Dr. Douglas C. Jungman is one of less than 2% of restorative dentists certified by the Florida Board of Dental Examiners for IV sedation dentistry required for a sedation.

Requirements for sedation permit are:

• Specialized advanced training in sedation techniques.
• Advanced cardiac life support.
• Dental emergency preparedness.
• State of the Art monitoring equipment including: Pulse oximeter, blood pressure, heart rate, capnography.

Our goal at Drs. Zamikoff, Klement & Jungman is to help make your experience here as pleasant as possible.  If dentistry has been difficult for you in the past, we have good news for you.  You are not alone.  Many people avoid the dentist for various reasons some of which include the following:

1. Bad past dental experiences
2. Extra sensitive hard to numb teeth
3. Bad gag reflex
4. Fear of needles
5. Fear of dental drills
6. Not enough time to complete complex dentistry
7. Severe anxiety or dental phobia

Nitrous oxide and oxygen is a very safe and convenient sedative technique for mild to moderate anxiety.  Nitrous oxide (also referred to a "laughing gas") is colorless odorless gas mixed with oxygen through a small mask that fits over your nose.

The effects of nitrous oxide are felt in a matter of minutes.  In addition to feeling more relaxed, our patients have a significant analgesic effect much like a moderate pain reliever.

Even though our patients are awake, this combination of mild sedation and pain relief can make a dental visit much more pleasant.

Once the dental procedure is complete, you can go back to driving a car or any normal activity.

For patients with more moderate to severe anxiety oral sedation with Triazalom, a small blue pill, may be for you.  We have been utilizing Triazalom in our office for nearly 20 years.

With oral sedation, our patients are extremely relaxed and most patients have no memory of the appointment.  The amnesis effect can be  very positive particularly with long dental procedures.  For this reason, you do need to have someone drive you home after oral sedation. 

Oral sedation is very safe, requires no needles and is cost effective.  Our patients are monitored with blood pressure, heart rate and pulse oximeter during the procedure.

IV sedation with Midazolam (Versed) is also very effective for moderate to severe anxiety and has the following benefits:

• More rapid onset and wear off time
• Easy to readily lighten or deepen sedation as necessary
• Midazolam (Versed) can readily be reversed as necessary which adds to the safety of use
• Most patients have little to no memory of the procedure

With IV sedation, we use state of the art monitoring equipment that includes blood pressure, pulse rate, pulse oximetry and capnography.

Our dental practice is one of the less than 2% of restorative dental office that have met the qualifications for a Sedation Permit in Florida.

As with oral sedation patients need to have someone drive them home after the procedure.

Outpatient Surgery Center

Sedation or general anesthesia with an anesthesiologist at an outpatient surgical center is an option for the following patients:

1. Patients with severe to extreme dental anxiety
2. Patients with significant medical problems that require additional monitoring with qualified anesthesiologist and medical clearance before surgery
3. Patients that are among the less than 5% not sedated effectively with Midazolam (Versed) or Triazolam (Halcion).

We are on staff with Manatee Surgical Center and are equipped to provide dental services in this facility for our patients that require this level of sedation or general anesthesia.

1. Oral sedation is a safe and effective way of relieving fear and anxiety associated with going to the dentist.
2. Dentists have used sedation for many years to relieve fear and apprehension.
3. Patients who have difficulty getting numb are helped by sedation dentistry.
4. If you are fearful of needles or drilling, sedation dentistry is excellent.  Most patients are so relaxed they doze through their appointment and have very little memory of the appointment.
5. For patients that have extensive dental work; patients are so relaxed and comfortable a large amount of complex treatment can be accomplished in a single appointment.
6. The dentist can complete more dental treatment of higher quality in a shorter period of time on a patient who is relaxed.
7. Patients who have difficulty controlling movements, such as Parkinson's Disease or Cerebral Palsy are often helped by sedation.

If you exhibit any of the following characteristics, "Sedation Dentistry" may help you:

1. Fear, stress and anxiety about going to the dentist.
2. People who desire a beautiful and natural smile and have fear or anxiety associated with dentistry.
3. Fear of needs.
4. You are hard to get numb.
5. Dental phobia.
6. A history of bad dental experiences.
7. Painful or sensitive teeth.
8. Afraid to go to the dentist.
9. You are troubled with a bad gag reflex.
10. You need complex treatment requiring long dental appointments.  With sedation more can be accomplished at each visit.
11. People who have a limited time to complete treatment and want to accomplish a lot in a single appointment.
12. Have a very sensitive mouth.
13. Are embarrassed about their mouth.
     

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A dentist can complete more dental work of higher quality in a shorter period of time when a patient is relaxed.

For patients that have extensive dental treatment needs, with sedation, a large amount of work can be completed.  This often minimizes the number of visits needed because more dentistry can be completed.

We will evaluate each situation and recommend the best path for our patients.