Sedation in pediatric and adult dentistry

22.11.2021 19

Increasingly, dentists are using medication sleep – sedation in the treatment of patients’ teeth, which is equally applicable to both adults and young patients.

Sedation has been used in world dentistry for over 50 years, and in clinics in the USA and Europe, sedatives are used for almost all preschoolers.

What is medication sleep (dental treatment in sleep)

Medication sleep or in other words sedation is a method of bringing the patient into a relaxed state with a sedative drug, in which there is minimal effect on the central nervous system, as a result of which the feeling of fear is suppressed and there is a feeling of peace.

Depending on the method of application in dentistry, the following types of sedation are distinguished:

  • inhalation (supply of an oxygen-nitrogen mixture through a mask in a proportion of 70% to 30%);
  • oral (effects on the body using tablets or cocktails);
  • intravenous (sedation by injection).

This technology has few contraindications and is most widely used in pediatric dentistry to eliminate the stress associated with dental treatment, as well as develop a positive perception of regular doctor visits.

The procedure allows you to cure several teeth in one visit, which is especially useful for restless little patients who do not tolerate prolonged manipulations in a dental chair.

Using the sedation procedure for adults and children, the dentist seeks to reduce the patient’s response to external stimuli and dull pain. During the entire process, the patient breathes on his own, being in a dream.

Benefits and safety of dental treatment under general anesthesia

Sedation is the most effective and safest way to facilitate medical intervention in dentistry. It is advisable to start dental manipulations from the age of 2, when the roots of the teeth are already fully formed. But sometimes sedation is also used for children from 1 year and 6 months

During the period of your child’s stay under anesthesia, a special team “team” of doctors-anesthesiologists with a large number of specialized equipment supervises him. Everything is done in accordance with medical treatment protocols and safety in relation to the health of patients.

A significant benefit from the use of sleep therapy technology is manifested in the reduction of psychological trauma in children and their parents. The need to keep the child with traditional treatments creates fear and rejection of memories when visiting the dentist from a very young age.

The use of medication sleep allows you to save young patients from bad memories (fear, pain, psychological trauma), provides a guarantee of high-quality work (infected tissues are completely removed) and minimizes the likelihood of complications in the future (until the period of tooth change) …

It is important to understand that sedation psychologically enhances the analgesic effect of anesthesia, although it requires a fine psychological adjustment from the dentist to the child in order to establish trust with him and provide sufficient qualified treatment.

Benefits of medication sleep include:

✔ providing full anesthesia of the required duration;
✔ elimination of emotional stress;
✔ protection of the respiratory tract and prevention of “intubation” of mucus, blood, remnants of extracted teeth and filling material into the lungs of the patient;
✔ the use of a sedative that is completely non-toxic;
✔ fast recovery after anesthesia;
✔ the ability to carry out more work.

Duration of sedation

Sedation does not involve complex preparation, it is enough to refrain from food, coffee and strong tea 6-8 hours before the procedure, and not to drink alcohol for the day. After medication sleep , the patient wakes up within half an hour and does not feel any consequences. In some cases, vehicle owners are advised to refrain from driving for the next 1.5 hours.

Introduced sedatives do not cause addiction or allergies, as they contain absolutely safe components. They do not bind to blood proteins and are eliminated from the body in a short time.

In fact, the required depth and duration of drug-induced sleep depends on the tasks and goals of dental procedures, not exceeding mainly 3.5 hours. In some cases, with complex dental treatment, the duration of sedation can take from 3.5 to 5 hours.

Indications and contraindications for treatment under general anesthesia

In dentistry, sleep therapy is applied to patients in the following cases:

  • the need for a large volume of medical manipulations, when it is necessary to cure more than 4 teeth in one session;
  • increased nervousness and panic (dentophobia);
  • lack of effectiveness of local anesthesia;
  • having an allergic reaction to local anesthetics;
  • with advanced forms of caries and with the extraction of wisdom teeth;
  • increased gag reflex.

There are some contraindications for sedation, the elimination of which will allow using the drug sleep procedure:

  • serious cardiovascular diseases;
  • psychological or neurological diseases;
  • pregnancy;
  • alcohol intoxication;
  • full stomach;
  • respiratory problems (cough, runny nose, sneezing);
  • traumatic brain injury;
  • allergy to the components of sedatives.

Despite the presence of indications or contraindications before treatment with sedation , our clinic will help you choose the most pleasant treatment plan. You will be consulted by a dentist who will collect the necessary information and, if necessary, send you for additional laboratory tests.

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