During the placement of implants, and although most patients do not have anxiety, dentists need more than local anesthesia to make the patient feel comfortable. Sedation dentistry has exploded in recent years because of its effectiveness. Here are some things to consider before having a procedure done.
Types of sedation in dentistry
- Conscious sedation: Orally, the best medication dentists can use is Triazolam. It is a benzodiazepine that starts working in less than 15 minutes, and the effect is maximum at 60 minutes. Its effects can last from two to four hours, producing a rapid recovery of the patient and the residual effects rarely last more than six hours. The dose used is two tablets in adults (0.25 mg) and in patients, over 65 years of age a single tablet (0.125 mg) is recommended.
- Sedation with nitrous oxide: The best option for a dentist is with nitrous oxide-oxygen which has a high level of success in very anxious patients. This technique does not need an anesthetist and can be used by a general dentist.
- General anesthesia is a very safe procedure and will allow the patient to return home without significant inconveniences. Practically speaking, the discomforts are minimal. Also, individuals will be given analgesics, anti-inflammatories, and antibiotics as indicated by the dentist. It decreases the surgical time as well. The treatment will be carried out in a medical center or clinic duly equipped and approved to carry out said treatment.
With implantology, each patient is faced with a relatively painless and straightforward intervention. To learn more about sedation dentistry, see this here.
Risks of sedation
- Respiratory depression
- Obstruction of the airways
- Vomiting and aspiration
- Allergic reactions to some of the drugs used
- Minimal vascular lesions and extravasation in intravenous techniques
One of the most significant risks is the possibility of respiratory depression. The hypnotic effects can notably decrease the frequency and depth of respiratory movements and, in addition, can produce relaxation in the mouth and throat area with the tongue relaxing enough to where it blocks the person’s airways. The depressant effect seen is markedly heightened if narcotics are used during sedation. Keep in mind that a combination of several drugs will result in the enhancement of other drugs.