Sleep Dentistry and Operating Theatre

At Bangkok International Hospital (BIDH), we are committed in provide patients with safe and effective use of Anesthesia for investigation, procedure and dental treatment (Local anesthesia, mild to moderate sedation and general anesthesia or sleep dentistry).

Our dentists and anaesthesiologists comply with standard and professional qualifications.

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IV Sedation

Moderate Sedation

Oral, Gas & IV Sedation

general anesthesia

Deep Sedation

Sleep Dentistry General Anesthesia

Sedation Options

Performing anesthesia for investigation, procedures or dental treatment is to administration of sedative or dissociative agents with or without analgesics in order to change consciousness and help the patient to tolerate with pain and undesirable feeling during investigation, procedure or treatment whilst cardiac and respiratory function can be maintained.

The administration of sedative medication covers all kind of medications, dosage, and any route administration in order to change patient‘s consciousness.

Level of sedation /analgesia and anesthesia classified into 4 levels by American Society of Anesthesiologist as follows:

A drug –induced state during which patient respond normally to verbal commands although perception or body coordination is partial loss but ventilating and cardiovascular functions are unaffected.


A drug-induced depression of consciousness during which patients response purposefully to verbal commands, either alone or accompanied by light tactile stimuli. Reflex withdrawal from painful stimuli is not considered a purposeful response. No interventions are required to maintain a patient’s airway and spontaneous ventilation is adequate. Cardiovascular function is usually maintained.


A drug –induced depression of consciousness during which patients cannot be easily aroused, but patient still responds purposefully following repeated or painful stimuli. The ability to independently maintain ventilation function may be impaired. Patient may require assistance in maintaining a patient airway and spontaneous ventilation may be inadequate. Cardiovascular function is usually maintained.


A drug-induced to make a patient loss of perception, unresponsive to stimuli even pain, impairment of ventilation function and need assistance to maintain patient’s airway and possibly need ventilation support due inadequate spontaneous respiration. Cardiovascular function may be impaired.


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Moderate sedation / analgesia will be performed under supervision of anesthesiologist or dentist or other non –anesthesia physician who has privilege only in the hospital.

Deep conscious sedation or sleep dentistry will be administered only by a physician who has hospital privileges for deep sedation.

About Us

At a Glance


5,933 sqm. space
7 storey building
33 Dental Treatment Rooms
2 VIP Treatment Rooms
1 Dental Emergency Room
1 Operating theater
2 Post-Anesthesia Care Unit (PACU)
4 Inpatient Rooms
1 Consultation Room
4 Panoramic and CT Scan
2 Meeting Rooms
1 Conference Hall
Basement Parking
Handicapped Toilet

Safety Mechanisms

Central Supply Sterile Department (CSSD)
Fire Protection System
Smoke Compartment Door
CSSD Water Quality Control
Medical Devices Inspection & Packaging
Loading & Sterilization Process
Sterilization Process Monitoring
Sterilized Storage & Distribution

Facilities to Cope with Dental Anxiety

dental sedation


A general anesthesiologist monitors for moderate and deep sedation cases

BIDH Nurses

Nursing Care

If undergoing general anesthesia and requiring extra rest or monitoring, our licensed nurses cares for you at our in-patient rooms

post anesthesia care unit


After deep sedation or sleep dentistry, patients recover and are monitored at the PACU with all safety equipments available

Dental Treatments under Sedative Dentistry

Our dental hospital provides service care of patient under sedation /anesthesia various levels.

1. Complicate or Major Dental Treatments

Done under deep sedation within the operating theater for :
  • Oral surgery : multiple teeth extraction and/or major surgical teeth removal
  • Dental implant surgery : multiple, full jaw or full mouth implant placement
  • Jaw surgery : Orthognathic surgery and oral maxillofacial surgery on alignment of malocclussion cases

2. Dental Phobic and Dental Anxiety

For individuals that have dental fear or dental anxiety, sedative dentistry for general treatment under mild or moderate sedation may be done for most dental treatment services.

Sedative Dentistry

The level of dental sedation recommended to you will be dependent on your dental anxiety level, pain management and type of treatments. 

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What is IV Sedation? 

What is General Anaesthesia?

General Anesthesia Process

Practice Guideline for Sedation 

At BIDH Dental Hospital, undergoing oral sedation at our dental hospital involves a detailed and thorough setup. We follow hospital based standards to ensure that each and everyone of our patients undergoes sedation safely and effectively.

Unlike general dental clinics and centers, our dental hospital has a fully licensed general anesthesiologist that is on-site for all moderate to deep sedation cases. Oral sedation level classifications are used to assess and prepare patients. 

An advance booking will be required if you decide to opt for dental sedation.

Before the start of dental sedation, patients will be reqested on their health history, physical examination, and review past illness history, laboratory tests or additional special investigation such as x-ray, ECG.

The method of anesthesia, benefits and disadvantage, complications or possible risks that may occur is explained to you. You are given several options along with cost estimates for your understanding and consent form to undergo sleep dentistry or dental sedation.

Medical equipments is set up ready and available prior anesthesia as follows:

  1. Oxygen delivery system
  2. Positive pressure breathing apparatus (face mask and self-inflating breathing bag)
  3. Airway opening and intubation supplies and equipment e.g. oral airway
  4. Suction equipment
  5. Intravenous access equipment
  6. Monitoring equipment
  7. Emergency drugs
  8. Emergency call system
  9. Crash cart with defibrillator

Each equipment is required to be of suitable size.Is function is checked as appropriate to the patient’s body, age and gender.

medical equipment sedation

Medical Equipments

Set up of safety eqiupment for sedation during dental treatments

1. Patient will be monitored as follows:

1.1 Level of consciousness. Consciousness assessment will be perform to be ensure that patient still response to verbal command with soft touching. If patient dose not response, it mean that level of anesthesia is changed to deep or general anesthesia which is risk for in adequate ventilation.
1.2 Blood oxygenation saturation is monitored continuously by using pulse oximeter which the alarm and sound have been set properly to patient and alarm tone will be changed according to level of blood oxygen saturation.
1.3 Ventilation and respiratory rate will be monitored by observing pattern and sound of respiration all the time (If it cannot be directly observed, operate capnometer to detect level of carbon dioxide from breathing as well.)
1.4 Blood pressure and heart rate will be monitored before anesthesia and every 5 minutes during investigation procedure or surgery.
1.5 Electrocardiogram will be monitored in cardiac output or those procedure which may cause Arrhythmia

Monitoring and record of above steps is done as a minimum criteria :

    • Before anesthesia or conscious sedation
    • After administration of anesthetic or sedative agents
    • Every 5 minutes during investigation, procedures or surgery.
    • During recovery period
    • Before discharge from post anesthetic care unit

2. Additional Monitoring Criteria

The nurse or doctor who monitors patient is trained with certification on Basic Life Support (BLS) and has the knowledge and competency in the following areas:

  • Monitoring assistance
  • Assisting should complication occurs.
  • Provision of antidote of anesthetic and sedatives agents
  • Criteria of recovery

Patients at BIDH Dental Hospital are monitored and recorded based on Standard of The Royal College of Anesthesiologist of Thailand and Standard of American Society of Anesthesiologist.

Care of patient : Post-procedure/investigation: Recovery and Preparing for Discharge

  1. Each patient will be assessed at examination room or procedure room before being discharged or transferred to the PACU or ward.
  2. Patient receiving moderate/deep sedation will transfer to the PACU or another recovery area after investigation or procedure.
  3. Patient transferred to the PACU or recovery area will be accompanied by personnel (Nurse) who are knowledge about the patient’s condition. The patient will continuously assessed and treated during transportation with monitoring and support appropriate to the patient’s condition.
  4. In recovery area the conditions of patient will be continuously monitored such as vital signs, oxygenation, ventilation and level of consciousness. All of these should be recorded continuously until patient is out from recovery room.
  5. Recovery area: equipment for monitoring and resuscitation drugs available same as anesthetic location minimally and assisting of Basic Life Support (BLS) and for pediatric patient well trained about Pediatric Advance Life Support (PALS)
  6. Nurse who care for monitoring patient in recovery room has qualified and trained as follows:
    • In case of adult patient who got moderate sedation, nurse has pass training of Basic Life Support (BLS).
    • In case of adult patient who got deep sedation analgesia /general anesthesia , nurse has pass the training of Advance Cardiac Life Support (ACLS)
    • In case of pediatric patient who got moderate sedation , nurse has pass the training of Pediatric Advance Life Support (PALS)
  7. Nurse who care for monitoring in the recovery room will obtain knowledge about criteria for patient discharged with scoring record clearly together with documentation about time arrival till discharged from recovering room.

In order for a patient to be discharged back home, their aldrete score is measured. Patients who do not meet baseline of criteria may need specialized care, such as monitoring at the PACU until they are clinically stable and then transfer to an in-patient room.

Home Discharge Criteria for Day Care Patients

  1. In additional to meeting the Aldrete criteria, the patient will be:
    • Have a minimum of one-hour observation prior to discharge.
    • Be thermodynamically stable.
    • Be clear secretions.
    • Be oriented to time, person and place and be able to follow instructions appropriate to age.
    • Tolerate liquid or soft diet according to physician’s order.
    • Be able to ambulate.
  2. The dental hospital will take care of safety appropriately prior patient arrives home.
  3. Patients and their care takders will be recommended on nutrition, medications and activities. Please contact us in case of emergency
In-patient counter

Level 2 In-patient Service


There are various sedation / anesthesia options for investigation, procedure and dental treatments. Ask our dental hospital staff team which type of anesthesia / sedative options for oral surgery or dental implant treatment to check if sedation dentistry is suited for you. Then schedule appoint with our dentists for further dental treatment plan. 

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