Dental treatment without pain in Moscow

For many years, dental treatment was accompanied by pain or discomfort. All this contributed to the development of a great fear of going to the dental office. People have become so afraid of doctors that they are ready to risk their health by testing dubious traditional methods on themselves just to avoid going to an appointment.

Pain and discomfort can be completely eliminated with the help of anesthesia; it is usually used when pain cannot be tolerated. But the injection or drip itself is not very pleasant, and it takes a long time to recover from anesthesia.

Therefore, local anesthesia has become the most common method of relieving pain during a session. The method of pain relief and the drug itself are constantly being improved, and this allows dentists to keep control over the patient’s sensation and condition and select an effective remedy individually for each person.

What determines the level of pain during dental treatment?

If the word “treatment” means not only the common procedure of filling teeth, then not all doctor’s manipulations in the oral cavity cause pain. For example, here is a list of completely painless procedures:

Treatment of shallow caries.
Whitening tooth enamel.
Professional teeth cleaning with AirFlow.
Deep fluoridation of teeth.
Fissure sealing.

Most of the above procedures are preventive. Thus, it becomes clear that if you visit the dentist solely to prevent disease, there will be no need for painful procedures.

In other cases, the appearance and degree of pain will depend on the following factors:

Individual sensitivity and pain threshold of the patient.
The degree of tooth damage.
The presence of inflammation, including purulent.
Individual features of anatomy (location of the nerve ending close to the surface of the tooth, etc.).
Susceptibility to anesthetic.
Emotional mood before treatment.

Enamel is the least sensitive, but the more damaged it is, the more susceptible the tooth is to pain. Below the level of the gum, the neck of the tooth does not have enamel, it consists of “cement”; therefore, any dental manipulation in the lower part of the tooth will be accompanied by severe pain.

You should know that without anesthesia it is impossible to cure pulpitis in any form, since the area of its damage consists of nerve and vascular fibers.

Is it possible to have a painless injection?

Most patients, even when performing a simple filling, ask for an anesthetic injection to stop experiencing fear of sudden pain. But such an injection in itself is quite unpleasant. To reduce the pain from an injection, doctors use:

Special carpule syringes with thin needles.
Before the injection, the mucous part is dried with a dental hair dryer so that penetration is painless.
The injection site is treated with anesthetic ointment or gel.
The medicine is administered very slowly, so after the first dose is administered, the patient will not feel the second.

Deep caries

At a late stage of the disease, destruction of the deep layers of dentin occurs. Acute pain appears, as well as a reaction to temperature and chemical stimuli. There are several forms of deep caries:

Spicy. Characterized by severe pain when exposed to irritants.
Chronic. It is almost asymptomatic and painless.
Caries under the gum. It is one of the most painful forms of the carious process, since it can only be detected at a late stage.

Almost always, treatment requires removal of the nerve, and therefore treatment cannot take place without pain relief.

Types of anesthesia

Methods and painkillers differ significantly in the mechanism of action and the method of administration into the body. The following types of anesthesia are used in the field of therapeutic dentistry:

Application – involves applying a special gel or spray based on an antiseptic. It is used at the site of an anesthetic injection, removal of dental plaque and when removing baby teeth.
Infiltration - introducing a dose of anesthetic into the gum tissue by injection. With this injection, the nerve endings are completely blocked. The teeth and adjacent tissues completely lose their sensitivity. Under such anesthesia, it is possible to treat almost any dental disease and even perform minor operations.
Conduction - this type of anesthesia involves delivering the drug directly to the branch of the trigeminal dental nerve, which blocks the transmission of impulses along the entire length of the nerve. This method is used in areas of dense bone formations of the lower jaw, because it is impossible to administer a direct injection into this area due to the insufficient width of the open mouth. The technique of performing conduction anesthesia is quite complex, and in itself can be painful, but it provides the longest and most lasting effect in the treatment of the lower and upper jaw.

When is the choice between sedation and local anesthesia in favor of sedation?

The doctor’s task is to show the patient, explain to him that everything can be done under local anesthesia, work with him and prepare him for this. There are patients who want to do everything faster, but they still feel afraid, do not want to take risks and, accordingly, ask that all treatment be carried out under sedation. Therefore, in the clinics of the German Implantology Center, we carry out manipulations on therapeutic, implantological and orthopedic treatment, also under sedation, when our patients come from cities in Europe, North America, Asia and we, accordingly, have a limited period of time for the patient’s stay in Moscow.

Therefore, we provide sedation to such tourist patients every visit as part of their one-time visit to Moscow, but we carry out a large amount of work with them.

Can you be allergic to sedation?

On the topic of allergic reactions, can you be allergic to sedation? An allergy, most likely, may occur not to sedation, but to the drugs used for sedation. When preparing for sedation, it is necessary to undergo tests, the patient must meet with an anesthesiologist-reanimatologist, collect a complete medical history of the patient, his body characteristics. And here it is important that the patient also conveys the information to the doctor as much as possible and without hiding or concealing anything. And, of course, the tests should be carried out in proven certified laboratories so that everything is clear, clear, and understandable without any distortion of the data, so that the doctor can also bear full responsibility for the patient’s treatment.

Recovery after sedation

How is the patient’s rehabilitation and recovery carried out after sedation at the German Implantology Center? Each patient’s reaction may be different: some recover from sedation a little slower, others come to their senses a little faster. Within about half an hour or an hour, the patient fully regains consciousness, but he still remains for some time in the Research Center clinic under the supervision of an anesthesiologist-resuscitator. Next, a taxi is called for the patient, which takes him directly to his home, or, if the patient comes with his relatives, then, naturally, his relatives take him home.

Recovery after local anesthesia

There are special drugs that can quickly remove the feeling of anesthesia, but if the patient has had a large volume of medical work, then this should not be done, because the volume of interventions was large, and the effect of the local anesthetic can reduce the possible pain effect that can be caused by the volume work. Therefore, the patient is given a package of medical support, the drugs of which are recommended to be used for 2-3 days to a week, depending on the volume and number of manipulations performed. Dental treatment under local anesthesia is one thing, and complex operations under local anesthesia associated with bone grafting and implantation are another. Although it is worth noting that local anesthesia in surgery is now a rarity, it is being successfully replaced by sedation.

Treatment with laser

The laser has found its use in many industries, but it is especially popular in medicine. Initially, the laser was used for operations as a replacement for a surgical scalpel. Now modern clinics use it for dental treatment. The laser works completely painlessly, and is actively used in the treatment of canals and root cysts, gum problems, and diseases of the mucous membrane.

A typical laser therapy session looks like this:

The dentist conducts a detailed scan of each tooth for caries, using a laser to identify even damaged areas on the tooth surface that are invisible to the eye.
The identified problem areas are then treated, with the beam targeting only the caries-affected areas with surgical precision, providing antibacterial cleaning to healthy teeth to prevent accidental infection of a healthy tooth.
Next, the tooth is washed, treated with an adhesive system and sealed with high quality cement mortar, the composition of which is similar to the composition of a real tooth.

Treatment of dental canals without pain is carried out according to a standard protocol, and a laser beam is used for thorough cleaning of the canals and their antiseptic treatment. Under the action of a dental laser, all liquid instantly evaporates, thus the canals are completely cleaned of pulp, bacteria and other inorganic particles that got on the tooth during the procedure.

Benefits of laser dental treatment:

Complete absence of pain, discomfort and fear during treatment.
There is no need to wait until the painkillers take effect.
The laser treatment procedure is many times faster than treatment with the classical method.
Gentle treatment of the tooth surface.
Complete elimination of the possibility of secondary caries
Prevention of bleeding during treatment in the gingival cavities.
Complete cleaning of dental canals and no complications

Flaws:

Only superficial and medium caries can be treated with laser
High cost of treatment due to the high cost of equipment.
Physicians must have appropriate qualifications in handling such a device.

Stages of the disease

There are several stages in the spread of the disease:

Initial or superficial caries. It begins with the formation of a white spot on the tooth enamel, which gradually darkens and goes deep into the tooth.
Average caries is manifested by the formation of a carious cavity.
Deep caries - the disease extends beyond the dentin.

Complications that caries can cause: pulpitis, periodontitis, cyst and gumboil formation. Treatment of these diseases is quite a complex and lengthy process, and the lack of treatment, unfortunately, can sometimes even lead to tooth loss. That is why you need to seek help from a dentist when the very first signs of dental disease develop. In the early stages, caries can be cured absolutely painlessly and even without the use of anesthesia.

Endodontic dental treatment

Restoration of a crown affected by caries is carried out in one step. The doctor restores its shape and color, having previously cleaned and sealed the resulting cavity. More complex and lengthy dental treatment in dentistry is used if the carious process has spread to the pulp chamber and canals. In such a clinical situation, endodontic intervention is indicated. Its stages:

Injection of a local anesthetic to numb the affected tooth.
Drilling out carious tissues and creating access to root canals.
Medicinal antiseptic treatment and drying of the cavity.
Application of devitalizing (nerve-killing) paste and temporary filling.

When treating pulpitis, the patient has to visit the dentist two or three times. At the final stage, the doctor installs a permanent filling and restores the anatomical shape of the crown.

Why treat baby teeth?

Even a seemingly insignificant spot can cause the development of caries, pulpitis and spread to neighboring teeth. All this can provoke attacks of acute pain.

Pain and discomfort in the presence of dental pathologies lead to the fact that the child begins to avoid unpleasant sensations - chewing on only one side of the jaw. This can create an incorrect bite.

Diseases of primary teeth negatively affect the rudiments of molars. In this case, permanent teeth grow with defects and will need to be constantly treated.

We know how to treat without pain!

complete relaxation: you will have no fear of the dentist, pain or treatment,
complete relief of pain,
fast recovery,
pleasant rehabilitation after, since xenon triggers metabolic processes in the body,
you are relaxed, which means the doctor does his job without being distracted by your emotions.

With us you will stop being afraid of dentists! Individual selection of drugs, the most modern equipment and certified doctors who professionally work with all types of anesthesia.

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Pregnancy period

Is it painful to treat a disease without pain relief during pregnancy? The question is very complex. It all depends on the stage of the disease and the patient’s pain threshold. Any stress during this period can negatively affect the condition of the expectant mother, but the disease cannot be left untreated, since it can affect the fetus. Therefore, the best solution is to sanitize the oral cavity before pregnancy. But, if it so happens that the disease began during pregnancy, you should immediately seek help from your attending dentist, and in no case put it off until later. In conclusion, we can say that caries treatment is not a simple and not always pleasant process. And in order to avoid pain during the treatment of this disease, you need to take timely care of the health of your teeth, attend preventive examinations every six months and have your mouth cleaned in the dental office. These measures will allow you to avoid the development of carious formations or identify them at an early stage. At Innovative Dentistry on Marata-31, preventive examinations for our patients are carried out absolutely free!

The drug "Sevoran" in modern pediatric dentistry

It is difficult to imagine modern pediatric dentistry without anesthesia - young patients cannot always tell what exactly is hurting them, and do not allow the doctor to do a full examination. Until recently, young children did not receive dental treatment, which was fraught with damage to baby teeth, and as a result, permanent teeth could form incorrectly. Treatment and removal of teeth under anesthesia is an excellent option for pediatric dentistry.

The drug Sevoran (sevoflurane), produced by Abbott Laboratories, is often used as dental anesthesia in children's clinics. It is believed that Sevoran is one of the safest drugs for anesthesia today.

The main active ingredient of Sevoran is sevoflurane. The drug is supplied in liquid form, packaged in dark 250 ml bottles. Before use, Sevoran is poured into an evaporator, where it turns into a gaseous state and provides the child with inhalation anesthesia.

Kon is adjusted using an anesthesia machine, which helps influence the duration and depth of dental anesthesia. Using Sevoran, you can perform not only treatment or tooth extraction, but also other surgical procedures such as removal of a defect in the frenulum of the lip or tongue.

“Sevoran” has established itself as a safe drug with minimal side effects, and although it is used quite rarely for adults, in pediatric dentistry it is indispensable for the treatment and removal of teeth under anesthesia.

Will there be pain during and after the procedure?

No, during the operation you will not feel any discomfort, because you are relaxed, and we additionally applied local anesthesia, which numbs the surgical area.

After the operation there will be slight discomfort - you will feel weak, perhaps slightly dizzy. But there will be no severe pain, even after removing all the teeth and installing a large number of implants. After the anesthesia wears off, the pain may increase, but your doctor will prescribe pain medications for you to take if necessary. These sensations will not be associated with the use of xenon, but with tissue injury in general.

Comfortable treatment without pain! We carry out thorough diagnostics, select medications and dosages strictly individually. It's safe here!

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Indications

Dental sedation is indicated in a state of increased excitability, fear of treatment, but is not limited to this. This method must be used if there is:

strongly expressed gag reflex;
mental problems that exclude interaction with the patient;
traumatic manipulations.

Like any medical intervention, mind control using medicinal methods requires careful preparation. The decision is made by the doctor taking into account all the data.

How will you feel during the procedure?

At the initial stage, numbness of the skin, heaviness in the legs and throughout the body, changes in the perception of sound signals, dizziness, and loss of coordination may occur, but clarity of consciousness is maintained. Then comes a feeling of complete relaxation of the body, absence of painful irritation, and easy immersion in sleep. This entire range of sensations manifests itself in the first 5 minutes of exposure to the drug.

Xenon has an intoxicating effect and literally immerses a person in a feeling of euphoria. Therefore, some people (especially children) who are not familiar with this feeling may experience fear or even panic. But you need to understand that the effect of xenon can be stopped at any time, or the concentration can be increased so that the patient almost completely falls asleep.