Since 1976, our practice has grown from the referrals of many of your friends and family who have put their trust in dentists who truly care about whether their patients feel anything during treatment. We will not judge you, your fears, or your level of neglect. We are proud to announce that our practice is a member office in DOCS: Dental Organization for Conscious Sedation. This means that we have been trained and are certified to administer Triazolam, which will make you very sleepy. You will feel extremely comfortable and will likely not remember your dental visit the next day.
There are a lot of reasons individuals are fearful of dental visits. A lot of it is based on experience. They don't like the needle. The dentist has worked on them before the anesthetic has had a chance to get the tooth fully numb. They hate the noise of the drill. They can't keep their mouth open for a long time. They are facing a lot of treatment with a lot of dental visits.
But you don't want to be "out". And we don't want you to either. We want you to be responsive to our commands if we need you to open wider, or to bite down. We need you to sense the presence of a small chunk of material at the back of your throat. With oral conscious sedation we will be able to achieve all that, and more. Dr. Markus is one of the most understanding sedation dentists in New Jersey. You do not have to be afraid of the dentist anymore.
We begin by reviewing your medical history. If your medical history is complicated, sedation must be cleared by your MD. You are given one to three pills to take one hour prior the dental appointment. If you think you will have trouble due to anxiety, sleeping the night before, we will give you a sleep aid, like Valium, for bedtime. No IV needles are needed. A companion will be needed to take you to and from the dental office.
You will be made comfortable with the use of a neck pillow, blanket and head phones. Vital signs are monitored throughout the visit by a trained assistant. The patient tends to snooze during most of the treatment but is able to respond to any given commands or questions. Throughout the entire procedure, your vital signs are monitored by a pulse oximeter. One advantageous side effect of the drug is a special type of amnesia in which a person may not recall events after taking the drug. This is not a problem since the dental phobic patient usually prefers not to remember the dental treatment. It safely reduces anxiety. Dental treatment often requiring multiple visits can be performed in one visit.
Patients seeking treatment after lengthy neglect need not feel embarrassment about their condition. Our office has seen many patients who have let their mouths go because their dental anxiety was so great. Dr. Markus and his team at the Centre For Dentistry promise to be non-judgmental. Our goal is to get anxious patients to a point where their mouths are healthy and functional and to help them keep it that way.
We invite you to call for a consultation, and learn more about how we go the extra mile to make you as comfy as can be. Dr. Markus and his team look forward to helping you with your dental procedures.
This one email typified many of the FAQ’s we get about Sedation Dentistry, and Dr. Markus’ responses:
My concern with sedation is I'm not sure how I'm going to react to that drug since I've never taken it before.
The medications we use are very well tolerated, quickly eliminated from the body (short half life) and we always have a reversal agent at hand.
Being small, I tend to have reactions to some drugs and I would like to avoid any unpleasantness. (Only weigh 105 lbs)
Believe it or not, there are times we need to give more to someone your weight than a 225 pound male. Everyone is different and we titrate your level of sedation by changing the amount of nitrous oxide used during the procedure
I worry about not getting numb
I have a trick to that, but you will be sworn to secrecy. If you share this magic with another dentist I’ll have to get Silvio to pay you a visit!
I worry about not being able to communicate
Aside from the fact that we read body language very well, you will be able to communicate with us, which is different than if you were under a heavier dose of anesthetic
Are you certified for sedation dentistry and if so, from what organization. I didn't see this on your web site.
Good point, I’ll put that up on our website. We are all certified by the state, having taken the 30 hour DOCS course, then the 40 hours mandated by the state, and then are required to train an additional 20 hours every 2 years. You can tell from our state certificate numbers that we’ve been at this a very long time. Dr. Markus is permit 00043 and Dr. Phillips is 00073
Do most patients tolerate the oral sedation well?
I have never had a problem other than some really frightened people feeling that they hadn’t been sedated as much as they had imagined, but because of the amnesic effect of the medication, they had no recollection of the process.
Are there any risks to using oral sedation?
We have a reversal agent that can be used to bring the patient out. We’ve only had to use it once, and that was because I was concerned that a 225 pound patient might be difficult to escort by a 100 pound escort.
How often do you work on a patient under oral sedation?
We do 5 sedations a month, and were amongst the first group of dentists in NJ to be certified, by the state, after certification became mandated around 2006. Before that, we had been trained by DOCS, and there was no certification required in NJ.
How long have you been practicing oral sedation techniques?
The process using Triazolam and hydroxizine, since 2000, before that (since 1976) we used Valium and nitrous. This is much safer, because Valium stays in the system much longer.
Have you ever had any patients who had complications using the pills? I worry about getting too deeply sedated.
The dental experts at The Centre for Dentistry in Haddon Heights provide excellence in general, cosmetic, sedation, children’s, and restorative dentistry services for New Jersey patients. Conveniently located ½ mile from Exit 29 of I-295, we welcome families from Haddon Heights, Cherry Hill, Haddonfield, Moorestown, and Voorhees. Find out what makes our office so special causing people to drive past hundreds of offices to see us. We see a lot of Jersey Shore residents, and take into consideration how far you have travelled, and therefore offer expanded visits so that if you’re coming from a distance, you will have your travel time minimized. We seek to WOW you in so many ways. Most importantly -- we are empathetic -- we know what it's like to be a patient in the chair, and we stand out from the crowd. We have built a substantial patient loyalty since we established our office in 1976 by emphasizing the CARE in dental care. Book your appointment now!