Triax Dental specializes in treating patients that may need more time for treatment due to phobia, anxiety or treatment tolerance.
For patients that need extensive work or have difficulties in clinical environments, Triax Dental provides the option of conscious sedation dentistry. Sedative drugs are administered orally or intravenously to help patients relax during dental procedures.
All of our dentists are certified to provide oral and light conscious IV sedation. The type of sedation used is dependent on and catered to each patient’s need.
Drugs used for Sedation and Treatment
Nitrous Oxide is an anesthetic gas mixed with Oxygen to achieve a light anesthetic effect. It has both an anesthetic effect and a euphoric effect. In the dental office, the patient is started on 5 liters per minute of 02 then N20 is titrated in to achieve a certain level of anesthesia. After dental procedures are completed, the patient breathes 100% Oxygen until the effects of N20 are worn off, usually in 5 minutes.
Midazolam (Oral and IV) marketed under the trade names Versed, is a medication used for anesthesia, procedural sedation, sleeping disorders, and severe agitation. It works by making people sleepy, decreasing anxiety, and causing a loss of ability to create new memories. Midazolam can be given by mouth, intravenously, by injection into a muscle, sprayed into the nose, or in the cheek. When given intravenously, it begins working typically within five minutes. When injected into a muscle, it can take fifteen minutes to begin working. Effects last between 1 and 4 hours.
Fentanyl (IV) is an opioid anesthetic agent that is used to level out the sedative effects of Midazolam and also serves to raise the pain threshold during the dental procedures. When given intravenously the effects start in 3 to 5 minutes and usually last 45 minutes depending upon the patient’s metabolism.
Flumazenil and Naloxone are intravenous reversal agents that are given intravenously and reverse the effects of Versed and Fentanyl. This assures a high level of patient safety.