Sedation Dentistry

Header - Sedation Dentistry

Sedation Dentistry Concord, CA

Dr. Robert Stirm provides oral conscious and nitrous oxide sedation.

For most patients, any dental work more extensive than a regular cleaning is anticipated to be an uncomfortable experience. But for those who suffer from dental phobias, the prospect can be terrifying.

At Robert L. Stirm, DDS we are carefully trained and fully equipped to be your Sacramento sedation dentist. Using sedation, or sleep dentistry, has many advantages. As well as allowing Dr. Stirm to work around dental phobias, sedation also allows him to complete much more extensive procedures that would otherwise be too stressful for patients to undergo in a single visit. At our Concord dental office, we often run into this situation with working parents who simply don’t have the time for multiple appointments. They would much rather get everything done at once while they gently doze.

Oral Conscious Sedation

Light to moderate effect depending on the prescription.

Sedation DentistryBy taking a small sedative in the form of a pill prior to your procedure, you will be able to rest and relax in the dental chair. Many patients are able to sleep soundly, and they awake feeling refreshed and remembering very little about the visit. This method has been used at our office thousands of times and allows patients to receive world-class dental care without any apprehension. For treatment by the leading sedation dentist, contact Robert L. Stirm, DDS of Concord for a consultation.

How oral conscious sedation works.

After an initial consultation, you’ll take a medication just prior to your appointment. You’ll want to have a friend deliver you to and from the office as you’ll be drowsy and unable to drive. At your appointment, you’ll be sleepy, but thoroughly responsive. Our team monitors you throughout the procedure.

Advantages of oral conscious sedation.

The main advantages of oral sedation compared to other forms of sedation are:
  • Ease of administration (you only have to take a pill)
  • Effectiveness
  • No needles involved
  • High patient acceptance
  • Amnesic effect
  • Lower cost vs intravenous sedation

The big plus—most patients don’t feel a thing, and we can accomplish most of your dentistry at one sitting, from two to as many as six hours long. For anxious patients, this new alternative is a kind of miracle. Give us a call at 925-682-3223 to see if sedation dentistry might be right for you.

Prescription drug(s) used for oral conscious sedation.

Logo - HalcionHalcion (Triazolam)

Halcion is most well known for the treatment of insomnia. It is highly effective when used in oral sedation protocols, and if deemed appropriate by your Dr. Stirm, can be used in conjunction with an antihistamine.
More information about Halcion »

Triazolam (Halcion®) Patient Directions

Triazolam (Halcion®)



This medication is used to treat sleep problems (insomnia). It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night’s rest. Triazolam belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect.

Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment.

How to use

Read the Medication Guide provided by your pharmacist before you start using triazolam and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor, usually just before you get into bed. The dosage is based on your medical condition, age, and response to treatment.

Although unlikely, this drug can infrequently cause temporary short-term memory loss. To lessen the chance of this, do not take a dose of this drug unless you have time for a full night’s sleep of at least 7 to 8 hours. If you have to wake up before that, you may have some memory loss.

Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your doctor or pharmacist says you may do so safely. Grapefruit can increase the chance of side effects with this medicine. Ask your doctor or pharmacist for more details.

This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as nausea, vomiting, flushing, stomach cramps, nervousness, shakiness) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.

When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased if you have abused alcohol or drugs in the past. Take this medication exactly as prescribed to lessen the risk of addiction.

Tell your doctor if your condition persists after 7 to 10 days, or if it worsens.

You may have trouble sleeping the first few nights after you stop taking this medication. This is called rebound insomnia and is normal. It will usually go away after 1 or 2 nights. If this effect continues, contact your doctor.

Nitrous Oxide Sedation

Considered the lightest form of conscious sedation.

Nitrous Oxide SedationSince 1844, nitrous oxide has been a safe and effective sedative agent for treating phobias and anxiety associated with dental procedures. The nitrous oxide is mixed with oxygen and inhaled through a small mask that fits over your nose to help you relax.

Nitrous oxide, sometimes called “laughing gas,” is one option Dr. Robert Stirm may offer to help make you more comfortable during certain procedures. It is not intended to put you to sleep. You will be able to hear and respond to any requests or directions that Dr. Stirm may have. Dr. Stirm will ask you to breathe normally through your nose, and within a few short minutes you should start to feel the effects of the nitrous oxide. You may feel light-headed or a tingling in your arms and legs. Some people say their arms and legs feel heavy. Ultimately, you should feel calm and comfortable. The effects of nitrous oxide wear off soon after the mask is removed.

Advantages of nitrous oxide sedation.

  • Great for fearful or anxious patients and children
  • Patient remains conscious and can communicate with the dentist
  • There are limited or no side effects of nitrous oxide
  • Wears off quickly leaving little to no recovery time
  • Considered safe and non-addictive when used correctly
  • Patient does not need an guardian or escort

Talk to Dr. Stirm about whether nitrous oxide would be a good option for you.

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