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Pasadena California Dental Plus+ Dental Group
Cosmetic
Dentist
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NewsBank NewsLibrary
NewsLibrary
Paper: San Gabriel Valley Tribune (West Covina, CA)
Title: Group offers sedation method to uneasy patients
Date: March 14, 2004
PASADENA -- Those who fear shots and dental drills may be in
luck.Through a growing practice known as "conscious sedation'
dentistry, dentists like Dr. Leon D. Roisman in Pasadena are
attempting to make the dentist's chair a more inviting place.
Apprehensive patients - those with bad gag reflexes and those
who need to have hours of dental work done in one sitting - now
can take a pill-based dose of a sedative about an hour before
their procedure, explained Roisman, who has been a dentist for
35 years and started using this type of sedation about two years
ago after receiving training from the Dental Organization for
Conscious Sedation.
Just before he begins work, he gives patients another dose so
the sedation will last through the procedure.
Patients remain conscious during the dental procedures, but they
do not feel any pain and often do not remember much of the
experience.
"Some of my patients were so fearful that they would just sit
down in the chair and cry,' said Roisman. "If we didn't offer
this, they might never come back. This alleviates that
apprehension.'
If not for the oral sedation method, Adriana Calleros, a 32-
year-old San Gabriel resident said she never would have returned
to the dental office after discovering how much work she needed
to have done.
Calleros said she avoided dental treatments for more than five
years.
"I was traumatized by the dentist when I was young,' she said.
"So I let my mouth deteriorate because I didn't want to go. I
was scared.'
During three visits last year, she had her wisdom teeth pulled,
three root canals, work on her gums and a teeth-whitening.
"For someone who is scared or had prior issues with a dentist,
this is a great way of going at it,' she said.
Though Roisman's Dental Plus+ Dental Group, which has about 18
full-time dentists in every specialty, and a support staff of
50, sees about 200 patients a day, Roisman said a small, but
growing percentage use the pill-based sedation method. Treating
an average of one or two patients a day using the method, he saw
more than 350 patients in 2003.
Dr. Joel Weaver, an anesthesia spokesman for the American Dental
Association, said the ADA does not recommend using multiple oral
doses for sedation because it usually takes at least 90 minutes
for the drug to be fully absorbed into the system, creating the
potential for dentists to over-medicate their patients.
"It is possible to overshoot your mark,' said Weaver, a
professor at Ohio State University's College of Dentistry.
The ADA is cautious of the procedure, he said, because "there
really hasn't been a lot of research on the safety of using
multiple doses for dentistry.'
Roisman said he takes care not to over-medicate by waiting for
the effects of the sedative to kick in rather than giving a
patient another dose to expedite its relaxing effects.
To undergo conscious sedation, patients must be 18 or older and
Roisman and he will not use it on patients with health problems
such as emphysema.
The dental group also offers nitrous oxide (laughing gas) and
intravenous sedation.
Most health insurance plans do not cover sedation for the
majority of procedures, said Roisman. The costs for oral
sedation during typical procedures ranges from $300 to $450.
Coni Fadigan, director of the Dental Organization for Conscious
Sedation, said the group has more than 1,900 members who provide
conscious sedation services, 288 of which are in California.
-- Kevin Felt can be reached at (626) 578-6300, Ext. 4454, or by
e- mail at kevin.felt@sgvn.com .
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Sedation Dentistry
In Pasadena California and the surrounding
Los Angeles - Glendale - Burbank - San Gabriel Valley CA areas.
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