General Anesthesia in Dentistry
Modern dentistry makes possible high quality, comfortable dental treatment for all patients.
Dentists will use general anesthesia to improve patient outcomes in some cases. The dentist decides whether anesthesia is called for based on the patient’s medical history and the condition of the oral cavity . Prior to any anesthesia,, the patient must undergo a thorough medical checkup, including an electrocardiogram
DENTAL TREATMENT UNDER GENERAL ANESTHESIA IS INDICATED FOR THE FOLLOWING MEDICAL REASONS:
The patient has a central nervous system disease that does not allow for dental treatment under local anesthesia
Severe jitteriness or panic-driven fear of dentistry such that the patient cannot tolerate;
Significant vomiting reflex in response to dental manipulations;
A patient’s sensitivity to the anesthetic agent used for local anesthesia;
The necessity for extensive treatment or complex surgical interference for dental problem isolation that should be performed under general anesthesia

DENTAL PRACTITIONERS PRESCRIBE GENERAL ANESTHESIA IN THE FOLLOWING COMPLICATED CASES:

to remove a third molar with a complex root including (a non-erupted one) that is causing pain;

implantation is required, especially with additional methods of rehabilitation or higher complexity.

the implantation with additional methods of rehabilitation of increased complexity is required.
Important
Even those patients who have no medical indications for dental treatment under general anesthesia, may ask the dentist to prescribe it if they do not want to experience the uncomfortable sensations that arise in the course of performance of different dental procedures. In the absence of contraindications, the dentist will treat or remove teeth under general anesthesia.
The significant advantages of dental treatment under general anesthesia are the following:

More teeth may be removed and treated under general anesthesia than under local anesthesia. Therefore, the general anesthesia is recommended when a patient requires complex and extensive dental treatment

General anesthesia allows to perform all manipulations more quickly. The dentist need not to constantly be distracted in order to overcome the patient’s fear, and he may completely focus on the procedure of tooth treatment or removal.

A calm atmosphere allows the dentist to provide better treatment. A patient under general anesthesia will not move or close his / her mouth unexpectedly at the sight of a dental appliance. Therefore, the dental practitioner can perform all manipulations in a comfortable environment, which significantly reduces the risk of accidental injury to the gums or mouth.

For patients who have negative emotions and associations , surrounding a visit to the dentist, anesthesia can gradually overcome the fear of dental treatment. Soon,
such a person will calmly come for preventive examinations, and, at some point, the dentist can care for their teeth under local anesthesia. (Staff will clear all dental appliances and used materials while the patient remains under anesthesia.)

Following general anesthesia, the patient does not feel pain or tingling. The feeling of heat in the gums that often occurs following local anesthesia is not present.

General anesthesia is safe subject to a certain risk. However, prior to any general anesthesia, the patient shall have a thorough medical check, have his / her samples taken and undergo an ECG. In the presence of chronic conditions, he / she will also consults specialists. A qualified anesthesiologist shall make patient-specific calculations of the licensed drug dose strengths and monitor the vital signs of such a patient in the course of treatment.
Following administration of general anesthesia, the patient falls asleep gently. He or she may be easily woken up, and all the reflexes return to normal in 15 minutes. Complete controllability quickly returns. At the dental clinic, the patient is rests for the necessary period of time. Then they may go home although they should not drive a vehicle following the procedure.
Following administration of general anesthesia, the patient falls asleep gently. He or she may be easily woken up, and all the reflexes return to normal in 15 minutes. Complete controllability quickly returns. At the dental clinic, the patient is rests for the necessary period of time. Then they may go home although they should not drive a vehicle following the procedure.
IN THE UNITED STATES AND IN OTHER COUNTRIES, DENTAL TREATMENT UNDER GENERAL ANESTHESIA IS USUALLY RECOMMENDED FOR ALL CHILDREN UNDER THE AGE OF 7. ACCORDING TO AMERICAN PEDIADONTISTS, IT IS DIFFICULT FOR YOUNG CHILDREN TO SIT IN ONE POSITION WITH THEIR MOUTH OPEN FOR A LONG TIME. GENERAL ANESTHESIA OFFERS THE DENTIST THE OPPORTUNITY TO PERFORM ALL PROCEDURES IN A QUALITY MANNER IN A CALM ENVIRONMENT. IN ADDITION, NO HARM IS DONE TO THE CHILD’S PSYCHE.

THE DISADVANTAGES OF DENTAL TREATMENT UNDER GENERAL ANESTHESIA ARE THE FOLLOWING:
- Some patients, following recovery from general anesthesia, may experience side effects in the form of dizziness, nausea, vomiting and, in very rare cases, confusion. To avoid such consequences, the patient should inform his / her dentist at a preliminary consultation about all chronic conditions and prescribed medications. If necessary, before recommending general anesthesia, the doctor will refer the patient for examination by specialty physicians.
- It is necessary for the patient to be specially prepared for the procedure. For six hours prior to general anesthesia, there must be no food intake whatsoever, he / she may drink and only still water to drink.Four hours prior – the patient is not allowed even to drink water.
- General anesthesia is very expensive.
Dental manipulations under general anesthesia must be performed only by clinics that have obtained a license for such treatment and which have the capability for storage of the medications.They must have an experienced, full-time anesthesiologist. Our clinic meets these requirements!

WHAT TYPES OF GENERAL ANESTHESIA ARE USED IN DENTISTRY?
- Inhalation
Gas flows through a laryngeal mask and induces asleep. - Intravenous
The anesthesiologist injects anesthetic through an intravenous catheter selected based on the patient’s the age and the medical condition.
OF WHO IS CONTRAINDICATED FOR GENERAL ANESTHESIA IN THE COURSE OF DENTAL TREATMENT?
- pregnancy;
- serious cardiac diseases;
- vascular diseases;
- ACUTE DISEASES OF THE RESPIRATORY SYSTEM;
- Respiratory diseases or injuries due to which nose breathing;
- GENERAL ANESTHESIA IS NOT INDICATED FOR PERSONS WHO USE ADDICTIVE SUBSTANCES OR WHO EXPERIENCE HANGOVERS FOLLOWING ALCOHOL CONSUMPTION;


