A sedation dentist involves giving the patient medication in some form which alters their state of consciousness, normally in order to decrease dental anxiety. There are several different levels of sedation in sleep dentistry, such as being put completely to sleep to the quickly reversible use of nitrous oxide . If you are put completely to sleep, you probably won't remember anything that happens, whereas with nitrous oxide, you will be completely conscious and coherent, but will be more relaxed.
LEVELS OF SEDATION DENTAL:
Depending on how your situation and the type and amount of dental care that is needed, will help your sedation dentist determine what level of sedation is needed.
The table below illustrates the different levels that can be attained. All levels of sedation are commonly utilized in sleep dentistry, even general anesthesia. Oral surgeons often use it when wisdom teeth are extracted , but patients can also be put to sleep for routine dental work if the situation warrants it.
|Level of Sedation Dental||Responsiveness||Airway||Spontaneous Ventilation||Cardiovascular Funtion|
|Minimal Sedation, Anxiolysis||Normal response||Unaffected||Unaffected||Unaffected|
|Moderate Sedation, Conscious Sedation||Purposeful response to verbal/touch||No Assistance Needed||Adequate||Usually Maintained|
|Deep Sedation, Analgesia||Response after repeated painful stimuli||Assistance Maybe Required||Possibly Inadequate||Usually Maintained|
|General Anesthesia||No response, even to painful stimuli||Assistance Required||Usually Inadequate||Possibly Impaired|
|Ramsey Sedation Score||Responsiveness|
|1||Patient anxious and or restless|
|2||Patient is cooperative|
|3||Patient response only to commands|
|4||Patient responds promptly to auditory or tactile stimulus|
|5||Patient is slow to respond to stimuli|
|6||Pateint is unresponsive|
|ASA Category||Health Status||Existing Health Issues|
|ASA 1||Normal Healthy Patient||No physical or psychological concerns, excluding adolescents or elderly|
|ASA 2||Mild Systemic Disease||Controlled diseases such as diabetes, hypertension, mild obesity, pregnant, smoker without COPD (chronic obstructive pulmonary disease), no physical limitations||ASA 3||Severe Systemic Disease||Controlled diseases of more than one system, uncontrolled diabetes or hypertension, managed CHF (congestive heart failure), obese, no immediate danger of death, but some physical limitations||ASA 4||Severe, Life Threatening Systemic Disease||At least one disease that is poorly controlled or end-stage, that could cause death, such as unstable angina, kidney or liver failure||ASA 5||Not Expected to Survive >24hours without Surgery||Imminent risk of death, multiorgan failure, severe coagulation issues|
|ASA 6||Declared brain dead|
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