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Sedation Dentistry
Does the idea of having your teeth cleaned cause your heart to pound and your body to tense? Would you rather endure a toothache than make an appointment to have it fixed? If yes, you are not alone. Nine to fifteen percent of Americans experience dental phobia (anxiety or fear) that prevents them from going to the dentist and seeking treatment. If you experience fear or anxiety, have sensitive teeth, a low pain tolerance can't sit still in the chair, have a bad gag reflex, or need a lot of dental works done, then sedation dentistry might be the solution.

You will should be confident in knowing Dr. Neil Bergstrom has extensive training in Sedation Dentistry. He is also the only dentist in Enumclaw that performs IV sedation, which allows for continual adjustment of sedation level as needed for the patient and procedure.

What is sedation dentistry? Sedation dentistry is the use of medications to help patients relax during dental procedures. It is sometimes also referred to as "sleep dentistry", although patients are usually awake.

There are three levels of sedation at Enumclaw Dental Center:
•  Minimal sedation where you are awake but relaxed
•  Moderate sedation where you won't remember much of the procedure and may slur your words (formerly referred to as conscious sedation)
•  Deep sedation where you are on the edge of consciousness but can still be awakened

Dentist offices may use three different sedation methods for people who experience dental phobias.
1.  Inhaled Minimum Sedation: The patient breaths nitrous oxide, "laughing gas" combined with oxygen through a mask placed over the nose. This combination of gases relaxes you. Your dentist controls the amount received and the effects wear off quickly when the procedure is complete. This is the only form of sedation where you may be able to drive yourself safely home.
2.  Oral Sedation: For minimal oral sedation, you are given a pill (usually halcion which is from the same family as valium), an hour before the procedure. You will need someone to drive you to and from the appointment. This is the most common form of anesthesia associated with sedation dentistry. Depending on the dose, it can range from minimal sedation or moderate sedation for a longer procedure. Some people become groggy enough to fall asleep but can easily awakened with a gentle touch.
3.  IV Sedation: This type of sedation is administered through a vein which causes it to go to work quickly. The IV allows the dentist to continually adjust the level of sedation as the procedure progresses.

Deep Sedation: This level of sedation dentistry is the receiving of medication through an IV that make you almost unconscious during the procedure. You cannot easily be awakened until the effects wear off. You will still need a local anesthetic (numbing medication) at the site to relieve pain if the procedure produces discomfort. This type of sedation can only be administered by a dentist with a CODA (Commission on Dental Accreditation) program completion in deep sedation. Typically this is done by oral surgeons and maxillofacial surgeons and dental anesthesiologists.

Sedation Dentistry is proven to be safe and effective. It allows you to consolidate several appointments into one if you are in need of extensive work, or it allows you to relax during standard procedures.

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Root Canal Therapy
Today the goal of your dentist is to preserve your natural teeth as long as possible, rather than remove them when decayed or diseased as in years past. When a tooth has decay deep inside, often it can be saved with a procedure called root canal therapy. A root canal involves removing the pulp of the tooth. This is the area that contains soft tissue, some blood vessels and even some nerves. When the pulp becomes damaged, it can cause the tooth to become filled with bacteria and die. If this is not taken care of right away, it will eventually cause an abscess, which could become very painful and require the tooth to be removed.

How Is A Root Canal Done?

The procedure is done in your dental office and requires local anesthetic. Once the area is numbed and freed from saliva, the pulp is removed through a hole created in the crown (chewing surface) of the tooth. Once the pulp is out, the root of the tooth is cleaned and fixed. If there is a risk of bacterial infection, antibiotic treatment might be applied directly to the root. Once the root is cleaned, a filling is placed in the tooth.

The follow up visit after a root canal generally involves the placement of a crown over the tooth, to strengthen the structure of the tooth. Once you have a root canal performed, it is very important to take good care of the tooth to ensure a long, healthy life for it.





Enumclaw Dental Center | www.enumclawdentalcenter.com | 360-825-6596
2660 Griffin Ave., Enumclaw, WA 98022



 

 

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