General anaesthesia is a type of anaesthesia in which the patient is anesthetized by intravenous drugs and anesthetizing gas. Sedation is an anaesthesia in which the patient is half asleep by giving intravenous drugs only. Sedation has no narcotic effect, so local anaesthesia is also applied to the patients to numb the area to be operated on.
It is to provide the appropriate clinical effect and to create appropriate conditions for dental treatment by evaluating the patient before the operation and taking advantage of the effect, interaction and excretion properties of the drugs used.
General Anaesthesia & Sedation Tooth
Which Type of Patients in Medicine Preferable?
It is mostly preferred in fearful and anxious patients, mentally retarded (mentally disabled) patients, elderly patients due to accompanying diseases (such as hypertension, diabetes) and in cases where local anaesthesia is not sufficient (such as jaw cyst, impacted tooth, dental implant operations, jaw fracture treatment) .
The dentist chair is a cause of fear and tension in many patients. Consequently, physiological symptoms such as sweating, vomiting, and low blood pressure occur with an increase or decrease in heart rate. In the patient who reaches this stage, the treatment is either interrupted or even if it is done with difficulty, it will be a problem for the patient to sit on the seat again.
In addition, the stress that children experience when coming to the dentist affects them throughout their lives as a result of dental intervention performed under inappropriate conditions.
Dental treatments done in this way can cause them to avoid doctors and treatment for life and reduce the chance of early diagnosis and treatment of malignant diseases that are common today. This problem can be solved by getting anaesthesia support under safe conditions instead of forcing the children to sit on the sofa.
Sedation Dentistry What Does it Mean?
Sedation is a controlled deep sleep done by anaesthetists. The patient is asleep, but breathing continues, so he falls into a deep sleep. However, even if the patient is in deep sleep, he understands what is said and applies the commands.
During sedation, the patient is not prevented from feeling pain, but relief is provided. This is a great convenience especially for patients who are afraid of the dentist. The situation is also advantageous for the physician.
Because sometimes the patient can move his head too much and it can cause dangerous consequences because of working with cutting tools. This situation can be prevented with sedation.
Are There Disadvantages?
The procedure takes longer than local anaesthesia. However, even if it takes a long time, the patient does not remember any procedure due to deep sleep.
How is it applied?
The patient is asked to come on an empty stomach. A vascular access is opened. General anaesthesiologists perform intravenous drug administration. After that, the patient is constantly asleep, if he starts to wake up, some more medication is given and continues to sleep. Therefore, the patient wakes up very quickly and quickly after sedation.
There are no problems such as nausea after general anaesthesia. The patient regains consciousness 30 minutes after stopping the medication and can go home.
Risks or Non-Applicable
Are There Patient Groups?
There is almost no risk of sedation. It cannot be applied only to people who cannot get general anaesthesia or who do not mind taking it. In addition, people with certain health problems such as heart disease are first examined and then applied.
What is the difference from general anaesthesia?
The only difference between general anaesthesia and sedation is that breathing does not stop. In general anaesthesia, he falls into such a deep sleep that his breathing stops. For this reason, the patient needs to be connected to the machine and breathed from outside. In sedation, the patient continues his normal breathing.
Sedation is More
Who Is it applied?
Sedation can be applied to anyone. It is especially preferred by those with dentist phobia. Most of the patients do not want to hear the sound of the dental treatment tools or some patients may experience nausea. Sedation can be used as a very effective method in these people. Sedation also plays an important role in children’s dental treatments.
Because especially forcing children to an unwanted procedure can create a dentist phobia that will continue throughout their lives. Therefore, if there is a procedure that needs to be done until a certain age, doing it under sedation prevents that phobia from occurring.
When making a sedation what should be attention?
It is a great advantage that the place where sedation will be performed is the center. Because the only complication of sedation is that if the anaesthesia interval cannot be adjusted well due to the patient or physician, there is a risk of stopping breathing. In such a case, an order that will take the patient to general anaesthesia should be in the center.