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Putting Your Dental Fears To Rest

Do you avoid getting the dental care you need and deserve because you feel fearful or anxious? Have you missed your dental appointments, avoided scheduling important dental treatment like fillings or crowns, or suffered through agonizing tooth pain because the mere thought of sitting in a dental chair makes you nervous?

It is common for many patients to feel nervous or anxious about their dental procedures. With sedation dentistry you can be calm, comfortable or even asleep through the entire procedure! Thomas Gonzales D.D.S. has advanced training to help with your anxiety, by administering medications to make you feel more comfortable.

Sedation Dentistry is a safe and effective technique. It is beneficial for anyone who:

  • Suffers from dental anxiety or fear of the dentist
  • Has had a traumatic dental experience in the past
  • Has neurological disorders that make holding still in a dental chair difficult
  • Needs extensive dental work done, with little time to do it
  • Has extremely sensitive teeth
  • Has trouble getting numb by other methods
  • Has difficulty due to gagging

Sedation dentistry is used to provide a relaxing and anxiety-free experience for certain people receiving dental treatment. It enables individuals too afraid to go to the dentist to receive the dental care they need while avoiding the common apprehension known as dental phobia. According to to the Dental Organization for Conscious Sedation (DOCS Education), a professional dental organization dedicated to ensuring that patients receive safe, comfortable and anxiety-free dental care, 30 percent of the population avoids the dentist due to fear. This all-too-common “dental phobia” prevents people from receiving necessary routine dental care, potentially compromising the health and functionality of their mouth and smile.

Thomas Gonzales D.D.S.

IV Sedation Professor

Las Vegas dentist, Thomas Gonzales D.D.S. is an expert in IV sedation and dental anesthesia. He taught Emergency Medicine and Advanced IV Sedation at the University of Nevada, Las Vegas School of Dental Medicine to dental students. He has been a guest speaker on academic dental issues and subjects in California and Nevada. He has spoken at professional conferences on IV sedation.

Dr. Gonzales has helped hundreds of patients overcome their dental fear and he is widely-recommended by other dentists because of his professional training and experience as well as his ability to transform patient smiles. Dr. Gonzales delivers a relaxed and professional ambiance to put your dental fears at ease.

What Is Sedation?

The anxiety that some people have can be controlled by administering sedative drugs. These medications can provide relaxation, amnesia, additional pain control and deep sleep for patients. Depending on the person and the procedure, an anaesthetic plan is prescribed that is tailored specifically to meet your needs.

Sedation is a process used to establish a relaxed, easy and calm state through the use of sedatives. Sedative drugs (tranquillizers, depressants, anti-anxiety medications, nitrous oxide, etc.) can be administered in a variety of ways. In the past, intravenous (IV) sedation – sedatives delivered via injection into the blood vessels of the hand or arm – was predominantly used to sedate a dental patient. At Sedation and Implant Dentistry Las Vegas, we are proud to be one of very few dental offices in Clark County offering IV sedation and anesthesia.

What is IV sedation?

IV sedation is the administration of anesthetic medications intravenously. The procedure puts you in a comfortable, conscious (semi-awake) state of reduced anxiety. You, the patient will have little or no memory of the dental procedure that was performed. Through conscious sedation, you are placed in an amnesic state from the medications used to administer sedation. During IV sedation, you are able to respond to verbal commands and sometimes to a light physical touch.

What can I expect with IV sedation?

Because you will be administered sedative medications, you will not be able to drive. You will need to have transportation to and from your appointment.

During sedation, you will be closely and continuously monitored by Dr. Gonzales and his staff members, using electronic equipment that shows blood pressure, heart rate, oxygen levels and your heart function on an EKG monitor. After the procedure, you will be released to go home, when Dr. Gonzales feels that it is safe to leave. You and your designated driver will receive post-treatment and home care instructions.

IV sedation is both safe and effective when administered by a trained professional. Today, however, sedation dentistry has evolved to be even more conducive to a relaxing experience. Patients have alternatives to the traditional modalities of inhalation (nitrous oxide or “laughing gas”) and IVs, such as those offering a “no needle” (meaning, no injection) approach that many people find more appealing.

Oral sedation dentistry is now the most common technique used in the United States and Canada to quell patient fears. The technique is easy and requires no needles. Best of all, the medications create such a comfortable experience that most patients do not remember the visit; it is as if they slept through the treatment. In reality, oral sedation dentistry maintains a level of consciousness in the patient for safety and cooperation.

Sedation is different from anesthetic injections. Although some forms of sedation (such as nitrous oxide gas) may raise your threshold for pain, most dental treatments still require a local anesthetic injected in the mouth, even when sedation dentistry techniques are performed. This local anesthetic will temporarily block pain impulses from the affected teeth and gum tissue. However, this injection will occur after you are already sedated and comfortable, so most likely you won’t be bothered by or remember the sensation of having the injection.

Regardless of the type of sedation dentistry you receive, it is important to have a responsible caregiver accompany you to the procedure (and drive you there if you must take oral medication before arriving for your appointment). The caregiver should drive you home after the procedure is complete and stay with you for an additional two to four hours at home.

Benefits of Sedation and Anesthesia

One of the major benefits of sedation dentistry is that people often feel like their dental procedure lasts only a few minutes, when in fact it might have taken hours to perform. Therefore, complex dental procedures such as smile makeovers or extensive rebuilding procedures that normally require multiple visits can often be performed in fewer appointments.

If you are reluctant to change the appearance of your smile because you are afraid or anxious about undergoing long or complicated dental procedures, sedation dentistry can make you feel comfortable during the treatment process and help you achieve a smile you can be proud of.

Also, because sedation dentistry addresses some of the fears that keep people from going to the dentist on a regular basis, sedation dentistry patients are more likely to receive recommended routine care. As a result, they are less likely to neglect their oral health or allow oral health problems to build to the point when drastic dental treatments become necessary.



Years of Experience


Procedures Performed


Sedation Patients


Don’t put off the important dental care you need because of a dental phobia. Whether you need extensive restorative dentistry, dental implants or just a simple routine check-up, Thomas Gonzales D.D.S. and his friendly staff will explain the various options and help you decide what’s best for your individual needs.

Once you’ve experienced the benefits of sedation dentistry, you’ll wonder why you waited so long to make the appointment. Sedation will help relieve the stress of your dental procedures. 

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The staff are amazing, extremely friendly and makes u feel very comfortable. The doctor is very professional and nice as well.

Ali A.

I came there forth and back from Asia so many times for surgeries and implanting whole 2 jaws. Dr. Gonzales is the best doctor I have ever met and his team treated all patients as their beloved ones. A highest place recommended!

Sameir J.

I am Bermudian and I fly from Bermuda to Las Vegas for the best dental experience ever! It’s worth the journey because I am with the best dental practice in the WORLD.

Edward T.

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