Today, dental treatments are mostly performed with local anesthesia in awake patients.However, in some cases and some patient groups, it is not possible to perform dental treatments with this method. Advances in the science of anesthesia in the last quarter century, dental treatments can now be performed in cases where local anesthesia
cannot be treated awakely. Sedation or General Anesthesia methods are used in these cases.
WHAT IS SEDATION?
There is no exact equivalent of the word Sedation in Turkish. However, the situation can be defined as SLEEPING calmness. During sedation, the patient is able to respond to verbal commands. However, it is calm and prone to sleep.
WHAT IS GENERAL ANESTHESIA (NARCOSIS)?
General anesthesia is a type of anesthesia in which the patient is anesthetized by intravenous drugs and / or anesthetizing gas. The patient is in full deep sleep.Consciousness is closed. There is no response to verbal and painful stimuli.
Who Should Sedation and General Anesthesia Be Applied?
Babies and young children
People with dentist phobia
Operations with extensive surgery
Surgical interventions where local anesthesia will be insufficient
Patients with allergic reactions to local anesthetics
Patients using blood thinners
People who want to finish their long-lasting dental treatments in a single session
HOW SEDAYON IS APPLIED?
The patient who is planned to undergo sedation is first evaluated and examined by the anesthesiologist. Information about the application is given. For sedation, the patient should be hungry for 4 hours. Sedation is performed by giving intravenous drugs to the patient. Calmness is created by giving medicines orally with fruit juice to open vascular access in children. Then, vascular access is opened. The continuation of sedation is maintained by intravenous drug administration. When the procedure is completed, the sedation state is terminated by applying another drug that eliminates the effect of the drug used.The patient is taken to the resting room and kept there between half an hour and 1 hour for precautionary reasons. Then he is sent home.
Are there any side effects of sedation?
The drug used during sedation is the safest drug in the hypnotic drug group. The doses used for sedation have no side effects on any system in the body. Sedation can be applied to the same person over and over at different times. Application time interval for sedation is insignificant. It can be applied again on the same day when necessary. The most common side effect of sedation is vomiting. To prevent this, nausea and vomiting medications are given to the patients at the end of the procedure.
HOW IS GENERAL ANESTHESIA APPLIED?
The patient, who is planned to undergo general anesthesia, is evaluated and examined by the anesthesiologist beforehand. Information about the application is given. In addition, some laboratory tests are done. These examinations are evaluated by the anesthesiologist. If there is no problem, general anesthesia can be applied to the patient.
For general anesthesia, the patient must be hungry for at least 6 hours. Vascular access is opened to the patient in the resting room first. If it is a child, calmness is created by orally administering drugs with fruit juice to establish vascular access. Then, vascular access is opened. After the vascular access is established, medication is administered intravenously in order to increase the calmness a little more and to prevent remembering of entering the operation room. When there is sufficient calmness, the patient is taken to the operation island.
In the operation room, the patient is monitored first. Pulse, blood pressure, blood oxygen level are monitored. The patient is then put to sleep by intravenous medication. It is connected to the breathing apparatus by placing a breathing tube through the nose or mouth. The respirator helps the patient to breathe anesthetic gas in a certain range, volume and mixture. Thus, the patient is provided with full sleep until the procedure is completed. When the procedure is completed, giving anesthetic gas is stopped. The patient is awakened. The patient, who is awakened at a certain level (enough to respond to verbal stimulation) in the operation room, is taken to the resting room. Here, it is waited until the level of alertness reaches the level that can be discharged, and then the patient is discharged home.
Does general anesthesia have any side effects?
The most common side effect after general anesthesia is sore throat. This depends on the tube placed in the trachea. Another common side effect is nausea and vomiting. However, before the end of the operation, we apply anti-nausea and vomiting medication to our patients. Therefore, the frequency of nausea and vomiting in our patients is very low. Another very rare side effect is tremors.