A friendly team of dental professionals and a peaceful environment is necessary to conveniently carry out treatment procedures. In modern dental care, the fear of unwanted pain that causes patients anxiety can be alleviated. At Kliinik 32, we do everything to lessen the fears of our patients and offer painless treatment.
Anaesthetic gel is a good and easy solution for patients who are afraid of injections or find them uncomfortable. Anaesthetic gel is applied to the mucosa and it has the effect of lessening the sensitivity of the mucosa by the time the injection is made.
The active agent of the anaesthetic gel is lidocaine and it suits all patients who have no medical contraindications against the regular anaesthetic injection.
Generally, anaesthetic injections cause no harm to a person’s health. An anaesthetic injection contains a local anaesthetic along with a very small amount (1:100–1:200,000) of an agent that constricts blood vessels (e.g., adrenaline). The aim is to constrict blood vessels to make the anaesthetic’s impact as local as possible (that is, the anaesthetic will not spread into the organism through constricted blood vessels) in the appropriate concentration and for long enough to take effect. In case of surgical procedures, constricted blood vessels also decrease bleeding.
If a patient has heart disease, he or she is given an injection that contains less adrenaline. In general, however, the amount of adrenaline is so small that it should not cause discomfort even for people with heart disease. In addition to active agents, the injection solution also contains preservatives. While there is a minimal probability that the patient may be allergic to one of them, it is essentially non-existent. In modern dentistry, we typically use articaine-based anaesthetics. For patients who are sensitive to the active agent or adrenaline, we offer mepivacaine-based anaesthetic solutions as an alternative option.
Sedative tablets or oral sedative drugs have been used in dentistry for a long time. They are primarily aimed at patients who get anxious thinking about the injection and are unable to conquer the fear. The tablet works quickly and also suits patients with less severe somatic illnesses. The effect is short-term but when using it for the first time, it is still necessary for the patient to be accompanied home following the procedure.
Sedation dentistry means administering drugs to calm the patient and put them in a sleep-like state. The patient becomes emotionally and physically relaxed and sedated. At the same time, the patient is awake enough to talk, move and follow the dentist’s instructions and all vital reflexes are maintained. For sedation, a professionally trained anaesthesiologist injects a sedative into the patient’s vein. The sedative does not have a very strong effect, making most patients feel relaxed and at ease. At Kliinik 32, we use midazolam solution as the sedative.
Following sedation, the patient recovers in the recovery room and is sent home after they have fully woken up, feel no pain or nausea and a friend or a family member has come to pick them up. In the following 24 hours after sedation, the patient may feel slightly faint or drowsy. For that reason, we recommend that another adult stays with the patient until the next morning.
Sedatives are not administered during pregnancy. Sedative drugs are also contraindicated for people with certain neurological and muscle diseases as well as people who are sensitive to the sedative drugs. The patient should not have infectious diseases accompanied by fever or any respiratory infections.
For safety reasons, the patient is not allowed to eat for four hours before sedation dentistry and to drink any fluids two hours prior to the procedure. In the event that sedation causes complications during treatment and obstructs the treatment, the procedure will be discontinued. Sedation dentistry is a generally safe procedure and patients easily recover from it.
During general anaesthesia the patient will be in a medically induced sleep-like state, unconscious and unable to feel pain in any part of the body. At Kliinik 32, the dental treatment room has an anaesthetic machine with an integrated monitoring device that is similar to the equipment used during general surgeries in large hospitals in Estonia. The patient will be cared for by the anaesthesiologist and nurse anaesthetist and following the operation, the patient can comfortably recover in the recovery room. General anaesthesia is suitable for the surgical treatment of more complicated cases. By request, general anaesthesia can also be administered to patients who dread dental procedures. Usually, we are able to lessen the fear and discomfort of the patients by using other methods of painless treatment.
General anaesthesia requires a very detailed account of the patient’s medical history. It is especially important that the patient does not have infectious diseases accompanied by fever or any other respiratory infections. The patient cannot eat or drink at least six hours prior to the procedure. Unless agreed otherwise, the patient can continue taking their daily prescribed drugs. The patient must find a friend or family member that will come pick them up after the procedure.
We offer treatment under general anaesthesia for patients above three years of age.