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Oral Sedation vs. IV Sedation: Which is Right for You?

by | Jul 18, 2024 | Sedation Dentistry

Oral Sedation Vs. IV Sedation: Which is Right for You?

Anxiety induced by dental visits is more common than you may think. Approximately 36% of people experience fear regarding dental treatment, with 12% having an extreme fear. Some of this anxiety is simply caused by being required to lie down and open your mouth for a procedure. This fear is called dentophobia, which often stems from past negative experiences at the dental office.

Problems arise when people who can’t overcome their fear of the dentist avoid much-needed dental treatment. This is where oral and IV sedation can help. In this article, we’ll explore the pros and cons of oral and IV sedation so you can decide which is right for you.

dental anxiety statistics

Understanding Oral and IV Sedation

Unfortunately, people dealing with anxiety about the dentist often avoid necessary dental work altogether. That’s where oral or IV sedation comes in as a safe and easy solution!

Oral sedation involves taking a pill before your visit, while IV sedation involves receiving medication through your veins. Let’s take a closer look at both options.

Implant Patient at Bayway Dental

Oral Sedation

Oral sedation is for people with mild to moderate anxiety who want to calm their fears of dental procedures. Conscious oral sedation in dentistry is a drug-induced settling of consciousness wherein patients still retain their ability to maintain protective reflexes and respond to verbal or light-pressure stimuli. Due to its anxiolytic effects, oral sedation effectively makes dental treatments accessible to nervous patients.

PROsCONs
Easy to administer.Sedation level is not easily adjustable.
No needles are required.Can’t drive to appointments.
Patients can be responsive.
Induces relaxation and alleviates anxiety without rendering the patient unconscious.
FDA regulated.

With oral sedation, patients do become unconscious. Instead, there are two levels of sedation: minimal, where the patient is relaxed and awake, or moderate, where the patient may fall asleep and not fully remember the procedure. While it’s convenient and non-invasive, the effects have a longer onset time than IV sedation, and there is less control of the sedation itself.

In most cases, food and water should not be consumed for at least 6 hours before your appointment. You will need a trusted friend or family member drive you home after the procedure is over. Rest is encouraged until the sedative medication wears off.

IV Sedation

On the other hand, IV sedation is for people with more severe anxiety or who are undergoing longer dental procedures. The American Society of Anesthesiologists explains sedation as being used by physicians to ensure patients are comfortable during surgery or longer procedures.

PROsCONs
Adjustable sedation.IV administration can be hard for those with a needle aversion.
Quick onset and recovery.May cause nausea or vomiting.
Induces relaxation and alleviates anxiety without rendering the patient completely unconscious.
FDA regulated.

IV sedation isn’t anesthesia that knocks you out but rather an IV-administered analgesic that may range from minimal to deep sedation. Moreover, it’s administered in the dentist’s office to a patient’s vein right before treatment.

The effect is quick, and the level of sedation is easily adjustable while having an amnesiac effect. Like oral sedation, it does require a recovery period. 

The three levels of sedation are as follows:

3 levels of sedation

  • Minimal: Minimal sedation will help you relax and remain awake. Your dentist will be able to talk with you, and you’ll be able to respond and follow directions.
  • Moderate: Moderate sedation will produce drowsiness which may cause you to fall asleep during the procedure. You may forget the procedure altogether and sleep for most if not all of it.
  • Deep: With deep sedation, you’ll sleep throughout the procedure and likely have no memory of it. You won’t be completely unconscious, but you will experience the effects of being “knocked out.”


oral sedation vs iv sedation pros consChoosing the Right Sedation for You

If your anxiety level is on the lower side, oral sedation may be a great solution for you. However, if have more severe anxiety about dental procedures, have a longer procedure, and don’t mind needles, IV sedation may be recommended.

Ultimately, both have advantages and disadvantages. Dr. Sherberg will discuss your needs and treatment to come up with the perfect sedation  solution for you. 

Bayway Dental DA's posing cute

Choose Bayway Dental in St. Petersberg

Both oral and IV dental sedation have allowed so many of our patients to overcome their fears of the dentist. Our sedation expertise helps people overcome dental anxiety every day.

Our team is committed to bringing a personalized, compassionate approach to each patient. Quality patient care and safety are our top concerns. We even have Mare, our therapy dog, to help people overcome their fears and anxieties regarding dental procedures.

Bayway Dental Mascot Mare 1

At Bayway, you’re sure to have a calm, comfortable dental experience. 

Read some of our testimonials to learn about patients just like you who used to be terrified of the dentist!

Or schedule an appointment with us and take the first step towards overcoming your dental anxiety today. Call Dr. Sherberg in St. Pete at 727-914-2707.

We look forward to helping you discover your smile!

“As a senior who has suffered my entire life with debilitating fear of a dentist I am so very pleased to recommend Bayway Dental.  The entire staff, everyone, is so kind, sympathetic, professional and they go out of their way to make you comfortable.  The sedation process was easy and allowed me to have quite a bit of work done without any anxiety.  I highly recommend Bayway Dental for all of your dental needs.”

~ Kathleen Bartz

 

“Great dentist who can provide exceptional care!  If you are nervous about the dentist, he has options to help you relax and be comfortable!”

~ Walt Stinson

Learn about how Dorothy overcame her fears of the dentist and other smile back with the help of oral sedation:

 

Dr. David Sherberg

Dr. David Sherberg

Dr. David Sherberg graduated from the University of Connecticut School of Dental Medicine, then pursued an Advanced Education in General Dentistry residency at Virginia Commonwealth University. Sherberg, who has received extensive dental implant continuing education, is a certified DOCS Education member. He is certified in moderate sedation and is an oral surgery volunteer at Remote Area Medical in Florida. An avid researcher, he is also a fellow in the Academy of General Dentistry. He lectures nationally to dentists and is a faculty member of the Phelps Institute. He has received numerous “Best Dentist” awards throughout his career, including Best Dentist in Tampa Bay, and has been featured on ABC News, News Channel 8, Vibrant Living and the Wellness Hour.