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Dental treatment under general anaesthesia

Dental treatment under general anaesthesia is a method used to perform various dental procedures while the patient is completely unconscious and unaware of the treatment being administered. This approach is typically utilized for patients who have severe dental anxiety, complex medical conditions, or extensive dental work that cannot be effectively managed with local anaesthesia alone. Here’s a detailed overview:

Purpose and Indications

  1. Severe Dental Anxiety:

    • General anaesthesia can help patients with extreme fear or anxiety about dental procedures feel more at ease, as they are completely unconscious and do not experience the treatment.

  2. Complex or Extensive Procedures:

    • For procedures requiring significant time or involving multiple areas of the mouth, general anaesthesia allows the dentist or oral surgeon to work without interruptions and ensures the patient remains still.

  3. Medical Conditions:

    • Patients with certain medical conditions, disabilities, or developmental disorders that make it difficult for them to tolerate dental treatment under local anaesthesia may require general anaesthesia.

  4. Paediatric Dentistry:

    • Children with severe anxiety or who require extensive dental work may be treated under general anaesthesia to ensure they remain still and comfortable.

Process and Administration

  1. Preoperative Evaluation:

    • A thorough assessment is conducted to evaluate the patient’s medical history, current health status, and suitability for general anaesthesia. This may include physical examinations, medical tests, and discussions with the patient or their guardians.

  2. Preparation:

    • The patient may be required to fast for several hours before the procedure to minimize the risk of complications. A preoperative consultation is usually scheduled to explain the process, risks, and post-operative care.

  3. Anaesthesia Administration:

    • General anaesthesia is administered by an anaesthesiologist or a trained sedation provider. It is typically given through an intravenous (IV) line, though inhalation of anaesthetic gases can also be used. The patient is monitored continuously throughout the procedure to ensure their safety.

  4. Dental Procedure:

    • Once the patient is under general anaesthesia, the dental procedure is performed. The dentist or oral surgeon carries out the necessary treatments while the patient remains unconscious.

  5. Recovery:

    • After the procedure, the patient is carefully monitored as they wake from anaesthesia. Recovery time can vary, but the patient is usually observed in a recovery room until they are fully awake and stable.

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