Category Archives: Sleep Dentistry

Safe Sleep Sedation Dentistry – One Monitor You Need

Sedation or sleep dentistry is extremely safe. In fact, I do this 1-2 times a day (mostly by intravenous IV sedation). Having the right monitors while you are “asleep” is necessary.

A pulse oximeter is a device that attaches to your finger while you are sedated and tells me how much oxygen is in your blood stream. Dental sedation monitor Knowing this number is critical for safety.  Many patients have all types of dental work done while they are “knocked out.”  For many patients I see, fear is a big factor in avoiding basic care such as dental implants, crowns, fillings or even cleanings.

During sedation, the advanced device shines light through your finger, detecting the color of the blood. Since blood changes color based on how oxygenated it is, the oxygen saturation can be calculated.  It measures how much oxygen is in your blood at any given moment. Blood carries oxygen from the lungs to the rest of the body through arteries and the blood then returns through veins.

Having enough oxygen during sleep dentistry or surgery will keep you safe.  Along with specialty monitors that I use, your neck position is critical to maintaining good airflow to your lungs.  Knowing how to position your neck and jaw during sleep sedation dentistry is as important as state of the art monitors.Asleep head postion for IV sedation

Along with your “SPO2” reading, a pulse oximeter also gives your pulse rate.

People always want to know what their oxygen saturation "should be". A fit, healthy young person will probably have an oxygen saturation of 95 – 99%. This will vary with age, degree of fitness, current altitude and whether you smoke.

Traditional doctors have used pulse oximeters to monitor various health related conditions including COPD, asthma, and sleep apnea just to name a few.

If you are scared of the dentist or just want to know more info, please leave your questions in the comments section below.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com

Afraid of Needles and Drills…Sedation Overview with Burbank Dentist Ramsey Amin, DDS

Are you afraid of needles and drills?  Does the sound of the drill bother you?

It is common for many patients to feel nervous or anxious about their dental procedures. Whether you are having a dental implant, filling, crown or deep cleaning, dentistry can be very scary. You are not alone!

What is Sedation and Anesthesia?

During dental  procedures local anesthesia (Novocaine) is administered to block pain sensations. However, the anxiety that some people need to be controlled by administering sedative drugs, such as Valium type medications. A sedated patient may remember the procedures, but usually does not.Dentist afraid burbank

How is the Medication Administered?

The sedative and anesthetic medications are typically given intravenously (IV). Since the effects are so rapid by this means of administration, I can precisely give the correct amounts of the medications to make you relaxed and comfortable. Also, if more medications are needed during the procedure, the IV allows easy administration of additional medications.

Intravenous Sedation (IV Sedation) produces a very predictable sedation.  The safe medications are delivered intravenously and can be easily adjusted to the needs of the patient. With longer treatment times, the drugs can be re-administered to keep you comfortable at all times. This is not possible with oral medications. IV Sedation also uses pain relieving drugs.

How am I Monitored During the Procedure?

Depending on the depth of the sedation and anesthetic being used, as well as your own medical conditions, various monitors are used. These vary from automatic blood pressure cuffs, to the use of pulse oximeters  which through a light sensor measure the oxygen concentration in your blood. Sometimes an EKG may be used as well.

Is Anesthesia Safe?

The use of sedation and anesthesia in dentistry has an excellent record of safety. When a patient needs complicated dental procedures in a single session, IV Sedation is clearly the method of choice.

Dental Implant…Can’t Get Numb? Dr. Amin in Burbank Explains

sedation dentistry Burbank CA

Are you unable to get numb? Are you terrified of having a dental implant? Does Novocaine just not work?

Sedation can help!!! Over the last few years, I have noticed in my practice an increase in patients that have this difficulty. It is not uncommon for this to develop later in life.

When sedated, these patients have no difficulty in getting the dental treatment that they need.  Pain and fear are eliminated.

Intravenous Sedation produces a very predictable sedation. I do 1-2 IV sedations per day for the last 10 years.

Unlike pills, the medications are delivered intravenously and can be easily adjusted to the your needs. With longer treatment times, the drugs can be re-administered to keep you comfortable at all times. This is not possible with oral medications. IV Sedation also uses pain relieving drugs like Fentanyl or Demerol.  When a patient needs complicated dental implant or bone graft procedures in a single session, IV Sedation is clearly the method of choice.

Sleep dentistry also helps those who may avoid dental implant care due to gagging.

Can all work be done in one appointment?
I try to do as much treatment as possible in one visit. My average sedation appointment is 2 1/2 hours. However, some appointments last up to 5 hours. What we can accomplish with each patient, and how many visits it takes, is determined after a complete examination.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Burbank, California
http://www.burbankdentalimplants.com

Sleep Dentistry for Dental Implants and Bone Grafting

The majority of dental implants and bone replacement procedures can be performed in the office under local anesthesia and IV sedation.

A contemporary method of anesthesia, sleep dentistry is very safe and effective. You can sleep through your entire procedure and wake up feeling refreshed, not groggy (the way you would if you were under general anesthesia). You can have dental implants without remembering a thing about your appointment! The most important thing is that you and I review your current health, medications and past history.

So how does sleep dentistry work? You are given a precisely controlled amount of medication. Some of the medications we use would last only one to three minutes if given as a single injection, but because the IV provides a steady stream of medication, you stay asleep throughout your treatment. When your dental work is complete, I turn off the medication and after just a few minutes you wake up.

I am one of the most experienced sleep dentists in the local area. I have been formally trained in the technique through residency. In fact, I am a sedation examiner for the state of California, which means I observe other dentists technique and pass or fail their certification.

Do Dental Implants Hurt?

dental implants Burbank CA

Usually not! Since the jawbones have few nerve endings, the placement of dental implants causes only minor surgical discomfort – perhaps equivalent to having a tooth pulled. Most of my patients only need Advil or Tylenol after the procedure! Just as with any surgery, there can be some discomfort.

dental implantMy meticulous surgical techniques aid in decreasing pain after the procedure. Technique and skill of the implant dentist is one of the main factors in decreasing pain during and after.

Anesthesia and sedation are used to eliminate any discomfort at the time of the procedure. The majority of my patients have this procedure done while they sleep. Most patients report that they were much more comfortable FOR DAYS AFTER the procedure than they had anticipated. They tell me “I thought that was going to be so painful!” I will prescribe medications to ease any discomfort that may occur.

In my practice, most patients having even 8-14 dental implants at one time have very little pain. I have many “tricks” to make this procedure pretty easy!