Deep Sedation in Dentistry
One of the key advantages of dental procedures performed under deep sedation is that patients can receive treatment completely pain-free, without experiencing fear or stress-related symptoms. Naturally, some procedures can only be carried out under deep sedation, while in other cases there are contraindications, therefore only local anesthesia can be applied.
When is deep sedation recommended?
Deep sedation is typically recommended for long and/or complicated procedures such as the simultaneous surgical removal of multiple wisdom teeth, the placement of several implants combined with root extractions, or more complex bone grafting procedures. In some cases, heightened gag reflex sensitivity may also require deep sedation. Additionally, a dentist may consider these options if a patient’s anxiety cannot be effectively managed with conventional techniques.
When is deep sedation not recommended?
There are certain types of dental procedures, particularly in conservative dentistry, where the patient must be awake, such as during impression-taking. Additionally, deep sedation places a strain on the body and may have side effects. For this reason, our specialists always weigh the risks and benefits of deep sedation carefully.
Many patients believe that deep sedation is the only solution to their dental anxiety. However, since our clinic has prioritized patient-friendly dentistry from the outset—leading the way in anxiety-reducing techniques and pain-free treatments—many of our patients realise during the consultation that they do not actually require deep sedation. In numerous cases, simply becoming familiar with the treatment process, the materials used, and the dentist can significantly ease anxiety. In some instances, taking a mild sedative, such as Xanax, may also be sufficient.
What are the risks and side effects of general anesthesia and deep sedation?
As with any major medical procedure, general anesthesia (intratracheal narcosis) or deep sedation induced by intravenous Dormicum may carry potential complications. (It must be noted that in most cases, general anesthesia cannot be used for dental procedures as the inhalation tubes are in the way.)
While the mandatory pre-anesthesia laboratory tests are designed to help the anaesthesiologist rule out all possible risks, the human body can sometimes react unpredictably to certain chemical agents.
The side effects and complications of general anesthesia or deep sedation can vary, and even if no adverse reactions occur, it is important to note that anesthesia places a strain on the body. A conscientious specialist will only recommend performing a procedure under general anesthesia or deep sedation after carefully weighing the benefits of the treatment against the potential risks and complications, making sure that the given form of anesthesia is truly the most appropriate choice.
What tests and preparations are needed for deep sedation?
Before undergoing a procedure under deep sedation, your dentist will refer you for a comprehensive medical examination. The results will then be forwarded to the anaesthesiologist, who will assess whether your overall health condition is suitable for such a procedure. This includes, among others:
- electrocardiography,
- laboratory tests,
- and a chest X-ray.
It is essential to follow your dentist’s instructions and recommendations regarding the surgery. You will need an escort to accompany you home after the procedure, as it is not entirely safe to travel alone immediately after deep sedation. Even if you feel well, unexpected weakness or dizziness could lead to an accident. For this reason, driving is strictly prohibited for at least 12 hours following anesthesia!
Altatás ára
Altatás (ITN – intratracheális narkózis)
290 000 - 340 000 Ft
General anesthesia and deep sedation: what are the differences?
Deep sedation (with intravenous Dormicum)
In this procedure, the anaesthesiologist administers the anaesthetic intravenously. The patient actually falls asleep and retains spontaneous breathing and the swallowing reflex. It’s important to note that the patient may only leave with an escort as the anaesthetic is only gradually eliminated from the bloodstream, and their ability to concentrate does not yet return to a safe level for the journey home.
General anesthesia – ITN (intratracheal narcosis)
This is the type of anesthesia most people refer to as “being put under.” In this method, the anaesthesiologist administers the anaesthetic intravenously and also intubates the patient (inserting a special tube into the throat to facilitate breathing). Spontaneous breathing and the swallowing reflex are absent, and the body’s muscles are completely relaxed. The anaesthesiologist monitors the patient’s vital functions using advanced technology. Procedures performed under general anesthesia allow for complex, multi-hour surgeries. The patient can only be discharged with an escort and after a few hours of observation.
This type of anesthesia is not used for dental procedures, as intubation prevents simultaneous oral surgery.
FAQ
What does a preanesthesia assessment involve?
Before undergoing dental procedures under deep sedation, every patient must undergo a preanesthesia assessment. The goal of this examination is to assess the risks and evaluate the patient’s health condition, carried out by a specialized anesthesiologist. The anesthesiologist typically performs the necessary tests prior to the procedure, which include:
- the evaluation of laboratory tests (urine and complete blood count),
- the evaluation of EKG test results,
- the evaluation of chest X-ray results,
- taking the patient’s medical history (assessing past illnesses, medication use, and other lifestyle risk factors),
- and a physical examination.
It may be necessary for the specialist to recommend certain lifestyle or medication adjustments before the procedure. To ensure safe anesthesia, it is essential to follow the medical instructions in every case!
Is it possible to have a tooth extraction under deep sedation?
In cases where multiple teeth need to be extracted simultaneously, such as the surgical removal of four wisdom teeth at once, your dentist may recommend performing the procedure under deep sedation. For simple tooth extractions, deep sedation is rarely used; however, in cases involving strong gag reflexes or severe anxiety, it may be considered.
What are the contraindications for deep sedation?
During the preanesthesia assessment, it may be determined that deep sedation is not suitable for the patient due to certain risks. Common contraindications include:
- cardiovascular problems,
- bleeding disorders,
- severe obesity,
- pregnancy,
- medication allergies or sensitivities.
Is deep sedation safe?
Deep sedation, like any major procedure, may carry unforeseen complications. However, strict preanesthesia assessments, continuous medical supervision during the procedure, and the use of cutting-edge machines and instruments significantly minimize the risk of complications.
How does waking up from anesthesia feel?
Once the dental procedure is completed, the anesthesiologist will stop administering the anesthetic agents. The patient typically regains consciousness within 15-20 minutes after the procedure. Upon waking, mild disorientation, fatigue, and dizziness may occur. It is important to note that driving or making legal decisions is prohibited on the day following the anesthesia.
Visit our clinic in Budapest!
With deep sedation, even the most complex oral surgeries are guaranteed to be pain-free. In our modern operating room, we perform oral and dental procedures using the most advanced equipment. After the operation, patients wake up in a comfortably furnished room, where they can rest under professional supervision and recover. Our dentoalveolar oral surgery specialists, Dr. Alexandra Gilicze, Dr. Péter Jancsecz, Dr. Balázs Záhonyi, and our dentoalveolar and maxillofacial surgery specialist, Dr. Tamás Sass, PhD, are here to assist you in our clinic. With our online appointment booking system, you can quickly and conveniently schedule a visit.