General Anesthesia


WHAT IS GENERAL ANESTHESIA (NARCOSIS) AND SEDATION?

General anesthesia is a type of anesthesia in which the patient is anesthetized by intravenous drugs and / or anesthetizing gas. Sedation is an anesthesia in which the calmness is achieved by administering intravenous drugs and sometimes oral drugs to the patient. The most important point here is to adjust the level of sedation. Considering the application of sedation in the mouth, the patient should be sedated in a way that does not jeopardize his breathing. Deep sedation can cause more harm than good. For this reason, general anesthesia is considered much safer than deep sedation. In addition, sedation does not have an anesthetic effect, so local anesthesia is also applied to the patients to numb the area to be operated on.


WHICH TYPE OF PATIENTS ARE PREFERRED IN GENERAL ANESTHESIA / SEDATION DENTISTRY?

• In physically disabled children,
• In mentally handicapped children,
• Children or adults who cannot be contacted despite urgent need for treatment,
• In young children who cannot be treated through persuasion with widespread caries called baby bottle decay or early childhood caries,
• In cases where medical risks will decrease if general anesthesia is applied (such as some systemic diseases),
• For children who need to be treated in a single session for any reason (sitting in a remote place, risk of allergic reaction, etc.).
Adult patients with severe phobia (fear)
Surgical interventions requiring general anesthesia (Bone graft, Bone cyst, etc.)
• Patient group who want many surgical procedures that cannot be performed in a single session with local anesthesia in a short time (such as 2 hours) under general anesthesia.
 


WHAT ARE THE ADVANTAGES OF DENTAL TREATMENTS UNDER GENERAL ANESTHESIA?

• Performing all procedures in a single session prevents the family and the child from being worn out during the treatment process.
• The risk of injury that may occur as a result of sudden movements made by young children uncontrolled is eliminated.
• Thanks to the controlled working area, all stages of the treatment can be completed ideally, especially in young children with communication difficulties.
 


DOES PAIN FEEL UNDER AND AFTER GENERAL ANESTHESIA?

You will not feel any pain during the operation. In cases where extraction is required, local anesthesia is applied together with general anesthesia. Only very young children may be disturbed by this feeling of numbness due to local anesthesia, which they realize after the operation, or due to the gap in the area where the tooth extraction was performed.
 


HOW LONG DO THE PROCEDURES MADE UNDER GENERAL ANESTHESIA? IS IT NECESSARY TO STAY AT THE HOSPITAL AFTER?

The duration of the procedure varies depending on the patient's procedures to be performed in the mouth. What should be remembered here is that the dental treatment procedures do not start immediately after the patient is taken to the operating room. Before and after dental treatment procedures, it is the preparation phase of the patient that can take approximately half an hour in total. After the procedure, it is kept under observation for about 1 to 2 hours and then discharged.
 


WHAT SHOULD BE DONE BEFORE GENERAL ANESTHESIA?

• It will be important for our patients to fully inform their physicians about their current and past diseases and the medications they use before general anesthesia, and to comply with the dose adjustments of the drugs they use before the surgery, in order to regain their health in the safest way after anesthesia.

• Complications due to anesthesia (general or sedation) are extremely rare as long as it is performed in expert hands and under appropriate conditions. What every anesthesiologist is most afraid of; the patient is full. Because if vomiting occurs in the patient during full anesthesia and this vomit passes to the patient's lungs, it may lead to Pulmonary Pneumonia (Pneumonia), which can be extremely severe and fatal. For this reason, we strongly want our adult patients to be hungry and thirsty (such as fasting) for at least 8 hours. In pediatric patients, it is important to pay attention to the duration of hunger and thirst that is told to you according to the age of the child.

• In order for the patient to be under general anesthesia, they should not have any infection such as influenza.

• Many families wait for dental treatments under general anesthesia to teach tooth brushing training. However, the right thing to do is to brush your child's teeth very well from the moment this procedure is decided. Because even if tooth decays are not reduced by this, gingival diseases will be relieved and thus your child will not bleed on the gums during treatments. It should not be forgotten that bleeding in the gums is the most important factor that increases the operation time.

• Having at least two accompanying persons will ensure that your child is not alone during the registration procedures to be carried out in and out of the hospital.
 


​IS GENERAL ANESTHESIA RISK FOR DENTAL TREATMENT?

The risks of anesthesia are closely related to the patient's general health status, age, and the extent of the planned surgery. The risks have been reduced significantly with anesthesia applied under the supervision of an anesthesiologist for the last 20 years. But it can never be said that "there is no risk". For this reason, all necessary measures are taken for you to be operated in the safest way. These risks can be minimized by taking your doctors' warnings into consideration.
 

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