Přejít na obsah
Adult patient
3 min čtení

Treatment of an adult patient under analgesic sedation

Dentist performing root canal treatment on a patient in a modern dental clinic
MUDr. David Doubek

For many adult patients, dental treatment is associated with tension, anxiety, or discomfort, which can prevent the procedure from being performed under normal conditions. Analgesic sedation is a very effective way to eliminate stress and pain and enable safe, calm, and well-controlled treatment.

It is a combination of mild to moderate sedation and analgesia, i.e., pain relief. During the procedure, the patient continues to breathe spontaneously and responds to verbal stimuli, but is significantly relaxed and usually remembers very little about the procedure.

When is analgesic sedation appropriate?

The dentist decides on the indication in consultation with the anesthesiologist. Analgesia is most often recommended in situations where:

  • The patient suffers from severe dental phobia or anxiety, but general anesthesia is not necessary.
  • The gag reflex or tension prevents comfortable treatment.
  • A longer or more demanding procedure is required, for which normal local anesthesia would be insufficient.
  • The patient has had negative experiences in the past and wants to avoid stress and discomfort.
  • The patient prefers a more comfortable treatment, but wants to remain conscious.

Analgesic sedation represents an ideal compromise between full consciousness and general anesthesia – the patient is calm, pain-free, and easy to work with, while spontaneous breathing remains safe.

Schedule your appointment today

What is needed before the procedure?

In order to perform the procedure safely, the following preparation is necessary:

  1. Preoperative examination
  2. Anesthesiology questionnaire and informed consent
  3. Preparation for surgery

On the day of treatment, you must:

  • be fasting – at least 6 hours without food and several hours without fluids, as instructed,
  • be in good health, without acute infection or fever.

Failure to comply with these conditions may result in postponement of the procedure.

How does analgesic sedation work?

Admission to the clinic

Upon arrival, you will be welcomed by medical staff and have a brief consultation with the attending dentist and anesthesiologist.

Initiation of analgesia and sedation

Sedation is usually administered intravenously using a combination of sedatives and painkillers. Within minutes, you will feel relaxed, sleepy, and stress-free, yet remain conscious and breathing spontaneously. Throughout the procedure, the anesthesiologist continuously monitors heart activity, oxygen saturation, blood pressure, and breathing to maintain safety.

The procedure itself

Treatment is performed in combination with local anesthesia, ensuring it is completely painless. Patients often report that the procedure feels like it passes “in a flash,” with minimal or vague recollection afterward.

After the procedure

Following sedation, patients rest until the effects wear off. Usually, after approximately 30 minutes, you may leave accompanied by an adult.

When is your checkup scheduled?

We usually schedule a follow-up visit 7–14 days after treatment, depending on the type of procedure.
During inspection:

  • we will assess healing,
  • remove any stitches,
  • and agree on the next steps in treatment.

How to behave after the procedure?

For a smooth recovery, we recommend:

  • Spend the rest of the day resting,
  • drink plenty of fluids and eat light, soft foods,
  • avoid physical exertion and sports for 1–2 days,
  • do not drive or make important decisions for 24 hours,
  • if you experience pain, take analgesics as recommended.

Mild fatigue, drowsiness, impaired coordination, or slight nausea are common and usually subside quickly.

Price list

Painless Care

Midazolam

Midazolam is a drug that keeps the patient calm and relaxed during treatment. It often makes the patient sleepy and unable to remember the procedure, while allowing them to breathe on their own.

from 3,500 CZK / 143 €

Baldus nitrous oxide

Baldus is a modern system for administering nitrous oxide, which ensures maximum safety and precision during sedation. The patient remains calm and relaxed throughout the procedure, breathing independently while remaining conscious. The effect sets in quickly and wears off immediately after sedation ends. It is an ideal and very well-tolerated method, especially for children.

from 2 500 CZK / from 102 €

General anesthesia

General anesthesia allows treatment to be performed in complete peace, as the patient sleeps throughout and is unaware of anything. It is suitable for more demanding procedures or where treatment under local anesthesia is not possible. The price quoted applies only to the anesthesiology part of the treatment.

from 15,000 CZK / from 612 €

Analgesic sedation

Analgesic sedation is a combination of sedatives and painkillers that keeps the patient relaxed and sleepy during the procedure and prevents them from remembering the treatment. It is a sedative state in which the patient breathes independently throughout the procedure. It is suitable for anxious patients and more complex procedures.
The price quoted applies only to the anesthetic part of the treatment.

from 9,000 CZK / from 367 €