Procedures

Many patients have had traumatic experiences in dentistry or have other anxieties about their treatment. At Missih Dental Care & Periodontics we strive to meet your individual comfort needs. For our patients with anxiety, sedation dentistry may be your answer. We offer both nitrous oxide, oral (conscious) sedation and local anesthesia. 

Nitrous Oxide

Nitrous oxide is a safe and effective sedative agent that will help you relax. It is mixed with oxygen and inhaled through a small mask that fits over your nose.  

Also called “laughing gas,” is a conscious sedation option we may offer to help make you more comfortable during procedures. It is no intended to put you to sleep but to take reduce the anxiety and relax your nerves. You will be able to hear and respond to any requests or directions. You may feel light-headed or a tingling in your arms and legs. Some people say their arms and legs feel heavy. Ultimately, you should feel calm and comfortable. The effects of nitrous oxide wear off soon after the mask is removed.

Oral Sedation

Oral sedation dentistry allows our Doctors to create a safe and comfortable dental experience for patients who avoid the dentist out of fear. 

With sedation, your dentist can work more effectively by helping you become as comfortable as possible using well established and proven methods. There are a variety of sedation medications that are taken orally or "sublingually" (under the tongue). All sedation medications are administered at our offices, under the care of a dental assistant.  

Two main type of drugs are used for oral sedation. Benzodiazepines (including Valium, Ativan, Halcion and Versed) and Non-Benzodiazepines (Ambien and Zaleplon.  

Local Anesthesia

During a procedure, your Doctor may need to numb part of your mouth. This is done with a local anesthesia to prevent any pain from being felt. Patients may feel pressure during the dental procedure.  Your Dentist will start by using a topical 20% Benzocaine (with different flavors), then use of small needle to deliver either Articaine, Mepivacaine, Bupivacaine, Prilocaine or Lidocaine. Most people do not feel the needle. Instead, the sting they feel is caused by the anesthetic moving into the tissue.  

The liquid in the injection also can include:

  • A vasoconstrictor. This drug narrows your blood vessels. This makes the numbness last longer.
  • A chemical that keeps the vasoconstrictor from breaking down.
  • Sodium hydroxide, which helps the numbing drug work.
  • Sodium chloride, which helps the drugs get into your blood.




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