Dental treatment while you sleep

Modern medical technologies allow for painless dental treatment. In particular, there is a procedure for sedation during dental treatment. It is suitable for those who are afraid of visiting the dentist. Treatment under sedation means that the patient is in a light sleep during the procedure. Both adults and children can be treated in this way.
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What is sleep therapy?

There are no terms in medicine such as “dental treatment during sleep” or “pharmacological slumber”. These expressions are created to simplify communication with clients: they allow you to avoid using complex medical names. In addition, these terms accurately describe what happens during the procedures: the patient is in a drug-induced sleep and does not feel pain.

In different sources, “treatment/extraction during sleep” means different procedures. The term “pharmacological sleep” implies anesthesia (or general anesthesia). In this case, drugs are used that completely turn off the patient's consciousness and remove the sensation of pain. Anesthesia during treatment is carried out through the inhalation of gaseous mixtures or through the introduction of solutions directly into the blood.

Sedation involves immersion not in a superficial sleep, but in deep relaxation. The patient remains conscious, but feels calm and relaxed and does not react to painful stimuli.

What is sleep therapy?

Indications for the use of anesthesia

  • Allergy to local anesthetics
  • Dentophobia
  • High sensitivity to pain
  • Complex (extensive) procedures
  • Developed gag reflex
  • Special condition of the patient (for example, a person cannot sit in the dentist's chair for a long time due to physical or psychological difficulties)
The difference between sedation and general anesthesia
Criteria Treatment/extraction of teeth with sedation Treatment/extraction of teeth under general anesthesia
Duration Short surgeries Long surgeries
Patient condition Half-asleep, patient is calm and relaxed Deep sleep, complete loss of consciousness
Breathing Independent, without the help of a device Often requires the support of a breathing device
Psychological effect Minimization of stress and fear Complete loss of consciousness
Recovery Fast, easier exit from sedation Slower, takes time to wake up
Control The patient can treat teeth and simultaneously respond to simple commands Complete shutdown, no response
Application Short and less complex procedures Complex, lengthy operations requiring deep anesthesia

Contraindications

Contraindications to the use of general anesthesia in dentistry can be conditional and categorical. Conditional reasons not to treat a person in this way include worsening chronic diseases, the presence of viral infections (flu, herpes) and pregnancy.

Treatment during sleep is completely unacceptable in the following situations:

  • Heart failure (anesthesia can worsen the work of an already weakened heart)
  • Kidney and liver diseases (chronic renal failure, cirrhosis). Anesthesia affects the body's ability to remove drugs and toxins
  • Endocrine disorders (uncontrolled diabetes mellitus, thyrotoxicosis). Against the background of these pathologies, the risks associated with anesthesia are exacerbated
  • Respiratory diseases (severe COPD, asthma). In this case, anesthesia causes respiratory complications

In addition, active respiratory infections and uncontrolled hypertension are considered contraindications. Against the background of anesthesia, the course of these pathologies often worsens.

General information about dental treatment during sleep

Preparation

The doctor sends the patient for general and biochemical tests. The general examination also includes:

  • Testing for HIV, hepatitis and syphilis
  • Urine test
  • Blood coagulation system test
  • ECG
  • Obtaining a conclusion from the therapist

The patient is prohibited from eating 6 hours before the treatment while asleep. Drinking is prohibited 3 hours before the procedure.

Stages of dental treatment during sleep

At the beginning of the treatment, the anesthesiologist puts an inhalation mask on the patient, through which a mixture is supplied (most often, Sevoflurane is used). A tube is inserted into the client's airways, connected to a ventilator. This equipment provides oxygen and anesthesia. It helps to monitor vital functions during treatment during sleep and regulate the concentration of gas.

Then, treatment is carried out during sleep. The dentist carries out the necessary procedures, and the resuscitator monitors the patient's vital signs.

Then the anesthesiologist brings the patient out of sleep. Then he is transferred to the post-anesthesia ward for recovery (for 30-60 minutes).

Drugs Used

Drugs used for sleep treatment are presented in the table.

Drug for sleep treatment Type Features Method of application
Ultracaine Local anesthetic Contains 4% articaine, fast-acting Injection via carpule syringe
Ubistesin Local anesthetic Contains 4% articaine, effective Injection via carpule syringe
Septanest Local anesthetic Contains 4% articaine, provides long-lasting action Injection via carpule syringe
ZAKS Sedative Mixture of nitrous oxide and oxygen, causes mild euphoria Inhalation via nasal mask
Sevoflurane Anesthetic agent Safe, non-addictive, quickly eliminated Intubation and inhalation

To identify an allergic reaction to local anesthetics, you need to see an allergist. To do this, the specialist conducts skin tests and asks the patient to give blood for antibodies.

After this, the doctor selects an anesthetic that will not cause an allergy. For example, if the patient shows a negative reaction to amide types of anesthetics (Lidocaine, Articaine), the allergist recommends ether types of drugs (for example, Procaine).

If it is established that the patient is allergic to all types of local anesthetics, the dentist performs treatment procedures under general anesthesia. This will avoid an allergic reaction and ensure safety and comfort during treatment.

Advantages and disadvantages of treatment under sleep

The main advantage of dental treatment under sleep in dentistry is the reduction of patient nervousness. Against this background, the quality of treatment improves. This is due to the fact that the relaxed state of the patient allows the dentist to work more carefully and attentively.

Dental treatment under sedation also has some disadvantages. Firstly, the use of analgesics and sedatives is accompanied by certain health risks (especially if the patient has chronic diseases or allergies). Secondly, the cost of this method of treatment is usually higher. This is due to the fact that it requires special drugs and the availability of certain equipment. In addition, not all dental procedures are performed under sedation.

Answers to popular questions

Dentists from the K+31 clinic answered the most popular questions about dental treatment during sleep.

How is the patient's condition monitored during anesthesia?

An anesthesiologist monitors the patient's safety during treatment under anesthesia. He or she monitors the respiratory rate, blood pressure, pulse, ventilation parameters, blood oxygen saturation, and body temperature. This data is recorded using sensors that are attached to the patient's body.

What dental procedures can be performed while the patient is under anesthesia?

The doctor answers: “During the period when the patient is undergoing treatment under anesthesia, the specialist performs various procedures: complex cleaning, installation of several crowns, tooth extraction, as well as treatment of caries (including childhood) and pulpitis.”

At the K+31 clinic, you can undergo a range of dental treatment services under anesthesia. The exact price of dentistry under anesthesia (it is available to residents of Moscow) can be clarified by phone. You can make an appointment at the dentistry where they treat under anesthesia on the website, using the application form.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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Reviews 10

Thanks to Elizaveta Andreyevna for the treated teeth. A wonderful, sensitive, caring, very attentive doctor. I liked her as a specialist, she found all the problem teeth, treated them without causing pain. I highly recommend the dentist. The quality of her work is top notch!
19.08.2024
Marina Aksenova
Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
05.08.2024
Zaitseva Tatyana
An excellent doctor. The easiest way to remove an eight. fast and low-traumatic operation. Easy and painless recovery. All this thanks to the golden hands of the doctor.
31.07.2024
Sergey
I came to Elena Nikolaevna with acute toothache, 07/28/2024. The tooth was badly damaged, it was difficult to eat and sleep. Thanks to Elena’s careful treatment and approach, I began to feel much better. Very attentive doctor, one of the best dentists in my life. Thank you very much for your welcome.
28.07.2024
Lerskaya Nadezhda Evgenievna
Great doctor! This is something amazing, such a non-traumatic removal! Just some miracles!
26.07.2024
Julia K.
My daughter had a sharp toothache and we urgently had to look for a pediatric dentist. They chose Anastasia Eduardovna. Examination revealed pulpitis. There were 2 options, removing the tooth or trying to save it. The doctor said that of course it’s better to try to save it. We treated our tooth in two visits. At the first appointment, everything was cleaned, a temporary filling was placed, and then we were observed for 2 weeks to ensure there were no complications. After 2 weeks we went to the doctor and got a permanent filling. We are very pleased with the attitude and quality of Anastasia Eduardovna’s work.
12.07.2024
Olga Yurievna
I went to Sergei Olegovich to remove my eights. The case was difficult: they did not erupt, grew strictly horizontally, sat deep in the gums, and even very close to the nerves. I was terrified of deleting them. First, I came to Sergei Olegovich for a consultation. He looked at my picture, immediately described all the nuances of the extraction, and advised me to remove the teeth under sedation, which I am very happy about. At the second appointment, I was put to sleep and I woke up without teeth and without memories of the operation. Sergei Olegovich described all the “side effects” of rehabilitation by day, when what will hurt and how, when there will be swelling and what to do in these situations. Everything happened exactly according to the timing that he predicted. Within a week, all the swelling went down and everything went away. I definitely recommend this doctor.
12.07.2024
Inna
I was looking for a doctor’s appointment with a microscope. I'm glad I ended up with Olesya Kayinbekovna. Great specialist, polite, balanced! I am grateful to her for her genuine desire to help.
12.07.2024
Ruslan
I am very pleased with the work of Dr. Irina Yuryevna Nikolaeva, she is an excellent dentist. She dealt with my caries quickly and without any pain. An attentive, kind, professional attitude towards the patient captivates and forces you to reciprocate with a review)
12.07.2024
Nikolai Igorevich
Very responsive and professional doctor! Excellent removal of a difficult wisdom tooth. We go to him with my wife; he explains and explains everything in detail, accompanies him after removal, answers all questions that arise.
17.06.2024
Fedotov Maxim Olegovich
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.
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