Anesthesia for anxiety patients
One of the most effective measures for immediate defense against pain is the use of local anesthetics .
Local anaesthetics are the simplest or most effective way of eliminating pain in dental treatment. After a short application time and successful administration by the dentist, pain relief for the patient can be ensured. However, the administration of local anaesthetics is a very frequent stimulus of the patient’s immune system.
Local anaesthetics have been used practically since the beginning of the 20th century. The active ingredients are generally well tolerated and do not trigger any reaction. Only occasionally can allergic reactions occur in patients with an appropriate predisposition. In such cases, a different local anaesthetic can be used.
When using local anaesthetics, it is important to consider the course of action. The start-up time as well as the therapeutic duration of action and the flooding time are important. From the patient’s point of view, it is important to know that the onset of action of the local anaesthetics can be expected five to ten minutes after administration of the drug. In general, a therapeutic time of 30 minutes is to be expected after the therapeutic administration of local anaesthetics. By adding a vasoconstrictive substance, a significant extension of the duration of action can be achieved. Informing the patient of this leads to a better confidence building regarding the effect of local anaesthetics.
Furthermore, it is important for the patient to know that the flooding time (i.e. the time until the local anaesthetics finally subside) is about two hours.
The local elimination of sensitivity occurs in the outer area of the mandible up to the middle of the jaw of the injected side. The simultaneous anaesthesia of the tongue should significantly reduce the possibility of a tongue bite.
In the area of the upper jaw, the administration of local anaesthetics is considerably easier, since the patient only has to be injected in the cheek area in relation to the teeth or in the area of the palate in order to achieve sensitivity of the palate. The gentle administration of the local anaesthetic leads to a significant improvement in the quality of the patient’s experience.
The decision as to whether treatment should be carried out with or without local anaesthetics is a matter for the patients’ right of self-determination and must be made by the patients themselves after appropriate clarification.
If an allergy or an actual phobic stimulus is associated with local anaesthetics, a hypnosis treatment offered by our surgery is available as an alternative treatment.
Sedation, twilight sleep, general anesthesia:
Very often, despite exhaustion of all possibilities, elimination of pain or phobia treatment with traditional treatment methods is not possible. In this case, treatment with twilight sleep or general anesthesia is successful.
The reason for the use of anaesthesia treatment results from the inapplicability of local anaesthetics or a psychological intolerance of local anaesthesia treatments as well as from insufficient willingness of patients to cooperate. In addition, in rare cases of malformations that cannot be treated, treatment with general anaesthesia may be necessary.
In our practice, treatment under general anaesthesia is only carried out if our extensive alternative treatment offer cannot be successfully applied.
There are different types of sedations. Often, a simple sedation with sedation drops is enough.
In a so-called sedoanalgesia, a sedative in a therapeutically higher dosage is used, which leads to a clear clouding of consciousness.
Therefore, an anaesthetist is consulted for exact dosage and for the safety of the patients. The degree of clouding of consciousness is professionally controlled.
Clouding of consciousness also frequently occurs in people’s everyday lives. If, for example, someone uses excessive alcohol consumption, a clear clouding of consciousness is associated with corresponding physical side effects.
In contrast to the therapeutic clouding of consciousness, however, the effectiveness of the alcohol cannot be controlled and the decay time of the corresponding amount of alcohol can take different lengths of time.
In the case of sedoanalgesia, a very rapid removal of the clouding of consciousness can also be carried out with suitable medication under the aspect of exact control of the degree of consciousness.
Our practice has the necessary facilities for all the anaesthesia methods described here and offers them to its patients in the sense of freedom from anxiety and pain.