What is conscious sedation?
It anesthetic procedure that aims to provoke a state of wellness, relaxation and indifference on the patient, conserving natural protective reflexes.
What professional is certified to perform conscious sedation?
Conscious sedation can only be performed by a specialist in anesthesiology.
In which cases would be provided a conscious sedation?
An indication would be in those patients who fear (or terror !!) to go to the dental surgery. On many occasions, which makes going to the dentist is precisely the pain caused by disorders that appear after long periods of time -in sometimes years without going to the preventive periodic reviews.
Another indication would be that of patients who were to perform an intervention odontological complex (multiple implants, comprehensive rehabilitation, bone grafts …). Even patients “calm”, the duration of the procedures and instrumentation sometimes noisy and irrigation constant serum mouth, long recommended techniques for conscious sedation caused the indifference of the patient to facilitate the work the dentist.
Also, patients with relatively simple treatments (filling cavities, oral cleanings, curetajes, root canals, extractions …) which require several visits to the dentist can be done in one session under sedation with the advantages in time and travel involved. Sedation and supervision of a physician anesthesiologist resuscitation is also indicated in patients with a history of respiratory diseases, cardiológicas or metabolic (diabetes). It is known that fear and anxiety can worsen pathologies of these patients.
Sedation allows us to minimize the occurrence of complications and the presence of a physician anesthesiologist resuscitation allows us to detect them and control them from the outset.
What are the contraindications for a conscious sedation?
Conscious sedation is contraindicated (always after a preliminary medical assessment) in those patients who can foresee a null or limited partnership. In the case of some psychiatric disorders, intellectual deficits or congenital cerebral degenerative processes. This group is also in children, especially those under 4 years.
What are the risks of a conscious sedation?
Any human activity has risks (walking into the shower, down stairs, etc). In the case of dental sedation, the patient is relaxed, quiet, no anxiety, reflexes preserved, guarded and monitored at all times by a physician anesthesiologist resuscitation that it departs from its side.
Although we can not say that risk does not exist (as we can not ensure that the patient suffers an accident on the way from his house to the clinic) if we can say that the risk would be lower when we take something so common especially from specific edats- as a sleeping pill. When we eat a sleeping pill slept for several hours, we are not monitored and do not have a specialist on our side to take care of us.
The rules to be followed before a dental sedation are:
- Do not take food four hours earlier.
- Do not ingest liquids two hours before.
- Inform the medical team all the personal circumstances (drugs being taken, illnesses, allergies, anesthesia or previous treatments, drogaddiccions or toxic habits) that can increase or not the medical risks.
- In case you are taking any medication, the standard will continue taking it unless otherwise indicated.
- Upon entering the clinic, the patient must notify any anomalies or problems which may have appeared since the last visit.
The rules to follow after sedation would be:
- ALWAYS leave the dental center accompanied by a relative or friend.
- Do not drive vehicles during the twelve (12) hours after the treatment.
- No potentially dangerous activities during the twelve (12) hours after the treatment.
- Do not ingest alcohol or any other toxic substances during the twelve (12) hours after the treatment.
Dr. Abelardo Alegría