Sedation Dentistry

At Total Dental Care, we understand that dental work can cause anxiety. That’s why we offer a full line of sedation dentistry options to our patients in Germantown, MD.

Call today at 240-813-9111 to schedule your appointment.

Man Asleep
  • Please wear loose clothing to facilitate rolling up of the sleeve.
  • DO NOT eat anything for at least 8 hours before surgery.
  • Parents or guardians should observe children prior to surgery to make certain there is no consumption of foods or fluids.
  • You may drink clear liquids (water, fruit juices WITHOUT PULP, carbonated beverages, clear tea and black coffee) up to 4 hours before the appointment.
  • If you normally take pills for high blood pressure, thyroid or asthma, please take them with a LITTLE sip of water an hour before the appointment.
  • Please come 30 minutes ahead of your scheduled appointment if this is your first visit to our office.
  • Patients must be accompanied by an adult who will remain in the waiting area during surgery and until recovery period is over. Any patient under the age of 18 must have a parent or legal guardian present at time of the procedure. (You will NOT be allowed to take a cab home.)
  • We encourage payments prior to your surgery to expedite your discharge after you awaken following surgery.
  • If you have been given an antibiotic prescription at the time of your consultation, PLEASE TAKE THE ANTIBIOTIC AN HOUR BEFORE YOUR APPOINTMENT WITH A SIP OF WATER.
  • Please remove nail polish and lipstick.
  • Notify our office if you develop a cold, sore throat, cough, fever or any other illness prior to the surgery.



Sedation Dentistry Options

From the lowest level of sedation to the highest, here are your options.

Local Anesthesia

Local anesthesia is used for every patient for every procedure that could cause pain or discomfort. Using a topical and/or injected anesthetic, we target only the specific area that will be affected. Local anesthesia does not affect your body overall, and you can safely drive home, but you should expect some numbness and perhaps drooling to continue for a few hours after the procedure.

Nitrous Oxide

Nitrous oxide, or laughing gas, is a mild inhaled sedative distributed through a mask over the nose. Your dentist can precisely adjust the blend of nitrogen and oxygen to meet your needs, and if you ever feel overwhelmed by the sensations, you can simply remove the mask. Most patients report a feeling of deep relaxation, some giddiness or lightheadedness, and a heavy sensation in the arms and legs. Nitrous oxide wears off quickly, allowing you to safely drive home.

Conscious Oral Sedation

Conscious oral sedation simply means taking a prescribed anti-anxiety medication before your procedure begins. You will likely feel relaxed and sleepy, and may even fall asleep. You will not be unconscious, and can be easily roused. However, the effects can linger for a few hours, so you must have someone drive you home from your appointment.

IV Sedation and General Anesthesia

IV sedation and general anesthesia are two sides of the same coin. IV sedation induces a sort of twilight sleep, in which you may feel loopy and out of it, and will likely doze off. General anesthesia renders you unconscious for the duration of the procedure. Both are considered a higher level of sedation, appropriate for those with severe dental phobias and certain special needs. If you need or desire this type of sedation, your dentist will provide detailed instructions for the day of your visit.

Questions? Call 240-813-9111 to learn more and schedule your appointment.