General Anesthesia and Sedation

Dental caries, are not only affecting oral and dental health of children, it also effects on general health, regular diet, regular sleep pattern and psychology of children. Therefore, if any, dental caries should be treated starting from the first moment they are diagnosed. However it is not always possible to make dental treatment on dental chair for children having dentist phobia and non -cooperated. Also there is injury risk especially for treatment of children in early ages, because they can move suddenly.

Therefore, making treatments of children that can not be treated on dental chair under general anesthesia facilitates both children and their parents’ lives. Under General anesthesia, all the planned treatments can be performed in a single session and this situation provides comfort for both the parent and child.

The Patient Shouldn’t be Separated From His/Her Family !

The child should be examined by general anesthesiologist before deciding to make dental treatment under general anesthesia, in terms of checking if there is any harm or not. In situations that there is no harm for child to receive general anesthesia, he/she is taken to a special room with small surprises on the day of operation. Primarily relaxation of the child is provided by using oral or rectal sedative medications near his/her mother and father. Slightly sleepy child with the effect of the medicine, is taken to the operation room. With the help of this he/she don’t feel like leaving his/her family and don’t remember anything later on.The child is awaken by general anesthesiologist just after completion of all the caries and preventive treatments by a pedodontist. The child who is taken next to his/her mother and father again in a short period of time after the procedure, sees her/his mother and father when he/she opens his/her eyes. Therefore the child thinks he/she is always near his/her mother and father so he/she can easily adapts his/her normal life after sedation or general anesthesia. And in school period, he/she can continue his/her school the day after.

Who Can Have General Anesthesia ?

  • Physically handicapped children,
  • Mentally handicapped children,
  • Children who need restorative or surgical treatment but can not have local anesthesia due to acute infection, anatomical variations, or allergy, ,
  • Children who need emergency treatment but can not be cooperated,
  • Small age children having extensive caries called baby bottle tooth decays or early period decays,
  • Children if medical risks will decrease in case of general anesthesia ( children having some kind of cardiac disease ),
  • Children whose treatment should be completed in one session from any reason (living in a remote place, allergic reaction risk etc. ).
  • Especially for children having multiple dental caries in babyhood and pre school period, making dental treatments under general anesthesia provides healthier treatments. Additionally, dental treatments can safely be performed for all children having cooperation problem. Both children and parents are not exhausted from dental treatment sessions thanks to this method.
  • Dental treatments can only be performed under general anesthesia for children who are mentally or physically handicapped.
  • Especially for children having multiple dental caries in babyhood and pre school period, making dental treatments under general anesthesia provides healthier treatments. Additionally, dental treatments can safely be performed for all children having cooperation problem. Both children and parents are not exhausted from dental treatment sessions thanks to this method.

    Points Stick in Parent’s Minds Related with General Anesthesia

    Parents are usually concerning about their children to go under general anesthesia. There are many parents thinking that there is no need for a procedure like this especially for deciduous teeth that will be change. However, deciduous teeth starts changing in 7-8 years old. Changing of molar teeth are completed in 11-12 years old. It is not correct for children living with caries until that age.  Those teeth with caries that each one becomes a source of focal infection, are creating a serious risk in terms of both generalhealth and oral and dental health. Additionally, decayed teeth prevents regular feeding of the child and may lead irregular night sleeps and caries on front side also may cause psychological problems.

    Nowadays general anesthesia is performed extremely safe and comfortable with the help of new anesthesia techniques and medicines. The important thing here is to perform this procedure in a full fledged hospital and by specialist doctors. .

    The experience of the dentist about this field who will make the treatments under general anesthesia is very important. As you know, dental treatments are long lasting treatments especially when more than one procedure will be done. Dentists specialist in their field can shorten this period as possible as they can and at the same time they can prevent recurrence of general anesthesia.

    Dental treatment under General anesthesia can be performed in every age starting from the first eruption of teeth in 1 year old. Duration of the treatment depends on the number of procedures.

    For a child who is scared too much, even dental examination may last approximately 1 hour, but all preventive treatments and decay treatments can be done in 1-2 hours by an experienced pedodontist under general anesthesia.One thing that should be done by mothers and fathers before the procedure is to start brushing their childrens’ teeth regularly and in an appropriate manner. Having healthy gingiva and not having bleeding related with not brushing will directly effect the duration of dental treatments under general anesthesia. The major problem during the treatment of  tooth decays is gingival bleeding related with not brushing regularly in a long period of time. Dental treatments are performed much more easily and in a shorter time period by means of preventing gingival bleeding with this way during fillings.After the procedure children are referred to their home after resting in recreation room under supervision for 1-2 hours with their family. Children who are going to school may continue their school the day after the operation.The most important thing to becareful about is to continue brushing in a regular and proper manner. It should be kept in mind that parents should play an active role in tooth brushing of their children until the age of 6-8 years old.

    Additionally; all dental treatments can be performed under general anesthesia or sedation for very small children who are non-cooperate or children who have phobia or mentally handicapped children.

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