544 FM 156 South, Suite 100
Haslet, TX 76052
Oral sedation is also known as conscious sedation. This requires the patient to drink a sedative medication. Most patients will reach a moderate level of sedation which means their eyes may be closed but can respond to stimulation, verbal or tactile. This is usually comparative to your child taking a nap but that can be aroused. The patient will need to be numbed with a local anesthetic because they can feel pain if they are not numbed. It may take more than one dental visit based on the amount of numbing local anesthetic your child can have based on their weight. We use two different sedation medications in-office and both have reversal agents (a medication that can be administered to reverse the effects of the sedative.)
The first sedative agent is short acting and starts to work in about 15 minutes, it also wears off fast. The child is very wobbly and loopy but usually awake for treatment. 75% of the time the child has amnesia for an hour or two from the time they drank the sedative. This is ideal for very short procedures.
The second is a longer acting sedative and starts working between 45 minutes to an hour. You likely will not notice much difference in your child until they are placed on laughing gas and then local anesthesia is administered. Most children get sleepy with this sedative and have a euphoric experience. Most children will nap for at least part of the sedation and do well for treatment for about an hour or more.
It is important to note that anything that makes your child sleepy can slow breathing. Your child's safety is our first priority. Your child will be re-evaluated immediately before being sedated. If your child is sick or the doctor feels it is unsafe to sedate your child the appointment may have to be postponed.
Reversal agent dosages are pre calculated and placed on the counter next to the patient for the sedation. Your child's vitals will be monitored continuously and recorded every 5 minutes. If your child is sleeping Dr. Ashcroft will use a precordial stethoscope to listen to every breath your child is taking. Dr. Ashcroft has 2 dental assistants in the room at the time of sedation, one whose primary responsibility is monitoring the sedation. Close monitoring and addressing any issues early is the key to patient safety. Dr. Ashcroft has had 14 months of IV sedation training and 3 years of hospital dental training including anesthesia rotations managing general anesthesia. He also has Pediatric Advanced Life Support training, and has performed thousands of sedations. He places your child's safety first.
Oral sedatives are least effective on 2-3 year old children. Some children have a poor airway and are not a candidate for an in office oral sedation. Some children have medical conditions that makes them poor candidates for oral sedation.