Dental treatment while you sleep
specialists
equipment
treatment
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)
| 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.
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.
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?
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.
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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.