Children are very difficult to tolerate trips to the dentist. This is exactly the doctor who is afraid from the earliest years up to adulthood. Modern medicine is thinking not only about how and what to treat, but also how to help the child cope with a sense of fear.
Fear of a child actually bears many difficulties for three parties: for the child himself, parents and doctors. As a result, everyone is nervous and tense, hence the wrong consequences associated with treatment may arise.
Recently, the use of general anesthesia has become a popular way to treat children. Under it can be carried out numerous manipulations.
Nuances of the procedure
Thanks to the anesthesia, any person can sleep peacefully. At the same time, he will not hear and feel what is happening around him. This is a special condition that is caused by artificial means. During its operation, the work of the central nervous system is slowed down, the threshold of sensitivity decreases sharply and the reflex activity is completely reduced.
The drug can be administered in several ways. The first method is intravenous using a needle and a syringe, and the second is using a mask. The medication passes through the respiratory tract, falling directly into brain activity, which temporarily stops the work of many systems in the body.
Please note that this is a reversible condition that can be easily slowed down and returns the child to the senses.
The doctor determines the dosage of the medicinal product himself. It should be sufficient to put the child to sleep.
What will need to be done in advance?
Such a procedure is considered to be rather serious, therefore, as a rule, it is not done for nothing.
There is a certain set of actions that must be followed for general anesthesia:
- Consultation of the attending physician - initially a specialist must conduct an inspection of the teeth in order to understand what the problem is.
He should think about how necessary general anesthesia is. In addition, the doctor talks about its benefits and parents, without the permission of which it is impossible to carry out such a manipulation.
- To pass laboratory tests that confirm that general anesthesia can be carried out to a particular person.
- To exclude food intake 6 hours prior to the planned procedure, and for 2 hours to refuse the use of liquid.
Parents should ask whether the clinic has a license to carry out such a procedure. During general anesthesia, there should be at least 3 people in the office: an anesthesiologist, an attending physician and an assistant.
What anesthetic drug is best for children?
For children, a special anesthetic drug is used. It contains less amount of harmful substances. It is also less strong. However, its use can be considered sufficient for the whole organism.
Specialists in most cases use Sevoran. This is a drug that can be characterized only on the positive side:
- available to receive premature babies;
- does not cause irritation;
- does not have negative consequences;
- at the first breaths of baby
- gradually begins to fall asleep;
- can be combined with therapeutic drugs.
It is customary to single out several types of general anesthesia:
- Inhalation is the easiest and safest form of anesthesia for a child.
A special mask is put on the children, into which the medicinal air flows through the tube. The kid does not do special manipulations. He needs only to inhale and exhale. Already at 2-3 inhale-exhale begins a gradual immersion in sleep. An additional advantage can be just considered gradual. To carry out this type of anesthesia, the drug Sevoran is used.
- Intravenous anesthesia is considered less common.
It is more unprotected from the point of view of psychology. It is mainly used for children who have already inserted a catheter, because in this case it is not necessary to inject an additional drug.
This is a special condition that is different from general anesthesia. The anesthesiologist uses a lighter drug or a lower dose. As a result, the crumb sinks into a superficial sleep, while he hears everything that happens around him. Nonetheless, he doesn’t care much about it. He is in a kind of trance.
There is a complete lack of both stress and pain. After a week, many patients experience amnesia at the exact moment when they were in the chair. Although your son or daughter can communicate with the mother during the whole session, then he will not even remember what was in the dental clinic.
The benefits of sedation are many, ranging from availability to the real price category.
Indications for dental treatment of children in a dream
Not all children can be treated in a dream.
There are a number of indications for which the specialist doctor will act:
- Mandatory traumatic surgery, which implies a complex manipulation;
- panic state in a child who is not amenable to any persuasion;
- severe fear of visiting the dentist;
- dental treatment of children up to 3 years;
- treatment of children with congenital defects of the central nervous system, mental disabilities.
Often, the child requires treatment of several teeth at once. This is a long and tedious process, so it can be helped by general anesthesia, which will put the baby in a state of sleep.
Contraindications to the procedure
Not all children can be manipulated with anesthesia.
Some have contraindications for health reasons:
- Viral diseases, including influenza, ARVI, ARI.
- Lack of body weight.
- Chronic respiratory diseases (asthma, bronchitis).
- Heart defects.
Some of these problems still allow treatment of teeth under general anesthesia. But at the same time, children may need the obligatory help of a specialist doctor, an anesthesiologist, and a rheumatologist. As a rule, in severe cases there is a whole commission on the treatment that monitors the course of the operation.
Pediatric dentistry under general anesthesia: is it safe?
Definitely it can be said that in the world of medicine there is a place to be children's dentistry under general anesthesia. But you can't be sure about her security. Nevertheless, this is a definite interference with the work of the organism, namely into the central nervous system.
Accordingly, a similar process often takes place with a number of complications:
- allergic reaction - according to statistics, only a small percentage of children may experience similar deviations after applying general anesthesia.
Nevertheless, absolutely all medical centers are supplied with necessary medications that will help to return the child to a normal state in a quick time.
- gag reflex - to avoid such a state, it is necessary to exclude food for 6 hours and drinks for 2 hours.
There are opponents of general anesthesia, assuring that it negatively affects the brain cells of the child. However, there is not a single scientific study in the world confirming this theory.
At the same time, it can be noted that if a baby is able to be treated without anesthesia, then it is better to refuse it. If the crumb is under tremendous stress and literally does not allow the doctor to do the manipulations, then it is still worth using a similar method.
Subsequently, depending on the child’s body, a recovery occurs. On this and the next day you should not strain the baby. Try to give him as much as possible affection, love, care and rest.
Dental treatment under general anesthesia in children is a progressive method that helps easier surgery and the solution of many problems. From now on, the baby no longer suffers and suffers tremendous stress. It is important for parents to take care of the child, to make the treatment pass quickly and imperceptibly.
Then the child will not have psychological trauma, after which he will refuse to treat his teeth. Many modern clinics are especially kind to little patients, realizing how important it is to instill a sense of responsibility for their health, which in the future will only bring benefits.
Specialists can work even with the most capricious children who absolutely do not want to make contact. The mastered modern technologies help children to understand how safe and necessary is dental treatment from an early age.