Today, some clinics that provide such services, advertising, general anesthesia is absolutely safe and no one type of anesthesia is not contraindicated. Is it safe to dental treatment under general anesthesia, and whether there are contraindications for this type of pain relief?
General anesthesia and the conditions for its conduct
Anesthesia - a profound inhibition of the cerebral cortex under the influence of various drugs. With this braking cortex patient's consciousness is completely turned off, so it does not feel pain.
General anesthesia - is always a risk for the patient, as there is a likelihood of complications such as asthma (for example, the tongue, glottis spasm or inhalation of vomit, saliva, blood, produced during dental procedures).
Therefore, in order to use general anesthesia for dental operations, should be at least two conditions.
The first condition - the equipment is adequate dental office with all necessary (including respiratory) equipment that would monitor the condition of the patient (pulse, blood pressure
Blood pressure - dangerous if his swing?
, Heart and lungs) and, if necessary, carry out intubation (introduction into the trachea of a special breathing tube, which will not allow the patient to choke)
. In addition, anesthesia should only give the anesthesiologist
. Of course, the patient is not required to detail questioned doctors than equipped office, but he has to ask the institution's license for provision of health services for Anesthesiology and Intensive Care
. Data on permitted types of medical services are listed in the annex to the license
. The license application and it should hang in a prominent place - they say that the premises, equipment and expertise allow the doctor to provide such services
. For high-quality dental treatment in the study should also present a portable rentgenapparat because the patient is not itself able to go to the X-ray rooms to clarify the condition of the tooth
. Today, dentists are increasingly using radiovisiograph - rentgenapparat a portable computer, allows you to estimate the quality of obturation
A second prerequisite is the existence of the patient indications for dental treatment under general anesthesia. They are not so much, it is a disorder in the patient's intelligence, which does not allow the doctor to achieve contact with him allergic to painkillers local action, lack of effect of local anesthesia and the patient's insistence in the absence of a contraindication. In any case, the patient must be advised of the risks.
Contraindications for the use of general anesthesia in dentistry more than testimony. It is any acute illness and exacerbation of chronic diseases, severe diseases of internal organs, severe diabetes
Diabetes - threatening and incurable disease
, Alcohol and drug intoxication, hyperthyroidism (overactive thyroid), low hemoglobin
Hemoglobin: worse - low or high?
And drug addiction.
If you are in the hospital reported the possible effects of general anesthesia, and, by contrast, is widely advertise these services, you should think about whether or not to resort to such services.
The techniques of general anesthesia in dentistry
First of all, prior to any kind of anesthesia anesthesiologist examines the patient and assigns a preliminary survey to identify contraindications to anesthesia.
For general anesthesia conducted on an outpatient basis in order to remove pain during dental treatment, applied techniques and inhalation neingalyatsionnyh (intravenous) anesthesia.
Inhalation anesthesia is carried out through a special mask that is applied to the patient's face. Through a mask in the patient's airway enters inhalation anesthetic (nitrous oxide, halothane or metoksiflyuoran) and oxygen. Today, this type of anesthesia used less and less, as the patient requires quite a lot of time to fully withdraw from the anesthesia. In addition, the dentist also forced breathing vapor anesthetics, which may affect its operation.
In our time more often used intravenous anesthesia with the introduction of drugs such as hexenal, thiopental sodium, sombrevin, Kalipsol that turn off the consciousness for a certain time - from a few minutes to half an hour.
In order to achieve the desired duration of anesthesia, the anesthesiologist each patient selects individual drugs and their dosage.
At that time, while the patient is under general anesthesia, the anesthesiologist did not leave him for a minute. With special equipment it controls the cardiovascular and respiratory systems, ensures that the patient's airways were not vomit, blood, mucus, teeth. After anesthesia anesthesiologist also monitors the condition of the patient as long as it is not completely out of the anesthesia.
General anesthesia looks attractive and harmless procedure only unfair advertising. In fact, it is always a risk.