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There are several very common minor oral surgeries sedation dentists often offer, including root canal therapy, tooth extraction and dental implant placement. For these procedures, patients often have the option of choosing from different types of sedation, including local anesthesia and general anesthesia.
Opioids (Fentanyl, Morphine) produce analgesia. Benzodiazepines (Midazolam, Diazepam, Lorazepam) produce amnesia. Combined (small doses of both an opioid and a benzodiazepine) work synergistically to produce analgesia and amnesia=moderate sedation.
Midazolam is the drug most commonly used to induce moderate sedation in dental surgical procedures, and it is also very safe.
Yes, in some cases. General anesthesia in a hospital or ambulatory surgery center may be necessary when treating young children, adults with special needs or people with severe dental anxiety. General anesthesia is a type of unconscious sedation. In other words, you'll be completely unconscious during the procedure.
Moderate sedation is a little stronger than laughing gas and is administered orally in pill form. While you'll still be awake and conscious during the procedure, moderate dental sedation has a stronger effect and offers deeper relaxation, so you may not entirely remember the details of the procedure.