In order to ensure the patient’s comfort and acceptance of the procedure during the procedures to be performed with local anesthesia, you should not eat anything 3-4 hours before because certain levels of consciousness change occur during sedation and You are asked not to drink (to stay completely hungry and dehydrated). Drugs used for sedation are also anesthetic drugs, albeit in low doses. It is a support method applied by the Ezi doctor and calming the patient. With the effect of drugs administered intravenously, the patient willingly and easily accepts the treatment. Excitement and anxiety disappear. It may be necessary to make small additional doses of medication during the procedure. Adult patients who are consciously sedated during the procedure hear and follow the commands (open your mouth, breathe deeply, etc.). However, he is in an indifferent, relaxed and sleepy position as if this procedure is being done to someone else.
Pediatric patients who require deeper levels of sedation cannot hear verbal stimuli but can respond to repeated loud stimuli. During the procedure, the patient’s own breathing continues, rarely low-dose oxygen support may be required. The patient’s oxygen pressure and heart rate are constantly monitored. At the end of the procedure, the patient is kept under observation for 30-45 minutes depending on the rate of removal of the drugs from the body (metabolism rate) and is sent home with a companion. When pediatric patients wake up, they may wake up as a grumpy, irritable, crying child. This irritability usually lasts for 15-20 minutes, rarely 2 hours. After the sedation is over, patients are instructed not to eat anything for 1.5-2 hours.
WHAT IS GENERAL ANESTHESIA IN DENTISTRY?
General anesthesia (narcosis) is a sleep-like state that makes painless surgery possible. The drugs used for this purpose are also called general anesthesia drugs. During general anesthesia, consciousness and pain sensation disappear completely. General anesthesia drugs can be in two forms, gas or liquid. If gas anesthetics are to be used, you are asked to take deep breaths through a mask placed on your face. In this way, the mixture of oxygen and anesthetic gas supplied from the anesthesia machine passes from the lungs to the blood, creating a state of sleep. Liquid anesthetics, on the other hand, are administered directly into the vein (blood circulation) through a serum needle attached to the hand or arm. For the initiation of anesthesia, the first method (mask anesthesia) is preferred in small children and patients who cannot be contacted, and the second method (intravenous anesthesia) is preferred in older children and healthy adults who have intravenous access. Depending on the duration of the procedure, anesthesia is maintained with anesthetic gases or intravenous anesthetic drugs. Anesthesia continues until the procedure is completed.
Respiration support is required during general anesthesia. For this purpose, anesthetic drugs are administered with continuous oxygen through a breathing mask placed on the mouth, nose or larynx or a breathing tube placed in the trachea. When the procedure is over, the anesthetic drugs are stopped and you are awakened. When waking up, the anesthesiologist often asks you to breathe deeply, swallow the saliva in your mouth, and open your eyes.
Necessary measures are taken by your anesthesiologist to eliminate undesirable effects such as pain, nausea and vomiting that may occur after general anesthesia.
WHO IS APPLICABLE TO SEDATION AND GENERAL ANESTHESIA?
Sedation or general anesthesia option can be applied depending on the characteristics of the patient and the procedure to be performed in the following cases:
1) Pediatric patients with whom communication is impossible
2) Mentally disabled patients who cannot be communicated
3) It will take too long dental treatments
4) Comprehensive jaw surgery procedures
5) Individuals with extreme anxiety, stress and fear of the dentist
6) Patients with severe nausea and gag reflex
Assist.Prof.Dr . Zuhal Küçükyavuz Göktürk
