Anesthesiologist Isabella answers questions about dental anxiety and how IV sedation can help.

What do you think is the best thing about being able to offer intravenous (IV) sedation to dental patients?

This gives us a great opportunity to help patients with dental fear and anxiety to undergo treatments that they would otherwise not be able to do. Patients who have not been able to drink sedatives have in the past either had to wait a very long time for hospital dental care or, in the worst case, have not sought dental care and treatment at all. These patients can now have a less positive experience with us without long waiting times.

What are the main advantages of IV sedation versus general anesthesia?

That the recovery for the patient is much faster. It carries fewer risks compared to general anesthesia, and we can have shorter waiting times compared to hospital dentistry.

How long treatments can be performed with IV sedation?

About 2-2.5 hours

Are there any diseases/aspects that may hinder the possibility of IV sedation?

Some diseases do not allow us to provide IV sedation at our clinic. This includes obesity, certain diseases of the heart, lungs, nervous system, etc. If you have previously had certain problems under general anesthesia, for example with the airway, we cannot safely administer IV sedation at our clinic. You will be asked to complete a health declaration before you are approved for IV sedation to ensure that we can perform this as safely as possible. Unfortunately, we are not able to treat children under IV sedation at our clinic.

How long does it take before patients can leave the clinic?

The length of time you are tired afterwards varies, but most people are able to leave the clinic 15-30 minutes after treatment. You usually feel good afterwards. If you are prone to nausea or motion sickness, you may be given extra medicine during treatment to prevent this.

Tell us a little about yourself and your background

I have been a specialist in anesthesia and intensive care (anesthesiologist) since 2020. In addition to Limhamns Tandläkargrupp, I also work at the hospitals in Hässleholm and Kristianstad and at Atleva Handcenter in Malmö.

If you have any questions or concerns about dental anxiety and treatments with IV sedation, you are welcome to email: [email protected]

Narkosläkare Isabella
Narkosläkare Isabella

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NOTE! If you want to cancel your appointment, you must call us: 040 16 05 03

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Dental Care

• Martin Lindström, Dentist
• Anna Marktorp, Dentist
• Milos Drazic Ecorcheville, Dentist
• Peter Karlsson, Dentist
• Sandra Andreason, Dental Hygienist
• Petra Ågren, Dental Hygienist
• Sofie Cronholm, Dental Hygienist

Dental Care

• Kenneth Nilsson, Dentist
• Milos Drazic Ecorcheville, Dentist
• Petra Ågren, Dental Hygienist

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• Micael Klemendz, Orthodontist

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Advice for those who have been treated with dental surgery, tooth extraction, general or implant surgery.

Important things to keep in mind

The next few hours

  • Avoid eating, drinking, spitting, smoking or rinsing your mouth for the first few hours.
  • Do not brush directly on the wound area, but otherwise you can brush as usual.
  • Do not suck on the wound, or touch it with the tongue even if you think it feels like something is stuck.

Next Two Days

  • Avoid physical activity.
  • Avoid hot drinks / soups and consume only cold easily chewed food

Discomforts

Bleeding:

  • It is normal for some blood to show in the next few days, especially if you are taking medication with blood-thinning medications. This is harmless.
  • If it bleeds heavily or you are bothered by the bleeding: Bite hard on a compress or alternatively a hard-rolled clean handkerchief or equivalent for at least 60 minutes.
  • Sit up
  • If the bleeding does not subside, contact the clinic. If the clinic is closed, there is an on-call maxillofacial surgeon on 1177.

Fever and Swelling:

  • Swelling a few days after a procedure is a completely normal body reaction.
  • It is normal to have limited gaping ability in the next few days after surgery.
  • It is also normal with some fever in the coming days after surgery, which does not require you to contact us. If you have a fever and swelling that is increasing, please get in touch.
  • If you have problems drinking or swallowing, contact the clinic immediately, or 1177 if the clinic is closed.

Pain:

  • Pain and tenderness around the area are completely normal and can persist for up to two weeks after the current procedure.
  • Use recommended painkillers if necessary.

Bruises:

  • Bruising can occur after a procedure, which is completely harmless.
  • Patients taking blood-thinning medications are more prone to bruising.

For other questions, please call us: 040 16 05 03 or 040 21 31 00

Information for individuals that will be sedated during a dental procedure.

What does sedation mean?

Sedation means that you are given a fast-acting drug, Midazolam, just before the procedure, which relieves anxiety and makes you sleepy, but you do not fall asleep completely. In some cases, you get what is called amnesia, which means that you do not remember anything from the procedure. It can often be an advantage in connection with unpleasant interventions. The drug is given intravenously. The drug is administered by a doctor and you are monitored during the procedure and for a while afterwards. As this medicine is not pain relieving, the dentist might give advice on the use of local anesthesia where needed.

How to prepare?

You should not eat or drink anything 6 hours before the procedure. Drinking water is ok in small quantities. You need to tell your dentist what diseases, medications and allergies you have and if you have ever had problems with anesthesia before. If you become ill before the procedure, e.g. a cold, you need to contact us as it may involve risks with sedation.

What happens after the procedure?

You will rest with us at the clinic for a while after the procedure because most people are very tired and drowsy after sedation. You need to be picked up by an adult because you are not allowed to drive or ride a bicycle the same day. You should also not drink alcohol or take sleeping pills the same day. Attention, coordination and judgment may be off and you should avoid activities that require any of these.

For other questions, please call us: 040 16 05 03 or 040 21 31 00

Information for individuals who are going to undergo dental treatment under anesthesia.

Fasting before anesthesia. The following can be consumed at the specified time intervals before starting anesthesia:

  • Water (with or without sugar)

2 hours

  • Tea (with or without sugar)

2 hours

  • Coffee (without milk, with or without sugar)

2 hours

  • Pulp free juice

2 hours

  • Other drinks, soup without solids, yogurt or similar.

6 hours

NOTE! No solid food after midnight!

This means that if the agreed start for treatment is at 07.30 in the morning, drinks as stated above are not to be consumed after 05.30 in the morning.

If the start of treatment is after 13.00 it is OK to have a light breakfast BEFORE 07.00 in the morning, in the form of yoghurt or soup, without solids etc. NO sandwiches or other solids!

These rules have been established so that we can ensure you a safe and secure treatment.

For other questions, please call us: 040 16 05 03 or 040 21 31 00

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