Today, dental treatments are mostly done with local anesthesia without sedation. However, in some cases and for some types of patients, it is not possible to do dental treatments with this method. As advanced methods of anesthesia have emerged in the last quarter-century which allow new dental treatments to be done in cases where local anesthesia cannot be taken Sedation or General Anesthesia methods have become in use with regards to the aforesaid cases.
WHAT IS SEDATION?
There is no exact equivalent of the word Sedation in Turkish. However, it can be defined as a state of calm or sleep produced by a sedative drug. During sedation, the patient is able to respond to verbal commands while he is under treatment.
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 goes in a full state of sleep , in this method There is no response to verbal and painful stimuli.
Who Should Sedation and General Anesthesia Be Applied to?
Babies and young children
People with a dentistery phobia
Surgical interventions when local anesthesia is inapplicable
Patients with allergic reactions to local anesthetics
Patients using blood thinners
People who want to finish their long-lasting dental treatments in a short time
HOW SEDAYON IS APPLIED?
The patient who is set to undergo sedation is first evaluated and checked up by the anesthesiologist and after obtaining the adequate information about the patient situation is ready to be handled , before the treatment patients should be deprived of food and drinks for at least four hours. Sedation is done by giving intravenous drugs to the patient. In children cases we alleviate the situation by orally giving medicines with fruit juice to open vascular access in children. The continuation of sedation is maintained by intravenous drug procedure. 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 for half an hour to one 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 in different times. The 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 rocedure.
HOW IS GENERAL ANESTHESIA APPLIED?
The patient, who is set to undergo general anesthesia, is checked up by the anesthesiologist beforehand and after obtaining the adequate information about the patient situation is ready to be handled. In addition, some laboratory tests are requested. These check-ups are evaluated by the anesthesiologist. If there is no problem, the general anesthesia can be applied to the patient.
For general anesthesia, the patient must be deprived of food and drinks for at least 6 hours. Vascular access is opened to the patient in the resting room first. In children cases we alleviate the situation by orally giving medicines with fruit juice to open vascular access in children..
Then, vascular access is opened. After the vascular access is established and in order to increase the calmness a little more and to prevent remembering of entering the operation room a medication is given intravenously. When calmness come to life, the patient is taken to the operation room.
In the operation room, the patient is monitored first. Pulse, blood pressure, blood oxygen level are under observation. 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 a specified amount of the anesthetic gas, Thus, the patient is provided with full sleep until the procedure is completed. When the procedure is completed, the anesthetic gas is terminated. The patient is awakened. Some patients can be aware somehow to (respond to verbal stimulation) in the operation room, after that they are taken to the resting room, they wait until the level of alertness reaches the level that can be discharged, and then the patient is released home.
Does general anesthesia have any side effects?
The most common side effect after general anesthesia is a 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 level of nausea and vomiting in our patients is very low. Another very rare side effect is tremors.