Dental Currents, May 2010

Melatonin

Summary of an article in the Ontario Dental Association Journal by Dr. Peter Copp. He is a dentist/anesthetist who practices in Toronto and teaches at the University of Toronto Faculty of Dentistry.

Melatonin is a hormone produced in our body by the pineal gland. It is secreted at night to induce and enhance sleep. It can also be purchased as a nutritional supplement in which case, it is best known for its hypnotic effect as a sleep aid. The same hypnotic effect that can induce sleep, however, can also be used to decrease dental anxiety and produce sedation. This is very interesting for those who may be a little anxious about their dental appointment and prefer to have something more than local anesthetic (freezing).
Dr. Copp reports that melatonin’s sedation effect is comparable to midazolam, a prescription sedative in the same class as valium and ativan. Unlike several prescription sedatives, however, melatonin has virtually no side effects and is tolerated well even in children.
Here is another big difference! Melatonin is a natural substance so it cannot be patented like other drugs. Hence, it is relatively inexpensive. It can be purchased in many health food stores and pharmacies in 3 milligram tablets or capsules as a sleep aid. We will be keeping some in the office for those interested in trying it or you can buy your own. Plan to arrive at least 30 to 60 minutes prior to your appointment to let one tablet dissolve under your tongue. Alternatively, you can drop by to pick up a dose any time prior to your appointment date. There is no charge for this service.
Caution- you should probably not be driving any distance after your appointment due to possible drowsiness.

Enjoy your dentistry in relaxed comfort

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