Jerome A. Guttman, DDS
For Gentle Dental Care
Call: (310) 827-5094

Sedation Dentistry

Sedation Dentistry is the answer for people who want to have little or no anxiety during their dental procedures. Experience sedation dentistry once, and you can overcome your fears and may never be afraid to go to the dentist again. Relax, while we create the smile you've dreamed about in as little as one appointment.

Sedation Dentistry offers anxiety-free dental procedures as the patient is in a deeply relaxed state, though fully responsive. It means something even more important: a comfortable experience - often with no recollection of the time passed. We often hear from patients who express their gratitude and delight in their first ever visit to the dentist without fear.

All of the amazing advances in dentistry can’t do a thing for you if you don’t go to the dentist. Dr. Guttman realizes that there are a lot of legitimate reasons why many people stay away from the dentist. It’s been estimated that almost half of the population has some kind of dental fear, from patients who feel a little uncomfortable, to those who are so terrified they can’t set foot in a dental office. Whether it’s fear or something else that’s keeping you away, today’s dentistry gives Dr. Guttman many options for making you comfortable throughout your appointment. Anesthesia can eliminate pain for most people, but sometimes that’s not enough. Sedation dentistry uses medications to relax patients which makes for a totally comfortable dental experience.

Dr. Guttman only wants to sedate you enough to make you relaxed, and let you have a comfortable experience. He has a number of conscious sedation techniques that deliver excellent results for the vast majority of dental patients.

What is Conscious Sedation?

Conscious sedation is modern dentistry that lets even the most high fear patient have a relaxing and comfortable dental visit. Since the patient is comfortable, Dr. Guttman is able to accomplish the work of several appointments in just one. There are a number of conscious sedation techniques, but they all have certain things in common. While the goal of general anesthesia is for the patient to sleep, in dentistry it is much more common to use conscious sedation, where the patient is sedated and comfortable, yet still awake. When Dr. Guttman uses conscious sedation, you don’t really fall asleep, even though sometimes it feels like you did. That’s because sedation feels so relaxing and peaceful that the patient doesn’t even notice the passing of time. Many of the medications used in conscious sedation have an amnesiac effect as well, leaving patients with little or no memory of their dental appointment, and further adding to the feeling that the patient was asleep.

Is Sedation for me?

Sedation is wonderful and incredibly effective for most healthy adults. For many, it is the answer they have been looking for all their life. Discuss sedation with Dr. Guttman if any of the following sounds like you:

• You are uncomfortable in the dentist's office
• You are too scared to even call the dentist and make an appointment
• You can’t stand the smell and sounds of the dentist's office
• You are delaying treatment you know you need
• You are in pain when you eat, but too anxious about the dentist to take care of it
• You are unable to find a dentist that you feel you can trust
• You have trouble getting numb - the anesthetic doesn’t seem to work on you
• You are afraid to smile
• You are concerned about how many dental appointments you know you’ll need
• You are looking for a way to have the work of several appointments done in just one or two
• You remember bad experiences with a dentist in your past
• You have sensitive teeth
• You have a strong gag reflex, especially when the dentist is working in your mouth
• You have trouble with jaw soreness when you have to keep your mouth open
• You have back or neck pain when you sit in a dental chair
• You are afraid of needles

Oral Sedation

Oral sedation is a method of conscious sedation where the dentist uses pills to sedate a patient. Most healthy adults are good candidates for oral sedation. For some, comfortable dentistry is as simple as taking one small pill.

What can I expect from Oral Sedation?

There are many different medications and sedation techniques, so it is best to get specifics from Dr. Guttman. Generally, you will be given a prescription for a pill to take before your appointment. Since this is sedative medication, you will need a companion to drive you to the appointment. Once you arrive, Dr. Guttman will begin monitoring your vital signs, including heart rate and blood pressure, to make sure that you stay completely safe through the procedure. He will then assess your level of sedation, and ask how you feel. In some circumstances, Dr. Guttman may use more medication, but often this is unnecessary. The dentistry will all be performed while you are relaxed and totally comfortable. When it is safe for you to travel, your companion will take you home, and then you will rest comfortably for the rest of the day.

Is Oral Sedation safe?

While all methods of sedation are very safe, the history of oral sedation has been especially safe as well as very effective. Dr. Guttman uses very common medications that are extremely safe and widely prescribed. Your vital signs will be constantly monitored from the moment you arrive at the office through the appointment, and until Dr. Guttman is certain you are ready to leave. In fact, he and his whole dental team are highly trained in safety and emergency procedures, making the dentist office one of the safest places you can be!

IV Sedation

IV Sedation makes going to the dentist a dream.
Sedation dentistry can put you at ease and virtually eliminates the pain associated with dental procedures. Intravenous sedation is one of several options available to significantly reduce your fears and discomfort.  IV sedation is extremely safe when delivered by a specially trained dentist. Dr. Robert Nolan is a specially trained dentist who will take care of you with IV sedation.  In California, all specially trained dentists must have a special permit to do IV Sedation.  There are very few dentists in California that have this permit. Dr. Nolan is one of the few dentists in the Los Angeles area that have this special permit for IV Sedation.  While Dr. Nolan monitors your IV sedation, Dr. Guttman will perform your dentistry.

Benefits of IV Sedation:
• It's extremely effective for moderate to severe anxiety
• It's quick-acting
• The level of sedation can be adjusted during the procedure so that you remain comfortable at all times
• In many cases, you can get ALL of your dental work done in one visit

During intravenous sedation (IV sedation), an anti-anxiety drug is administered into the bloodstream to achieve a state of "deep conscious sedation." Although you will not actually be asleep, you will enjoy a heightened state of relaxation - and probably won't remember much about the procedure afterwards. Your appointment will be a dream and hours in the chair will feel like minutes.

IV sedation will put you at ease so you experience little to no discomfort; however, your dentist will also administer a local anesthetic to ensure that you don't experience any pain. At this point in you'll be so relaxed that you'll hardly even notice.

Throughout the procedure, your breathing, heart rate and blood pressure will be closely monitored. Patients generally recover quickly from IV sedation, although they may feel slightly groggy immediately afterwards. Whether you're anxious about going to the dentist or just too busy for multiple visits, IV sedation can be a great solution to getting ALL your dental work done during one visit. comfortably and stress-free.

Two appointments are usually required for a procedure utilizing IV sedation. During your first visit, Dr. Guttman will describe the benefits and risks of IV sedation, take your blood pressure , patiently answer all of your questions and give you detailed instructions for the day of your procedure.

On the day of your procedure, you will need to have another adult there with you to take you home. You should not perform strenuous activities, drive a motor vehicle or drink alcohol for the rest of the day. Do not take any medications prior to or following surgery unless your dentist has approved their safety.

Don't let fear keep you from having a healthy, sparking smile. Dr. Guttman and Dr. Nolan are certified in Sedation Dentistry. They have the skills and training to put even the most anxious patient at ease. CALL US TODAY AT 310-827-5094 and get ready to enjoy a total relaxation experience.


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