General anesthesia and sedation are alternatives that can very often support dental practice. It is highly important to know these basic concepts about this area is of fundamental importance throughout the formation of the Dentist since in more than one opportunity you will be faced with a person who can only be treated with one of these methods. Therefore, we are going to explain to you more about it.
What is sedation?
It could be defined as a condition generated by a dope while the person presents a variation in his/her state of mind, it can go from a variation to a slight slump according to what its needed, meanwhile, the sick person is sleepy but responds to orders, conserving some of its senses awake. Sometimes due to the intensity slump affects deeply his/her state of mind, and the person does not respond even to uncomfortable stimulants. Protective instinctive reflex could or could not be present, depending on whether its superficial sedation, known as well as conscious or whether it’s a powerful sedation. There is virtually no difference between them.
What is conscious sedation?
It’s a technique that facilitates the person’s relaxation and provides more comfortable and effective treatments. It is indicated for people who are afraid of all these type of procedures or who feel a high level of stress when they have to visit a dental office.
In this type as its name indicates, the patient remains aware during the entire treatment. Thanks to it, you’re feeling in the dental chair will be one of well-being and tranquility.
Advantages and Its Benefits
One of the main barriers to going to a dentist is fear, which is why a simple cleaning or check-up for people who suffer from dental phobia involves a high level of anxiety and stress and therefore patients tend to postpone these visits, causing diseases such as periodontitis or caries to appear in themselves over time.
Therefore, it allows a feeling of relaxation and tranquility for the patient, but also has other advantages:
- The people won’t worry too much.
- Greater safety in surgeries.
- Easier to carry out interventions in a single session.
- Better healing and post-surgery.
Types of sedation in dentistry
Additionally, to conscious sedation there are other ways to achieve the person well-being and relaxation in the dental office. Below some of them:
Intravenous sedation: In this case tranquilizers are administered intravenously which relaxes the entirely body.
Deep sedation: This is used to bring to a controlled state of depression of consciousness. This is riskier than the other, as it affects all your senses.
Minimal sedation: It is used in simple treatments. The person will continue responding normally to any kind of stimulus and is conscious at all times.
Combined sedation: A sedative dope is applied by the enteral and inhalation route.
Symptoms of sedation
The application of this method in dental offices is becoming progressively popular. However, it still generates so much doubts regarding its symptoms. After a treatment in which it has been applied, the person will need a few hours to recover and return completely to a normal state.
Common symptoms include decreased reflexes and numbness. It is recommended that the person go with somebody to the clinic, who can help him/her for about four to six hours after the attention when the effects will have completely disappeared.
Drugs utilized for sedation in dentistry
To achieve a state of total relaxation and well-being, a single medical drug or a combination of these can be utilised. Depending on the duration of the treatment, the characteristics of the person, and his or her level of stress, and also considering the dope that was used.
However, if it is one of these cases, Triazolam, a benzodiazepine, is usually used. Its effect begins 15 min after application. The person will feel the entire effect after 60 minutes. This medicates generates antegrade amnesia. During the antegrade the person does not remember what happens before the intervention.
Other medicines used for this method in the dental surgery are Lorazepam, Diazepam or Midazolam, as well as Propofol, the oftenest utilized anesthetic currently given intravenously. As it is a safe treatment it is going to continue to become more and more popular around the world.