Awake sedation and deep anesthesia
The patient is awake but will undergo dental treatment without pain or fear.
Are you interested in our awake sedation service that guarantees 100% pain relief?
Register now and enjoy our exclusive discount this month! The first hour of awake sedation by an anesthesiologist specialist is now only HUF 59,000* instead of HUF 69,000, and each additional hour started is provided at a discounted rate of HUF 49,000/hour*. Don’t let fear stop you – take the first step towards painless treatment and a confident smile!
*Valid: this month!
What is conscious sedation?
What will happen?
1. Before starting treatment, the patient must always fill out a simple medical history form, which our anesthesiologists use to learn about the patient’s previous illnesses and any medications they may be taking.
2. Our anesthesiologist will then inform you in detail about the expected course of treatment and possible complications.
3. In order to maximize the safety of conscious sedation, our anesthesiologist will examine you and answer all your questions in detail. Once you have received all the necessary information, you will be asked to sign a consent form.
4. During the procedure, under the supervision of a specialist, the patient is continuously administered an anesthetic “cocktail” (such as propofol, dormicum, neodolpasse) intravenously, which, together with local dental anesthetics, ensures painlessness. During the procedure, the dentist and dental assistant focus on the dental treatment, while the anesthesiologist continuously monitors the patient, checking their heart function, pulse, blood pressure, and blood oxygen levels.
5. After the procedure, there is a 30-60 minute observation period, after which the patient is discharged to their home with their companion, along with important information about post-sedation care.
Deep anesthesia - for adults
There may be several reasons for this:
- Some people have suffered some kind of trauma during their dental treatment and have been terrified of the word dentist ever since. Some patients suffer from pathological nausea or uncontrollable retching and are unable to tolerate dental treatment. It also happens that someone wants to have several procedures performed in one session, the number of which can be tripled under anesthesia, so busy businessmen often decide in favor of this type of procedure.
- Anesthesia always takes place under monitored conditions: an ECG monitor, blood pressure monitor, and pulse oximeter measuring blood oxygen level are placed on the patient. After this, anesthesia can begin, the first part of which is the anesthesia phase. This starts with venous insurance, then continues with the administration of medications through a venous cannula. The drugs cause patients to fall asleep within a few seconds.
- In the case of deep anesthesia, the airway is secured and ventilation is started after the patient falls asleep. There are several ways to do this. During the surgery, anesthetic and pain medications are continuously administered, continuous ventilation is maintained, and adequate fluid intake is ensured. The anesthesiologist is responsible for managing any possible anesthetic complications.
- At the end of the surgery, the anesthetic medications are discontinued, and the patient begins to wake up as his or her body clears these medications. The airway devices are removed during the awakening phase, when the patient is still practically asleep, but spontaneous breathing has returned. After that, they wait for full awakening, which takes approximately 10-15 minutes.
- In all cases, deep anesthesia is performed by an anesthesiologist with modern technical conditions. Before the treatment, an medical examination is required, which includes an ECG and a laboratory test (blood count to check liver and kidney functions, blood clotting factors and serum ion levels). Eating, drinking and smoking are strictly prohibited 6 hours before anesthesia treatments! In the event of any cold, fever or flu-like symptoms, the treatment must be postponed, as a completely healthy state of health is required for deep anesthesia.
- After interventions within 2 hours, several hours may be required, and after longer treatments, 24-hour observation may be required.
What you need to know after deep sedation:
- The most common complication of anesthesia is dry throat, a scratchy feeling in the throat. We protect against this with special gargling liquid and oral fluid therapy.
- In certain surgeries, nausea and vomiting can be expected after the operation. To prevent this, we give the patient antiemetic medication before and during the surgery to avoid discomfort.
- Feelings and chills are also common, which we try to protect against by warming your body during the surgery, giving an infusion heated to body temperature, and using warm bedding to provide comfort after the surgery.
- Our patients who have undergone anesthesia often complain of headaches and confusion. However, this is temporary and can be prevented with appropriate medications.
Our best advice before deep sedation:
- Always bring your regular medications and medicinal products with you.
- If you smoke, try to avoid cigarettes two days before the surgery, this can greatly reduce respiratory complications.
- If you want to minimize the harmful effects of alcohol, stop drinking alcohol 3-4 weeks before the surgery, as this will most likely avoid severe headaches and confusion.
- If you feel unwell, have a headache or sore throat before the surgery, be sure to inform the specialist performing the surgery, as it may affect the outcome of the surgery.
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Frequently Asked Questions
What happens before sedation? During conscious sedation, in order to ensure maximum safety, we ask that you refrain from eating or drinking anything for 4 hours prior to the procedure. This is because sedation reduces your level of consciousness, making it difficult to control swallowing and coughing. Therefore:
– Do not consume any food or liquids for 4 hours prior to sedation!
– Take your regular medications (e.g., blood pressure medication, medication for vascular and heart disease, etc.) at the usual time!
Following sedation and dental treatment, we monitor the patient for a personalized period of time. We do not recommend driving after sedation. We ask patients to leave our dental clinic accompanied by someone else and not to make any further plans on the day of the procedure, but to rest at home.
Following intravenous sedation, the medication does not leave the body immediately, so we monitor the patient for at least 30 minutes after the dental treatment. The patient may leave accompanied by a responsible adult. If you arrive by car, you may not drive.
– For the rest of the day, you must not engage in any potentially dangerous activities (e.g., driving) or consume alcohol. It is recommended that you refrain from strenuous physical activity for a few days.
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Patients in good health with controlled high blood pressure are suitable for conscious sedation without further ado; the anesthesiologist will assess their health before the procedure. In the case of any factor affecting health, acute or chronic illness, the anesthesiologist will decide on the suitability of sedation. We do not perform conscious sedation on children or pregnant patients.
The advantage of conscious sedation over deep anesthesia is that it does not cause nausea, headaches, or dizziness. A rare side effect may be a slight feeling of numbness during the procedure. Conscious sedation has an inhibitory effect, and patients with a cheerful disposition often laugh. In our practice, after performing hundreds of conscious sedations, patients have recovered without complications.
- “I would never have dared to start my treatment without sedation”,
- “I felt no pain”,
- “I don’t remember anything”,
- “several hours seemed like a few minutes”
- “I felt rested and came back to myself”
Of course, there are contraindications, which the anesthesiologist will inform you about after analyzing your medical history and test results (laboratory, ECG).
The fee for deep anesthesia depends on how many hours of anesthesia are required. The fee for the first hour is 130,000 HUF, and the fee for each additional hour ranges from 55,000 HUF to 75,000 HUF, depending on how many hours are required. You can find out approximately how much treatment we can perform in one hour during the initial consultation.
Please note that we always require fresh lab and ECG results for deep anesthesia.