In patients with diseases, dental sedation is the most recommended
Sedation provides greater control and lower risks related to the underlying disease a patient may have.
The sensations of fear and anxiety, so frequent when visiting the dentist, are even greater when it comes to an intervention if the patient has some kind of complicated disease. This stressful situation not only produces psychological discomfort, but is also accompanied by a physiological response of the organism: sweating, tachycardia, dry mouth, etc. These changes are usually unimportant in healthy patients, but this is not the case in those suffering from any disease, mainly heart disease, and those that usually accompany it, such as arterial hypertension, diabetes or respiratory problems.
Major complications can occur in patients with these diseases.
Why is sedation important in critically ill adult patients?
Conscious sedation is practically obligatory in these cases because it eliminates stress (minimizing risk) and allows, through the control of constants, the detection and early treatment of possible complications that may occur. For greater safety, a thorough evaluation by the anesthesiologist to:
- A correct preparation of the patient, adjusting his usual medication and possibly giving him anxiolytics or antibiotics.
- Adapt the time of the intervention to the patient’s characteristics.
- Adapt the anesthesia and type of dental treatment to the patient’s condition and characteristics.
What diseases should we pay special attention to?
Some of the diseases that need special attention and that conscious sedation is indicated are:
- Cardiopathies (heart diseases)
- Diabetes (abnormally high blood sugar)
- High cholesterol
- History of Ictus (cerebral vascular accidents)
- Epilepsy
- Arrhythmias (heart rhythm disturbances)
- Patients under treatment with anticoagulants and antiplatelet agents (Sintorm, Adiro, plavix, etc.).
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