General Anesthesia and Sedation in Dentistry
Most of the procedures in today's dentistry are performed with local anesthesia, and when it is not adequate, interventions can be performed under sedation and general anesthesia.
General anesthesia is preferred in:
- Patients with mental disability
- Pediatric patients that are non-cooperative
- Patients with severe anxiety
- Interventions that cannot be performed in single session with local anesthesia in a short period of time
- In a wide range of surgical interventions where local anesthesia is not sufficient
General anesthesia put you in a sleep-like state in which consciousness and pain sensation disappear; short- term amnesia is induced by relieving the patient with medications during sedation. While the patient may respond to commands during sedation, this is not the case in general anesthesia.
Sedation is recommended in individuals with mental disability, in short-term surgical procedures that cannot be performed with local anesthesia, individuals with severe anxiety, non-cooperative children, and individuals who have severe gag reflex. After sedation, patients will not remember sounds, pressure or feelings during the treatment that may cause anxiety, especially in with patients with fear of dentists.
Sedation or general anesthesia is preferred depending on the nature, duration and sessions of the treatments to be administered. It is determined by the dentist and anesthesiologists while considering the general health of the patient.
Following the planning of dental treatments to be performed by dentists with sedation and general anesthesia, the patient is evaluated by an anesthesiologist and reanimation specialist. The detailed medical status are taken, including any medications used for maintenance, and the patient is further examined if deemed necessary to achieve the desired indication.
At the end of the procedure, the patient is discharged after few hours of observation, unless the nature of the procedure constitute a special case, the patient can return to his or her normal daily routine the next day.
If you are anxious around a dentist, your pain threshold is low, gag reflex develops during treatment, or if you need a wide range of complicated and lengthy dental treatments, sedation can be a good option for you.
Sedation eliminates fear and provides a comfortable treatment. It also provides pain control and eliminates anxiety. Since sedation can be performed in dental clinics, it is an effective, predictable and reliable alternative to general anesthesia.
Sedation is a process of administering sedative drugs to produce a state of calm or relaxation. One of the ways to administer sedative drugs is through intravenous administration. Intravenous sedation by the anesthesiologist is both effective and safe. You will not notice, sounds, odor and the needles used when you are under sedation. Even if your treatment is lengthy, you will perceive it as fast procedure. Your dentist can complete different treatments in a single session, which normally requires more than one visit such as dental fillings, extraction, periodontal operations and dental implants.
Another advantage of sedation is that it provides relaxation in patients with Parkinson’s Disease and Cerebral Palsy where movement control is impaired. When the patient is relaxed, the patient’s involuntary movements do not prevent the dental treatment. In addition,some systemic diseases such as hypertension and diabetes can be exacerbated by emotional stress. Moreover, sedation is also very useful in controlling panic attacks.
With anesthesiologist and appropriate equipments, you can overcome the anxiety and fear of a dentist or undergoing dental treatments. All the dental treatments are easily and aesthetically administered and healthy smile is achieved.