Sedation & Anesthesia Services
Visiting the dentist can often times be an anxious and frightening experience for both adults and children. Understandably, a previous unpleasant experience can lead to a host of emotions such as anxiety, fear and stress. Medical conditions such as heart problems, seizure disorders, gag-reflex, and mental and physical disabilities may require dental treatment under various forms of sedation.
Children can be especially vulnerable, and become restless and uncooperative if not completely sedated. Treatment modalities such as oral sedation and restraints for children can result in a frightening and dangerous experience for the child and the parent, as the child may still be awake and become agitated during the procedure. Quality care and safety may be compromised in such a dental setting. For these reasons and more, it is imperative that a provider with a background in dentistry, as well as extensive training in dental and medical anesthesiology be available.
It is imperative to consider the benefits of having an anesthesiologist who is also a dentist working in the dental office. His ability to connect on a working, as well as professional level, with the operating dentist can ensure that the utmost quality of care can be achieved. This may reduce the number of visits in which multiple procedures are required. A relaxed patient means a happy dentist!
Dr. Tomazin’s knowledge and experience in dentistry allows him to modify the anesthesia for the needs of the dentist, as well as the patient.
By bringing in a dentist anesthesiologist, the dental provider can concentrate on providing the patient with the best treatment. Dr. Tomazin can be an important asset in the dental office, providing care in circumstances where local anesthesia and oral sedation is insufficient. Deeper levels of sedation may be necessary for patient comfort, while providing an ideal working environment for the dentist.
Pain control for most dental procedures is achieved with local anesthesia. This may also be supplemented by breathing in a gas such as nitrous oxide or taking a pill by mouth. However, some patients may require a deeper and controlled level of sedation. It is in these areas of anesthesia that Dr. Tomazin specializes as a dentist anesthesiologist. Various levels of sedation may sometimes be required for procedures such as root canals, extractions, implants, periodontal surgery, simple fillings and deep cleanings. Nervous/anxious adults, children, patients with special needs or patients undergoing prolonged procedures may benefit greatly from sedation services offered by Dr. Tomazin. Under these specific circumstances, the patient’s vital signs, such as blood pressure, heart rate, breathing and blood-oxygen levels are continuously monitored.
Dr. Tomazin always strives to provide his patients with the highest level of safety. He is certified in Advanced Cardiac Life Support, Pediatric Advanced Life Support and CPR. Along with his extensive training as a dentist and an anesthesiologist, Dr. Tomazin keeps up to date on the most recent medical literature and anesthesia equipment. This allows Dr. Tomazin to provide the patient with the utmost safe conditions, as well as a comfortable anesthesia experience in the dentist’s office.
Dr. Tomazin has the training and experience to provide a full range of sedation services for both pediatric and adult patients. The type of sedation required for a particular procedure is based on the treatment, the patient, the patient’s medical history and the operating dentist’s preference. Conscious sedation is used to help patients relax during a dental procedure, with fewer post-operative side effects. Conscious sedation may not always be adequate, and deeper levels of sedation, such as general anesthesia, may be necessary. Listed below are the types and levels of intravenous sedation offered to patients.
- Minimal Sedation: Patients are relaxed and respond normally to verbal commands.
- Moderate Sedation: Patients feel drowsy and may sleep during the procedure. Patients may respond to verbal command, with or without tactile stimulation, and may not remember being in the procedure.
- Deep Sedation: Patients are generally not easily aroused, and may or may not respond to repeated or painful stimulation. Breathing may slow during the procedure, and patients may sleep until the medication wears off. Supplemental oxygen may be administered.
- General Anesthesia: Patients are unconscious, unresponsive and not aroused by painful stimulation. A breathing tube may be inserted through the mouth or nose, possibly into the windpipe to maintain proper breathing. The length and level of anesthesia is controlled and constantly adjusted as needed.
It is important to remember that for all of these levels of sedation, Dr. Tomazin will constantly monitor the patient’s vitals, blood pressure, heart rate and rhythm, breathing and blood-oxygen levels to help ensure a safe sedation experience. Dr. Tomazin will remain next to the patient, monitoring them throughout the procedure, and will follow the patient through the recovery until the patient is released to go home
It is very important to understand that there are numerous clinics available providing “sleep” dentistry for patients. However, many times these clinics administer nitrous oxide and oral medication to relax the patient. In most situations, these medications do not put the patient in a state of sleep. Deep sedation and general anesthesia are a more technical form of “sleep” dentistry, and is provided by a licensed anesthesiologist. In a situation where the anesthesiologist is present to monitor and administer medications to the patient during the appointment, the dentist can concentrate solely on the procedure at hand. This will result in providing the most optimal care and positive outcome for the patient.
When choosing a provider for anesthesia, it is important to realize there are qualifying factors to consider. These may range from weekend courses in oral conscious sedation, to an extensive two year residency program in both a medical and dental setting. It is most understandable that when considering these factors, a dentist anesthesiologist can provide a quality of care that dentists expect and patients deserve.