Sedation in dentistry for children: what is it, reviews, price
A new type of analgesia – sedation in dentistry for children and adults needs to be explained what it is, what is the price and the reviews about it. Strong fear, fear of the readjustment of the teeth is causing a real phobia, disrupt timely dental fillings. Patients love to go to the doctor even if the first time the procedure was painless, without injury to the nervous system.
Modern methods of anesthesia can turn a trip to the doctor in a pleasant and exciting journey. Local anesthesia allows you to remove the pain for an hour or more, but all the activities carried out by the doctor, the patient is feeling.
The actions of the dentist in the treatment of:
- touching the teeth and gums;
- work vibrating forest.
All this allows us to relax, and only has a psychological pressure. Deep anesthesia in this situation disables the human consciousness and allows all procedures. But for children recommend gentle method that is easy to use and doctors is sedation.
What is sedation in dentistry?
Sedation eliminates stress and nervous tension, but pain sensitivity is maintained, so the integrated application of these two methods. The patient does not feel discomfort and pain, being conscious, his emotions are dulled and he can relax.
Under sedation understand the complex of the actions directed to leveling the psychological state of the person and the immersion of the patient into a light slumber. For these purposes, permitted use harmless drugs that relieve anxiety and facilitate the work within the dental profile.
- The deep oppression of consciousness, the patient falls asleep and is not able to show a reaction to stimuli. This method has many contraindications. The inquire about the availability of the license of the clinic for the procedure.
- Surface preserving the reaction is carried out with preservation of all reflexes, and the ability to give answers to medical questions.
Advantages of this type of anesthesia are:
- the ability of independent breathing;
- verbal contact with preservation of the reflex function;
- stable blood pressure;
- the lack of stress, pain and tension;
- the increase in volume of carried out works for sanitation of the oral cavity for 1 visit;
- after exiting NAP no negative effects.
With innovative technique it is possible to perform multiple implantation that lasts from 4 hours and can remove wisdom teeth and to build up the periosteum.
Delivery of drugs in the body:
- inhalation (nitrous oxide through a mask);
- oral (mainly in children);
- intravenous (via catheter introduced through the vein sodium thiopental, propofol or benzodiazepine substance range, can connect drugs).
Intravenous sedation should be done by an anesthesiologist. Before performing any type of anesthesia, the doctor clarifies the presence of transferred and related diseases, allergic reactions.
Additional examination of blood:
- General analysis;
It is necessary to make an electrocardiogram and to get a response from the cardiologist. A small dose of a sedative medication before the local anesthesia is called premedication.
The most widely used method of anxiety relief is oxygen sedation. It is used in adults and in pediatric practice. Only the anesthesiologist survey decides that the drug and its volume, the duration of the procedures. Adults often use intravenous sedation.
Children resort to the oxygen and nitrogen of the mixture through a nasal mask, leaving access to the oral cavity. Sedatives are not applied, but the effect is the same – calmness and lack of stimuli. It is important to sedation until the baby is in a good mood, the outbreak of hysteria will not stop under the influence of drugs.
Indications and contraindications
Doctors do not recommend sedation to children during the acute stage of chronic diseases. Since it increases intracranial pressure, it does not suggest patients with epilepsy, so as not to provoke the beginning of an attack. Fluctuations intracranial pressure harmless to healthy children, as they are not intense.
- Children up to 3 years.
- With respiratory disease and shortness of breath.
- Epilepsy or EPI status.
- With allergic reaction to drugs.
- With increased intracranial pressure.
Children do not come into verbal contact with the doctor, sanitation carried out under anesthesia.
Indications for conducting this type of sedation are:
- A crippling dental phobia.
- Increased emotional excitability.
- Pathology of the cardiovascular system.
- High blood pressure, arrhythmia, angina.
- Removal of teeth with twisted roots and wisdom teeth.
Surface sedation is not carried out for pregnant women and persons under the influence of alcohol, suffering from neuromuscular diseases. Children with paralysis, autism and down syndrome often have to use anesthesia. The disadvantages of this method lie in the inability of patients to control their behavior and communicate with the dentist is available, so the usual procedure for them becomes impossible.
Withdrawal from a sedative state
A calming effect takes place immediately, after removing the mask. Drug sedation requires up to 60 minutes to return to active wakefulness. To prepare for anesthesia is not necessary. Patients needs to be examined on the plan prescribed by the attending physician.
On the day of the reorganization do not drink caffeine for 24 hours, refrain from beverages containing alcohol. You can eat any food, and before the procedure it is better to eat something.
Events after sedation:
- rest and relaxation within an hour or a little more;
- failure from driving vehicles during the day.
A state of sleep and slight confusion, unsteady gait persisted for about 4-5 hours after the procedure.
Possible implications for children
Sedation in dentistry the children are nitrous oxide, intranasal. The child should be a pleasure to put on the mask, where will be served the drug with the sweet smell of the fruit.
What happens to the child during sedation:
- the oppression there;
- no pain;
- the child does not cry, he is calm and balanced;
- harmful effects on the body are not;
- the child responds to questions, and willing to endure all the manipulation.
Dive into a light sleep occurs when 100% oxygen and then enters the compound of nitrogen in small portions. In a few minutes volatile substances are distributed through the vessels, and with the end of inhalation of vapours leave the body. Dental centers use the most gentle method of sedation, when the little patient receives 100-200 ml of juice from citrus fruits with sedative drug and drinks it.
The cost of the procedure
How much money you need to pay for the sedation depends on the clinic and its location, of services in the country varied. Payment in one dentistry is significantly more the same procedure in another clinic.
Choose a place not on price, but the reviews and the qualifications of medical personnel. Remember that anesthesia in unskilled hands can result in unpleasant consequences because of defective equipment and dangerous drugs.
The price for the sedation:
- from 2 thousand;
- up to 10 000 for every 60 minutes of the procedure.
In a good clinic you are constantly being watched by the anaesthetist, and in the office are all kits to provide emergency assistance.
Video: sedation in dentistry.
I always was horrified to imagine the next visit to the dentist, until recently suffered the pain and applied only in extreme cases. And so I decided to go to one of the best specialists of our city, which from the first visit to understand my condition and what I can not stand the torment. He offered to treat teeth under sedation. The procedure was not cheap, I got an injection into the muscle, saliva immediately began mouth less. Then under the drip wanted to sleep, I feel relaxed and I felt complete relaxation. I heard what is happening, could open eyes. It cost 3 thousand rubles per hour, but after treatment I still went slightly blurry and slightly dizzy. Suggest procedure!
For several years I had no problems with my teeth, but at some point the breath and the hole in the far chewing surfaces. I finally decided to align the dentition and braces. Presenting the scope of the activities, I immediately wanted sedation and did not regret. I removed several teeth and treated teeth with deep caries and pulpitis. Only hurt at the first shot, and then I fell asleep in a few minutes and felt nothing.
I rarely go to the dentist, because from childhood to tremble afraid of the sound of a drill and a crimper in the tray on the table. I treated the teeth under anesthesia, but the memory stubbornly drew me scary images, once again, when I had 3 teeth on the queue, removing nerves and filling of root canals, I decided. I was assigned to alternative anaesthesia procedure sedation. For owners of a phobia of dental treatment, the mind turns off quickly and you see only images like in the movie. Want to participate do not want to – see. Within days I was completely back to normal, gone sleepiness and problems with coordination of movements. I was pleased with the procedure.