Features of tooth extraction under general anesthesia: pricing and feedback

Anesthesia means a condition in which the patient loses consciousness, reflexes go away, and his body is completely relaxed.During general anesthesia, the patient does not experience severe pain, as his nervous system is inhibited.The phrase "general anesthesia" is a folk term.Doctors do not use it, preferring to use the word combination general anesthesia and general anesthesia.

Such anesthesia came to dentistry just recently.Until the middle of the last century, doctors and patients believed that any discomfort during the dental procedures of can be tolerated under local anesthesia.However, by the end of the 20th century, it became apparent that local anesthesia was unable to fully meet the needs of patients and dentists.A complex wisdom tooth under local anesthesia is very difficult to remove.In addition, local anesthetics are not the same for different people.One patient they fit, the other does not have the proper effect.Actually, for this reason, dentists also began to use general anesthesia in the treatment and removal of teeth.Later, general anesthesia was also used for other indications.

Deep anesthesia is in demand when it comes to the removal of teeth in young children who, in general, do not tolerate such a procedure and can not sit still for the necessary time.

Today general anesthesia is used for the removal of teeth, implantation and any complex surgical manipulations associated with dental treatment.In our country there have even appeared separate dental clinics specializing in treatment under general anesthesia.Reviews about their work are only positive.

Indications for the removal of teeth under general anesthesia

It is noteworthy that despite availability of general anesthesia in modern dentistry, it is rarely used in dentistry.This is explained by the strict requirements for the use of such anesthesia.Professionals with the necessary knowledge, skills, experience and equipment do not always undertake general anesthesia, because this exercise is risky.They do not want to risk senselessly, indulging the patient's desire to sleep while removing the tooth.

Indications for the use of general anesthesia in the removal of teeth are:

• The forthcoming operation has a large volume and is very traumatic.For example, the removal of the wisdom tooth.The front of the work, as well as their complexity, the dentist determines by the results of the survey.

• Possible development of allergies when using drugs of local anesthesia.
• The patient can not cope with the emetic reflex while the dentist is working.
• The patient is very afraid of any dental intervention.
• The patient has various mental disorders.
• The patient's small age.

By the way, many parents often can not cope with the kids , which in every possible way interfere with the doctor's work.In these cases, anesthesia can be the only way to avoid the transition of the disease to a neglected form.Parents are left with only positive reviews after such anesthesia.

Deep anesthesia for the removal of teeth can be given to the patient only if there is a professional anesthesiologist-resuscitator in the clinic.This specialist deals with the selection of the drugs most suitable for a particular patient, calculates safe doses, monitors the patient's condition during the operation, and helps him get out of anesthesia after surgery.In the event that during an operation with a patient there is any trouble, it is the anesthesiologist-resuscitator who is engaged in saving his life.It's good that such situations in dentistry are extremely rare.

Contraindications

A tooth extraction operation under general anesthesia can be performed only if the patient undergoes a comprehensive examination.Doctors should be aware of all the attendant and suffered diseases.That is, you will have to spend some time on different procedures.

Based on the results of the survey, it may be found that the patient can not get a deep anesthesia because of contraindications.

General anesthesia can not be used in the following cases:

• The patient suffers from anemia.
• The patient has internal diseases.
• Decompensated heart failure is present.
• Condition after a heart attack.In this case, general anesthesia can not be applied for 6 months.
• Intoxication with alcohol and drugs.
• Frequent seizures of epilepsy.
• The patient is forced to take hormonal medications.
• Diseases of the respiratory system.
• Pneumonia.
• Diabetes mellitus in uncompensated form.
• Thyrotoxicosis.
• Asthma.
• Diseases of the adrenal glands.

General anesthetic pains

Doctors can not carry out general anesthesia of in the cases indicated above, as serious risks of complications develop.For this reason, doctors insist on the patient passing at least ECG and passing the laboratory tests.

It should also be understood that deep anesthesia is a serious effect on the body of , which can cause various side effects.In advertising booklets of most dental clinics this is not mentioned.Most often after general anesthesia, the following side effects occur:

• Increased blood pressure.
• Tachycardia.
• Convulsive reactions.
• Spasms of the bronchi.
• Spasms of the larynx.
• Vomiting.
• Temporary amnesia.

This is not all the negative aspects of general anesthesia.

Before the procedure of general anesthesia, the patient must undergo preoperative preparation of .He can not drink or eat.After the operation, he will have to follow the rules, which will complicate life somewhat.

Let's repeat, extraction of teeth under general anesthesia is possible only if the clinic has a well-coordinated team of doctors: dentists, anaesthesiologists, resuscitators, nurses.In addition, the clinic should have all the necessary equipment.All this increases the price of deep anesthesia.

According to dentists, general anesthesia makes the doctor's work more difficult for the following reasons:

1. The intubation tube makes it difficult for the dentist to access the operating area.
2. The patient, being in a drug dream, is unable to follow the directions of the dentist.This forces the doctor during work to constantly change the position to reduce the load on the muscles, which quickly tires.Naturally, fatigue does not improve the quality of the dentist's work.

If the patient is aware of the problems listed above, this can significantly increase his anxiety.Therefore, it is unreasonable to believe that general anesthesia will reduce the fear of surgical dentistry.He is able to save the pain, but not from fear.

How does general anesthesia affect the brain?

General anesthesia allows you to remove teeth completely painless , so why are patients themselves in no hurry to use this opportunity?It's all about rumors that spread very quickly in society.Among ordinary people, it was widely believed that general anesthesia adversely affects memory, leads to poor sleep and provokes headaches.Is this really so?

It is impossible to give a unambiguous answer to this question.Yes, scientists conducted numerous clinical trials of and interviewed patients, but could not come to unanimous opinion.Most authoritative doctors believe that general anesthesia does not affect memory in the removal of teeth.But there are also supporters of a different opinion.They believe that a prolonged and profound general anesthesia can lead to a short-term, but still impaired memory.This is explained by a temporary oxygen starvation of the brain, which can occur during a deep anesthesia.Just the consequences of such fasting from time to time fix the doctors.

Actually, people are afraid not of anesthesia itself, but of possible consequences, which can be unpredictable.

Advantages of general anesthesia in the treatment of teeth

Despite the fact that general anesthesia has many negative aspects, it still has several advantages over local anesthesia:

• No pain sensitivity.
• Possibility to carry out even the most serious dental operations to patients who are afraid of dentists.
• Elimination of unnecessary injuries that can occur through the patient's fault.For example, a patient, frightened by pain, will try to obstruct the doctor, which will damage the soft tissues of the oral cavity.With general anesthesia, this can not be easy.
• The ability to perform long-term operations of large volume and traumatism.For example, the removal of wisdom teeth on the lower jaw.
• Ability to conduct dental operations for children.Some manipulations are impossible without the use of general anesthesia.Without anesthesia the child will interfere with the doctor and can get a serious psychological trauma.In the future, a person for the rest of his life will have a fear of people wearing white coats.As for local anesthesia, it alone can bring children into a state of shock.

The cost of general anesthesia when removing teeth

Anesthetic - expensive procedure .For this reason, doctors resort to it only if there are strong testimonies.One desire of the patient is not enough.

As anesthesia equipment costs a considerable amount of money from , preparation of qualified personnel is not expensive, then the prices for tooth extraction under general anesthesia are much higher than for usual tooth extraction under local anesthesia.

The formation of prices is affected by the following factors:

• Time of surgery.The price of general anesthesia in clinics is traditionally indicated in 30 minutes.The average price is 4,000 rubles.

• Age of the patient.General anesthesia for children costs an average of 500 rubles more.
• The complexity of the operation.It is difficult to remove the tooth under anesthesia can cost up to 12,000 rubles.
• The need is in the hospital after the operation adds to the cost of the operation from 10 000 to 15 000 rubles.