Anesthesia in the outpatient practice of a dentist and maxillofacial surgeon. Sedation as efficacy and safety of treatment
Background: Nowadays, the new technologies for lost dental functions diagnostics and engineering programs for treatment planning and prototyping are being actively developed. An interdisciplinary approach to complex clinical cases is the basis for creating a program of dental and maxillofacial rehabilitation. Objective: to evaluate the results of medical sedation on an outpatient basis from the standpoint of efficacy and safety. Material and methods: 3 groups of patients were observed: the first one contained healthy individuals, the second - patients with compensated comorbidity or severe psycho-emotional stress, the third - patients with concomitant sub-Mcompensated and decompensated diseases. Results: Methods of anesthetic management of intraoperative and postoperative patient monitoring were applied. The protocols of preprosthetic restorative surgery, immediate implantation and intraoperative direct prosthetics have been developed. The main condition was to maintain the function of the patient after the surgery. The clinic has introduced the basic safety principles in outpatient dental practice of various degrees of complexity. Conclusion. The great attention of surgeons should be payed to anesthesia, especially for elderly patients. This is one of the key factors in the safety and effectiveness of the treatment.