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Dental implantation "in sleep" under sedation

Dental implantation is an operation to restore lost teeth using implants. Like any surgical intervention, implantation causes anxiety and fear in many patients. Modern clinics offer painless dental implantation under sedation. During sleep, the patient relaxes physically and emotionally, so the surgical intervention is carried out with maximum comfort.
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What is sleep therapy?

Dental implantation during sleep involves putting the patient into a light sleep before the surgery and waking him up after it is completed. Thanks to sedation, the patient does not experience pain or other unpleasant symptoms. In addition, performing dental implantation during sleep helps to avoid unpleasant memories of the surgery, reducing stress during rehabilitation.
What is sleep therapy?
Features of the implantation procedure during sleep

Dental implantation usually involves using a local anesthetic and drug anesthesia to put the patient into a state of light sleep. It is important to distinguish between drug-induced sleep and general anesthesia: in the first case, the patient relaxes slightly, maintaining consciousness and reflexes. Unlike general anesthesia, dental implantation under sedation is safe, since it does not cause headaches, nausea, breathing problems, panic attacks, and tachycardia.

In our medical center, implantation is performed only by qualified implantologists and maxillofacial surgeons who are well versed in the technique of working under sedation.

Indications for treatment during sleep

Sedation during dental implantation is necessary in the following cases:

  • Installation of up to eight implants in one visit
  • Complex surgical interventions, including bone grafting, sinus lift and other procedures
  • Low pain threshold
  • Severe stomatophobia
  • Intolerance to local anesthetics

With a pronounced gag reflex, implantation is significantly complicated. In this case, the doctor uses drugs to reduce the reflex, chooses more gentle sedation methods, or performs implantation under short general anesthesia.

Contraindications

Dental implantation with sedation is not performed if the following restrictions are present:

  • Breathing problems
  • Bronchial asthma
  • Concussion, traumatic brain injury, disorders of the central nervous system
  • Heart attack that occurred less than six months ago
  • Epilepsy and other mental illnesses
  • Allergic reaction to sedatives
  • Severe kidney or liver pathologies
  • Age under three years

In addition, dental implantation under sedation is contraindicated during pregnancy and breastfeeding. The intervention is not performed on patients with endocrine system diseases.

General information about the procedure

What is better: local anesthesia, sedation or general anesthesia?

Previously, implantation was performed using local anesthesia. A painkiller was injected into the surgical area, while the patient remained awake. Now dentists prefer to use a sedative method or install dentures under general anesthesia. This allows the patient to calmly "fall asleep" and wake up with teeth already installed.

We suggest taking a detailed look at the features of each method.

Anesthesia method for dental implantation Description Application
Local anesthesia The patient is aware of what is happening and does not feel pain in the area being operated on. Used for minor dental interventions.
Sedation The patient is in a light medical sleep, relaxed and breathes independently, remains conscious. Suitable for patients with a high level of nervousness or fear of dental procedures procedures.
General anesthesia The patient is completely unconscious, motionless and calm. Recommended for long-term surgical interventions, as well as for patients with epilepsy or mental disorders.

Before performing dental implantation under general anesthesia, it is important to inform the anesthesiologist about recent illnesses and existing allergic reactions to local anesthetics (lidocaine) or sedatives, such as midazolam.

Implantation stages

Dental implantation consists of several stages:

  1. Introducing the patient into a state of relaxation using injections, inhalations or sedatives in the form of cocktails or tablets. If necessary, local anesthesia is performed to completely eliminate pain
  2. Implantation. The doctor installs the implants. During the operation, the anesthesiologist monitors critical health indicators, including breathing, heartbeat, blood pressure and oxygen levels in the blood
  3. Removing from a state of relaxation and performing a CT scan to check the quality of the installed implants

The doctor can always quickly remove the patient from a state of sedation, for example, to take an X-ray. The anesthesiologist constantly monitors the patient's well-being during treatment, using innovative equipment. This approach eliminates any risks.

We use drugs that do not harm the body. These are modern, ultra-short sleeping pills that act quickly and are completely eliminated from the body within an hour. Due to the mild diuretic effect, the drugs do not linger in the body. After two hours, their traces can no longer be detected, since the metabolites break down and are excreted with urine.

After dental implantation, the patient is given time to rest in a rehabilitation ward under the supervision of medical personnel. After full awakening and a health check, the patient can return home. The price for implantation in a sleep clinic in Moscow can be found on the website or by phone.

Side effects and recommendations

Before the implants are installed, the patient consults with an anesthesiologist. The doctor studies the medical history to select the safest and most appropriate type of anesthesia, as well as to prevent possible complications during the procedure. If the patient has health problems, a consultation with a cardiologist, endocrinologist or therapist may be required.

Before the implantation, it is important to familiarize yourself with the possible side effects:

  • Bronchospasm (difficulty breathing)
  • Sudden changes in blood pressure
  • Increased heart rate
  • Laryngeal spasms causing difficulty breathing
  • Vomition and nausea
  • Temporary memory loss and a feeling of disorientation
  • Seizures

Elderly people need a consultation with a cardiologist before dental implantation to assess heart health.

The following recommendations must be followed before the operation:

  • Do not eat for 6-8 hours before the procedure
  • Remove removable dentures and piercings from the mouth
  • Brush your teeth thoroughly

If the patient is very anxious before the operation, a sedative can be taken, agreed upon with the doctor.

Advantages of sleep treatment

The advantages of dental implantation during sleep include:

  1. Maintaining consciousness and necessary reflexes.
  2. Independent breathing during dental implantation. There is no need to use a respirator.
  3. Limited impact on the nervous system, unlike general anesthesia, which makes dental implantation safer.
  4. Emotional comfort, reduced tension and stress.
  5. Duration of action. Sedation is suitable for long-term medical procedures, including the installation of several implants in one visit, tooth extraction with subsequent treatment, sinus lifting and osteoplasty.
  6. Improved quality of the procedure is achieved by reducing saliva secretion.
  7. Fast recovery. Recovery time after sedation usually does not exceed one hour.
  8. Can be performed on people with cardiovascular diseases. Under sedation, the anesthesiologist monitors the patient's condition, which eliminates the risk of a hypertensive crisis during and after treatment.
  9. Absence of gag spasms. For patients with a pronounced gag reflex, sedation is the only way to comfortably undergo treatment.

Another important advantage of implantation under sedation is a reduced risk of allergic reactions and cardiopulmonary disorders. In addition, the cost of sedation is lower than general anesthesia.

Despite many advantages, the technique has disadvantages. Among them:

  • Contraindications
  • The need for an anesthesiologist
  • Mandatory preparation before the intervention

If it is possible to do without sedation, doctors choose local anesthesia. It effectively eliminates pain without affecting the consciousness and nervous system. There are several ways to administer anesthesia: into soft tissue, nerve or bone. An experienced doctor will select the appropriate method taking into account the patient's wishes. The effect of local anesthesia usually lasts about 2 hours. This is enough for most dental procedures.

Answers to popular questions

The center's implantologists answered the most popular questions about dental implantation in sleep.

Can I drive a car after dental implantation under sedation?

Yes, I can. You are allowed to drive a few hours after the operation under sedation.

Can I have treatment under sleep if I have epilepsy?

Doctor's answer: “In case of epilepsy, it is better to have dental implantation and other dental procedures under local anesthesia. The use of anti-epileptic drugs can affect the effectiveness of painkillers and increase the risk of seizures during surgery under sedation.”

Modern methods of diagnostics and dental treatment at "K+31"

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Shcherbakova Valentina Frantsevna
Experience 30 years
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Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Elfimova Natalya Vladimirovna
Experience 12 years
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Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Rabinovich Ilya Mikhailovich
Experience 49 years
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Ilya Mikhailovich
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Reviews 10

I had 2 wisdom teeth removed, absolutely no pain, carefully, no recovery, didn't even take painkillers. Excellent doctor!
26.01.2025
Alina Igorevna P.
I had 4 wisdom teeth removed by Artur Tamerlanovich, everything went great! A very competent and calm doctor, he carefully carries out all manipulations and explains the entire course of the operation. Recovery was easy and painless) An excellent doctor, I recommend!
21.01.2025
Natalia P.
Wonderful doctor! I treated many teeth with complex caries with Darima Tsyrenovna, the quality of work is excellent, and the appointments themselves are super. The doctor explains all the manipulations and advises how best to do them. And also a very pleasant person to talk to with a sense of humor) I recommend!
21.01.2025
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