Pediatric anesthesia at the dentist – dr

children anesthesia

Don’t be afraid of the dentist thanks to children’s anesthesia

If empathy alone is not enough, other means are needed. Pediatric anesthesia enables anxious and defensive children to receive gentle and stress-free treatment at the dentist. Parents can read here how anesthesia works for our offspring in our practice and what needs to be considered for pediatric anesthesia.

When is pediatric anesthesia used??

Whether an accident, illness or caries, sometimes the dentist has to perform an operation that cannot be done without anesthesia. Severe pain or fear cannot easily be talked away in small patients.

In such cases, pediatric anesthesia puts an end to fear, provides reassurance and enables efficient dental treatment.

Read more here about the topics:

  • Caries in children – prevention of oral diseases

What are the differences? "normal" Anesthesia in adults?

Anesthesia is a sleep-like state in which consciousness and pain sensation are switched off. In children, it must be dosed very delicately, which is why the so-called short anesthesia is particularly well suited for small patients.

It also has the advantage that no intubation (inserting a breathing tube) is necessary. This protects the sensitive airways of small patients. Instead, ventilation during anesthesia is reliably ensured via the larynx mask (larynx mask). It is pushed just up to the larynx and seals the esophagus.

In terms of safety, child anesthesia and adult anesthesia do not differ. The vital functions (blood pressure, heart rhythm and oxygen content of the blood) must be closely monitored with each anesthetic.

Read more here about the topics:

  • Treatment under general anesthesia at the dentist for anxiety and major interventions
  • Dental treatment in sedation

What needs to be considered during the implementation and where are the risks?

Our greatest concern is to keep the risk as low as possible during and after pediatric anesthesia. Therefore, it is imperative that you and your child adhere to the following rules.

Before the appointment

  • Make an appointment for anesthesia surgery as early as possible in the morning so that your child does not have to go hungry for long.
  • Child must come to child anesthesia sober, parents should have breakfast.
  • The child must not consume solid food, milk and juices six hours beforehand.
  • Child must not drink clear liquids (water, tea) two hours beforehand.
  • Child must not have a febrile infection, severe runny nose or cough.
  • The last survived infection should be at least 10 days ago, since the airways are still irritated and susceptible (hyperreactive). The anesthesia could cause the upper respiratory tract to flare up.

  • Prepare your child mentally for the upcoming practice visit.
  • Think of distraction! Pack a cuddly toy, cuddly blanket or pacifier, they will calm you down. Older children are happy about a children’s book or an MP3 player. Don’t forget to bring reading material for yourself.
  • Inform the practice immediately if your child becomes surprisingly ill or takes medication (avoid interactions).
  • Let the dentist know if your child has eaten anything. The anesthetic may then be too dangerous (danger to life) and must be postponed.

After anesthesia

  • Immediately after the children’s anesthesia, we will monitor your child until they are completely awake and painless.
  • If desired, your child can drink sips of water.
  • After discharge, your child can drink and eat as usual.
  • Child is not allowed to actively participate in road traffic on anesthesia day (cycling, crossing the street alone, etc.)
  • Only administer medication as agreed with the dentist.
  • Child must be supervised 24 hours after pediatric anesthesia.

What are the advantages of anesthesia in children??

If children cannot sit quietly in the dentist’s chair long enough due to anxiety, pain and illness and the treatment would only be possible with stress and coercion, children’s anesthesia offers the desired alternative. The teeth are repaired effectively and in a time-saving manner and the little patients hardly notice anything about the whole matter.

A premedication suitable for children ensures calming and ensures that there are no memories of anesthesia or the procedure. Traumas (dentist phobia), which would possibly extend into adulthood, cannot arise in this way.

Read more about the topic here:

  • Dentist fear – the fear and panic at the dentist

What about the pain after anesthesia?

Our little patients usually leave our practice pain-free. During pediatric anesthesia, we administer a gentle local anesthetic that works for up to three hours. Painkillers can also be given by drip during the procedure and, if necessary, after waking up. Nevertheless, wound pain can still occur during the day. Discuss with the dentist whether and which pain relievers are suitable.

Who pays the cost of pediatric anesthesia at the dentist?

Whether the cost of pediatric anesthesia is covered by the statutory health insurance depends on whether your child belongs to one of the following groups of people. Her child:

  • is younger than 12 years old, refuses to work with the dentist and therefore cannot be treated under local anesthesia.
  • needs major surgery for which local anesthesia is insufficient.
  • is allergic to sedatives or local anesthetics or cannot tolerate them because of a chronic illness.
  • is mentally handicapped or has severe movement disorders and refuses to work with the dentist.
  • has massive fear (medically recognized fear reaction) and therefore cannot be treated under local anesthesia.

If your child does not belong to one of the five groups mentioned, there is still the possibility for your child to have dental treatment performed under general anesthesia. However, this is then a private service that incurs costs for you. The practice will be happy to provide you with the exact price in a consultation.

Read more here about the topics:

  • A balance between effort and benefit? – Cost of painless treatment under general anesthesia

What is done in this area in the dental practice Seidel?

This "Dream sleep juice" ensures that the children’s memory is interrupted so that there are no stressful memories of the preparations, anesthesia or the procedure. Before placing intravenous access, we use an anesthetic patch that gently anesthetizes the skin. You cannot be with your offspring during the operation, if your child wakes up from anesthesia, you can go back to his side.

You might also be interested in:

  • Combating fear of the dentist is more than just treating the symptoms

Would you like to find out more about children’s anesthesia in our Berlin dental practice??

Call us now and make an appointment for a free and non-binding consultation at:

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Dr. Frank Seidel

Last update of this page on October 30, 2019 by author Dr. Frank Seidel.

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