Sleep Dentistry in Brisbane

Pure Dentistry Sedation Dentists provide Sleep dentistry in Brisbane using general anesthesia. Highly trained, experienced specialist anaesthetics provide the sedation in a closely monitored environment. Sleep dentistry is a comfort-based approach. With sedation, the patient can be treated without being physically restrained.

General anesthesia is a controlled state of unconsciousness where the patient feels nothing during the dental procedure. It also eliminates anxiety and discomfort associated with dental procedures.

What does sleep dentistry or dental treatment under general anesthesia involve?

Dental treatment under general anaesthesia at Pure Dentistry in Brisbane involves a multi-step process that includes consultation, coordination, the procedure, and post-operative care.

Sleep Dentistry Consultation:

  • During the initial consultation for sleep dentistry, the sedation dentist will examine the patient’s teeth, take X-rays if necessary, and discuss the patient’s medical history.
  • The dentist will then create a treatment plan and discuss available sedation options, including general anaesthesia, IV sedation, and happy gas.
  • If the patient decides to proceed with general anaesthesia, the sleep dentist will explain the procedure in detail and answer any questions the patient may have.
  • The sedation dentist will also inform the patient about the estimated costs involved, including the sedation dentist’s fee, the anaesthesiologist’s, and the hospital admission fee.
  • The patient will be required to complete a medical history form and may need to consult with an anaesthetist to ensure they are a suitable candidate for sleep dentistry under general anaesthesia.
  • A deposit is required to secure the booking.

Coordination Required Before Booking a Sleep Dentistry Under General Anaesthesia

After the initial consultation with the sleep dentist is complete, the following coordination is typically required before booking dental treatment under general anaesthesia:

  • Confirmation of Treatment Plan: The sedation dentist will create a treatment plan outlining the procedures needed, which the patient needs to review and agree to.
  • Securing a Date and Time: The dental coordinator will coordinate with the patient and the hospital to find a suitable date and time for the sleep dentistry procedure.
  • Anaesthetist Arrangements: The dental coordinator will schedule an anaesthetist for the procedure and provide the patient with their contact information. The anaesthetist will typically contact the patient a few days (e.g. two days) before the procedure to discuss medical history and pre-operative instructions, including fasting requirements.
  • Hospital Pre-admission: The patient must complete a pre-admission form for the hospital. The dental coordinator or the hospital will usually provide the link for this form.
  • Consent Forms: The patient must sign consent forms for both the dental practice and the hospital. The dental office will provide these forms.
  • Payment Coordination: There are three sides to the costs of sleep dentistry. The patient will typically need to pay a deposit to the dental clinic to secure the booking. The remaining balance for the dental fees is usually due a week before the procedure. The anaesthetist and the hospital will have their own separate fees. The anaesthetist typically requires payment a few days before the procedure, while the hospital may collect payment on the day of the procedure. The patient is responsible for understanding their insurance coverage and settling out-of-pocket expenses.

Sleep Dentistry Procedure:

  • Patients undergoing dental treatment under general anaesthesia will have their sleep dentistry procedure at a hospital, not in a traditional dental chair at the Pure Dentistry clinic.
  • The patient must arrive at the hospital about an hour or two before the scheduled procedure time for admission.
  • During the procedure, an anaesthetist will administer the general anesthesia, and the patient will be completely asleep.
  • The dentist will then perform the necessary dental treatment, including wisdom tooth extractions, fillings, crowns, implants, root canals, paediatric dentistry for children, etc.

Post-Operative Care:

  • After the sleep dentistry procedure, the patient will be monitored in a recovery area until they are awake and alert.
  • The dentist will instruct the patient on post-operative care, including pain management, oral hygiene, and eating restrictions.
  • Patients will need to avoid swimming for approximately ten days after extractions.
  • The patient must schedule a follow-up appointment with the sleep dentist to monitor their healing and address concerns.

Sleep Dentistry Fees and Health fund Insurance Cover

  • Dental treatment under general anaesthesia provides extra comfort for the patient and is more expensive than local anesthesia because of the additional fees associated with the anaesthetist and hospital.
  • Medicare does not cover dental treatment under general anaesthesia in the hospital, but private health insurance may cover part or all of the costs, depending on your level of coverage.
  • Patients are responsible for paying the sleep dentist’s fees upfront and can submit an itemised invoice to their private health insurer for reimbursement after the sleep procedure is completed.
  • The anaesthetist and the hospital will bill patients separately.

Other Considerations:

  • Parents or guardians of children undergoing dental treatment under general anesthesia will receive instructions on pre-operative fasting requirements.
  • The dentist or paediatric dentist will discuss the use of space maintainers for children who require extractions to ensure proper spacing for adult teeth.

Introduction to Sleep Dentistry in Brisbane

Sleep dentistry using General Anaesthetics is a practice that uses medication to put patients to sleep during dental procedures. General anesthesia (GA), induces a state of controlled unconsciousness. This approach is not for everyone but can be a game-changer for certain individuals.

Dr Raghed Bashour and Dr Sari Simawy provide Sleep Dentistry for adults, and Dr Soha Sharif provides Sleep Dentistry for toddlers and very young children in Brisbane.

Implant Dentist in Brisbane Dr Raghed Bashour

Dr. Raghed Bashour

Experienced Cosmetic Dentist and Surgeon
Dr Sari Simawy Dentist Brisbane.

Dr. Sari Simawy

Dentist in Brisbane
Child-friendly dentist Brisbane

Dr Soha Sharif

Experienced Child Dentist in Brisbane

Dentistry for Children: In-Chair | Painless Dental Care for Kids Under General Anaesthesia

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Who Can Benefit from Sleep Dentistry

Individuals with Dental Phobia or Anxiety

Fear of dental procedures is common and can prevent people from seeking necessary care. The use of general anesthesia in sleep dentistry can alleviate this fear by ensuring patients are unconscious and unaware during the procedure.

Compassionate dental care without judgment in Brisbane

Individuals with Special Needs

For those with physical or mental disabilities, sitting still for a dental procedure can be challenging. Sleep dentistry provides a safe way to receive necessary dental care. Sleep dentistry may be beneficial for patients with special needs who have difficulty tolerating dental work in a traditional setting. Another benefit of sleep dentistry is allowing the dentist to complete multiple procedures in one appointment. For extensive dental work that would otherwise require multiple appointments, sleep dentistry offers a way to complete the required treatment more quickly, which is especially beneficial for children who may have difficulty sitting still for long periods

My daughter has epilepsy so its hard to see a dentist. What can a paediatric dentist do for her dental treament?

Treatment Options for Children Who Have Difficulty Cooperating

Paediatric dentists can provide dental treatment for children who cannot cooperate with dental procedures in a traditional setting. One of the reasons that dentists refer patients to kids’ dentists is that they can treat children while they are asleep. The paediatric dentist can administer laughing gas; however, if the child cannot coordinate breathing through their nose while their mouth is open, the laughing gas is ineffective, and the dentist may recommend treatment while the child is asleep.

Important Considerations

  • When a child is being treated under general anaesthesia, the kids’ dentist will consider the reason for the procedure and whether removing and replacing the tooth would cause more damage.
  • Kids’ dentists also prefer to avoid removing baby teeth unless necessary, as they help guide adult teeth. If a baby tooth does need to be removed, a spacer (space maintainer) can be placed to hold the space open for the adult tooth.

 

Is Sleep Dentistry available for adults or children with Special Needs?

Sleep Dentistry for Patients with Special Needs

Special needs dentists or paediatric dentists may recommend sleep dentistry for patients, including children, who have special needs that make it difficult to receive dental care in a traditional setting. Sleep dentistry may also be recommended for extensive dental treatment requiring multiple lengthy appointments.

One of the main reasons special needs dentists recommend sleep dentistry is to avoid traumatising the patient. Sleep dentistry allows the special needs dentist to perform procedures the patient might not tolerate while awake. For example, a paediatric dentist may recommend sleep dentistry for a baby who needs spacers, as placing space maintainers can be challenging for young children (e.g. three years old).

Levels of Sedation

Three main types of sedation dentistry are offered: treatment with happy gas in the dental chair, treatment under IV or twilight sedation in a dental chair, and dental treatment under general anaesthesia in a hospital. While happy gas does not put the patient to sleep, it helps them relax and may reduce anxiety during the procedure. Happy gas is less expensive than IV sedation or general anaesthesia and allows the sedation dentist more flexibility in scheduling. However, the dentist may recommend general anaesthesia for patients with extensive treatment needs or who cannot tolerate happy gas. One dentist explains that there are limits to how much happy gas can be administered in a traditional dental office, as a full level of sedation can be administered in a hospital setting.

 

What are the specific benefits of sleep dentistry using general anesthesia for individuals with special needs?

Sleep dentistry using general anesthesia offers specific benefits for individuals with special needs. Here are some of the advantages:

  1. Improved Comfort and Cooperation: Individuals with physical or mental disabilities may have difficulty sitting still or cooperating during dental procedures. General anesthesia ensures they are completely unconscious and relaxed, eliminating any discomfort or resistance they may experience.
  2. Reduced Anxiety and Fear: Dental visits can be overwhelming for individuals with special needs due to sensory sensitivities or communication challenges. General anesthesia allows them to bypass any anxiety or fear associated with the dental environment, ensuring a more relaxed and stress-free experience.
  3. Enhanced Safety: Some individuals with special needs may have difficulty understanding instructions or exhibit uncontrolled movements, increasing the risk of injury during dental procedures. General anesthesia ensures their safety by keeping them completely still and preventing accidental harm.
  4. Efficient Treatment: Dental procedures can often be time-consuming, especially when dealing with special needs patients. The dental team can work more efficiently with general anesthesia since the patient is unconscious and not likely to experience discomfort or resistance. This can help reduce the overall duration of the procedure.
  5. Comprehensive Dental Care: Individuals with special needs may require more extensive or specialized dental treatment. Dentists can perform many procedures in a single session with general anesthesia, including complex treatments, multiple wisdom teeth extractions, or oral surgery. This minimizes the need for multiple appointments and ensures comprehensive care.
  6. Reduced Traumatic Memories: Dental experiences that involve pain, fear, or discomfort can lead to lasting traumatic memories, making future dental visits even more challenging. Sleep dentistry with general anesthesia allows individuals with special needs to have a painless and anxiety-free dental experience, reducing the likelihood of developing negative associations with dental care.

It’s important to note that the decision to use general anesthesia should be made after thoroughly evaluating the patient’s specific needs and health conditions and in consultation with the dental care team. They can assess the individual’s suitability for general anesthesia and provide appropriate guidance to ensure the best dental care for individuals with special needs.

Special-needs-friendly dentist near me in Brisbane

Children or Adolescents with Severe Dental Fear or Behavioral Needs

Young patients with difficulty cooperating due to fear or behavioural issues can also benefit from sleep dentistry, making the dental care experience safer and more comfortable for them and their caregivers.

Also, see sleep dentistry using general anaesthesia specific to children by Brisbane Kids Dentist.

general anaesthesia for children in Brisbane

Individuals Undergoing Extensive or Complex Dental Procedures

Procedures like multiple tooth extractions or oral surgery can be lengthy and stressful. General anesthesia can make these experiences more comfortable.

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How does the use of sleep dentistry benefit individuals who are undergoing extensive or complex dental procedures?

General anesthesia helps people who are having long or complicated dental treatments by making the experience more comfortable and less stressful. It works by putting the person to sleep, similar to when they’re having surgery at a hospital. During this deep sleep, they won’t feel anything and won’t be aware of what’s happening.

The benefits of general anesthesia for these types of dental procedures are:

  1. Pain-Free Treatment: General anesthesia ensures that the person won’t experience any pain during the procedure. They’ll be completely asleep and won’t feel the dental tools or discomfort.
  2. Reduced Anxiety and Fear: Complex dental procedures can be intimidating and cause anxiety. With general anesthesia, the person doesn’t have to worry or feel scared because they won’t be conscious or aware of what’s happening. It helps them relax and eliminates any fears they may have.
  3. Improved Focus and Efficiency: When a dental procedure is long or complicated, it requires a lot of concentration and precision from the dentist. General anesthesia allows the dentist to work more efficiently because the person is completely still and relaxed. This can help shorten the overall time needed for the treatment.
  4. Comprehensive Treatment in One Session: Some extensive procedures require multiple visits to the dentist. With general anesthesia, the dentist can complete all the necessary work in a single session while the person is asleep. It saves time, eliminates the need for multiple appointments, and ensures everyone receives all the required dental care simultaneously.
  5. No Unpleasant Memories: People may have unpleasant memories or anxiety related to past dental experiences. They won’t remember anything about the procedure with general anesthesia because they were asleep. It helps prevent the formation of negative associations with dental visits, making future appointments less daunting.

It’s important to discuss the use of general anesthesia with the dentist or oral surgeon to understand the potential risks and benefits specific to each individual. They will assess the person’s health and the complexity of the dental procedure and make an informed decision to provide the best possible care while ensuring safety and comfort.

Individuals with a Strong Gag Reflex

A strong gag reflex can interfere with dental procedures. General anesthesia can suppress this reflex, making dental treatment more efficient.

Managing gag reflex during dental procedures with sedation

Individuals with Certain Medical Conditions

Conditions like Parkinson’s disease or cerebral palsy can cause uncontrolled movements that interfere with dental procedures. The use of general anesthesia in sleep dentistry can help manage these movements.

For what medical conditions sleep dentistry using general anesthesia is typically required?

Sleep dentistry using general anesthesia can particularly benefit patients with certain medical conditions that make traditional dental procedures challenging. Here’s a list of specific medical conditions where general anesthesia in dentistry is often considered:

  1. Parkinson’s Disease: This condition can cause tremors and uncontrolled movements, making it difficult for patients to stay still during dental procedures.
  2. Cerebral Palsy: Similar to Parkinson’s, cerebral palsy can cause muscle spasms or involuntary movements that can interfere with dental procedures.
  3. Autism Spectrum Disorder: Some individuals with autism may have difficulty with sensory processing, including discomfort with the sounds, tastes, and sensations associated with dental procedures. They may also have difficulty staying still for extended periods.
  4. Down Syndrome: Individuals with Down syndrome may have certain physical characteristics, such as a smaller oral cavity or larger tongue, that can make dental procedures more challenging. They may also have difficulty understanding and cooperating during dental procedures.
  5. Alzheimer’s Disease/Dementia: Patients with cognitive impairments may not understand the need for dental procedures and may become agitated or distressed.
  6. Severe Anxiety Disorders: While not a physical condition, severe anxiety disorders, including dental phobia, can make dental visits extremely stressful. In these cases, general anesthesia may be considered to help the patient relax and ensure the procedure can be performed safely.
  7. Developmental Disorders: Other developmental disorders, such as ADHD, can make it difficult for patients to sit still during a dental procedure.
  8. Epilepsy: For patients with epilepsy, the stress of a dental procedure could potentially trigger a seizure. Using general anesthesia can help manage this risk.
  9. Certain Genetic Disorders: Certain genetic disorders, such as Ehlers-Danlos syndrome, can affect the body’s connective tissue and may require special considerations during dental procedures.
  10. Severe Gag Reflex: While not a disease, a severe gag reflex can make dental procedures difficult and uncomfortable. General anesthesia can help manage this issue.

It’s important to note that the decision to use general anesthesia should be made on a case-by-case basis, taking into account the patient’s overall health, the specific dental procedure, and the potential benefits and risks. The decision should be made in consultation with the dentist or oral surgeon and, if necessary, the patient’s primary care physician or specialist.

Sleep Dentistry Considerations

While general anesthesia can be beneficial, it’s not without risks, such as nausea, vomiting, and in rare cases, brain damage or death. These risks are low, especially in healthy individuals, but they should be considered. It’s crucial to discuss your health history, current medications, and the nature of the procedure with your dentist or oral surgeon before undergoing sleep dentistry. They can help you weigh the potential benefits and risks to make an informed decision about your care.

General anesthesia for dental procedures

Conclusion: Wake Up When It’s Done

Sleep dentistry using general anesthesia can significantly improve the dental care experience for certain individuals. Discuss it with your dental care provider if you think you or a loved one could benefit from this approach. They can provide more information on sleep dentistry and help you make the best decision for your unique situation.

Book a Consultation Appointment to Discuss

Call us on (07) 3343 4869 to make a consultation appointment with our sedation dentists. This step is required to review the medical history and assess if sleep dentistry suits your conditions. Or book a consultation appointment online directly from the link above and below.

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