Many people are afraid of the dentist. Some people are afraid of pain during the treatment, others are afraid of gagging the teeth impression or the sound of the drill. And not a few people are most afraid of the anaesthetic injection, which is supposed to make painless treatment possible.
Fortunately, there are now many safe methods of anesthesia and anaesthesia at the dentist. Alternatives to injections have long since been offered not only by practices that specialize in anxiety patients. And as with many fears, the same applies to dental anxiety: the better you know what to expect, the more likely you are to overcome your fear and survive the treatment without fear and pain.
Which anaesthetic or anaesthesia is the best depends to a large extent on the findings and the planned treatment. For example, there are anaesthesia procedures that have proven particularly effective for the upper jaw and others that are more suitable for lower jaw treatments. It is also possible to combine several anaesthesia procedures to make dental treatment as stress-free and relaxed as possible.
Medicine has made considerable progress in both local and general anaesthesia. In addition to the research and development of new means and methods, doctors and scientists also rely on the modern use of proven anaesthetic methods such as laughing gas or alternative anaesthetic concepts such as hypnosis, which can also be used in addition.
Anyone who is afraid of dental treatment, the dentist, injections or pain should always tell their doctor of choice. In this case, both can consider together which anaesthetic means the least stress and is at the same time the most beneficial for the treatment goal. In the following, various common anaesthetic and anaesthesia procedures at the dentist will be presented in more detail.
Cold anesthesia and surface anesthesia
These anaesthesia procedures make a small or superficial area insensitive to pain for a short time. The surface anaesthesia with an anaesthetic spray makes the mucous membrane of the mouth insensitive to the pain when the syringe is inserted. For local anesthesia (local anesthesia) by cold, the dentist uses either a classic ice bag or a cold spray. Both types of anaesthesia are suitable for short and small operations, such as pulling an already loose milk tooth or removing tartar.
Infiltration anaesthesia and line anaesthesia
Infiltration anaesthesia is the standard procedure for dental treatment in the upper jaw and upper anterior region. With this type of local anaesthesia, the anaesthetic is injected directly into the tissue where the nerves are to be anaesthetised. The dentist injects it under the mucous membrane in the root apex area to block the sensitive nerve tracts and thus reliably eliminate pain. As a rule, the affected tooth and its two neighbouring teeth are anaesthetised.
For the anaesthesia of the lower posterior tooth area or larger jaw areas, line anaesthesia is usually the anaesthetic procedure of choice. The doctor injects the anaesthetic near the nerves responsible for the corresponding jaw area. When the effect begins, in many cases part of the lower lip and half of the tongue also become numb.
Anaesthesia and anaesthesia
Analogue sedation and twilight sleep
For analog sedation, the patient receives a syringe in the arm, which reduces the sensation of pain and provides reassurance and well-being. During the dental treatment, the patient is completely relaxed and no longer afraid – some sleep a little on the treatment chair or dream away. In order to safely relieve the pain, the doctor can perform an additional local anaesthetic.
Dental treatment in twilight sleep works in a similar way. The patient is given a small tablet or syringe that puts him in a sleep-like state. In many practices, the transition is made easier by beautiful music, subdued light or relaxing pictures. When you wake up, the treatment is over – and it feels as if it has not taken place at all.
A general anaesthetic is recommended in cases of panic anxiety or complicated, long procedures. Today, this can be precisely dosed to prevent unwanted side effects and after-effects. Nevertheless, each general anaesthesia is preceded by appropriate preliminary examinations by an experienced anaesthetist. Among other things, it is checked whether the cardiovascular system is stable enough for general anaesthesia.
Many anxiety patients now swear by hypnosis because it allows fear-free and deeply relaxed dental treatments with a minimum of painkillers and side effects.
According to various studies, about 90 percent of the population respond to hypnosis. However, only about 10 percent are completely pain-free, so that hypnosis for dental treatment is usually combined with other anaesthetic methods. In addition, treatment hypnosis is usually preceded by one to three teaching hypnoses, during which the patient can practice deepening into the desired trance.
Anaesthesia and anaesthesia with laughing gas
The scientific name for nitrous oxide is nitrous oxide. If you inhale it, you no longer feel afraid and you feel comfortable, warm and light. The feeling of time is largely lost and the feeling of pain is significantly reduced. Modern laughing gas anaesthesia at the dentist has nothing to do with the laughing gas anaesthesia of the century before last, but laughing gas anaesthesia is not a health insurance benefit: it costs around 100 euros per hour, which the patient has to pay out of his own pocket.
The laughing gas anaesthesia is offered today again increasingly in dental practices. First pure oxygen and then highly concentrated laughing gas is inhaled through a nose mask. After a few breaths the relaxing and euphoric effect is already visible. Nevertheless, the patient remains conscious and responsive during the treatment. Laughing gas has the additional advantage that it cancels the gag reflex that torments many patients with silicone mass when taking an impression. This eliminates another fear factor.