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.

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

Our doctors

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
Cherkasov Alexei Andreevich
Experience 18 years
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Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Bogdashin Sergey Vladislavovich
Experience 25 years
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Bogdashin
Sergey Vladislavovich
Orthopedic dentist
Artyomov Yanislav Alexandrovich
Experience 12 years
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Artyomov
Yanislav Alexandrovich
Dentist therapist
Samoilova Nana Nugzarovna
Experience 13 years
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Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich Sergei Georgievich
Experience 30 years
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Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Podshekoldina Elena Nikolaevna
Experience 16 years
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Podshekoldina
Elena Nikolaevna
Dentist Therapist
Matevosyan David Aramovich
Experience 11 years
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Matevosyan
David Aramovich
Dentist orthopedist
Samartseva Natalya Victorovna
Experience 19 years
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Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Eloev Arthur Tamerlanovich
Experience 13 years
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Eloev
Arthur Tamerlanovich
Dentist surgeon
Vataev Vladislav Olegovych
Experience 16 years
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Vataev
Vladislav Olegovych
Dentist orthopedist
Pivovarova Natalya Sergeevna
Experience 9 years
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Pivovarova
Natalya Sergeevna
Dentist, hygienist
Bagaev Omar Makhachevich
Experience 19 years
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Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Zakharyan Georgy Karenovich
Experience 16 years
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Zakharyan
Georgy Karenovich
Dentist-surgeon
Kuznetsova Larisa Nikolaevna
Experience 28 years
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Kuznetsova
Larisa Nikolaevna
Hygienist
Sukhareva Darima Tsyrenovna
Experience 10 years
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Sukhareva
Darima Tsyrenovna
Dentist therapist
Grigoryeva Regina Bogdanovna
Experience 23 years
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Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Melkumyan Ivan Mikhailovich
Experience 5 years
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Melkumyan
Ivan Mikhailovich
Dentist-surgeon
Golubev Vitaly Viktorovich
Experience 23 years
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Golubev
Vitaly Viktorovich
Dentist-orthodontist
Pavliy Yulia Vitalievna
Experience 14 years
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Pavliy
Yulia Vitalievna
Dentist-therapist
Najaryan Liana Artyomovna
Experience 5 years
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Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Sharifov Eldar Rasimovich
Experience 6 years
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Sharifov
Eldar Rasimovich
Dentist-therapist
Ustinova Alexandra Vladimirovna
Experience 11 years
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Ustinova
Alexandra Vladimirovna
Dentist-therapist
Sanikidze Nino Nugzarovna
Experience 13 years
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Sanikidze
Nino Nugzarovna
Dentist Orthodontist
Ibragimova Olesya Kayinbekovna
Experience 17 years
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Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Sahakyan Arpine Argishtovna
Experience 8 years
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Sahakyan
Arpine Argishtovna
Dentist, pediatric dentist
Geraskina Inna Igorevna
Experience 10 years
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Geraskina
Inna Igorevna
Orthodontist
Nikolaeva Irina Yuryevna
Experience 30 years
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Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
Avdeeva (Sokolova) Anastasia Eduardovna
Experience 11 years
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Avdeeva (Sokolova)
Anastasia Eduardovna
Dentist, pediatric
Shapran Sergey Olegovich
Experience 9 years
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Shapran
Sergey Olegovich
Dentist-surgeon
Lebedeva Natalia Mikhailovna
Experience 5 years
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Lebedeva
Natalia Mikhailovna
Orthodontist
Ozerova Elena Valerievna
Experience 23 years
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Ozerova
Elena Valerievna
Dentist
Lebedeva
Taisia Mikhailovna
Dentist-therapist, pediatric dentist
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from 5 200 ₽
Reception of a dentist-therapist
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Reviews 10

Alexandra Vladimirovna, thank you for the wonderful reception. The cleaning was painless and all thanks to your wonderful work. Thank you for the instructions on how to properly care for your teeth. I will definitely contact you again.
19.02.2025
Anonymously
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
Natalia P.
This is the best dentist. He removed a very complicated tooth for me without sedation, so I didn't feel anything. I also want to note the work of the assistant girls and the dental department as a whole, it's a pleasure to be with you.
29.12.2024
Alisa Alexandrovna O.
I can't stand advertising - both listening to it and making it. And Sergey Georgievich doesn't need it. I'm more concerned about people who want to get rid of the rot in their mouth, the unpleasant odor, the gastritis caused by the same rot: if you need an adequate, professional surgeon who patiently explains the situation, offering possible alternatives, then drop all pseudo-important and important matters right now and run, run to S.G. immediately!! And finally, between you and me: if you've noticed even a hint of masochism in yourself, S.G. will disappoint you. Sincerely yours - Raf, who visited S.G.'s office with great pleasure only yesterday and left it with even greater pleasure.
15.12.2024
Mezhlumyan Rafik Sumbatovich
I had my canals with inflammation treated under a microscope by this doctor. A complicated upper sixth. Everything went great! After 6 months, I can say that finally the tooth doesn't bother me. The doctor has a very light hand. Now I will only be treated by him.
06.12.2024
Susekova Olga
I would like to express my deep gratitude to Alexey Andreevich and his assistant, unfortunately I forgot to clarify her name) They are simply masters of their craft, I have never had such pleasant visits to the dentist, absolute professionals in their field, they removed two wisdom teeth at once, I did not even notice how the process went. The doctor explained everything, answered all questions and gave recommendations, and the whole process took place during a pleasant conversation. I recommend everyone to contact only him!
25.11.2024
Kuleshov Kirill Dmitrievich
Valentina Frantsevna is the only doctor I have trusted with my teeth for several years now. An excellent specialist, a professional in her field, always an ideal result. I am very glad that I found my doctor! I recommend
19.10.2024
Semenova Elena Alexandrovna
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
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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.

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

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3
Molodezhnaya
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Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00
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