Fifth Avenue DentistFifth Avenue Dental Associates
Restoring your smile for a lasting impression


1 West 34th Street, Ste 1204 Manhattan, New York 10001
Dr. David Jacobson
Dr. Howard Lee
Dr. Mayer Sinensky
Dr. Barry Borger
Dr. Ash Estafan
Dr. Sandra Kuperman
Dental Services

Oral Surgery

We perform all outpatient surgery in our office under appropriate anesthesia to maximize patient comfort. Dr. Howard Lee has the training and licensing to provide oral and IV sedation to give patients the most comfortable choices. Call us today at 212-564-8200 to schedule your oral surgery consultation.

IV Sedation

Think it’s impossible to relax at the dentist’s office? Reliable intravenous (IV) sedation techniques let you rest comfortably while receiving the dental care you need and want. If fear of the dentist keeps you from necessary treatment, ask us about IV sedation to ease you through any procedure. While mostly used for oral surgeries or time-consuming procedures, IV sedation can alleviate severe anxiety and phobias associated with dentists, needles, and drills to make any dental procedure pleasant. In addition, patients with sensitive gag reflexes and those with TMJ or other neuromuscular disorders that make it hard to keep their mouths open for long periods of time often benefit from IV sedation. We will consult with you to determine your anxiety level and decide whether IV sedation is safe for you, based on medical history and present health conditions.

The sedative dosage we administer correlates to the intensity of your anxiety or discomfort. IV sedation allows us unprecedented control over relaxation levels, so we can tailor the sedation to your specific needs. Depending on the amount of sedative you receive, you will feel extremely relaxed, drowsy, or you may fall asleep completely. Typically, patients remain conscious and can respond to questions but do not experience extreme nervousness or discomfort, remembering little about the appointment afterwards.

As with any procedure we perform, your physical safety remains one of our top concerns. To prepare for an appointment in which you will receive IV sedation, do not eat or drink anything for eight hours prior to your procedure, except for prescription medications, unless advised otherwise. While you are under sedation, we closely monitor blood pressure, breathing, and heart rate. After your dental work, we stop the IV and let you rest comfortably for 15 to 20 minutes before discharge. If necessary, we prescribe pain management medication after your visit, particularly after an oral surgery. You must arrange to have a responsible adult drive you home from your appointment and remain with you until drowsiness wears off. You should be able to resume normal activities the day after the appointment.

We understand your fear as well as your desire for healthy, beautiful teeth. We can help you achieve the smile of your dreams with the compassionate care you deserve.

Oral Sedation

Among the most common phobias, visiting the dentist causes many people severe anxiety and stress. Often, fearful patients forgo necessary dental care to avoid a visit to their dentist. If you find yourself feeling panicky at the thought of having your teeth worked on, you should know that a safe, comfortable relaxation method exists. Oral sedation alleviates anxiety, so you can face dental appointments with confidence.

What exactly does oral sedation entail?

If you fear dental appointments, call a dentist to determine if oral sedation is available for you based on your medical history and current medications. If you’re a good candidate for oral sedation, the dentist will select an appropriate anti-anxiety or sedative drug for you to take at a pre-determined time before your appointment. These safe, widely-prescribed drugs diminish anxiety and help patients relax. Your anxiety level will help the dentist determine dosage, which in turn determines your consciousness level during the appointment. Some patients become so relaxed they drift off into a restful sleep during their dental procedures. Throughout your appointment, we will closely monitor your vital signs to ensure your safety. When you choose oral sedation, you must have a responsible adult who can drive you to and from your appointment and spend some time with you after the appointment until the sedative wears off completely.

Why choose oral sedation?

In general, patients choose oral sedation if they:

  • experience severe anxiety and fear when faced with dental instruments
  • put off important dental treatment because of fear
  • have a sensitive gag reflex
  • have trouble feeling numb after receiving local anesthetic
  • cannot rest comfortably in a dentist’s exam chair due to neck or back problems

What risks and side effects are associated with oral sedation?

The anti-anxiety medications used to achieve oral sedation have been prescribed and studied for years, so potential side effects are widely documented. These drugs are generally safe for most patients and have a low incidence of side effects, which tend to be minor.

Typically, patients who receive oral sedation experience:

  • Retrograde amnesia, in which they recall little to nothing about the dental procedure
  • Decreased post-operative soreness
  • Dry mouth

A very small percentage of patients may temporarily have hiccups after using oral sedation drugs.

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