Are there any disadvantages?
- A very thin catheder has to be put in the arm or hand (“venipuncture”). If you have a general phobia of very thin needles, this isn’t much fun but good news is – most people don’t “feel” this part because of a numbing agent applied to your skin and the gentle techique Dr. Kaushesh uses. If you cannot tolerate this, having inhalation sedation (“laughing gas”) before the venipuncture helps a lot, because it relaxes you and produces a tingling feeling in arms and legs which distracts from the venipuncture.
- It is possible to experience complications at the site where the needle entered, for example hematoma (a localized swelling filled with blood) – all of which usually clears up in just a few days without any major complications.
- While IV sedation is desired precisely because of the amnesia effect (i. e. forgetting what happened while under the influence of the drug(s), there can be a downside to this: if you can’t remember that the procedure wasn’t uncomfortable or threatening, you can’t unlearn your fears. However, it depends on the precise nature of your phobia and the underlying causes to which extent this may be a problem. Some people would voice a concern that some patients can’t be “weaned off” IV sedation, as dental anxiety tends to returns to baseline levels. As a result, people who rely on IV sedation may be less likely to seek regular dental care. Other people would argue that this is not a concern if IV sedation is readily available to people.
- Recovery from IV administered drugs is not complete at the end of dental treatment. You need to be escorted by a responsible adult, go home and rest for the remainder of the day.
- You should WANT to be sedated. If, for any reason, you’re unwilling to “let go”, for example because you don’t like not being in control, it will be more difficult to be successfully sedated.
Before IV (and oral) Sedation:
- You may not have anything to eat or drink (including water) for eight (8) hours prior to the surgery.
- If you take routine oral medications, please check with Dr. Kaushesh prior to your surgical date for instructions on which medications to take prior to your surgery
- No smoking at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.
- A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.
- The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.
- Please wear loose fitting clothing with sleeves which can be rolled up past the elbow.
- Contact lenses, jewelry, and dentures must be removed at the time of surgery.
- Do not wear lipstick, excessive makeup, nail polish or high-heeled shoes on the day of surgery.
- If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office.
After IV (and oral) Sedation:
- Have your escort take you home and rest for the remainder of the day.
- Have an adult stay with you until you’re fully alert.
- Don’t perform any strenuous or hazardous activities and don’t drive a motor vehicle for the rest of the day.
- Don’t eat a heavy meal immediately. If you’re hungry, eat something light, e. g. liquids and toast.
- If you experience nausea, lie down for a while or drink a glass of coke.
- Don’t drink alcohol or take medications for the rest of the day unless you’ve contacted your dentist first.
- Take medications as directed by Dr. Kaushesh.
- If you have any unusual problems, call Dr. Kaushesh on his direct cell phone number 928-412-0409.
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