Sedation Dentistry Los Angeles

This refers to the use of pharmacological agents to calm and relax a patient prior to and during a dental appointment. The pharmacological agents usually belong to a class of drugs called sedatives, which exert their action by depressing the central nervous system, specifically those areas concerned with conscious awareness. Doctors often administer sedatives to patients in order to dull the patient's anxiety related to painful or anxiety-provoking procedures.

Although sedatives do not relieve pain in themselves, they can be a useful adjunct to analgesics in preparing patients for surgery, and are commonly given to patients before they are anaesthetized. There are different degrees of central nervous system depression, each corresponding to a level of relaxation which ranges from: Minimal sedation- This refers to a patient who has reduced anxiety but is readily responds to verbal or physical stimulation.

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• Moderate sedation- This patient is even more relaxed, and will respond to purposeful stimulation.
• Deep sedation- This patient may not exhibit any signs of consciousness and therefore be unresponsive to stimulation.
• Sedation by pharmacologic methods may be obtained by two general routes.
• Enteral involves absorption of the drug through the gastrointestinal tract. Enteral involves absorption of medication across enteric membranes which line the alimentary canal from the oral cavity, through the digestive tract, ending in the rectum.

This route includes medications that are swallowed, absorbed through the mucosa of the oral cavity, or inserted rectally.

Parenteral route involves the administration of sedative drugs other than absorption across enteric membranes (outside of the alimentary canal).

These methods include intravenous, inhalation, intramuscular, and sub mucosal administration, among others.

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