Dental Clinics


This innovative technique is presented as a solution to anxiety problems for dental patients in Malaga.

Conscious sedation consists in the administration of a relaxant that provides the patient with tranquility and relaxation, while maintaining an optimal state of consciousness that allows him to collaborate with his dentist without being totally asleep.
We spoke with Francisco Maldonado Chinchurreta, Clinical Coordinator at Grupo Dental Clinics, a pioneer in the implementation of this system as a coadjuvant to the rest of the dental treatments.

How has the idea of ​​implementing this type of anesthesia come about?

Well, first of all I must say that conscious sedation is not a form of anesthesia proper. This sedation provides a stage of well-being, but it is essential to administer the local anesthesia that is usually used in dentistry. There are patients who are reluctant to go to the dentist for fear of pain or simply for the anxiety caused by the fact that they touch their mouth with surgical material. In those cases, this type of sedation is perfect to achieve two goals. First, achieve an analgesic with which the patient will enter a state of total relaxation, so that your initial anxiety will be dissipated completely. And on the other hand, to ensure that patients can respond without any problem to our indications during the intervention, so that it is carried out effectively.

How is this sedation done? They take a long time to disappear their analgesic effects?

No, and that is a great advantage. The effects disappear completely between 15-30 mins after the intervention (depending on the time of sedation), so that it can be administered in simple procedures, to later let the patient resume their activities planned for that day with total normality. Obviously, before starting the treatment, we explain to the patients what it consists of and we solve all the doubts that may arise. Once the patient is in our dental office, we monitor him completely to control the analgesia. Afterwards, we apply intravenous sedation, and then we proceed to place the usual local dental anesthesia. From that moment, the patient is not even aware of the process of anesthesia prior to the intervention.

What does the patient feel during the intervention?

A state of total relaxation. At no time can a person lose consciousness with this sedation. It is not a general anesthetic. The patient can feel everything that happens around him, only that he will be much more sleepy than usual, and in many cases with a perception that the duration of the procedure is much less than the real one. Even so, all your vital functions will be unaltered, so you can follow our indications without feeling any type of anxiety. What we are looking for is to eliminate that phobia from the dentist’s chair. This fear is what causes a great neglect in the oral health of a large part of the world population.

Which patient profile usually uses conscious sedation and for what kind of treatments?

As I said before, in principle they are nervous people, with fear, or simply that they have had bad experiences and want everything to happen very fast. However, we also have patients who require prolonged treatment, and prefer to have them all done in a single intervention even if it takes several hours. In the case of the placement of multiple implants, one of our most recognized treatments and in which we are specialists, conscious sedation can be a great ally for this type of person.

Our experience with hundreds and hundreds of patients in this area, tells us that people seek to rebuild their dentures to be able to be in the same session, so in the end the interventions can be of great importance. Another suitable profile are people with more aggressive surgical operations due to the pathology they present. On the other hand, it also helps us with people who for various reasons, such as mental deficiencies, are not very cooperative in being a long period of time with their mouths open.

Speaking of more complex cases, could children receive this type of sedation?

The procedure in children is completely different. Depending on your weight and medical history, you are prepared a medical cocktail that mixed with your favorite beverage, should be taken in its entirety. In any case, being a highly sensitive group, we prefer not to generalize and study case by case.

Is there any kind of side effect or contraindication in conscious sedation?

No, in reality this sedation does not cause significant hemodynamic alterations in the body, nor does it interfere with any usual medication. If there is any type of chronic disease in the patient, the medication that he / she is taking should not interrupt it even on the same day of the intervention. Even so, in the end, it will be the criteria of our professionals, together with the patient’s clinical history, that determine the contraindication or prohibition of this conscious sedation.


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