Dental treatment under sedation

Sedation (medicated sleep) facilitates the treatment process in dentistry. This method involves the use of anesthetic drugs that temporarily block the activity of areas of the brain associated with anxiety. This allows the patient to quickly relax and enter a light sleep. His consciousness remains intact.

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What is sedation in dentistry?

Medicated sleep is used to make patients feel more comfortable during dental procedures.

When a person is in a medically induced coma, he is not completely asleep, as during general anesthesia. At the same time, he does not feel much anxiety or fear, but he hears and sometimes answers the doctor’s questions. His perception of pain and the environment is noticeably reduced. This helps him remain calm even during complex and lengthy procedures.

What is sedation in dentistry?

General information

Pros and cons of different types of anesthesia for dental treatment

The choice of anesthesia for dental treatment depends on the complexity of the intervention and the individual sensitivity of the patient.

Type of anesthesia Advantages Flaws
Local anesthesia
  • High security
  • Minimal side effects
  • Limited scope
  • You may feel discomfort during insertion
General anesthesia
  • Complete absence of pain during the procedure
  • Used for long and complex interventions
  • Cardiovascular risk
  • Long recovery after the procedure
Intravenous sedation
  • Quick onset of action
  • Reducing anxiety
  • The need to monitor the patient’s breathing and heartbeat
  • Possible incomplete pain relief
Xenon anesthesia
  • Relaxation and stress reduction
  • General improvement in the body's condition
  • High cost
  • Not an independent method of pain relief

Local anesthesia (“freezing”) blocks pain signals. This is the most common and safe method of pain relief. However, it is not suitable for patients with high levels of anxiety. Also, local anesthesia is not used for very painful procedures.

General anesthesia involves putting the patient into a state of sleep. However, he does not feel pain and does not remember the procedure after waking up. This method requires special equipment and the participation of an anesthesiologist.

Intravenous anesthesia helps achieve deep relaxation. It allows the patient to remain conscious, but at the same time partially detach from what is happening.

Medicated sleep under xenon is used to reduce stress and anxiety before dental treatment. It is often used in combination with other types of anesthesia. Xenon not only relaxes, but also helps saturate cells with oxygen.

Indications for dental treatment under sedation

Dental treatment with sedation is used for tooth extraction and for the treatment of deep caries. This method is also used when installing implants.

The service of dental treatment under sedation in adults is relevant against the background of increased excitability and fear. Medicinal sleep helps such patients relax and survive the procedure without panic and stress. This method is relevant for patients who are afraid of dental procedures, as well as for people who have a strong gag reflex.

Another indication for using this method is mental problems. Patients with certain cognitive or mental disorders do not understand the doctor well. Medication-induced sleep helps facilitate therapy.

The decision to use anesthesia is made by a doctor based on a full medical examination. The patient's condition is monitored throughout the entire treatment.

Contraindications

There are a number of conditions and conditions under which dental treatment with sedation is not used in Moscow. The main contraindications look like this:

  • Uncontrolled hypertension. Against the background of high blood pressure, which is difficult to control, during a medical coma, the risk of cardiovascular complications increases
  • Heart failure. This is a serious condition that requires constant medication. Canceling or changing the dosage of heart medications before dental treatment may adversely affect the patient's condition
  • Epilepsy. Drug-induced sleep can provoke an increase in intracranial pressure. Against this background, an epilepsy attack develops
  • Exacerbation of chronic diseases. The risk of developing complications after dental restoration of teeth under a medical coma increases against the background of any active and aggravated chronic diseases
  • Asthma in the stage of decompensation. In severe asthma, when there are frequent and severe attacks of breathlessness, the use of a coma can aggravate the condition

An absolute contraindication to dental treatment under sedation is an allergy to any of the components contained in the drugs used. In such cases, the use of anesthesia should be avoided or alternative methods of pain relief should be chosen.

Stages of dental treatment under sedation

The first stage of dental treatment under sedation in Moscow is preparation. The dentist conducts a consultation to clarify the patient’s medical history and assess his general health. The doctor will then determine the appropriate type of sedation.

Further steps look like this:

  1. Pain relief
  2. Monitoring patient vital signs (respiration, heart rate and blood pressure)
  3. Treatment or tooth extraction

After completion of dental treatment under sedation in adults (Moscow), the effect of the administered drugs gradually decreases and the patient returns to consciousness. After a mild to moderate medically induced coma, a person may go home the same day.

Benefits of dental treatment “in your sleep”

Medical coma (treatment “in a dream”) allows the doctor to quickly and effectively work with adult and small patients. In particular, this applies to those who experience fear, anxiety and other negative feelings associated with dental treatment. Taking into account the fact that the doctor does not have to be distracted to calm the person, this allows for a better result of dental treatment.

In an induced coma, several dental procedures can be performed simultaneously. This reduces the total time and number of clinic visits.

Therefore, dental treatment under sedation is especially convenient in cases where a person is undergoing complex surgery. For example, this is relevant when removing wisdom teeth and complex rehabilitation of the mouth.

Benefits of dental treatment “in your sleep”

Answers to popular questions

Specialists at the K+31 center will answer the most popular questions about dental restoration under medicated sleep in adults and children.

How long does a sedation session take and how much does it cost?

A full dental restoration session usually lasts about 1 hour. If necessary, the duration is increased without risk to the patient. The price of dental treatment under sedation depends on the complexity of the case. This issue is discussed individually.

Can sedation be used in children?

Nitrous oxide is commonly used in pediatric dentistry. This helps make the dental restoration process less stressful for the child.

According to parents, children who underwent dental restoration under an artificial coma retain a positive attitude towards visiting the dentist in the future.

Is it possible to treat teeth with focal epilepsy under sedation?

Dental treatment under sedation with this diagnosis is possible, but subject to special caution. The anesthesiologist must be fully aware of the diagnosis and the antiepileptic drugs the person is taking. The safest drug for sedation in this case is sevoran: it does not increase the risk of seizure activity

Is it dangerous to drive after sedation?

Driving a car immediately after dental restoration under an induced coma is not recommended. Despite the fact that the main effect of the drugs wears off quickly, experts advise refraining from driving and other potentially dangerous activities for 24 hours.

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

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Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
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Nana Nugzarovna
Dentist-therapist, microscope
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Sergei Georgievich
Dentist-surgeon, implantologist
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Natalya Victorovna
Dentist-surgeon, implantologist, therapist
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Evgeniya Sergeevna
Dentist-surgeon, periodontist
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Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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Reviews 10

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
As a patient, I can see the doctor's attention and attitude during the appointment and pain relief. What I saw was that Yukova M.R. is a responsible, attentive and caring doctor who helped me save a tooth from extraction. Today, during an appointment, another dentist-orthopedist in another clinic took a picture and praised the work and asked for contacts where and who treated this tooth. Top class! Thank you again!!!
09.11.2024
Sagidova S.P.
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
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.
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