Most often Dr Adams, will uselaughing gas or nitrous oxide as a pre-sedative for IV placement. In the event of extreme dental anxiety and long procedures, we may also use an oral sedative as a pre-sedation. The oral sedation drug in our office is triazolam. Triazolam is a moderate strength benzo that is long acting. Triazolam, as a dental sedative, provides a nice sedative base for the overall IV sedation and is helpful to calm the patient during placement of the IV.

Full sedative dentists drugs we use are typically used for moderate and deep sedation. The dental sedatives of choice in our office for IV sedation are fentanyl and verced. Fentanyl provides sedation and gives the patient the sense that everything is great. You will never feel better than when you are on fentanyl. Everything seems awesome no matter how bad it iseven the worst news is euphoric. Verced also called midazolam is a benzodiazepine used for sedation and its unique ability to produce retrograde amnesia. Who wants to remember a thing in the dental office. When you are under verced, you will likely not remember a thing. Verced is also a hypnotic which is also a good thing for the sleep dentist and sedation dentistry in general.

IV sedation is best for longer cases, cases of high anxiety, people who have difficulty getting numb or for individuals with severe gag reflexes. Full sedation for implants, impacted wisdom teeth removal, cases where several teeth are going to be fixed at one time is a good idea. The above cases can get long and be difficult to tolerate. When there is anxiety and uneasiness during a procedure, there is usually more inflammation, pain and possibly poor outcomes.

There are many effective oral sedatives. The dental oral sedative our sedation dentists like the best for oral sedation dentistry is triazolam. Triazolam is a great oral sedative because it provides good mild to moderate sedation that lasts for 1-2.5 hours. Triazolam is quite a bite stronger than valium and xanax. Triazolam sedation requires patient monitoring to be sure the patient maintains stabled vital signs especially if multiple doses are going to be used. Valium, diazepam and xanax are usually single dose administration for lighter oral sedations and usually do not require patient monitoring.

Nitrous Oxide is a form of twilight sedation for mild to moderate dental anxiety. Laughing gas sedation sets in very quickly and wears off as soon as the gas sedation mask is not in place. Nitrous is very non-toxic and has very few contraindications. Pregnancy is the main contraindication. Pregnant women can not use NO2 gas sedation. Laughing gas is sometimes used in combination with IV Sedation but with caution because the combination in some patients may produce sedation that is too deep. Laughing gas should never be used in combination with oral sedation unless there is an IV in place.

We are a local sedation dental clinic located in Burtonsville near Silver Spring and Columbia Maryland. Our sedation dentist provides routine and complex dental care under full sedation dentistry and twilight dental anesthesia. If you are looking for a local dentist who sedates near Burtonsville Maryland, you have found us. We provide sleep sedation for all dental procedures. Some of the sedative dental services we provide include:

We also provide oral sedation dentistry and nitrous oxide dental laughing gas. Other services we offer: teeth replacement with full mouth dental implants, TMJ-TMD pain treatment, safe mercury amalgam filling removal. We use only the best performing and safest materials and all natural fluoride-free products. we are a local sedative dentist practice offering a full line of responsible and holistic dental services.

We have been serving the Washington, DC metropolitan area including, Montgomery, Howard and Prince Georges Counties, Burtonsville, Bethesda, Potomac, Wheaton, Silver Spring and Chevy Chase, Maryland, Northern Virginia and the District of Columbia. Some of our patients travel from hundreds of miles away to see us.

Gary Adams DDS practices IV sedation dentistry. He is a holistic dentist by philosophy. Dr. Adams did his IV Sedation training at Duquesne University and is certified through the Maryland Board of Dental Examiners. Dr Adams has advanced training and extensive experience in the areas of dental implants, cosmetic dentistry, TMJ-TMD and Oral Surgery. Dr. Adams received his undergraduate degree from The University of Virginia in Biochemistry.

Dr. Gary Adams is the founder of Maryland Sedation Dentist and is a holistic dentist by philosophy. Dr. Adams received his doctoral degree from The University of Maryland Dental School with a degree of Doctor of Dental Surgery (DDS in 2001), and completed a clerkship in treating special/medically and/or mentally compromised patients at The University of Maryland Dental School. Dr. Adams trained and received his IV sedation dentist certificate from Duquesne University and is certified by the Maryland Board of Dental Examiners. Dr. Adams has also trained at the Dawson Academy which is an advanced educational facility focusing on the diagnosis and treatment of TMJ-TMD problems, cosmetic dentistry, clenching and grinding problems and teeth wear problems. Dr. Adams is a member of the IAOMT.org and is certified to perform DNA appliance therapy. Dr. Adams has successfully placed over 4000 dental implants including many zirconia-ceramic tooth implants.

Dr. Adams is an expert in full mouth implant dentistry. Many of Dr. Adams patients receive all on 4 implant bridges, permanent implant crowns and bridges and in some cases implant dentures. Because of Dr. Adams experience with TMJ, the bite and sedation dentistry, he is uniquely positioned to handle complex dental implant cases. Dr. Adams handles the implant surgery and teeth that go on top from start to finish. Comprehensive cases are his favorite kind of cases where he can really make a difference for someone who is having life altering dental problems.