An Overview of CEREC


The traditional approach to getting a crown is to receive a temporary crown and then wait a few weeks for the final restoration to be fabricated so that it can be placed in a follow-up appointment. CEREC technology improves the process by allowing a crown to be created and placed in one dental visit without need for a temporary fitting.

CEREC, which stands for ceramic reconstruction, uses a CAD/CAM technology to make crowns, veneers, inlays and onlays using ceramic materials. The process involves preparing the existing tooth, taking its picture and transferring it to the 3D computer, and allowing the computer to design the implant for each particular patient. The entire process is done all the way from anesthesia, tooth preparation, impressions, fabrication, and implantation in one single office visit.

The unique thing about CEREC technology is that once the computer receives a patient’s data, the machine uses diamond burrs to mill the restoration out of porcelain right there in the dentist’s office. The crown or other type of restoration is created specifically for the patient’s mouth and then checked against the bite and against neighboring teeth for color match. Once the dentist determines that the crown fits exactly, it is polished and implanted to complete the procedure.

Some of the advantages that patients enjoy about CEREC is the significant time savings of only one trip to the dentist, as well as just one anesthesia requirement. Also, this process conserves tooth structure and may require less impact on your existing tooth. Porcelain is a strong material and looks very natural in the patient’s smile. Porcelain is also able to expand or contract quickly to allow for less discomfort when consuming cold or hot foods, and it deteriorates at a similar rate as tooth enamel. The appearance and convenience of a CEREC restoration is very appealing, making it a great choice for many patients.


Cerec dentist in Fresno CA

Questions to Ask Before Oral Dental Sedation

If you are experiencing oral sedation for the first time, talking to your sedation dentist about any questions or concerns you have can help alleviate anxiety about your appointment. Some questions about sedation you may want to consider posing to your dental professional are listed below:

  • What kind of training and education do you have in sedation dentistry?
  • How long have you been performing sedation techniques?
  • How often is sedation performed in your office?
  • Am I a good candidate for conscious sedation?
  • Does my medical history affect sedation?
  • What level of sedation can I expect?
  • Can multiple procedures be completed during one sedation visit?
  • Can I drive myself to and from the appointment?
  • How long will it take the medication to wear off after treatment?
  • What are the risks associated with the type of sedation you will be administering?
  • Will I feel any pain or discomfort during treatment?
  • How do you monitor sedated patients during treatment?
  • What procedures do you have in place in case of an adverse reaction to the medication?

Thanks to sedation dentistry, patients who suffer from dental fears and anxiety can undergo necessary dental treatments and cosmetic dental procedures. Making sure you are comfortable with the skill level of your sedation dentist, as well as having an understanding of what to expect during sedation, will help you to feel relaxed when your appointment time arrives. Contact your sedation dentist for answers to these questions, and to address any other concerns you may have about your oral sedation appointment.

Comparing Oral and Intravenous Sedation

Sedation dentistry at our Fresno California dental office provides a way for those who experience anxiety or fear about visiting the dentist to get the treatment they need. It is also helping in relieving pain, and enabling more dental work to be performed in one visit. Two common methods of administering sedation are oral and intravenous (IV). Each type has its own unique characteristics and attributes.

Oral sedation involves swallowing pills or liquids. There are no shots, which is good news for patients afraid of needles. However, oral sedatives are less predictable because each medication affects people differently based on age, weight, medical history, and more. Also, there is a time delay between swallowing it and taking effect. Since the medication is absorbed through digestion, it is difficult to alter the sedation level quickly during treatment. Nearly all patients respond well to oral sedation, with few occurrences of any side effects. Patients typically don’t remember anything that occurred during treatment.

IV sedation means that the medication goes directly into the blood stream though an IV injection. A very powerful method, the effects are instant once the shot is given. If the medication begins to wear off, more can be administered through the IV for immediate results. IV sedation is very common during oral surgeries, which benefit from the ability to alter the medication dosage as needed. It is advantageous for long procedures or when multiple treatments are being done in one sitting. Patients will not remember the procedure or sometimes even the appointment at all. The biggest drawback of IV sedation is for patients who dislike needles. IV sedation requires that the dentist have special training and certification, so make sure that your dentist is qualified if this method is offered.

Both types of sedation can be effective depending on the situation and patient. Discuss your case with Dr. Smith to help you decide which one might be the best for you.


CEREC Changes Dentistry

More and more people are hearing about CEREC, or ceramic reconstruction, and asking their dentists about this exciting technology. It opens up a whole new way of getting restorations such as dental crowns in a much faster and more convenient method. Instead of having multiple appointments and a temporary crown, patients are able to obtain a perfectly fitting restoration in a single trip to the dentist.

CEREC incorporates advancements in technology in order to serve patients better. A high quality camera is used to take 3D photos that provide very specific measurements of the teeth and mouth. This negates the need for traditional impressions of the mouth. The data is then transferred to a computer with CAD software. It creates an exact design for the restoration, and then the information goes to a milling machine for the final product to be created out of ceramic. These technologies work together seamlessly to provide the patient with a perfect restoration to meet their specific requirements.

Perhaps the most appealing aspect about CEREC to patients is that the process takes only one appointment start to finish. Traditional crown methods could require up to a month for patients to receive their final fitting, making the need for a temporary crown while the permanent one is made. Temporary crowns don’t always fit well, can loosen or slip, and may make for an uncomfortable few weeks. CEREC’s advantage of completing everything in one day saves patients time, anxiety, and discomfort.

Patients also are thrilled with the perfect fit that CEREC crowns provide. The highly accurate technology allows the crown to be exactly what each patient needs for their restoration. There are fewer occurrences of loss or other problems in the future with CEREC, and the ceramic material used closely resemble your natural tooth’s appearance and feel.

More and more dentists are moving to CEREC technology because of the quality of the procedure and high degree of patient satisfaction. Saving a natural tooth is more enticing to patients when the process is as simple as it is with CEREC.


If you live in the Fresno CA area contact sedation dentist Dr. Smith about CEREC options.

What Makes a Good Sedation Dentist

Do you have apprehensions regarding dental exams or therapies? Do you find yourself worrying about your teeth and concerned about exams? You are not alone. Many people experience anxiety or fear regarding the dentist’s office. You might want to consider sedation dentistry.

Qualified sedation dentists are able to work with you to get the dental care you require without the burden of fear or nervousness that might lead you to postpone work.

Sedation dentistry therapies are overseen and administered by specially trained dentists and dental technicians. These dental professionals have undergone hours and hours of special education in sedation equipment, techniques and medications. These trained individuals are aware of the best sedation options for each patient type, and they can administer them safely and reliably.

If you are thinking about sedation dentistry for your next dental treatment, consider the following:

  • How much education does the dentist have related to sedation dentistry? What continuing education programs have been completed that specialize in anesthesia and conscious sedation?
  • What organizations does the dentist belong to that provide ongoing education to keep the dentist and staff apprized as to the latest techniques and research? A good sedation dentist is always looking to learn new procedures that can benefit his or her patients, and can do so through professional organizations such as the American Dental Society of Anesthesiology.
  • What equipment is in place to monitor a patient’s level of sedation? Sedation dentistry cannot be safely practiced without a pulse oximeter and oxygen equipment. Medications should be on-hand to reverse any rare reactions to the sedation.

It’s your right as a patient to have answers to these and all of your questions before you undergo any dental therapy. Your dentist should be very forthcoming. Having the right information allows you to make the right decisions for you and your dental care. Talk to Dr. Smith  today regarding these and any questions you have about sedation dentistry in our Fresno CA dental office or his qualifications. Get the best care you need, and skip the worry!

Preparing for Your IV Sedation Appointment

To ensure maximum comfort during an oral surgery procedure, many patients choose intravenous sedation. IV sedation works quickly and leaves the patient with no memory of the procedure after it is complete. Oral sedation methods that are administered through an IV require a little more preparation than other dental sedation options. If you have scheduled an oral surgery treatment that will include the administration of IV sedation, here are some guidelines to follow to help guarantee a safe and successful procedure:

  • Do not eat or drink anything for 8 hours prior to your procedure. Even water can cause nausea and vomiting, leading to serious complications.
  • Do not smoke for at least 12 hours prior to sedation.
  • Notify your doctor if you are experiencing any symptoms of illness on the day of sedation such as coughing, congestion, fever, or stomach upset.
  • Wear loose, comfortable clothing and flat, closed shoes to your appointment. You may need get up and walk after your procedures, so low heels will make this easier.
  • If you wear contacts or dentures, remove them prior to the procedure.
  • Leave your jewelry and valuables at home.
  • Wear minimal makeup and remove nail polish before your appointment.
  • Arrange to have a capable adult accompany you to your appointment and drive
    you home from your procedure.
  • Do not drive or operate heavy machinery until the day following your surgery.
  • Bed rest is recommended until the full effects of the sedation have subsided.

By following these simple guidelines, your IV sedation procedure should be smooth and uneventful. Consult with your sedation dentist for any additional questions or concerns you may have about your IV sedation appointment.

Options in Sedation Dentistry

Sedation dentistry is designed to ensure your ease and comfort during or immediately before your dental procedure. Several levels of sedation dentistry are available, including IV sedation, inhaled sedation and conscious oral sedation.

IV sedation, or intravenous sedation, is also known as “sleep dentistry”. It provides the most relaxed sedation available during a dental treatment. IV sedation doesn’t cause you to lose complete consciousness, but instead puts you into a deeply relaxed state. IV sedation acts quickly and is controlled by your trained dentist, who will monitor the levels during the course of your procedure.

Never drive after you receive IV sedation, as you will feel groggy and may not be fully alert for many hours. A side effect of the drugs used for IV sedation is full or partial memory loss while the drug is active in your body. It is because of this side effect that patients don’t remember things that happen during their procedures.

Inhaled sedation is also known as “laughing gas.” Nitrous oxide is inhaled through a mask. Levels are controlled by the dentist. It allows you to be fully comfortable and relaxed, but to still be responsive to requests and instruction by your dentist. Inhaled sedation wears off quickly, and enables you to drive yourself home following your treatment.

Conscious oral sedation accomplishes minimal to moderate sedation using oral sedatives in the form of a pill. They are typically taken within an hour of beginning your dental procedure. Some dentists allow a mild oral sedative to be taken the night before your procedure to ease your anxiety and allow you to get a good night’s sleep.

An oral sedative can sometimes cause you to “drift off” but you will never be fully unconscious and will awaken easily. Despite not being fully unconscious during conscious oral sedation, you should not drive yourself home from treatment, as you will not be fully alert.

Your dentist will have all of the answers you need to your sedation dentistry questions. Don’t let anxiety and fear hold you back; talk to your dentist today and have a comfortable, fear-free visit using sedation dentistry.

Benefits of IV Sedation Dentistry

Sedation dentistry offers several options for relieving anxiety and fear in dental patients. IV sedation is one of these options and is an effective method for providing you relaxation and comfort during dental treatment. IV sedation is administered through a tiny needle placed in the back of your hand or your inner elbow. IV sedation has several advantages over other sedation methods, including the following:

  • IV sedation allows the sedative drug to take effect within a matter of seconds, unlike oral sedation that could take as long as an hour.
  • IV sedation gives your dental professional optimum control of the amount of medication administered and allows the level of sedation to be increased or decreased quickly and easily.
  • With IV administration, the maximum level of sedation which can be reached is deeper than with other forms of sedation dentistry.
  • Because of the deeper sedation levels that can be achieved, even patients with extreme dental phobias and anxieties can be successfully treated with IV sedation.
  • The medications used for IV sedation cause either partial or full memory loss during the period of treatment, meaning time will appear to pass quickly, and you will have little or no memory of the dental procedure.
  • With IV sedation, you can have a high level of sedation while consciousness is maintained making it a safer alternative to general anesthesia.

Recovery time from IV sedation is quick, due to the controlled dosage of sedatives your dental professional can administer.

One of the greatest advantages of IV sedation dentistry is the fact that you can have faster treatment in fewer appointments. Because a trained staff member monitors your vital signs during sedation, your dental professional can complete your treatment free from distractions and worry about your anxiety or discomfort. Consult with your dentist to find out if IV sedation is a viable option for you to alleviate your fears about undergoing necessary dental care.

Advantages of Sedation Dentistry

One of the most common fears shared by people is a fear of the dentist. Patients can postpone necessary dental work due to fear of pain or needles. Just the sights, sounds and smells of a dentist’s office can lead to anxiety and increased heart rate for many people. Often, patients will tolerate tooth pain or other oral discomfort due to apprehension about what the dentist will find upon examination. These patients are perfect candidates for sedation dentistry, allowing them to benefit from general and cosmetic dentistry procedures free from anxiety and fear.

Patients are often concerned about the safety of sedation dentistry. Because you are monitored at all times by your dentist, it is very safe. In fact, due to the patient’s deep relaxation, more can be accomplished per visit when the patient is under sedation.

Sedation dentistry allows for positive experiences each time in the dentist’s office. Due to these positive experiences, patients who have undergone sedation dentistry treatments may find that their anxieties and fears abate as time passes. These patients may find themselves able to continue treatments with little to no sedation at all.

Other patients may have issues beyond fear or anxiety that can be addressed with sedation dentistry. Patients with an acute gag reflex, patients with highly sensitive gums and teeth, or patients with jaw pain or tenderness can benefit from sedation dentistry. Also benefitting are any patients who have trouble getting “numb” with standard anesthesia.

General dentistry and cosmetic dentistry procedures can be performed on a patient in conjunction with sedation dentistry. Teeth whitening treatments, dental implants, composite bonding, fillings, crowns, porcelain veneers and even orthodontic treatments such as braces or Invisalign can be performed with the help of sedation dentistry. Routine cleanings can be made more comfortable and relaxing when sedation dentistry is utilized.
Many factors determine your eligibility and suitability for treatment with sedation dentistry. Age, general health, and the details of the procedure you wish to undergo are all taken into account. Talk to your dentist today to see what advantages sedation dentistry can bring to your dental care.

CEREC Technology

Dental crowns are used when tooth structure is too damaged for a regular filling to successfully restore the tooth. In this event, tooth enamel is removed to create space for a dental crown to fit over the tooth so that its function and appearance is regained. Crowns are also used as part of many root canal procedures.

There is an alternative to traditional dental crowns, a process that employs CAD-CAM technology. CEREC crowns are made of ceramic using a specialized machine for this purpose. The computer-aided design and creation of the crown results in an exact replica of your natural tooth so that it’s a perfect fit. The end result is a high-quality, comfortable restoration.

CEREC technology has even improved because shade gradients can be used to enhance the ability of the ceramic to match your other teeth perfectly. It can be stained and polished to mimic the color variations in your natural teeth, so that the ceramic restoration looks great in your smile.

One of the greatest benefits of CEREC is that the entire process is completed in a single visit to the dentist. Traditional crowns require that the tooth be shaved and fitted with a temporary crown while the permanent one is developed in a lab. Then you have to return for another dental visit to have the new crown installed and adjusted. Instead, CEREC crowns are molded and created right beside the dentist’s chair using the special CAD-CAM equipment. One dental visit means you spend less time in the office, have only a single injection if needed during treatment, and skip any discomfort of a temporary crown.

CEREC technology is not limited to just dental crowns. Inlays can be created to replace large fillings, saving tooth structure and providing a strong and efficient restoration for your tooth.

If you need a dental restoration, ask Dr. Smith about CEREC and if it is available to help improve your smile.

CEREC Explained

Ceramic Reconstruction, or CEREC, is a popular new type of dental restoration system. It uses the latest technologies to create restorations in a short time period. This process revolutionizes the way that certain restorations like dental crowns can help patients.

How does it work?
CEREC uses computer-assisted technologies, such as CAD/CAM technology and 3D imaging, to develop the restorations. A 3D image is made of the teeth and then converted using CAD software to create a model. Important data is collected in the system and shared with a milling unit, which uses the information to accurately form a restoration from a block of ceramic. The restoration can then be applied to the tooth and polished with the finishing touches.

What are the benefits?
CEREC offers a number of advantages over the traditional way of making restorations. The most obvious is that the patient’s tooth can be restored in one visit to the dentist, and there are no temporary restorations to deal with. Also, there is a very high level of accuracy so that the fitting is comfortable, secure, and attractive. CEREC technology is constantly being improved, so more and more dental restorations are possible. Currently crowns, veneers, inlays and onlays can all be created with CEREC.

Who does CEREC procedures?
Dentists specially trained and certified to use CEREC technologies are the only ones you should use for this type of restorations. The dentist must have the equipment in the office to create CEREC restorations.

Simpler Dental Repairs with CEREC

Getting a dental crown, repairing a cracked tooth, or having an inlay done are things that shouldn’t be put off. Visits to the dentist can be time-consuming and uncomfortable, but CEREC technology allows a simpler process for these types of dental repairs.

CEREC, which stands for Ceramic Restoration or Chairside Economical Restoration of Esthetic Ceramics, is an innovative technology that makes dental repair better. Instead of multiple appointments, several injections, and temporary fittings, CEREC simplifies the steps down to a single dental visit and no temporary fittings.

CEREC treatment is performed entirely at the dentist’s office in one sitting. Special software and 3D photography are used to accurately create the restoration, which is made on a milling machine right there. The restoration is carefully carved out of a block of ceramic and then placed on the tooth with resin. The dentist must be trained and certified in the CEREC method to perform this type of repair.

The end result of CEREC is an attractive and perfectly fitting restoration. It closely matches the color of other teeth and can be shaped exactly as desired. The natural tooth that is being repaired does not have to be majorly impacted during the process, as is necessary with some traditional methods of restorations.

CEREC treatment in our Fresno CA dental office  is done with one set of injections for your comfort, so patients who experience dental anxiety don’t have to worry about going back and forth to the dentist. Also, there is no ill-fitting temporary restoration involved that might slip or cause pain. The patient has a complete smile in just one trip to the dentist!

Sedation Options During Cosmetic Dentistry Procedures

Many types of cosmetic dentistry procedures such as crowns, bridges, tooth implants, or other invasive procedures require some kind of anesthesia in order to be performed in comfort for the patient. Even a procedure like porcelain dental veneers can be aided by the addition of some kind of sedation dentistry, especially if the patient is experiencing anxiety or fear regarding the treatment. For any patient seeking a more relaxed cosmetic dental experience, sedation dentistry presents several options.

Inhaled sedation, or laughing gas, is more commonly known as “laughing gas.” It is inhaled via a mask and is controlled by your dentist. It is a light sedation, and allows you to remain completely responsive and compliant to instruction. Nitrous oxide sedation wears off quickly; because of this, you may be able to drive yourself home after your treatment.

Conscious oral sedation reduces your anxiety while still allowing for responsiveness to requests and directions. Oral sedatives are typically prescribed in pill form, and can be taken up to an hour before your dental procedure. Some dentists believe that taking a mild oral sedative the night before treatment can alleviate anxiety and ensure proper rest. You should not drive yourself home if you have taken an oral sedative for your dental treatment. You will not be fully alert.

IV sedation is also known as “sleep dentistry.” It provides the most relaxed dental experience, allowing you to be deeply sedated while never completely unconscious. A natural effect of the drugs is full or partial memory loss of the time during its use, so you may have no memories of your procedure. You should never drive following IV sedation, and you may not be fully alert for several hours. Plan to go home, rest, and sleep.

Your cosmetic dentist wants you to be comfortable throughout your dental therapy and will know which sedation dentistry option is right for your particular cosmetic dentistry procedure. Talk to your cosmetic dentist today about any concerns you have regarding your treatment so that you may have the most positive, pain and anxiety-free experience possible.


Cosmetic dentistry and sedation dentistry in Fresno

Should You Consider IV Sedation for Your Dental Procedure?

If you are avoiding dental treatment because of fear of pain or anxiety from a previous bad experience, today’s advances in sedation dentistry could be the answer to your concerns. IV sedation is a form of sedation dentistry chosen by many patients due to its rapid effects and ability to allow you to relax and be completely comfortable during dental treatment.

With IV sedation, medication is administered intravenously through the veins. Most patients describe the feeling of administering the sedation as a prick or a small pinch. If you have a fear of needles, your dentist may further reduce your anxiety by giving you an oral sedative prior to sedation, or applying a topical anesthetic where the needle will be placed.

One misconception about IV sedation is that you will be asleep or be completely “out” when sedated. Because you stay conscious during IV sedation, you are still able to acknowledge and interact with your dental professional. However, you may have limited memory of the procedure because IV sedation induces a deep state of relaxation. Also, the drugs used for IV sedation can cause some to complete memory loss during the time the drug is in effect. Because of this memory loss, it may feel as if you were “asleep” during the procedure.

Almost any dental procedure can be performed under IV sedation, so there is no longer a need to fear visiting your dentist for necessary dental treatments. With IV sedation, your dentist can accomplish high-quality dentistry while you remain completely relaxed and pain-free.


IV Sedation dentist in Fresno CA

Sedation Dentistry: Benefitting Patients and Dentists Alike

Sedation dentistry is rapidly becoming an extremely popular choice for patients, offering them the best oral care available while providing them with a comfortable, stress-free experience. Benefits exist for both the patient and the dentist, especially for certain patient groups, who may only be able to obtain dental care they need while under some kind of sedation.

Sedation dentistry uses various medications to help the patient relax while undergoing a dental procedure. The sedation allows the patient to be free of fear, anxiety and stress, and in some cases, to have a reduced memory of the treatment itself. This allows for a much more favorable experience, especially when undergoing invasive, extensive or multiple-visit treatments such as extractions, gum surgery, root canals, or some cosmetic dentistry procedures.

Because sedation dentistry is specifically designed to reduce or to alleviate fear and anxiety, the patient is more relaxed during the dental visit. Dentists working on tense or anxious patients are often aware of the problem and have to work with greater care. The removal of this patient tension allows the dentist to work more quickly and surely, leading to a shorter appointment and a more positive experience for both doctor and patient.

Dentists require cooperation from the patient in order to proceed with any dental procedure. Patients who are very young, have special needs, an acute gag reflex, or movement control issues can be extremely challenging for dentists to administer the necessary care. Sedation dentistry can solve this problem, allowing for patients to be cooperative and still, providing the safest, best experience for patient and doctor alike.

Patients who have positive experiences at the dentist are more likely to return for regular dental check-ups. These patients have overall better dental hygiene and tend to have fewer serious dental issues over time. Patients who have good oral care will feel better about their smiles and will be more confident and comfortable throughout the day.

Overcoming Dental Phobia with Sedation Dentistry

While most people do not relish the thought of a trip to the dentist, a percentage of the population may avoid seeking necessary dental treatment entirely due to dental phobia. As many as 14% of people skip or delay visits to the dentist due to anxiety or fear. Anxiety about visiting the dentist can develop for many different reasons, including the following:

Fear of pain is the most commonly reported reason for dental phobia in adults.

The feeling of not having control or of helplessness can trigger anxiety.

People may be embarrassed or ashamed of the condition of their oral health or the way their teeth look.

Having a dentist or hygienist inches away from their face may make some people anxious or uncomfortable.

Patients who have experienced pain or discomfort during previous dental procedures may be nervous about additional dental treatments.

Fear of needles, strong gag reflex, and mouth sensitivity may also cause anxiety in dental patients.

Severe dental phobia can lead some patients to go years without visiting a dentist. Neglecting your oral health in this manner can result in serious dental problems which may also affect your overall health.

With today’s advances in sedation dentistry, you no longer have to avoid needed treatment due to your fears and phobias about visiting the dentist. Oral, intravenous, and laughing gas sedation are safe and allow you to relax and enjoy a pain and anxiety free dental experience. Many dental professionals offer a variety of sedation dentistry options which can be utilized during most dental procedures from routine cleanings to root canal treatments. Contact your dentist today to find out how sedation dentistry can help calm your fears and get you back to optimum dental health.

Oral Sedation Dentistry in Fresno California

Has anyone ever told you to “take a chill pill?” With oral sedation dentistry, relieving your fears and anxiety of dental procedures is just that easy. Many people put off dental visits out of fear or anxiety, but with current sedation dental options, that is no longer necessary.

Oral sedation is a type of conscious sedation. Typically your dentist will prescribe benzodiazepine, which is a depressant that affects the central nervous system. Your dentist will have you take the medication approximately one hour prior to the procedure in order for the drugs to take full effect and put you in a relaxed state during the treatment. Oral sedation drugs also have agents that reduce anxiety.

Oral sedation can have from light to moderate effects. With light sedation, you will stay awake but feel very relaxed. With heavier sedation, you will remain conscious but may feel sleepy and have some slowing of your motor skills. Both levels of sedation contain anti-anxiety properties. Your sedation dentist will be able to determine what type of oral sedation is best for your situation.

Oral sedation medications do not contain pain-killers, so you will likely need a local anesthetic. If you have a fear of needles, your dentist will wait until the oral sedation has taken effect before administering any injections. Once your procedure is complete, you will feel groggy and will need to make arrangements for someone to transport you home.
Side effects are rare, and most patients are fully recovered within 24 hours.

Oral sedation is the most popular form of sedation dentistry, and is a safe and effective solution for dental anxiety when undergoing most any dental procedure.

Nitrous Oxide Sedation Dentistry in Fresno CA

One of the most commonly used methods of relieving a patient’s dental anxiety is laughing gas sedation dentistry, also known as inhalation sedation. Over one-third of dental professionals utilize laughing gas, commonly referred to as “laughing gas”, to effectively treat patients with dental fears and phobias.

Nitrous oxide is the mildest form of dental sedation where patients retain their reflexes and can respond normally to stimulation and verbal commands. Nitrous oxide is used in sedation dentistry because of its combined benefits as both a sedative and anti-anxiety agent. Nitrous oxide has a very rapid effect, usually taking effect within several minutes after it is inhaled.

Nitrous oxide also raises your pain tolerance by suppressing the signals to the brain. It is often termed “laughing gas” because it produces a euphoric feeling that alleviates anxiety and fears and often makes you want to laugh. Nitrous oxide sedation works well for patients with mild to moderate anxiety who are undergoing light procedures or routine visits to the dentist. This method of sedation has very few side effects, recovery time is quick, and you will be able to resume normal activities immediately.

Nitrous oxide sedation is considered the safest method of sedation dentistry for most people. Patients who benefit from inhalation sedation include anyone with mild dental anxiety, children who are uncooperative or fearful of the dentist, or patients with special needs or hyperactive gag reflexes. Virtually any patient who wants to feel more relaxed and comfortable during dental treatments would enjoy the advantages of inhalation sedation.

If you suffer from fear of visiting the dentist for necessary oral care and treatment, laughing gas sedation may be a viable option for you to consider. Talk to your dental professional about how inhalation sedation with laughing gas can alleviate your fears and get you back on the road to a healthy smile.

Is Sedation Dentistry Right For My Child?

Sedation dentistry is designed to alleviate the fear and anxiety of a dental patient immediately before and during a procedure. It allows the patient to relax, which allows the dentist to relax and safely and quickly perform the procedure. Fearful children can be especially difficult for a dentist – and a parent! Sedation dentistry may be able to help.

Children who cannot be still during the examination and are anxious and squirm in the chair risk injury to themselves or to the dentist or dental technician. Younger patients need to be able comply with instructions without continued crying or movement. Time is wasted trying to comfort the child, and safety issues can rapidly arise.

Even children who are able to be still can have other issues, such as an over-active gag reflex. Many children fear vomiting during a procedure, and an acute gag reflex can lead to a complete inability to perform some treatments, such as taking impressions for dental molds or working on the back teeth. Sedation dentistry allows these children to greatly reduce their gag reflexes, especially if they are worsened by fear and anxiety.

If you child has a special need such as Down syndrome or autism, or any mental or emotional problem, dental visits may become especially problematic. Other issues such as Cerebral Palsy or any other central nervous system disorder can be solved by sedation dentistry. Involuntary muscle movements are stopped, allowing the dental professional to complete the work in safety.

Sedation dentistry allows the dentist to proceed with necessary treatments to a child without the use of traumatic physical restraints. Such restraints can cause emotional trauma to children that lead to adult dental fears and phobias.

Your child’s visit to the dentist for maintaining dental health should be comfortable and feel safe to the child – and to you! Ask your child’s dentist to see what can be done to make your child’s dental visit as stress-free as possible with the aid of sedation dentistry.


Sedation dentist in Fresno for kids

Finding a Sedation Dentist

If you are one of the millions of people who suffer from some degree of dental phobia or anxiety, you may want to consider sedation dentistry. A qualified sedation dentist can assist you in getting the dental care you need without the fear and nervousness that is keeping you out of the dental chair. Sedation dentistry offers many options, from light to medium sedation, all of which are designed to keep you calm and unaware of treatment.

Sedation dentistry treatments should be administered by a dentist and staff who are specifically trained in sedation dentistry procedures. This training generally involves many hours of education in sedative techniques, equipment, and medications. If you are considering conscious sedation as a way to alleviate dental anxiety, think about the following when choosing a sedation dentist:

What level of education do the dentist and staff have related to sedation dentistry? Dental schools provide limited training in sedation dentistry, so look for a dental professional who has completed continuing education programs that specialize in conscious sedation and anesthesia.

Does the dentist participate in organizations that provide continuing education and training in sedation dentistry? A good sedation dentist should stay current on techniques, practices, and procedures by attending training programs provided by such groups as the American Dental Society of Anesthesiology.

Does the office provide adequate sedation monitoring equipment? In order to safely practice sedation dentistry the dental staff should have access to oxygen equipment, a pulse oximeter, and medications to reverse sedation in the rare case of an adverse reaction.

Once you have selected a sedation dentist, provide a complete list of your medical history and medications. An experienced sedation dentist will review your history and make recommendations about the most appropriate type of sedation to fit your needs.


Dr. Smith is a sedation dentist in Fresno CA

Methods for Administering Conscious Sedation

Once you and your dental professional have agreed on conscious dental sedation for use during your dental treatment, there are a variety of ways in which it can be administered.

Inhalation sedation or the use of laughing gas (laughing gas) is a light form of conscious sedation. Your sedation dentist will administer a combination of laughing gas and oxygen through a mask that is placed over your nose. During the procedure, you inhale the gas through your nose and back out through your mouth. Nitrous oxide wears off almost immediately upon completion of the procedure with minimal to no recovery time or side effects.

Oral medication used for sedation purposes produces medium or moderate sedation effects, depending on the strength of the prescription administered by your sedation dentist. Oral sedation usually comes in pill form and is taken approximately one hour prior to the procedure. You may feel sleepy, but should still be able to respond to your dentist’s commands. Recovery time is longer with oral sedation, and requires someone to drive you home. Side effects are rare, but may include nausea or vomiting.

Another moderate form of conscious sedation is intravenous (IV) sedation. In the case of IV sedation, the drugs are administered directly into your veins through a needle. The effects of IV sedation are much quicker than oral sedation. IV sedation allows your dental professional to adjust the levels of sedation during treatment. With IV sedation, you may begin to feel alert soon after the medication has stopped; however, you should not drive or operate heavy machinery for at least 24 hours after the procedure.

Conscious sedation should only be performed by a dental professional with appropriate training. Your sedation dentist will consider your health history when choosing the appropriate form of sedation to best suit your needs. While conscious sedation is considered safe, it is best to work with a qualified sedation dentist to determine the best form of administration for your dental treatment.

Side Effects and Risks of Sedation Dentistry

Sedation dentistry is an attractive option for patients who may otherwise be too anxious or fearful to undergo invasive dental procedures. A properly trained dental professional can implement sedation in order to make the patient as relaxed and comfortable as possible during dental treatment. While no drug is completely without risk, the type of sedatives used for sedation dentistry do not carry many side effects and are not addictive. Some of the milder side effects you may experience with sedation dentistry include:

• Dry mouth

• Hiccups

• Headache

• Nausea

• Dizziness

• Retrograde amnesia

Most of these side effects will subside shortly after treatment, and rarely are serious enough to require additional medical attention.

The risks associated with sedation dentistry are most usually related to the possibility of oversedation. Certain groups of medically compromised patients are more likely at risk of reaching a deeper level of sedation than desired, including patients with:

• Cardiac, pulmonary, hepatic, renal, or central nervous system disease

• Obesity

• Sleep Apnea

Oral sedatives may also have a greater effect on patients who are elderly, pregnant, or drug or alcohol abusers. Dentists typically use the lowest effective dose of sedative to reduce the risk of sedation complications. In order to minimize the likelihood of complications, your dentist will ask a serious of questions about your overall health history. It is important to answer these questions accurately to ensure a safe procedure. Your dental professional will also monitor your vital signs during and after sedation to further decrease the effects and risks.

When properly administered by a qualified dental professional, sedation dentistry in Fresno CA can greatly improve the experience for nervous patients with minimal side effects and risks.

Types of Sedation Dentistry

In order to ensure your comfort and ease during a dental procedure, sedation dentistry is often the best option. Many levels are available, including conscious oral sedation, inhaled sedation, and intravenous (IV) sedation.

Conscious oral sedation minimizes patient anxiety while allowing the patient to remain partially alert. Oral sedatives are used to accomplish minimal to moderate sedation. They come in the form of a pill, and are often taken within an hour of your dental procedure. Some dentists recommend a mild oral sedative the night before an appointment to ease anxiety and ensure a good night’s rest.

Depending on the dosage and on the individual recipient, an oral sedative can sometimes cause the patient to “doze off,” but the patient will never be fully unconscious and will awaken with a gentle shake. Even though you are never fully asleep during conscious oral sedation dentistry, you may not drive yourself home because you will not be fully alert.

Inhaled sedation utilizes laughing gas, also known as “laughing gas.” This gas is inhaled through a mask while your dentist controls the amount you receive. This type of sedation allows a patient to relax and to be fully comfortable, but to still be responsive. Nitrous oxide sedation has a tendency to wear off quickly. Because of this, you may be able to drive yourself home after your procedure.

IV sedation (sometimes known as “sleep dentistry”) provides the deepest, most relaxed sedation during dental procedures. Despite the name, IV/sleep sedation does not cause you to completely lose consciousness. Because the drugs used naturally produce a full or partial memory loss while active in your system, you may not remember anything that happened during your procedure. IV sedation is the fastest of the sedation dentistry methods. The amount of sedation is controlled by your dentist. You should not drive after IV sedation in Fresno, as you may not be fully alert for a period of time.

Talk to your dentist about which sedation is right for you to ensure your dental procedure goes well and that you are comfortable throughout treatment.

Recovering From Oral Surgery

If you are having oral surgery, you are also very likely to receive anesthesia during the process. Recovering from the procedure itself involves not just the physical healing of your mouth, but also safely recovering from the effects of the anesthesia.

After your oral surgery, you may be sleepy or disoriented. You will need a designated driver to drive you home. Prepare this person ahead-of-time with information regarding your surgery recovery. They will receive any last-minute instructions from your dentist, as you might not be in the right frame of mind to receive and retain the information.

When you arrive home, you must take it easy and rest. Wearing loose-fitting, comfortable clothing to your procedure will not only allow your dentist to more easily place necessary medical monitors, but it will allow you to go home and directly into bed. Sleep and rest are the best things for your body to recover from the surgery and the effects of the anesthesia. The first 48 hours are the most crucial. Do not plan to exercise or do any heavy lifting.

Pain medication is often prescribed after oral surgery. Take it only as prescribed and do not drive while on the medication. Do not plan to do any important tasks (like answering work emails or talking on the phone to your child’s teacher) until you know how the pain medicine affects you. You may need to spend your time watching TV or dozing on the sofa while you are taking the medicine. All patients react differently to medicine, so be careful until you know how your particular medicines affect you.

When you feel ready to eat, stick to soft, room-temperature foods. Tepid soups and yogurts are advised. Eating hot foods while still under the effects of anesthesia can be dangerous, as you might not feel how hot the food really is and suffer serious burns. Avoid hard or crunchy foods for 4-6 weeks. Do not consume alcohol for at least 24 hours after surgery or while taking pain medication. Drinking from a straw can lead to painful abscesses, so avoid this for at least 48 hours.

Following these guidelines for oral surgery aftercare will help ensure that you have a successful and comfortable recovery, and that you’ll be back to your normal routine even faster.


Dr. Smith offers oral surgery at his sedation dentistry dental office in Fresno CA

Sedation Dentistry for Children

An anxious or squirmy child does not make the most ideal patient for often necessary dental procedures. Thanks to advances in sedation drug therapy, dental professionals are now able to treat kids and teens successfully who might otherwise be too nervous or afraid to withstand invasive dental treatments. Conscious sedation dentistry allows a child to feel relaxed and calm while still able to respond to certain stimuli and breathe normally on their own.

Minimal sedation is most often used with an anxious or fearful child when undergoing invasive dental procedures. This type of sedation is most often achieved with medication taken orally. More intense, or moderate, sedation is usually achieved in the same manner, while deep conscious sedation is usually administered through medication delivered intravenously. All of these types of sedation dentistry can be administered in the office by a dental professional who is trained and qualified in dental sedation. For additional pain relief, your pediatric dentist may utilize oral conscious sedation in addition to a combination of laughing gas and oxygen.

In order to prepare for sedation, your dental professional may recommend feeding your child a low-fat dinner the night before and having them refrain from eating after that time. On the day of the procedure, your child will receive a physical evaluation by your dentist prior to sedation. While no sedative is entirely risk-free, minimal sedation has the lowest risk when compared to other forms of anesthesia.

Your child will be monitored during treatment for vital signs, usually by a dental assistant. Upon completion of the procedure, vital signs will continue to be monitored until they return to pre-sedation levels. Your child should not return to school until the next day, and should be monitored by an adult for the remainder of the day.

As more effective drugs are becoming available, and dental professionals are gaining advanced knowledge and training in their use, pediatric oral conscious sedation is becoming a more widespread and viable option for your child’s dental needs.


Sedation dentistry for kids.