Dental treatment under analgosedation: Your key to painless care at Dobrý Dent

Analgosedation, sometimes referred to as “controlled sedation” or “half-sleep”, is a state induced by the administration of specific drugs (sedatives and analgesics) that suppress consciousness, eliminate fear and anxiety, and ensure painlessness during the procedure. Unlike general anesthesia, in which the patient is unconscious and requires artificial pulmonary ventilation, with analgosedation the patient remains conscious, is able to respond to the doctor’s instructions, and breathes completely independently. The main effect is deep relaxation, drowsiness, and a significant reduction in the perception of pain and surrounding stimuli.

The substances are most often administered intravenously, which allows the doctor (specifically an experienced anesthesiologist) to precisely control the depth of sedation and adapt it to the course of the treatment and the individual needs of the patient. Another advantage is the onset of amnesia – most patients do not remember the course of the procedure itself, which further contributes to a positive experience.

Treatment under analgosedation is an ideal solution for a wide range of patients. You are one of them if:

• You have a significant fear of the dentist (dental phobia) or suffer from excessive anxiety associated with treatment.
• You are expecting a more extensive or time-consuming dental procedure (e.g., multiple implants, more complex wisdom tooth extractions, extensive prosthetic reconstruction). Analgosedation allows you to perform multiple procedures during a single visit.
• You have a strong gag reflex that complicates or prevents routine treatment.
• You have had poor previous experiences with dental treatment.
• You have a low pain threshold or local anesthesia is not effective enough for you.
• You suffer from certain medical conditions (e.g., some neurological disorders) that may make it difficult to cooperate with routine treatment.
• You simply prefer maximum comfort and want to save yourself any stress associated with the procedure.

Before each analgosedation treatment at the Dobrý Dent clinic, a thorough consultation takes place, where we assess your overall health, discuss your expectations, and answer all your questions to make sure that this method is safe and suitable for you.

Choosing analgosedation at our clinic Dobrý Dent in Prague 5 brings you a number of benefits:

• Elimination of fear and anxiety: The biggest advantage for patients with dental phobia. The treatment will take place in peace and comfort.
• Painlessness: The combination of sedatives and analgesics ensures that you will not feel any pain. It is often supplemented with local anesthesia for maximum comfort.
• Comfort and relaxation: You will feel relaxed, sleepy, but still able to communicate.
• Amnesia: You will not remember most of the procedure, which is very positive for many patients.
• Possibility of more extensive procedures at once: Saves you time and the number of visits to the dentist.
• Safety: The entire process takes place under the constant supervision of an experienced anesthesiologist and with monitoring of vital signs.
• Modern and pleasant environment: Our clinic in Anděl is designed to make you feel as comfortable as possible.
• Using cutting-edge technologies: Even during analgosedation, we use our advanced equipment, such as the operating microscope for maximum precision, STA system for possible painless local anesthesia before or after sedation, 3D intraoral scanner and CBCT X-ray for perfect planning of complex procedures, which can shorten the time needed for the actual procedure under sedation.

The process of analgosedation treatment has several phases that ensure a smooth and safe course:

1. Introductory consultation and planning: First, we will discuss your health condition, history, medications you are taking, and allergies. We will explain in detail the principle of analgosedation, its course, benefits, and potential risks. We will perform the necessary examinations (including X-rays, or 3D CBCT) and draw up a detailed treatment plan. This also includes a preoperative examination by your general practitioner or internist.
2. Preparation before the procedure: You will receive precise instructions on how to prepare for the procedure. It is usually necessary to be fasting (not eating or drinking for several hours beforehand). It is also necessary to arrange an escort who will take you home after the procedure and be with you for the rest of the day.
3. The procedure itself: On the day of the treatment, you will be welcomed by our team, including an experienced anesthesiologist. The anesthesiologist will insert an intravenous cannula through which the medication will be administered. During the entire procedure, the anesthesiologist will monitor your vital signs (heart rate, blood pressure, oxygen saturation) and adjust the dosage of the medication as needed. In the meantime, the dentist will perform the planned dental procedure. You will be in a calm, relaxed state, free from pain and fear.
4. Waking up and recovery phase: After the dental procedure, the anesthesiologist will stop administering the medication. You will gradually begin to wake up. You will remain under supervision in our recovery room for some time until you are fully stable and able to leave with your companion.
5. Home care: After the procedure under analgosedation, it is important to maintain a rest regime. For the rest of the day, you should not drive a car, operate machinery, make important decisions or consume alcohol. Your companion should stay with you. You will also receive instructions regarding post-operative care of the treated area and any pain medication.

The safety of our patients is an absolute priority for us at Dobrý Dent. We always perform analgosedation treatments in the presence of a qualified and experienced anesthesiologist and an anesthesiology nurse. We use modern monitoring technology that monitors your vital signs throughout the procedure and during the recovery phase. We carefully evaluate the health of each patient in advance to minimize any risks. Our staff is regularly trained in emergency medicine procedures.

Analgosedation is considered a very safe method when all standards are met and in the presence of a professional team. The risks are significantly lower than with general anesthesia.

At the Dobrý Dent clinic, we combine the advantages of analgosedation with the latest technologies to ensure not only your comfort, but also maximum quality and precision of treatment:

• Operating microscope: It allows our doctors to see the working field at high magnification, which is key for detailed and minimally invasive procedures such as endodontics (root canal treatment) or precise preparations for crowns and bridges. Even in sedation, precision is the basis for success.
• STA system (The Wand): A computer-controlled application of local anesthesia that is virtually painless. It can be used to ensure absolute comfort even in combination with analgosedation, for example to numb the cannula insertion site or for perfect anesthesia in specific situations.
• 3D intraoral scanner: Replaces unpleasant impressions. Within a few minutes, we will obtain an accurate digital model of your teeth, which is used for planning and manufacturing prosthetic work (crowns, bridges, veneers) or for planning implantation.
• CBCT (Cone Beam Computed Tomography): A 3D X-ray device provides a detailed three-dimensional image of the jaws and teeth. It is invaluable for the precise planning of surgical procedures, especially the insertion of dental implants, the extraction of wisdom teeth or in diagnosing complex cases. Thanks to CBCT, we can plan the procedure with maximum accuracy, which contributes to the safety and effectiveness of the procedure even under analgosedation.

The combination of these technologies with the possibility of painless treatment under analgosedation allows us to provide comprehensive dental care at the highest level, even for the most fearful patients.

Will I be completely asleep?

You will not be unconscious as with general anesthesia. You will be deeply relaxed and drowsy, but you will be able to respond to simple instructions and breathe on your own. However, most patients do not remember the procedure.

Is analgosedation safe?

Yes, if all procedures are followed and under the supervision of an experienced anesthesiologist, analgosedation is considered a very safe method with minimal risks.

Who administers the medications and supervises me?

The medications are administered and your condition is monitored at all times by a qualified anesthesiologist in cooperation with a nurse anesthetist.

How long does the effect of sedation last?

The effect of the medications themselves wears off relatively quickly after they are stopped. However, you may feel tired and sleepy for several hours after the procedure. Therefore, an escort and a rest regime for the rest of the day are necessary.

Will I feel pain after the procedure?

Analgosedation ensures painlessness during the procedure. After the effect of the medication wears off, mild pain may appear at the treatment site, which can be alleviated with commonly available analgesics that we will recommend to you.

Does the insurance company cover analgosedation?

Analgosedation is usually not covered by health insurance and the patient pays for it themselves. We will inform you about the price transparently in advance during the consultation.

Do I need to have an escort?

Yes, an escort is necessary. After analgosedation, you may not drive or travel by public transport alone. The escort must take you home and ideally stay with you for the rest of the day.

Don’t put off taking care of your teeth just because you’re afraid. At Dobrý Dent, we’re here to offer you a solution tailored to your needs. Treatment under analgosedation can open the door to the comprehensive dental care you deserve, all in an atmosphere of peace, safety and trust.

Our experienced team, modern equipment and individual approach guarantee that we can handle even the most demanding procedures together and without stress. Discover the comfort of modern dentistry and get rid of your fear of the dentist once and for all.