Many of us are afraid of going to the dentist, but thanks to the development of modern anaesthetic methods, dental treatment is very rarely uncomfortable, but in order to eliminate discomfort as much as possible during complex treatment or surgical intervention, Sky Dream Clinic specialists recommend treatment under general anaesthesia .

We use medications with a high safety profile, and the most modern systems for monitoring the patient's condition are used during treatment. During treatment in sleep, the patient does not feel pain, does not see or feel the doctor's manipulations.

The patient's condition during sleep treatment is monitored by an experienced team of anaesthesiologists and resuscitators.

When a general anaesthesia treatment is recommended?

• Dentophobia/dentophobia (panic fear of dentistry in both children and adults);
• Very low pain threshold;
• Strongly marked gag reflex;
• Individual intolerance to preparations included in local anaesthesia, allergic reactions;
• Mental abnormalities that exclude the possibility of contact between the doctor and the patient, when the patient is unable to adequately respond to the actions of the doctor;
• High volume of work or very long treatment time, e.g. placement of several implants.

Preparation for surgery includes:

Prior to treatment under general anaesthesia, the patient will receive preparation instructions:

• The patient should have an ECG (without orthostatic test) before general anaesthesia, valid for 30 days;
• Incomplete blood count, coagulogram (aptl, PI, INR PL);
• Preliminary consultation with an anaesthesiologist, with assessment of physical status;
• Conclusion of the family doctor. The doctor gives an opinion that you are ready for treatment under general anaesthesia;
• After all examinations, another consultation with the anaesthesiologist.

Recommendations on the day of surgery:

• Do not eat for 8 hours before surgery, you can drink water, tea without sugar 2 hours before surgery, coffee with milk 4 hours before surgery;
• No smoking on the day of surgery;
• Exclude alcohol for at least 48 hours;
• If the anaesthetist prescribes medication, take it;
• Dress uniform should be loose and easily unbuttoned;
• There must be a chaperone to escort you back to your place of residence at the end of treatment.

Stages of dental treatment under general anaesthesia

Immersion in anaesthesia

• An anaesthetic is injected into the body, the patient becomes drowsy, pain sensitivity disappears and gradually falls into sleep. There is a stage of analgesia, when all reflexes are still preserved, and pulse, blood pressure and breathing are almost unchanged. After a few minutes, if necessary, the patient falls into a state of deep sleep, during which surgical intervention can be performed.

Treatment

• If treatment is required for severe hard tissue and gum lesions, extraction of teeth with several crooked roots and other complex cases, deep sleep immersion is necessary.
• Throughout the treatment, an anaesthesiologist-anesthesiologist-animatologist is next to the patient, who constantly monitors vital signs: blood pressure, respiratory rate, oxygen saturation of tissues, body temperature.

Post anaesthesia monitoring

• With coming out of anaesthesia gradually begin to recover reflexes, it takes about 5-10 minutes. The anaesthesiologist monitors the patient's condition for another half an hour. The patient goes home accompanied by someone else.

Treatment under general anaesthesia is an opportunity to solve maximum dental problems in one visit. Of course, this method of treatment has contraindications. Each specific case is discussed with the attending physician and the anaesthesiologist.

Contraindications

• Diseases of the cardiovascular system in chronic and acute form;
• Asthma;
• Diabetes mellitus;
• Diseases of the respiratory tract in the stage of exacerbation;
• Mental disorders in the stage of exacerbation;
• Acute diseases of the nervous system;
• Pneumonia;
• Alcohol intoxication;
• Immunodeficiency states;
• Severe kidney and liver diseases;
• Pregnancy.

Possible consequences

After the completion of manipulations, the patient may encounter such complications as delirium, hallucinations, respiratory dysfunction, nausea and vomiting. These can be avoided by careful preparation of the patient and accurate calculation of the drug dosage.

How much is the cost of dental treatment under general anaesthesia

The cost of a general anaesthesia depends on the chosen preparation and the duration of the planned procedures. It is determined during the initial consultation with the dentist at the stage of treatment planning.