Story About the Features, Advantages, and Side Effects of Midazolam Used in Sedation for Sleep Anesthesia Implant Procedures to Help Ease Dental Anxiety in Garak-dong, Songpa-gu

When providing treatment, there are sometimes people

who feel such severe fear

even just sitting in the chair

to receive an oral examination

that their heart races and they break out in a cold sweat.

Looking into their histories,

in many cases it starts because

past treatment memories

became a trauma.😢

Painful memories from treatment

during childhood, or

uncomfortable experiences caused by

insufficient anesthesia can remain

for a lifetime and make treatment frightening.

At the Garak-dong dental clinic, too, because of these psychological issues,

even when people know they have oral problems,

we often see cases where they leave them untreated

because they are too scared to receive care.

When they finally get an examination after enduring the pain,

it is often already a situation where the tooth cannot be saved.

Just like failing to put out a small spark

allows it to spread into a major fire,

leaving an early minor problem untreated

gradually develops into a more serious situation.

For example, when inflammation occurs around a tooth root,

osteoclasts become overly activated

and the surrounding bone begins to be resorbed.

Because the tissue that supports the tooth

has been destroyed,

it gradually becomes loose,

and often reaches a point where extraction

becomes unavoidable.

Therefore, after extraction, recovery through treatment

such as implants is needed,

but people with severe treatment anxiety

become very tense and anxious

even during scaling.

There are even cases where they find a simple examination difficult,

making it hard to receive proper treatment..

So for such patients, treatment under sleep anesthesia (sedation)

is often preferred,

and at the Garak-dong dental clinic,

we have a sleep anesthesia system

using midazolam.

Advantages of midazolam used in sleep anesthesia (sedation)

Unlike general anesthesia, where you fall completely asleep,

sleep anesthesia keeps you conscious

but in a drowsy, hazy state,

so you do not feel fear of the treatment

and remain conscious enough to cooperate

with the medical staff’s instructions.

Midazolam, used for sleep anesthesia,

is a benzodiazepine-class drug,

and is widely used in intravenous sedation

administered by IV injection.

It acts on the central nervous system to reduce anxiety

and

has properties suitable for sleep sedation,

so it is widely used in medical settings.

This process is carried out safely

by trained professionals. Midazolam is administered intravenously

and acts relatively quickly.

About 5 minutes after infusion,

a response called the Verill sign appears in the patient,

in which the eyes begin to close about halfway.

This is a sign that the medicine is working well

and means the patient has entered a comfortable sedated state.

Like the feeling of becoming sleepy

until your eyelids feel heavy,

you naturally become relaxed.

In this deeply restful state,

you are left with little memory of the treatment,

so the unpleasant experience does not remain

as a new trauma.

This is a particularly important advantage

for people with dental anxiety,

and it can also reduce fear

of the next treatment.

After implant placement

through sleep sedation is completed,

you can safely wake up in the recovery room at the Garak-dong dental clinic,

return home the same day with a guardian,

and

resume daily life right away.

Midazolam does not have active metabolites,

so recovery time tends to be fast.

A metabolite is a substance produced

when a drug is broken down in the body,

and if it is active,

the drug’s effects last longer.

Because midazolam’s metabolites are not active,

it is removed from the body quickly,

and recovery also happens quickly.

Thanks to this anesthesia system,

once the 부담감 of surgery is reduced,

the process of completing the prosthetic work

becomes much easier. Today, the major advantage of midazolam used

in sleep anesthesia at the Garak-dong dental clinic is

that an antagonist called flumazenil exists.

An antagonist is a substance that inhibits

a drug’s effect or acts in the opposite way,

and you can think of it as playing the role

of an antidote or a counteracting agent.

If an emergency arises or when treatment is complete,

it allows the patient to be safely awakened at any time,

which helps ensure stability. However, as with all medications,

midazolam may also have limitations.

For example, there are patients

who do not respond to the drug.

Depending on an individual’s constitution

and metabolic ability,

the effect may not appear or may be weak.

In addition, some degree of hangover-like effects

may occur.

A dazed feeling or fatigue may remain after treatment,

so you should avoid driving or important schedules

on the same day!

Lastly,

paradoxical reactions may occur.

In situations where sedation should take place,

there are rare cases where the patient becomes excited instead

and shows unstable behavior.

Therefore, at the Garak-dong dental clinic,

in preparation for these side effects,

we continuously monitor the patient’s condition

and carry out treatment safely.

If fear has kept you from delaying your visit,

through sleep anesthesia with a system like this,

we at Garak-dong Yonsei Dagam Dental Clinic encourage you

to gather your courage, stop putting it off any longer,

and regain a healthy mouth.

25.08.05~25.10.13