1. Mr. Ismaili looks relaxed while waiting for a conscious sedation procedure to start

2. Preparation before the conscious sedation procedure. Vibrant colours around the wrist are good for stres reduction

3. Administration of the sedative

4. Immediately after receiving the sedative, Mr. Ismail is feels calm and relaxed

5. Administration of the local anaesthesia

6. Final consultations between the anaesthesiologist and our dr. Jovičević before the dental procedure

7. Our patient is now completely relaxed

8. Taking the mould for the temporary teeth

9. The beginning of the dental procedure

10. Our assistant Marina is finishing up the patients temporary teeth that he will have before he receives his final set

11. After the treatment, the patient recieves his temporary teeth

12. The patients final set of teeth will be created in our dental lab

13. As he looks in the mirror Mr. Ismaili sees his "new smile" for the first time

14. At the end of the prcedure, Mr.Ismaili has his photo taken with Dr. Jovičević. To quote the famous film "Casablanca": We think this is the beginning of a beautiful friendship

If you have to undergo prolonged or extensive treatment

For extensive treatment such as dental implants, sinus liftprocedures, full-mouth restoration, multiple tooth extractions, or extensive periodontal procedures, conscious sedation offers you complete comfort while providing the dentist with excellent working conditions.

If you want to save time and money

If you don't have time for multiple appointments, conscious sedation makes it possible to schedule several treatments in one combined session.

If you have anxiety

If you gag easily conscious sedation suppresses the gag reflex, permitting excellent operatingconditions for the dentist.Awarness of the dental treatment during your conscious sedation is essentially zero.

If you have a low pain treshhold

Everybody perceives pain differently. In some instances, the local anesthetics usually used by dentists may not provide enough numbness during the treatment to completely eliminate discomfort. With our conscious sedation dental treatments are always pain free and hours will seem to pass like seconds.

Intravenous sedation:

In reality, you remain conscious during IV sedation. You will also be able to understand and respond to requests from your dentist. However, you may not remember much about what went on because of two factors: firstly, in most people, IV sedation induces a state of deep relaxation and a feeling of not being bothered by what's going on. Secondly, the drugs used for IV sedation can produce either partial or full memory loss ( amnesia ) for the period of time when the drug first kicks in until it wears off. As a result, time will appear to pass very quickly and you will not recall much, or perhaps even nothing at all, of what happened. So it may, indeed, appear as if you were "asleep" during the procedure.

With this type of sedation, medications ( midazolam ) are administrated directly into the blood stream by IV cannula. An extremely thin needle is put into a vein close to the surface of the skin in either the top of your fist or your arm. This needle is wrapped up with a soft plastic tube. The tube stays in place throughout the procedure.

After IV sedation you need to be escorted by a responsible adult and don'perform any strenuous or hatardous activities and don't drive the rest of the day.

Do not eat and drink anything for at least 2 hours prior to the sedation.

Sedation is performed by a trained anaesthetist.

Why is General Anaesthesia not used very much for dental work?

Apart from the risk of serious complications( which, while very small, is still signifficantly higher than for conscious IV sedation ), general anaesthesia has a few major disadvantages:

• Complications are more likeli with GA compared with conscious sedation both during and after the procedure. GA depresses the cardiovascular and raspiratory systems.
• It is not recommended for routine dental work. The potential risk involved is too high to warrant the use of GA. A breahing tube must be inserted, because otherwise, little bits of tooth, other debris or saliva could enter the airway and produce airway obstruction or cause illnesses like pneumonia.
• Laboratory tests, chest x-rays and ECG are often required before having GA, because of the greater risk involved.
• You can not drink or eat for 6 hours before the procedure ( otherwise, vomiting is possible and this would be exremely dangerous during GA).
• General Anaesthesia is expensive.