Stomatologic manipulations occupy one of leading places in genesis of iatrogenic phobic syndrome (panic fear of teeth treatment). The sedation dentistry in modern medicine had considerable changes in technology of local anesthesia. However, the old anesthetics still make significant part of the patients suffering from phobic by a syndrome. The sleep dentistry offers include the treatment of general anesthesia.
Besides, there are many absolute and relative indications of sedation dentistry in perspective of anesthesia in stomatology. They are insuperable fear before intervention, sharp inflammatory processes in an oral cavity, plural complicated caries, intolerance of local anesthetic, the anatomic features interfering carrying out of effective local anesthesia and labile nervous system and so forth.
In practice of stomatology, there are patients suffering from various somatic pathologies. They feel a need in protecting from a pain and stomatologic stress. The sedation dentistry in view of correction of infringements is used at treatment or after stomatologic intervention. According to some authors, up to 46 % of patients experience significant stressful loadings before stomatologic intervention. In addition, they require these or those methods of medication improvement of the mental status.
At 29 % of women, the emotional stress essentially changes physiological and biochemical processes and as consequence there are psychogenic reactions and the complications preventing treatment. At 15 %, the tendency to a tachycardia, propensity to hypotension, hypoglycemia, thyrotropic crisis and suprarenal infantilism is marked. The greatest quantity of complications is marked right at the beginning of treatment or right after its terminations. The sedation dentistry in such cases is essential. Undoubtedly, all these reasons demand constant presence of anaesthetist at modern stomatologic clinic for various anesthetic grants and adequate mental protection of these patients.
There is a special category of the patients demanding the help of the anesthesiologist and sleep dentistry benefits. The children make this category, which age features do not allow to reach optimum contact between the stomatologist and the small patient. That considerably reduces quality of the stomatologic help.
The positive effect allowing us to recommend medicamentous sleep to our patients is an opportunity of significant amount of works, high quality of the stomatologic help and protection of the patient against psychological stress and probable mental infringements. The maximal comfort of patient is the most important effect.
Preparations used in medical practice possess general, somnolent and sedative action. They eliminate a feeling of fear, nervousness and anxiety, have short-term effect and cause fast approach of medication dream. Thus, they provide fast and effective awakening, not causing unpleasant and painful sensations.