Sedation dentistry can help alleviate your dental fears and anxieties so that you can get the care you need. If you’re planning on undergoing a particularly complex procedure, your dentist may recommend IV sedation. Just what kind of sedative does this method involve? The answer can vary from patient to patient. Below is a look at 4 drugs that are commonly used for IV sedation.
1. Midazolam
Midazolam is a very common option when it comes to sedation dentistry. Thanks to its properties, it can significantly decrease your anxiety while you’re in the dental chair. It is also known to cause memory loss, so you likely won’t remember what happened during your treatment. The effects of midazolam typically kick in about 2 to 3 minutes after the sedative has been administered, and they can last for anywhere between 60 and 120 minutes.
2. Propofol
Propofol usually starts to take effect in just 90 to 100 seconds after being injected. It can also be continuously administered throughout your treatment since the body will clear it quickly. That being said, it should be noted that propofol contains soybean oil, glycerol, and egg lecithin. As such, it is not considered suitable for those who are allergic to soybeans or eggs; furthermore, it can cause some discomfort when it is injected, which is why it is sometimes mixed with an anesthetic.
3. Dexmedetomidine
As far as sedatives go, dexmedetomidine is quite potent. In fact, it has been shown to induce a sleep pattern that is not unlike that of normal sleep. However, you will still be capable of communicating with your dentist while under the effects of dexmedetomidine. Note that this sedative is normally administered in low doses due to the effect it can have on breathing and heart rate.
4. Ketamine
Ketamine can be an excellent choice for IV sedation due to its ability to relieve discomfort. Plus, like midazolam, it can make you less likely to remember what happened during your treatment. Generally speaking, ketamine is a better choice for shorter procedures since a single dose only lasts about 5 to 10 minutes. Please note that this drug is not recommended for those who have adverse reactions to significantly raised blood pressure.
The drug used during IV sedation will be carefully chosen based on your unique needs. Don’t hesitate to speak to your dentist if you have any questions or concerns about the sedative that will be used to help you stay relaxed during your dental appointment.
About the Author
Dr. Natalya Ramsay is a graduate of the Oregon Health and Science University School of Dentistry. She is experienced in many different dental specialties, and she offers various forms of sedation dentistry – including IV sedation – in order to help her patients overcome their dental fears and anxieties. If you would like to schedule a consultation with Dr. Ramsay at Evans Street Dental in McMinnville, visit her website or call (503) 472-1402.