Dental treatment for children under anesthesia: reviews

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Sooner or later, every mother is faced with the fact that the child has a toothache and urgently needs to be taken to the dentist. The reasons for the appearance of discomfort can be different. Moreover, if the child has already been to the dental office, it can be extremely problematic to persuade him to come there again. Often, in order to undergo a simple preventive examination, parents have to persuade or even bribe a child with gifts for weeks. It is very important that adults themselves behave correctly before going to the clinic, that is, they do not escalate the situation and do not provoke the child to fear and anxiety.

Advice to parents

1. Children under three years of age have a reduced pain threshold, which means that the feeling of fear is almost not manifested. This period is ideal for the first visit to the dentist.
2. It is desirable that the first visit be introductory and accompanied by an examination of the child's oral cavity and a recommendation for proper brushing.
3. Beforea visit to the clinic, it is necessary to conduct an educational conversation with the child, explain that dental treatment and care is an important and mandatory procedure, show by example how important it is to brush your teeth in the morning and evening, play a thematic game with the child.
4. If a little patient behaved courageously and with dignity at the reception, it is necessary to praise him, tell him how brave and fearless he is. If the baby was naughty, you should cheer him up and say that next time he will certainly behave obediently.
5. Moms or dads can take their child with them to an appointment to show that there is nothing wrong with treatment. In this case, you should arrange in advance with the doctor about the presence of the child.

If the above recommendations did not help or were not completed on time and correctly, do not panic. Modern medicine offers a paid, but very effective procedure - dental treatment for children under anesthesia.

Types of anesthesia

Today, most of both private and public clinics have a high-class anesthesiologist service under their control, which can individually select and provide pain relief that causes minimal harm to the body. In order to have an anesthesiologist and resuscitator in its staff, pediatric dentistry must obtain a special license from the state, which is not so easy to do, since there is a list of certain requirements for equipment, drugs and materials, as well as for the qualifications of an anesthesiologist andresuscitator.

However, in addition to drug anesthesia, there are non-drug methods of anesthesia: hypnosis, electroanalgia, audioanalgia. Of all these methods, only electroanalgia has gained popularity and is recognized as valid.

Treatment of teeth in children under anesthesia can be of two types: local anesthesia, full anesthesia.

Steps of application anesthesia

This method involves selective anesthesia by the type of applications. That is, the injection site is first desensitized with a mint spray or gel, and after one or two minutes an injection with an anesthetic is given.

In the treatment of caries or pulpitis in children, drugs containing artacoin hydrochloride are used for local anesthesia, since it is five times more powerful than novocaine, and is also less dangerous for the body. In addition, artacoin hydrochloride is eliminated from the body after twenty to twenty-five minutes.

Dental treatment of children under anesthesia using drugs based on artacoin hydrochloride can be started from the age of four. Articoin-containing preparations are also safe for pregnant and lactating mothers.

To enhance the anesthetic effect and the duration of the drug, such drugs are often supplemented with vasoconstrictors (vasoconstrictor substances), such as adrenaline, mezaton, filipresin. Combined local anesthetics based on artacoin hydrochloride are producedonly in Germany, France and Spain.

Treatment of milk teeth in children under anesthesia with the use of combined preparations is indicated starting from the age of five at a ratio of one in one hundred thousand (artacoin to adrenaline).

At the age of five to seven years, benzocaine and lidocaine-containing sprays are used as selective or application pain relief.

Preliminary medical preparation of children before visiting the dentist

To prepare the child's body for anesthesia and reduce the possibility of side effects, special preparations are used, which are commonly called preliminary drug preparation.

There are four components of pain: psycho-emotional, sensory, motor, autonomic.

Local anesthetics such as lidocaine, articoin, benzocaine desensitize the intervention site, removing the sensory component, but not stopping the psycho-emotional, motor and autonomic components, so they must be removed after the administration of the analgesic.

Methods of persuasion and suggestion stop the psycho-emotional component.

Indications for use

Dental treatment of children under anesthesia with drugs that have a calming effect is indicated for:

• chronically occurring mental illness;
• chronic respiratory disease;
• insulin deficiency;
• diseases of the endocrine system;
• chronic seizures andhysteria;
• increased muscle tone;
• chronic depression;
• phobias.

An anxiolytic, such as chlordeazepoxide, better known as Sibozon, Napaton, Seduxin or Chlozipide, is prescribed 10-25 minutes before treatment.

An anti-anxiety drug is prescribed for children from four years old at a dosage of five to ten mg, at the age of seven years - from ten to twenty mg, at the age of fifteen to eighteen years - from twenty to thirty mg per day, for two three tricks. The last dose of diazepam should be taken fifteen minutes before visiting the dentist.

Sedation is an alternative to anesthesia

Due to the fact that preliminary medical preparation is not always effective, modern pediatric dentistry resorts to such a method as sedation, or an alternative to anesthesia.

Sedation ("healing sleep") can be deep (full), that is, with entering the state of sleep and slowing down breathing, and side (incomplete), when the patient is able to maintain a relationship and follow the instructions of the doctor.

Dental treatment under general anesthesia in children is carried out using inhalation a few minutes before the actual dental intervention, using N2 and O2 oxide - ZAX.

At the beginning of the procedure, the child receives pure O2 and N2 oxide through the mask for fifteen minutes. The permissible concentration of N2 in the ZAKS mixture should not exceed seventy percent. For children under the age of fifteen, it is usually usedthirty percent nitrogen and seventy percent pure medical oxygen.

Introduction into the state of anesthesia with a mixture of ZAX causes the child to feel light, relaxed, drowsy.

Benefits of sedation

The baby sees and hears everything that happens around, but does not experience discomfort. The supply of the mixture for anesthesia and the removal of the oxygen mask is carried out using high-quality automated equipment. By the time the dental procedure is completed, the nitrous oxide decreases and the concentration of pure oxygen increases to one hundred percent, after which the mask is removed. The effect of ZAX wears off after five to ten minutes.

A sedative mixture, although it has a certain analgesic property, but it may not be enough for complex dental operations, therefore, dental treatment under anesthesia in children occurs with additional local anesthesia.

Usually, ZAX mixture is used from the age of four, when contact can already be established with the child. One of the main tasks in this case, both the dentist and the parents, is to persuade the baby to apply the mask himself. To do this, use aromatic oils that make the child want to inhale gas without coercion.

Foreign practice of dental clinics uses the display of the child's favorite cartoons and fairy tales during the "healing sleep".

Dental treatment under general anesthesia in children with sedation can be considered a completely harmless procedure, as it is used duringall developed countries of the world.

Pediatric dentistry in Russia

It's no secret that this area is the youngest and at the same time the most complex branch of medicine, which includes many directions.

The founder of dentistry for children can be considered A. K. Limberg, who since 1901 headed the department of the same name at the Medical College of St. Petersburg.

In 1974-1975, the medical examination of children in dental offices was officially adopted, as well as the use of anesthesia during severe operations.

In 1985, the speci alty "pediatric dentistry" was officially included in the nomenclature of medical speci alties.

Today, there are high-quality children's dental clinics in every city. In addition to standard procedures such as internal medicine, maxillofacial surgery, neonatal surgery, pediatric orthodontics and prosthetics, physical examination and treatment, some hospitals may offer sedation or general anesthesia.

Overview of children's dental clinics

How is dental treatment for children under anesthesia in Moscow? The cost of sedation, the clinics that perform it, are listed below.

In the capital of Russia, a number of clinics can offer this service:

• "Kid and Carlson" - the cost of nitrous oxide sedation (30 minutes) is 2500 rubles. The clinic also provides treatment services under general anesthesia. The cost of anesthesia "Sevoran" (30 minutes) is 4500 rubles. The price of one minute of general anesthesia is 165 rubles.
• International Medical Center "ON Clinic"provides the following services: inhalation anesthesia (30 minutes) – 5500 rubles.
• Nutcracker Family Dental Clinic cost of nitrous oxide sedation (30 minutes) – 2940 rubles. General anesthesia (30 minutes) - 5940 rubles. The medical institution also provides a premedication service - 1500 rubles.

Not only in Moscow dental treatment is carried out under anesthesia for children. Novosibirsk also offers similar services:

• Style Dent Dental Clinic - dental treatment for babies under general anesthesia (1 hour) costs 5,500 rubles. Anesthesia can be administered through an oxygen mask or by injection.
• "Center of Dentistry" - an hour of anesthesia in the clinic costs 3900 rubles.
• "Road Clinical Hospital" - information on the website says that the cost of anesthesia is 25% of the cost of treatment.

Minsk dental clinics also carry out dental treatment under anesthesia in children:

• Family Dentistry Center - intravenous anesthesia 78 Belarusian rubles (2,530 Russian rubles).
• Melissa Medical Center also provides anesthesiologist services for babies - the cost of the service must be found out at the clinic on an individual basis.

Perhaps in other cities, dental treatment under anesthesia for children. Krasnoyarsk is not far behind Moscow and also provides sedation and general anesthesia services:

• Dentistry Center "ASTRAYA" - uses the drug "Sevoran", the duration and cost of the service can be obtained from the attendingdoctor or consultant.
• "University Center of Dentistry" - an appointment is conducted by a pediatric anesthesiologist who, according to the indications and age of the child, recommends the type and cost of anesthesia.

Dental treatment for children under anesthesia: reviews

Most children are terrified of doctors, and therefore every trip to the clinic is accompanied by tantrums, tears and whims. In order not to harm the psyche of the baby, many mothers resort to dental treatment under anesthesia. The advantage of this method is that the child inhales laughing gas and falls asleep without fear of the doctor and drill.

This is how dental treatment is performed for a child under general anesthesia. You can read the parents' testimonials below.

Often, mothers, before taking their child to the doctor, ask friends and acquaintances for advice. Private clinics offering dental services, such as dental treatment under anesthesia, are particularly popular. Many note that during the consultation, the anesthesiologist prescribes a blood and urine test, an examination of the child by a therapist. A separate criterion is good he alth during the treatment period, that is, the presence of fever or cough is unacceptable. Operations are not performed on an empty stomach. After treatment, depending on the age of the baby, migraine, nausea, vomiting, anxiety, lethargy can be observed, parents say. All this should normally pass in 12-14 hours. Especially, mothers of children with poor he alth recommend dental treatment with the ZAX mixture or the Sevoran preparation.

Dental treatment for children under anesthesia, reviews of doctors

Specialists note that for allDuring the existence of the drug "Sevoran" a huge number of children were treated, most of which are babies with a disease of the central nervous system. At the same time, doctors remind that a necessary condition is the conduct of medical manipulations under the supervision of a highly qualified anesthesiologist and resuscitator. The clinic should have expensive high-quality equipment: an apparatus for artificial lung ventilation, respiratory devices, modern anesthetics, powerful monitoring equipment. It is especially important that anesthesia is safe for the he alth of the baby and does not cause unpleasant side effects.

Most often, mothers start planning this procedure when their children's teeth are actively spoiling - at about 3-4 years. Dental treatment for a child (3 years old) under anesthesia takes approximately 4 hours and passes without complications.