For adults, intravenous sedation is performed the most commonly It is suitable for both short and long, simple and complex procedures General anaesthesia is used rarely, often in difficult surgical cases.
Sedation may be used for all procedures, both surgical, such as implantation, and simple, like tooth treatment, whitening and professional cleaning.
Due to great results of intravenous sedation, other anaesthetic procedures (oral sedation, mask anaesthesia, general anaesthesia) are rarely performed on adults, but, if necessary, they may also be performed in our clinic.
During sedation, medicines are used to help patients relax during tooth treatment. It is not general anaesthesia (narcosis). Patient may not sleep, but is relaxed, feels no fear, or sleeps, but is easily woken up. Patient does not pay attention to his surroundings, does not remember parts or all of the procedure.
Intravenous sedation is more efficient than oral sedation. A thin, short plastic catheter is introduced into a vein, where the medication is injected to produce sedation. Its level may be controlled, sedation may be increased or prolonged, if needed. Intravenous sedation begins immediately, there is no waiting time. Heart activity and breathing are monitored – a sensor is placed on a finger to monitor the amount of oxygen in the blood and pulse, and a blood pressure gauge is placed on the upper arm to monitor blood pressure; an electrocardiogram is done, if needed. During intravenous sedation, depending on the dose, a medium to deep sedation is achieved.
It is not allowed to eat 6 hrs before the procedure and to drink 2 hrs before the procedure. If you are taking any medication, you must inform the anaesthetist. An entourage is needed. Driving and complex work (operating machines) is not allowed 24 hrs after the sedation. Wear comfortable clothes with easily tuckable sleeves (catheter is usually placed at elbow level). During the procedure, contact lenses, removable dentures and jewellery must be taken off. On the day of the procedure and especially during the procedure, do not wear lipstick or a lot of make-up, nail polish, do not wear high heels. If you have a cold, a sore throat, cough, fever, stomach ache or any other acute illness, please call the reception at 8 644 77447 and inform us.
After the procedure, you must be escorted home, rest for the remaining day. You must be accompanied until the effect of sedation wears off. Do not plan and participate in any physical activities, do not drive for the rest of the day. Do not eat immediately after the procedure, and only easily digested food afterwards. If you are nauseous, lay down for a while. Do not consume alcohol and do not take any medications not prescribed by the doctor. Take medication the doctor has prescribed. If you encounter unusual problems, call clinic reception immediately at 8 644 77447. After work hours, go to the emergency room.
Sedation is performed for anyone who is afraid of going to the dentist. Sedation is also suitable for those who:
Pregnant women, those sensitive (allergic) to benzodiazepines, patients under the influence of alcohol (drunk people), or patients with certain central nervous system illnesses. Cardiovascular disease is not an absolute contraindication. Patients with a severe sleep apnoea, morbidly obese patients and those with obstructed airways should undergo oral sedation.
An intravenous catheter is needed for intravenous sedation, even though it is very thin. For anxious people, a special anaesthetic cream is applied on the skin before puncturing the skin. Sedation does not end with the treatment procedure. Patients have to stay in the clinic for a while (usually around 1 hour). The patient needs to be escorted home.
The patient must willingly wish for sedation. If, for some reason, the patient does not want to be sedated (e.g., they do not like situations where they are not in control), an effective and predictable sedation is difficult to achieve.
There is always some risk. However, if sedation is performed by an experienced doctor in a licensed clinic, risk associated with sedation is minimal, and any problems may be solved in a professional manner. Patients with systemic disease, e.g., obese people, people with cardiovascular or pulmonary diseases or sleep apnoea, also the elderly have higher risk.
Friend of your teeth, Amicus Dentis