Dental treatment under General anesthesia: anesthesia, sedation
Currently, dental treatment under General anesthesia is the norm, because dental procedures are accompanied by painful sensations. This is due to the fact that the mucosa, the gums sensitive, so any interference, the body responds with pain. Until recently, the diagnosis and manipulation in the oral cavity was performed without anesthesia and was not considered that it should be applied without major surgery. It was often the cause of failure to visit a specialist, because there was fear, and pain. Now doctors frozen mouth, even at an elementary treatment of caries, which makes the procedure absolutely painless.
What is anesthesia
Anesthesia in dentistry has species and subspecies. Is divided into local and General. The first is directed at a specific area of the body, and the second immobilizes a person completely, i.e. use full anesthesia. Also anesthesia of the tooth can be medical and nonmedical. The first involves injection of the drug, blocking and preventing the pain for a time, allowing the doctor to work without causing the man pain. Further, the effect of the drug begins to weaken and sensitivity are gradually restored.
Non-pharmacological effect is subdivided into a number of subspecies, such as autoanalgesia, electroanalgesia, hypnosis, computer anesthesia. Clinic depending on its consistency can offer the patient different options for anesthesia, but most common is injection of the drug. Dental treatment under General anesthesia applies only in cases of serious surgical procedures relating to jaw parts, especially because anesthesia as opposed to local effects harmful to the body.
The use of local anesthesia
To carry out frost tooth, apply different methods of local anesthesia. For injections, use drugs Novocaine and Lidocaine, but they are not exhaustive. Now there are many other ways to make the treatment painless.
Use spray or ointment, which are sprayed or applied to the surface of the oral cavity. Thus, there is a superficial anesthesia of the mucous membrane. This method can be used if planned for the not very serious of medical procedures such as treatment of stomatitis, gingivitis, remove purulent formations. At surgery, the effects of spray and ointment will be inefficient, painful sensations are inevitable.
Infiltration and conduction anesthesia
Has a place in the treatment of deep caries and the destruction of nerve endings. Introduced in the upper part of the tooth that allows you to quickly get inside and block the impulse to the nerve endings.
- Infiltration anesthesia in dentistry is more suitable for the treatment of upper teeth, because this part has a small thickness of the bone.
- If there is a need of anesthesia of the teeth, near the patient or the infiltration did not produce results, use conduction anesthesia. It directs its action not on a specific tooth, and blocks a branch of the nerve bundle.
This is done when it is necessary to make the extirpation of teeth, treatment of abscess, if necessary, opening of abscesses.
Conduction anesthesia in dentistry need when you troubleshoot exacerbations of chronic periodontitis for the removal of purulent formations with the drainage system.
Treatment of teeth with intraosseous anesthesia is required if the operation is done by removing the tooth, which implies a complete removal of the tooth roots. It is an extreme measure when other methods of treatment will not bring results. Often extends to the root, wisdom teeth, if diagnosed dislocation, deep decay, violation of the cysts, etc.
The teeth treatment under narcosis with these symptoms will be superfluous, but intraosseous allow to anesthetize gently, without discomfort to remove a bad tooth. To do this, first the injection is administered in the gingival area, and after come numbness put an anesthetic injection in the gum where the interdental space. Anesthetics does the job instantly, a small area and remove the tooth becomes insensitive.
The so-called intraligamentary anesthesia, which is used for children. Treatment of milk teeth under General anesthesia to produce pointless, especially when you consider that the latter is an extreme measure. And vnutrimatocny impact with the removal or treatment of the tooth in children is the perfect option. The drug is injected between the wall of the alveolus and the root of the tooth. This space is the location of the periodontal ligament. The advantage of using this method is that the mucosa in your mouth is not deprived of sensitivity. For children this is important because this effect will not allow the child involuntary prokusyvanie the cheeks, lips or tongue, and the existing drug can save you from pain after visiting the doctor.
Dining room anesthesia
Types of anesthesia in dentistry have a wide range of applications in different conditions, symptoms, complications of the disease. Dining room anesthesia is a strong method of anesthesia in which a drug is carried out in the base of the skull. It is necessary that the anesthesia has frozen the upper and lower part simultaneously. This technique is needed when severe pain and for the treatment of neuralgia in the region of the jaw parts. Analgesia of both jaws takes place in the presence of injuries and violation of the zygomatic bone, and also for carrying out surgical operations.
Sedation as one of the most effective methods of anesthesia
As it turned out the dental treatment under General anesthesia is harmful and not always necessary. Additionally, anesthesia in dentistry, can cause complications after the doctor’s visit. Therefore, the ideal becomes a local anesthesia which allows for a short time to turn off the sensitivity. This time is enough for performing procedures, as well as on the primary period of tissue healing. But that anesthesia eliminates the sensitivity, but tactile sensations remain unchanged. Thus, the patient feels pressure, vibration press, and it becomes uncomfortable and the person is in a nervous tension. It is therefore recommended dental treatment under sedation when pain relief is the whole complex of measures aimed at elimination of the pain and normalization of the nervous condition of the patient. Sedation in dentistry allows you to enter the patient into a slumber, thus, painful sensations are completely absent and the patient is in a peaceful state, without any anxiety.
Indications and contraindications to sedation
Each patient once again undergoes the procedure, sedation, that is dental anesthesia local orientation. Sedation in dentistry is necessary if the patient suffers a crippling dental phobia or he’s increased emotional tension, there are radical pathology, which are accompanied by high blood pressure and diagnosed disease angina and arrhythmia.
Dental treatment with sedation is necessary, if you are removing complex objects (wisdom teeth), when the procedure takes several hours.
Although these readings are not exhaustive, if a person has the desire, the doctor is not entitled to refuse to apply a soothing technique. But there are contraindications, in which sedation dentistry is not applicable. When contacting the specialist is required to determine the General condition of the patient, characteristics of the organism to the drug component, etc. this is Due to the fact that sedation is not recommended for pregnant women, individuals with allergic reactions to the drug, neuromuscular disorders. Contraindicated for sedation of patients in alcoholic, toxic or psychotropic condition.
General anesthesia in dentistry
Although this type of anesthesia is used less frequently than local, but still it has a place in the treatment of diseases of the oral cavity. In Soviet times, General anesthesia during dental treatment was considered a luxury, and the conditions of health care institutions were not such as now. Furthermore, the use of full anesthesia was accompanied by a after different kinds of complications which at the moment was much smaller. This is due to the fact that medicine is not in place, and the development direction is now the presence of clinics in almost every neighborhood of the big city. And it’s not just doctor’s offices, and modern, upgraded, equipped institution that meets all the requirements of this kind of organizations.
General anesthesia is a great wrestler with stomatologia because the patient is in a completely disconnected state, it lacks the tension, the fear, the fear, and the doctor can easily treat. The only question is price, because complete anesthesia is the most expensive of all means of anesthesia. It should also be subjected to euthanasia when the body does not respond to local anesthesia. It happens that Procaine and Lidocaine do not can freeze the treatment area. Naturally complex operations must be conducted under full anesthesia because the doctor needs a lot of time, and the patient requires a lot of patience, which nervous condition is not enough.
Is it possible to sedate children for dental treatment
Dental treatment under General anesthesia can and children, but not abuse it. You should use this method only in extreme cases when, for example, the child is so hyperactive that put him in a chair is impossible, and cure the teeth. Do not forget about the children’s fear, because at the sight of people in white coats, the peculiar smell of drugs floating in medical institutions, often screaming and tears of other children scaring the baby. And then he sees a chair, a drill, pliers, miscellaneous tools, and it makes a huge panic. No entreaties, promises, and sweet will not force a child to go to treatment and only a small injection, which can accept a child, if you tell him that after going home, the doctor will safely proceed to the treatment.
Question about how safe a anesthesia during dental treatment in children still remains open, because there are supporters of General anesthesia and opponents. Some say that to use the full sleep and to inject the drug into the body can not, every time the anesthetic will affect the cardiovascular system and how much damage done is unknown. Others argue that a few hours under light anesthesia is not able to cause significant or even minor damage. The only thing to consider is the consequences when anesthesia will depart, how much time will it take to the General condition of the human body stabilized. Here age plays a significant role, because the older the patient, especially for older people, the harder they come back to normal after General anesthesia.
Nowhere without anesthesia
Summing up, it should be said that no matter how scared the patient of the doctor, without anesthesia, the treatment would be unbearable. If you plan an easy procedure, it is better to use local anesthetics injection or aerosol exposure. For complex operations necessarily require General anesthesia. But anyway, surgical intervention should not be subjected to occurrence of pain.
Twenty-first century, new technologies, modern equipment, highly qualified specialists, a wide range of products, and most importantly, accessibility. This just isn’t right that people wanting to become healthy and beautiful, pain. Most importantly, the doctor said, is it possible to treat teeth with the use of a particular anesthetic.