IV Sedation dentistry advice

[lapd]

I need a tooth extracted and eventually an implant. My periodontist says I will need a bone graft after the extraction and then a few months later an implant after the bone is built up.

I tried getting the tooth extracted under local anesthetic but it was too much pain and they had to stop. They tried Ativan for the anxiety but that didn't help with the pain. So I need deep IV sedation + local anesthetic.

Is Bangkok Pattaya Hospital my only option in the Pattaya area for IV sedation dentistry? If I can't get anyone to be with me after (that I trust) can I maybe get a hospital bed for half a day? I know they won't let you walk off on your own after sedation...at least not if they are responsible physicans.

I read on another threat that it's about 10k baht for the sedation but that thread was a few years old. Anyone have recent pricing for sedation, extraction, bone graft, implants etc. Pricing for things like root canals and crowns will help. I can just interpolate from there.

I will pay whatever it takes. For IV sedation dentistry I am prepared to suffer some sticker shock and probably don't have much choice in this case.

Edited April 30, 2015 by lapd

[craigt3365]

I'd contact Gavin at Phyathai hospital in Sri Racha. I had a bunch of work done there. Zero pain. Good prices. And excellent help by Gavin to get it all setup, with price quotes, etc.

[lapd]

I'd contact Gavin at Phyathai hospital in Sri Racha. I had a bunch of work done there. Zero pain. Good prices. And excellent help by Gavin to get it all setup, with price quotes, etc.

I read about Phayathai Sri Racha hospital which I would consider if they did IV sedation dentistry. Not clear to me if they do. It doesn't matter if you did not feel pain just with local anesthetic. I absolutely positively need IV sedation + local anesthetic.

If I didn't need IV sedation I already know a couple highly recommended dental clinics in Pattaya for pain free local anesthetic procedures.

Edited April 30, 2015 by lapd

[craigt3365]

Gavin will let you know what can be done....

http://www.phyathai-sriracha.com/pyt_jp/department/international/

[lapd]

Gavin will let you know what can be done....

http://www.phyathai-sriracha.com/pyt_jp/department/international/

Thank you for the link. I will definitely be contacting him to see what he says.

Edited April 30, 2015 by lapd

[Tolley]

Some of the big dental clinics in Bangkok have it in house they might be better and cheaper than getting it done in Pattaya.

I had it done in Australia when I had a big three hour dental appointment.

Fantastic. Woke up with no after effects at all and went home job done.

[KittenKong]

I'd contact Gavin at Phyathai hospital in Sri Racha. I had a bunch of work done there. Zero pain. Good prices. And excellent help by Gavin to get it all setup, with price quotes, etc.

I've had three implants done there. The lady implantologist certainly gets my vote and it's very convenient to have Gavin around also.

[KittenKong]

I read about Phayathai Sri Racha hospital which I would consider if they did IV sedation dentistry. Not clear to me if they do. It doesn't matter if you did not feel pain just with local anesthetic. I absolutely positively need IV sedation + local anesthetic.

I think they must have anaesthesiologists. Gavin will tell you whether they can work with the dental section, but I suspect that they can.

I'm surprised that you should need both though. I have very sensitive teeth and always need local injections for any sort of work (even proper cleaning), but once injected there was no pain at all when they pulled one of my teeth that was still very firmly seated, though it was very sore for several days afterwards. I do find that Thai dentists never use enough local anaesthetic initially and so they have to keep giving me more, which my dentist in Europe rarely had to do.

For what it's worth, an implant with crown will cost 40,000B at Phyathai assuming they are still doing their promo price. That covers everything except the iniquitous nursing fee, and any medicine you might need (you can save money and just buy this in a pharmacy outside). Panoramic xrays are included. It also doesn't cover the cost of the extraction (if required) and for regular dentistry like that Phyathai can be surprisingly expensive. I think I paid 1200 for my extraction and over 2000B for root planing just one quadrant (I went elsewhere for the other 3 quadrants!).

The bone graft I had there cost an extra 8,000B, I think. That was for one bottle, and apparently two are sometimes needed.

You probably know that any general anaesthetic that knocks you out does carry a real (but small) risk of you not waking up, though perhaps you are thinking of a milder level of general anaesthesia?

[lapd]

IV Sedation is not the same as general anesthesia. You are still consious with IV Sedation but you don't remember much afterwards. So you can respond to commands to open your mouth and move your head. That is why they also still numb you with local anesthesia.

General anesthesia doesn't require numbing because it knocks you out but it is not common to use that for dentistry. IV Sedation is becoming fairly common for dentistry...at least in the west. Doesn't seem to be in Thailand.

IV sedation is also not like laughing gas or an anxiety pill. It is a deeper level of sedation.

Edited April 30, 2015 by lapd

[KittenKong]

I understood that they were just different levels of the same thing:

http://www.webmd.com/oral-health/sedation-dentistry-can-you-really-relax-in-the-dentists-chair#1

I've had general anaesthesia twice (not for dentistry) and both times it was administered by IV injection.

[lapd]

I understood that they were just different levels of the same thing:

http://www.webmd.com/oral-health/sedation-dentistry-can-you-really-relax-in-the-dentists-chair#1

I've had general anaesthesia twice (not for dentistry) and both times it was administered by IV injection.

Yes, general anesthesia and IV Sedation are both administered by IV. However, they are not the same thing. General anesthesia makes you unconsious and not capable of perceiving pain. IV Sedation does not make you unconsious and therefore you are still capable of perceiving pain. However, it can effectively lower your pain threshold (ie. you just don't care as much)

If you want more specifics, IV Sedation typically uses Midazolam which is a short-acting central nervous system depressant of the benzodiazepine class but does not require monitoring by an anethesiologist. General anethesia usually requires an anethesiologist to monitor you as far as I know. I believe the most common drug they use is Propofol which is not a benzodiazepine class drug.

Edited April 30, 2015 by lapd

[Swiss1960]

Not IV sedation, but when I had my paradontosis operation (2 hours of laser surgery), my doc gave me just one Dormicum besides the local anaesthesia.

Knocked me completely out for 6 hours and I did not remember anything about the operation, anything about being picked up after 2 hours by family members, being walked out of the clinic (yes, I walked myself), being driven home and put in bed... and after 6 hours I was awake and feeling ok (thanks to enough pain killers on the side) and still remembering nothing at all.

From my side highly recommended, if available in Thailand (which I do not know)

[Swiss1960]

2 more things, OP:

1) I have used Pattaya Memorial Dental Clinic for smaller issues during my holidays and was happy about it, so might be worth having an interview there, since being inside the hospital, they might be able to do the IV sedeation

2) You might ask the Mod's to move it to health forum, since there, you might get more info on this special question.

[lapd]

2 more things, OP:

1) I have used Pattaya Memorial Dental Clinic for smaller issues during my holidays and was happy about it, so might be worth having an interview there, since being inside the hospital, they might be able to do the IV sedeation

2) You might ask the Mod's to move it to health forum, since there, you might get more info on this special question.

My take on Pattaya Memorial Hospital dental clinic is that they don't do anything more than most standalone dental clinics. From what I have read they are rather expensive for what you get compared to most dental clinics. Absolutely no mention of Sedation which almost always means they don't do it.

I haven't heard back from Gavin at Phyathai Sriratch Hospital yet which probably means they don't do it either. I'm ok with going to Bangkok Pattaya hospital if I have to. When it comes to things like this I will pay whatever I have to and will not go out of my way very far to try save a few baht. I know if I go to BPH I WILL pay top dollar. In this case where it doesn't look like any other hospitals outside of Bangkok do it I probably don't have much choice.

Edited May 1, 2015 by lapd

[craigt3365]

I'm surprised. Gavin normally replies very quickly. It's a long weekend, he might be off.

You can also just call the dental office there. They'd be able to tell you.

You might also try Pattaya International Hospital. Will probably be cheaper than BPH.

[lapd]

I'm surprised. Gavin normally replies very quickly. It's a long weekend, he might be off.

You can also just call the dental office there. They'd be able to tell you.

You might also try Pattaya International Hospital. Will probably be cheaper than BPH.

Yes I had a look at their website but no mention of sedation. I know they are quite expenive there as well. I would not be surprised if it was similar prices to BPH.

A lot of guys used to go there because the female dentist was apparenly very attractive and did a good job....in that order. I don't think she is there anymore though. I will NEVER understand why people would think looks would be an important criteria for selecting a dentist. I couldn't care less what the dentist or the staff look like. I am not going there looking for a date. It will have absolutely no effect on my experience. How good they are at their job is all that matters.

Edited May 1, 2015 by lapd

[craigt3365]

LOL. The reason many went to PIH was because of that dentist. Because she did a great job and was very friendly. Even sang while she worked. It wasn't because she was cute. She did a great job. She's upcountry now taking care of her parents.

Another dentist that use to work there has left and has his own office. Right near the Bangkok Bank branch on North Pattaya road, a few hundred meters East of the roundabout, North side. He is fantastic.

[lapd]

LOL. The reason many went to PIH was because of that dentist. Because she did a great job and was very friendly. Even sang while she worked. It wasn't because she was cute. She did a great job. She's upcountry now taking care of her parents.

Another dentist that use to work there has left and has his own office. Right near the Bangkok Bank branch on North Pattaya road, a few hundred meters East of the roundabout, North side. He is fantastic.

Are you talking about Dr. Tapasit or one of the other Dentists at the following link? A few good reviews on tripadvisor. He is US trained at Georgetown. Couple other US trained dentists there as well. I plan to check them out for some crown work but they don't do sedation as far as I know.

http://studiosmilethailand.com/

Edited May 2, 2015 by lapd

[craigt3365]

No. Dr Sonram with Pro Dent. I'd probably bet he doesn't do IV sedation either.

If you do go to Bangkok, these guys are one of the best:

http://www.dentalhospitalbangkok.com/

[lapd]

No. Dr Sonram with Pro Dent. I'd probably bet he doesn't do IV sedation either.

If you do go to Bangkok, these guys are one of the best:

http://www.dentalhospitalbangkok.com/

I have been to that place in Bkk before several years ago. I think I just went for a cleaning. It was ok if not a little on the expensive side for just a cleaning. I prefer the more friendly cozy dental clinic environment but maybe that's just me.

I would imagine BPH would be the same as the dental hospitals in that respect. Again, it looks like I don't have much choice if I need IV sedation

Edited May 2, 2015 by lapd

[lapd]

LOL. The reason many went to PIH was because of that dentist. Because she did a great job and was very friendly. Even sang while she worked. It wasn't because she was cute. She did a great job. She's upcountry now taking care of her parents.

Another dentist that use to work there has left and has his own office. Right near the Bangkok Bank branch on North Pattaya road, a few hundred meters East of the roundabout, North side. He is fantastic.

Ok yes I remember now people talking about her singing. From what I recall she was also attractive according to them. I have never seen her myself. Again, the reason I remember is because I always thought and still think that is a very dumb selection criteria for a dentist. To pay top dollar for the priviledge as well. Singing not quite as dumb if it helps calm you down a bit.

Edited May 2, 2015 by lapd

[craigt3365]

What I like about that dental hospital is all the experts they have right there. I've needed some extensive work done and it was done by experts. Not by a general dentist operating out of a small clinic. Even the cleaning I've gotten at that hospital in Bangkok was the best of any I've had elsewhere here in Thailand. They aren't cheap, but sometimes you get what you pay for. Sometimes....LOL

Cleaning, braces, filling cavities...can be done by almost any dentist. I had some complicated implants. Not something an ordinary clinic can handle.

[lapd]

I never did hear back from Gavin at Phyathai Sriratch Hospital.

Someone I know said they went there once for some special deal they had on some health check. They said they weren't too happy when they were told that getting a doctor to explain the results would be extra. Something that probably should have been mentioned in the offer.

They said they weren't too impressed with the place. That it seemed kind of run down and dirty. Not the sort of place that made you feel very confident about their services.

That's just one persons opinion from one visit. They readily admit they are jaded about it because of the hidden fee BS they experienced.

Is that normal to charge extra for getting a doctor to explain test results in Thailand? I would have assumed that is always included when you go to a hospital.

Edited May 4, 2015 by lapd

[Satcommlee]

I would certainty want to be in a Hospital and not some two bit dental clinic if such level of sedation/anesthetic is required.

[KittenKong]

I never did hear back from Gavin at Phyathai Sriratch Hospital.

We are still on the long weekend. Many people have been off since Thursday and wont be back till Wednesday.

Someone I know said they went there once for some special deal they had on some health check. They said they weren't too happy when they were told that getting a doctor to explain the results would be extra. Something that probably should have been mentioned in the offer.

They said they weren't too impressed with the place. That it seemed kind of run down and dirty. Not the sort of place that made you feel very confident about their services.

I've done several package check-ups there. In fact I always do mine there as it works out cheaper than getting a blood test with PSA and an abdominal ultrasound done elsewhere.

I've never paid extra for the explanation but if they see anything even a little bit odd they will try and get you to see a specialist at extra cost, which I suppose is understandable.

[craigt3365]

I never did hear back from Gavin at Phyathai Sriratch Hospital.

Someone I know said they went there once for some special deal they had on some health check. They said they weren't too happy when they were told that getting a doctor to explain the results would be extra. Something that probably should have been mentioned in the offer.

They said they weren't too impressed with the place. That it seemed kind of run down and dirty. Not the sort of place that made you feel very confident about their services.

That's just one persons opinion from one visit. They readily admit they are jaded about it because of the hidden fee BS they experienced.

Is that normal to charge extra for getting a doctor to explain test results in Thailand? I would have assumed that is always included when you go to a hospital.

I've had a lot of work done at Phyathai. And worked with Gavin quite a bit. What you are talking about doesn't make sense and because it's second hand, who knows. Sounds like sour grapes to me.

I've done that checkup. A review by the doctor is included. So what your friend is saying is not true. And they do a reasonable job of explaining the results. If it was something that looked odd, then a specialist will be required and that's extra money. Happened to me at Bumrungrad and it did turn out to be an issue that I've had to deal with. The true nature was determined by extra tests, extra fees, and consultations with specialists. Makes sense. But at Phyathai, no hidden fees. I've never experienced that ever.

Phyathai isn't as luxurious as Bumrungrad, but the prices are cheaper. Same with Queen Sirikit.

Did you try Pattaya International Hospital?

[craigt3365]

Just heard from Gavin. Got back yesterday, was on a 3 day boat cruise. No email. But says he's got no emails from anyone asking for help.

OP: you might try again. I'm sure he's in the office tomorrow. Today is a holiday. I got in touch with him via his personal email account.

[lapd]

I have no reason to not believe this person if they told me that getting a doctor to explain the results was extra. It was some sort of special deal. No doctor explaining the results was probably why the price was so good.

Anyways, doesn't really affect my decision for dental work which is probably it's own department. I would give them a shot if they did sedation and the price was better than BPH.

Edited May 5, 2015 by lapd

[nzexpat]

IF you really need "deep sedation" that should not be undertaken in a "clinic"

Such a technique demands a full range of resuscitative equipment and the ability ,skill and knowledge to know how and when to us it !

Your choice of course !

[KittenKong]

I have no reason to not believe this person if they told me that getting a doctor to explain the results was extra. It was some sort of special deal. No doctor explaining the results was probably why the price was so good.

Phyathai have a "special deal" on check-ups more or less every month. I take one of them every year (I wait for the one that suits me best).

At no time has the doctor's explanation of the results ever been excluded from the fixed amount advertised and paid (though they do generally add on the iniquitous 300-400B "nursing fee").

So I suspect that the person who provided your info was mistaken and paid for some extra specialist knowledge.