41 Pedro Antonio de Alarcón St. | Granada (Spain)
Telf: 958 520 496
Monday to Friday - 16 to 20:30h.
Inhalation conscious sedation
sedacion consciente inhalatoria en granada
Is achieved when the patient breathes in a mixture of oxygen (O2) and nitrous oxide (N20), also known as “laughing gas”, which rapidly produces an agreeable feeling of relaxation.

The objective of this type of sedation is to control the anxiety and fear of the patient, although this does not mean that in some procedures a local anesthesia may also be necessary. The patient remains conscious throughout the procedure.

A small mask is placed over the patient’s nose and the gases are mixed automatically by a machine which guarantees absolute precision. The patient only needs to breathe normally through the nose and within a few minutes will feel an agreeable sensation of relaxation that allows the dental treatment to be carried out without fatigue or stress. At the conclusion of the administration of the gas mixture, the effects disappear completely and quickly, so the patient is even able to drive home.
SECURITY PROCEDURE
Conscious nasal sedation using nitrous oxide is considered one of the safest, most convenient and easiest techniques to use in the dental surgery.
ADVANTAGES
Nitrous oxide is an inorganic, inert, nonflammable, colourless and tasteless gas with a sweetish smell.

It acts as an analgesic by depressing the central nervous system.

It does not cause respiratory depression.

It does not irritate the mucous membranes.

It does not produce cardiovascular disorders.
PATIENTS WHO ARE CANDIDATES FOR THIS PROCEDURE
Patients who suffer from dental anxiety.
In cases where gag reflex and vomiting are severe.
Invasive treatments such as dental extraction or surgical implants.
Dental treatment of more than one filling in a single sitting.
Painful dental cleaning.
Periodontal treatments where the use of a local anesthetic may not even be necessary.
Anxious, stressed, nervous, apprehensive or difficult adults or children.
Disabled patients.

The beneficial effects of oxygen make the procedure of nasal sedation particularly good for patients who suffer from anemia, coagulation disorders, asthma, epilepsy and cardiovascular diseases (in the latter cases consult with your GP first).
SENSATION & PERCEPTION

dentista sedacion consciente ihnalatoria What was once a bad experience transforms into a comfortable, pleasant and anxiety free dental experience, without falling asleep or losing awareness of your surroundings. This way the dentist is able to perform the patient’s treatment accurately, quickly, efficiently, safely and calmly.

Subjective sensations may include tingling in the feet or hands, numbness, drowsiness, indifference to surroundings, overall relaxation, well-being, floating, lost notion of time elapsed and slight amnesia.

Objective sensations are that the patient will feel relaxed and comfortable. Vital signs remain unchanged, vital reflexes are intact, the mouth can remain open, gag reflex diminishes and verbal communication is maintained. Nitrous oxide increases the pain threshold and diminishes the feeling of discomfort so that a state of calmness and peacefulness is obtained which completely eliminates anxiety.

The fear of going to the dentist can be more harmful to the oral cavity than the bacteria found there. As this fear stops the patient from visiting the dentist regularly or not at all, when they finally do go it is because of a much more serious problem than it might have been if they had gone earlier.

It can substitute a local anesthetic in some procedures. When a local anesthetic is necessary the analgesia achieved by nasal sedation makes small injections unnoticeable, helping to eliminate the feeling of phobia/fear.

HOW IT WORKS
Nitrous oxide is a slightly soluble gas in blood but it rapidly penetrates the membranes of the human body. It dissolves in a few minutes in the plasma and thereby achieves maximum concentration in the alveoli. In addition it is eliminated very rapidly after its administration. It does not affect the respiratory system, nor the circulatory system, nor metabolism. It works almost exclusively on the central nervous system and its effects are anxiolytic and analgesic. Neither does it connect with oral fluids or tissues due to its low metabolism.

DURATION OF THE EFFECTS OF CONSCIOUS SEDATION
The induction period is estimated between 2 to 5 minutes in which the maximum effect is achieved, the first effects are noticeable almost immediately. The depth of sedation is achieved in stages and the appropriate level is reached within minutes. The duration of the effects is controllable.

The effects stop immediately on cessation of the administration of the gas, allowing a rapid and complete recovery. Within two minutes the patient no longer feels any effects of the sedation therefore normal activities for the rest of the day are not affected.
ADVANTAGES
The effects stop immediately on cessation of the administration of the gas, allowing a rapid and complete recovery. Within two minutes the patient no longer feels any effects of the sedation therefore normal activities for the rest of the day are not affected.
CONTRAINDICATIONS (THE PATIENT MUST BE COMPLETELY HONEST WITH THE DENTIST).
When the patient rejects administration.
Pregnancy (It should not be administered in the 1st trimester).
Infections of the upper respiratory tract.
COPD (Chronic obstructive pulmonary disease).
Claustrophobia.
Patients with psychological/psychiatric problems.


Treatments in areas where the nasal mask is an impediment.
CONCLUSION
It is an effective and safe method for many patients, reducing stress and anxiety. In this sense it has been a great help for millions of patients worldwide (in the USA it is used routinely in dental clinics). The reversal of anxiety for a feeling of well-being and relaxation is very advisable for the patient and the professional.

In our clinic we are on hand to answer any questions or concerns about our new nationwide procedure. We also hope that your treatment is defined by a comfortable, anxiety free atmosphere.
INTRAVENOUS SEDATION
In our clinic we count on the cooperation of an anaesthesiologist for those patients who need more sedation than that of inhalation, during which the patient remains calm, tranquil and occasionally drowsy. This sedation is obtained by intravenous inoculation of hypnotic, sleep inducing medication. The patient is monitored constantly (pulse, blood pressure, oxygen saturation and heart rate) by the anaesthesiologist while the dentist works. After the intervention the patient normally has no memories of the dental procedure and in this way the frustration or dislike/discomfort of going to the dentist can be avoided.
Links
Dental Clinic Joaquín Mª Ferrer Gallegos - 41 Pedro Antonio de Alarcón St. , Postal Code 18004 - Granada - Tel: 958 520 496 - Monday to Friday, 16:00 - 20:30
Monday to Friday - 16 to 20:30h.
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Dental Clinic Ferrer - Granada
41 Pedro Antonio de Alarcón St.
dentistagranada@gmail.com
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