wear off for twenty-four hours.
How long does dental IV sedation take to wear off?
The effects take 24 hours to wear off. When you get home, you may feel tired or fall asleep. We recommend that a friend or family member drive you home after your procedure. Resting for the first 24 hours after treatment also helps you heal.
Oral Sedation Dentistry FAQs
Learn more with answers to these common questions from our patients:
Does dental insurance cover oral sedation?
Oral sedation is typically not covered by dental insurance. Most providers consider it an optional part of treatment. Ultimately, it depends on your coverage. Contact your provider to see if sedation is included in your plan.
Is oral sedation dentistry safe?
Yes! Dr. Dean only uses safe medication that has been thoroughly tested and approved. He will also monitor you for your safety.
We will get your medical history and ensure you are a good candidate before treatment. You should discuss any conditions you have and any medications you are taking with Dr. Dean. He will give you instructions on how to take the sedative at home before your visit.
What can I expect during oral sedation?
The effect of sedation varies from patient to patient. However, most people feel sleepy or calm during their surgery. Many patients may feel sensations but will not feel pain. After treatment, you might also feel tingling in your limbs and mouth.
How long does oral sedation take to work?
Once you take the pill, it can take an hour for you to feel anything. The anti-anxiety medication works through the bloodstream and takes effect within minutes.
However, pills take 30 to 60 minutes to affect your body. For this reason, we recommend that you get transportation to and from your visit.
Can I eat before sedation?
No, you cannot eat before sedation. You should fast for six hours before your treatment. However, you can drink liquids up to two hours before you visit our office. You can get an upset stomach if you eat before treatment. This is why we recommend fasting six hours before your appointment.
How do I relax before sedation?
Slowing the mind and body down before any treatment can make you feel more relaxed. Before your visit, follow deep breathing, meditation, or relaxation exercises. We can also recommend bringing music and headphones to your visit or stress balls to help calm you in our office. Then, the sedation will calm your nerves in our office once it takes effect.
Get Comfortable Treatment
Call Dr. Dean for relaxing care at (972) 619-5611. You can also schedule an appointment online. Please let us know if you have questions about IV sedation in our Plano, TX, office. We are here to make our office relaxing when you visit.
Get answers to more of your Sedation Dentistry questions here.