Sedation in dental practice in Russia. Status of the question

Abstract

The problem of patient anesthesia in dental practice is still relevant. Not always only local anesthesia is enough for safe interventions. Significantly increase the effectiveness of the relief of pain by using anxiolytic sedation or controlled sedation. Every dentist, regardless of specialization, must have the skill of safe pain relief, as well as the ability to prevent and treat urgent and emergency general somatic conditions. The article highlights the current legislative vision of the competencies, labor actions and powers of dentists regarding the treatment of patients using sedation/ premedication. Sedatives that are acceptable for use by dentists have a calming effect, do not have a significant effect on respiration and hemodynamics, and do not cause addiction if they are correctly prescribed in accordance with the manufacturer’s recommendations. If oral sedatives are not effective enough, dental patients can be treated under conditions of anesthesia, the most popular is controlled sedation.