Sedation Dentistry in St. Augustine, FL

Comfortable, stress-free dental care for even the most anxious patients

Don't let dental anxiety prevent you from getting the care you need. Experience the comfort and peace of mind that comes with professional sedation dentistry.

What Is Sedation Dentistry?

Sedation dentistry encompasses various techniques designed to help patients relax during dental procedures, creating a comfortable experience free from anxiety and discomfort. Unlike general anesthesia used in hospital settings, dental sedation allows you to remain conscious while feeling deeply relaxed, with little to no memory of the procedure afterward.

As a board-certified oral and maxillofacial surgeon, Dr. Johnson has extensive training in administering various levels of sedation safely and effectively. His specialized expertise goes well beyond what’s available at general dental practices, allowing our center to offer advanced sedation options including IV sedation administered directly in our state-of-the-art facility.

Sedation dentistry is ideal for patients with dental anxiety, those undergoing complex or lengthy procedures, individuals with strong gag reflexes, and patients with special needs who may have difficulty sitting still for extended periods. Our personalized approach ensures you receive the appropriate level of sedation based on your specific needs, anxiety level, and the complexity of your procedure.

Our Sedation Dentistry Services

IV Sedation (Deep Sedation)

Our specialty is IV sedation, also known as “twilight sedation” or “sleep dentistry.” This advanced technique delivers sedative medications directly into your bloodstream, inducing a deep state of relaxation where you’ll remain technically conscious but feel as though you’re sleeping. You’ll be unaware of the sights, sounds, and sensations of your procedure and will have little to no memory of the treatment afterward. Our team is specially trained in administering and monitoring IV sedation, ensuring your complete safety and comfort throughout your procedure.

Nitrous Oxide (Laughing Gas)

For mild to moderate anxiety, nitrous oxide provides gentle relaxation that takes effect quickly and wears off rapidly once the procedure is complete. You’ll breathe this sweet-smelling gas through a comfortable nose mask, experiencing a sense of euphoria and reduced awareness of your surroundings. The effects dissipate within minutes after the gas is stopped, allowing you to drive yourself home and return to normal activities immediately after your appointment.

Oral Conscious Sedation

For patients with moderate anxiety who prefer to avoid IV sedation, oral sedation offers a simple yet effective alternative. You’ll take a prescribed medication shortly before your appointment, arriving at our office already feeling relaxed. While you’ll remain awake and able to respond to directions, you’ll feel significantly less anxious and typically have limited memory of the procedure. This option requires a companion to drive you to and from your appointment.

Dr. Douglas L. Johnson, DMD

With over 25 years of specialized experience, Dr. Johnson provides exceptional care using the latest techniques and technology.

Dr. Johnson is a board-certified oral and maxillofacial surgeon who completed his education at the University of Pittsburgh School of Dental Medicine and advanced training through fellowships at prestigious institutions. His extensive training and experience allow him to perform complex procedures with precision and care.

At our state-of-the-art facility, we prioritize your comfort and results. Dr. Johnson and his specially trained staff are committed to providing you with the highest standard of care in a welcoming environment.

What are the Benefits of Sedation Dentistry?

Sedation dentistry offers transformative advantages for patients who might otherwise avoid necessary dental care. By effectively eliminating anxiety and discomfort, sedation allows you to receive important treatments without the emotional distress that dental procedures often trigger. This anxiety-free experience often changes patients’ perceptions about dental care, making future visits less stressful even without sedation.

For complex procedures requiring extended treatment time, sedation creates a perception that time passes quickly, allowing Dr. Johnson to complete multiple procedures in a single visit that might otherwise require several appointments. This efficiency means fewer office visits and a more streamlined treatment process, particularly beneficial for patients with busy schedules or those traveling from outside the immediate St. Augustine area.

Sedation also enhances patient comfort by reducing physical discomfort during lengthy procedures and minimizing or eliminating the gag reflex that can interfere with treatment. For patients with special needs or difficulty sitting still, sedation provides the calm environment necessary for Dr. Johnson to perform procedures with the precision they require.

Perhaps most importantly, sedation dentistry often makes dental care accessible to patients who would otherwise continue to avoid treatment due to fear, potentially preventing serious oral health issues and the need for more extensive procedures in the future.

Is Sedation Dentistry Right for You?

Ideal Candidates for Sedation

Sedation dentistry can benefit many patients, particularly those who experience dental anxiety ranging from mild nervousness to severe phobia. It’s also excellent for patients undergoing complex or lengthy procedures like multiple extractions, full-mouth reconstructions, or dental implant surgery. Those with strong gag reflexes, sensitivity to dental noises or smells, or difficulty getting numb with local anesthesia are often ideal candidates for sedation services.

Patients with physical limitations that make sitting in a dental chair uncomfortable for extended periods can benefit from the relaxation that sedation provides. Additionally, individuals with special needs that affect their ability to remain still or cooperate with treatment instructions often find that sedation creates a more manageable treatment environment.

Medical Considerations

While sedation dentistry is safe for most patients, certain medical conditions and medications may affect your sedation options. During your consultation, Dr. Johnson will review your complete medical history, current medications, and any previous experiences with anesthesia or sedation. This thorough evaluation ensures that your sedation plan is both effective and safe based on your individual health profile.

Preparation and Recovery

Different sedation methods have varying preparation requirements and recovery periods. For IV sedation and oral conscious sedation, you’ll need to arrange for someone to drive you home afterward and should plan to rest for the remainder of the day. Our team will provide detailed pre-procedure instructions, including guidelines about eating, drinking, and taking regular medications before your appointment.

Our Reviews

Why Patients Choose Us

Care and Commitment

From the front office to the exam room, our practice is made up of professionals who take your oral health very seriously. Using state-of-the-art equipment designed with safety and efficiency in mind, we are able to offer top-notch care. As you walk through our office, you will notice that everything is clean, comfortable and thoroughly sterilized. Your safety and comfort are our priority.

Honesty and Affordability

We know that the cost of care can be confusing. In addition to offering a number of in-office payment options to fit your budget, we also give you up-front cost information on your treatment ahead of time. We are in network with a variety of insurance plans, and we offer dental financing with credit available in time frames that fit your needs. We are happy to help you navigate your dental insurance and alternative payment options.

Comprehensive Oral Surgery Care in One Location

At our practice, we are qualified to handle all aspects of your oral and maxillofacial care, so you are always surrounded by people that you trust. If we must refer out, we promise to send you to carefully vetted colleagues who apply the same professional principles in their office that we do in ours.

Frequently Asked Questions

Will I feel anything during my procedure with sedation?

No, you will not experience pain during your procedure when sedation is used. Local anesthesia is always administered to numb the treatment area, ensuring complete pain control. With IV sedation or oral conscious sedation, you’ll be deeply relaxed with little to no memory of the procedure afterward. Even with nitrous oxide, you’ll feel significantly less aware of sensations. Dr. Johnson’s expertise ensures your comfort throughout treatment, and his team continuously monitors your vital signs to maintain optimal sedation levels for a pain-free experience.

How long will it take to recover from sedation?

Recovery time depends on the sedation type used. Nitrous oxide wears off within minutes after the gas is stopped, allowing you to drive yourself home and resume normal activities immediately. IV sedation and oral conscious sedation require someone to drive you home, and you should plan to rest for the remainder of the day. Most patients feel back to normal within twenty-four hours, though some drowsiness may persist. Dr. Johnson provides detailed post-procedure instructions to ensure safe recovery, and you’ll have follow-up support if any concerns arise.

What's the difference between twilight sedation and sleep dentistry?

Twilight sedation and sleep dentistry are actually the same thing—both refer to IV sedation where you remain technically conscious but feel as though you’re sleeping. You’ll be unaware of sights, sounds, and sensations during your procedure and typically have little to no memory of the treatment afterward. This differs from general anesthesia where you’re completely unconscious. IV sedation allows Dr. Johnson to adjust medication levels in real-time while you remain in a deeply relaxed state, providing optimal comfort for complex or lengthy oral surgery procedures.

Can sedation dentistry help with my strong gag reflex?

Yes, sedation dentistry effectively manages strong gag reflexes that can interfere with dental treatment. The relaxation induced by sedation significantly reduces or eliminates the gag reflex, allowing Dr. Johnson to perform procedures with the precision they require. This is particularly beneficial for patients whose gag reflex has prevented them from receiving necessary dental care in the past. Whether you choose IV sedation, oral conscious sedation, or nitrous oxide, you’ll experience reduced sensitivity to stimuli that typically trigger gagging, making your treatment more comfortable and efficient.

Do I need someone to drive me home after sedation dentistry?

Whether you need a driver depends on the type of sedation used. If you receive nitrous oxide (laughing gas), its effects dissipate quickly and you can safely drive yourself home and return to normal activities immediately. However, for IV sedation or oral conscious sedation, you must arrange for a responsible adult to drive you to and from your appointment. You should also plan to have someone stay with you for several hours after returning home, as sedation effects can temporarily impair judgment and coordination while you recover.

Visit Us in St. Augustine

St. Augustine Oral & Facial Surgical Center is ideally situated at 1301 Plantation Island Dr. Suite #101, St. Augustine, FL 32080, making us easily accessible for patients throughout St. Augustine and surrounding communities.