Normally, a visit to the dentist is not a pleasure for anyone and for some even becomes a real “phobia”.
“Conscious sedation”, with the anaesthetist present in the clinic, has been widely used for several years also in Italy.
This method is used every day in our centre, not only on anxious patients but also on the elderly, heart patients or those with other illnesses, who believe treatment in hospital is preferable.
In which operations is this method mostly used?
In “immediate loading” implantology, where it is possible to pass from a removable prosthesis (or from a condition of teeth lost due to pyorrhoea) to permanent teeth in only 24 hours from the operation.
In what does it consist?
The patient is in a state of apparent unconsciousness for the entire duration of surgery. In realty, he is not asleep, he often answers questions. The anaesthetist constantly monitors the vital signs during sedation (blood pressure, heart rate, oxygen saturation). The patient is also monitored every 5 minutes and stimulated to respond.
What is the method?
It is a simple, safe technique that is rapidly establishing itself and which can be briefly summarised as follows: the patient arrives in the morning without having eaten; he is sedated by the anaesthetist via intravenous infusion of a special benzodiazepine, which causes the afore-mentioned state of deep sedation. The oral surgeon performs the surgery in total safety. When surgery has been completed, the patient gradually recovers a complete state of consciousness and can return home as peacefully as he had arrived.
Therefore, as well as not suffering, are there other benefits?
The day after, he will probably not remember anything about the surgery and will no longer be frightened or anxious about visiting the dentist. I would also like to specify that conscious sedation is particularly suitable for patients with disabilities and children.
Can all dental practices perform conscious sedation?
No. Only clinics with authorisation from the local health authority for the specialist branch of anaesthetics. In fact, the clinic must meet well-defined requirements such as owning a semi-automatic defibrillator, a crash cart and life-saving drugs.