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A man reclined in the dental chair, smiling up at a clinician in blue scrubs.
Specialty care

Sedation dentistry in Winchester

If the dentist is the reason you have stayed away for years, sedation is how people who dread dental work get it done anyway. It is available here in Winchester, TN, from nitrous oxide to IV.

Training and licensure
  • Comprehensive Conscious Sedation

    Dr. Orr is licensed for it by the Tennessee Board of Dentistry.

  • Air Force sedation training

    His Advanced Education in General Dentistry residency with the U.S. Air Force included intravenous conscious sedation.

  • DOCS Education

    A member of a continuing-education organization for sedation in dentistry.

Why here

Why the permit matters

Sedation is regulated by the state, and the deeper levels require a permit a dentist has to earn and keep. Dr. Orr has earned that permit and gives IV sedation himself, so serious treatment, from surgical extractions to implant surgery, can be done here in Winchester, TN, under sedation.

  • Dental education

    Dr. Orr finished his dental education at the University of Tennessee Health Science Center.

  • Air Force residency

    He then completed an Advanced Education in General Dentistry residency with the U.S. Air Force, which included training in intravenous conscious sedation.

  • Tennessee permit

    He holds the Tennessee Board of Dentistry’s permit for Comprehensive Conscious Sedation and keeps his training current through DOCS Education.

Three levels, lightest first

Which one is right depends on how much work you need and how you feel about having it done. It is decided with you at a consultation.

  1. A nitrous oxide wall outlet and flow meter in a dental operatory.

    Nitrous oxide

    Breathed through a small mask

    You stay awake and aware, just noticeably less bothered. The edge comes off within a few minutes.

    Afterwards
    Wears off almost immediately. You can drive yourself home.
    Usually for
    Mild nerves, a long cleaning, a strong gag reflex
  2. A single tablet resting in an open palm.

    Oral sedation

    A prescription pill, taken about an hour before your appointment

    Deeply relaxed and drowsy, still able to answer questions. Most people remember little of the appointment.

    Afterwards
    Several hours to clear. Someone else drives you, and the rest of the day is for resting.
    Usually for
    Dental anxiety, or several procedures in one sitting
  3. An intravenous drip chamber and line on a stand.

    IV sedation

    Delivered through a vein, adjusted throughout the appointment

    The deepest level offered here. Many patients are so comfortable that they remember little or none of the procedure.

    Afterwards
    Several hours to clear, and you will need someone with you. Plan on the day off.
    Usually for
    Severe anxiety, extensive work, or surgery you would rather not experience

Dental anxiety is not the only reason

Fear is the common one, and it is reason enough on its own.

A woman reclined in a dental chair with a paper bib, listening to a hygienist seated beside her.
  • You have put off dental work for years and the backlog is now the reason it feels impossible.
  • A previous appointment went badly and you have not been able to face another one since.
  • You gag easily, and routine work turns into something you have to endure.
  • Your jaw aches or you cannot sit still long enough for a lengthy appointment.
  • Numbing has not reliably worked on you before.
  • You need a lot done, and you would rather do it in one long visit than six short ones.

Three hours of dental work in one visit, under sedation

A bad experience with a crown elsewhere, then two crowns, a root canal and a filling done here in one sedated visit.

Read the transcript
What led to your dental anxiety?
I had a, an experience a few years ago with a crown, which was my first crown, and that crown had to be redone multiple times. There were some issues with temporary coming out, and then the permanent that came in was incorrect. So I had to redo all of that. And just through that whole experience is something that just kind of brought about dental anxiety for the first time. And I really didn't wanna go through that process again.
What dental work did you need done?
In a previous dentist, I just, you know, I needed a potential root canal and at least one crown, which ended up turning into needing two crowns, a root canal, and a filling around the same time. That's not something that I wanted to go through without sedation or some, some form of assistance with that. I went in to talk to Dr. Orr about having a crown and a root canal done what ended up needing two crowns, a root canal in a small filling on the side of the tooth that adjoins it. And that ended up being well over three hours of work in the chair. So you can imagine what that would've been like if you were completely awake and, and normal. During that process of time.
Why did you consider sedation dentistry?
I had first heard about sedation dentistry kind of just in a general way. Over time I'd heard other people use it and that kind of thing, but I didn't have any firsthand experience with it. But I sought it out, did some internet research to, to understand more about it. So did some research on that. I found that there were several options but I also found out that most dentists' offices don't provide that service. It's kind of a small fraction of the dentist out there that do it, kind of a specialty thing.
How did you find Dr. Orr?
But I looked around a little bit and found Dr. Orr's office in Winchester, which is actually very close by, and had a consult with him, and that's how that started.
What was your initial consultation like?
The experience is, you know, quite good. I had a consult with him at first to understand, you know, number one, to get his opinion on the work that I needed to have done, and then also to understand what options that he could provide and how that whole process worked from sort of the beginning of the process throughout the process. And it actually gave me some pretty good hope that that experience was gonna be pretty good, and he was very reassuring with it.
What was the sedation process like?
And then as far as the actual process that was done it was quite easy, really. The biggest anxiety I had probably was just about the process before, while, while the process was being scheduled, but actually the day, the day before I had a prescription that I used at night to make sure that I slept well. I had a prescription to start out with that morning before the trip to his office. And really, to be honest, that's about all I remember of that day was just about halfway getting to his office. This process was over three hours worth of work done in a chair at one period of time. And that could have been spread out over multiple visits. Having all that done at once was really the, the best way to go about it. So if I know going in the future, I have other things that need to be done much less con, much less worry about it. And, and, and that's just kinda life, you know, especially as you get older there's likelihood that you'll have more things that you have to do.
What improvements have you noticed?
So I had some issues with chewing before and really had to just chew on one side of my mouth for quite a while until that work was done and that, that solved that problem. And, and, I eat, I eat normally now. I would a hundred percent recommend doing this process to s- sedation dentistry. I wouldn't even think about doing it at a normal dentist office. That's my opinion.
The drive

You don’t have to drive an hour for sedation

Sedation is one of the procedures Franklin County patients routinely leave the county for: an hour to Murfreesboro or Huntsville, and a day off work.

It happens in Winchester, TN, with the same dentists who clean your kids’ teeth.

Tullahoma is 20 minutes from Winchester and Manchester is 25.

Call to Book

Ask for a sedation consultation. Nothing is decided on the phone.

I'm deathly afraid of the dentist and needed 6 teeth pulled and 2 cavities filled. I wanted to be put to sleep so they gave me pills prior to the appointment and by the time I arrived to the appointment I really didn't remember anything. Next thing I knew I woke up in my bed and was asking if the procedure was over. I had no swelling or pain at all. Best experience I've ever had at the dentist.

Laura Chitwood · Google review

Where our patients drive from
  • Watercolor of a creek spilling over low rock ledges below a stone dam, with spring woods on both banks.
    Decherd · 5 min
  • Watercolor of an open green meadow under a wide blue sky, with low hills behind.
    Cowan · 10 min
  • Watercolor of Tims Ford Lake, with a rocky shoreline and calm water under a bright sky.
    Estill Springs · 10 min
  • Watercolor of vineyard rows running toward wooded hills under a pale sky.
    Huntland · 15 min
  • Watercolor of Falls Mill, a brick mill with a large wooden waterwheel beside a creek.
    Belvidere · 15 min
  • Watercolor of Machine Falls spilling over rock ledges in the woods.
    Tullahoma · 20 min
  • Watercolor of the Sewanee Natural Bridge, a sandstone arch among trees.
    Sewanee · 20 min
  • Watercolor of a wooded valley seen from a sandstone ledge on the edge of the plateau.
    Monteagle · 25 min
  • Watercolor of a weathered gray barn beside a country road under a blue sky.
    Lynchburg · 25 min
  • Watercolor of a mossy limestone bluff above a woodland path.
    Manchester · 25 min

Before and after, at this practice

Both of these patients had sedation. Shown with their consent.

  • After: a full, even smile.
    Before: a guarded smile showing gaps and damaged teeth.
    BeforeAfter

    Hidden damage

    Missing and broken teeth. With sedation and careful planning, her smile was rebuilt by the end of the month.

  • After: a full, even set of dentures.
    Before: heavily decayed and broken teeth throughout the mouth.
    BeforeAfter

    Sedation, extractions and immediate dentures

    Every one of her teeth was failing. With sedation, the teeth were removed and immediate dentures placed.

See every case in the smile gallery

How the appointment goes

Most of the worry about sedation is logistical: what you can eat, who drives, and how much of the day it costs you.

An empty operatory at Winchester Family Dentistry, the chair beside a floor-to-ceiling window looking onto trees.
  1. Before you book

    A consultation first. We go through your medical history, the medications you take, and what you need done. That conversation decides which level of sedation is appropriate, or whether you need any at all.

  2. The day before

    You'll get instructions on eating and drinking, and on which of your regular medications to take. Arrange your ride then, not on the morning.

  3. That morning

    If you're taking an oral sedative, it's about an hour before your appointment, so you arrive already relaxed rather than waiting in the chair for it to work.

  4. During

    You're monitored the entire time. You can respond if we ask you something, and most people's memory of it afterwards is patchy or absent.

  5. Going home

    Unless you had nitrous only, someone else drives. We'll tell them what to watch for and when you can eat.

  6. The rest of the day

    Expect to be drowsy and to sleep some of it off.

What people ask before they book

Is sedation dentistry safe?

For most healthy patients, yes. The safeguards are the training, the monitoring and the medical history you go through beforehand, rather than the drug itself. Some conditions do raise the risk, which is exactly why the consultation covers your full medical history and the medications you take. If sedation is not a good idea for you, we will say so.

Will I be asleep?

Every level offered here is conscious sedation: you breathe on your own throughout and can respond if we speak to you. With nitrous you stay awake and aware; oral sedation leaves you drowsy; the IV level is the one covered above.

Can I be asleep for dental work?
Will I remember the appointment?

With nitrous, yes. With oral or IV sedation, usually very little, and often nothing at all.

Can I drive myself home?

After nitrous oxide, yes. It clears within minutes of the mask coming off. After oral or IV sedation, no. You will need someone to drive you home and stay with you for a few hours, so arrange that when you book rather than on the day.

Does sedation replace numbing?

No, it works alongside it. Sedation handles the anxiety and the awareness; local anesthetic still handles the pain. You get both.

Can children be sedated?

From 13 and over, yes. We do not sedate children under 13. For a patient who is 13 or older, whether sedation is appropriate still depends on their health and how much work is needed. That is a conversation to have at a consultation, and we will answer for your child specifically.

How much does it cost?

It depends on the level of sedation and the length of the appointment, and some of it may be covered depending on your plan and the procedure. Call the office and we will do our best to go through it with you before you commit to anything. Please have your plan details ready, and the patient is ultimately responsible for the cost.

Do I have to be sedated for everything after this?

No. A few comfortable appointments change what the dentist's office means to you.

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