Sedation dentistry refers to the use of sedation during dental treatment. Sedation is most commonly used during extensive procedures, for patients with dental phobia or for patients who find it difficult to sit still. There are different types of sedation, including nitrous oxide ("laughing gas"), IV sedation, oral sedatives and general anesthetic.
Sedation can range from the use of nitrous oxide to calm a patient to general anesthetics used to put patients to sleep. Patients with dental phobia, low pain tolerance, major dental treatment, physical handicaps or strong gag reflexes may require sedation. Procedures like fillings, crowns, bridges, root canals, extractions, cosmetic procedures and periodontal treatments often require sedation.
Sedation is endorsed by the American Dental Association and is an effective way to make many patients comfortable during their dental visit. Before using a sedative or anesthetic, it is important to tell your doctor about any medications or medical treatments that your child is receiving.
General Anesthesia is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation. Anesthesia is defined as the loss of feeling or sensation with or without a loss of consciousness. In reality, anesthesia does more. In addition, to keeping your child pain free during surgery, anesthesia controls the body’s reaction to stress and relieves anxiety almost always associated with surgery. Anesthesia is provided by using medications and monitors. A close, continuous watch is kept on the heart rate, blood pressure, respiration, and patient reactions. Children receive an individually prepared and titrated intravenous anesthetic.
Why would a child need general anesthesia just to have teeth fixed?
Unfortunately, many children suffer from serious, painful, potentially life threatening dental diseases. Unlike such health conditions as colds and flu, dental diseases will not go away on their own. When treatment is required for a serious dental condition or the well being of the child, general anesthesia may be recommended to make delivery of that required treatment possible in a safe and comfortable manner. The American Academy of Pediatric Dentistry, American Dental Association, and the U.S. Department of Health and Human Services support this standard. General Anesthesia is an accepted standard of care for situations involving children who have limited comprehension, unable to cooperate, and require dental care that is technically difficult to deliver. Dr. Gindi evaluates the amount of treatment needed, access to care, the type of treatment, the child’s ability to cooperate, and the child’s medical and dental history, prior to recommending general anesthesia.
If Dr. Gindi has recommended that your child receive dental treatment under general anesthesia, you will work with our Pediatric Treatment Coordinator. She will assist you in scheduling, insurance billing, coordinating with the hospital, pre and post op care and, of course, answering any questions you may have in regard to this special care.
The anesthesia/hospital charges are completely separate from our charges, we will be happy to assist with any questions you may have regarding hospital and anesthesia charges.
Dr. Gindi reserves one day each week for our General Anesthesia patients. During this time, the doctor and his staff may give your child their complete attention.
A physical examination is required prior to general anesthesia for dental care. This physical examination provides information to ensure the safety of the procedure. Parents are instructed to report any illness that occurs prior to the general anesthesia appointment.
Your child will be discharged when alert and ready to depart. You will be instructed to let your child rest at home with minimal activity planned until the next day. Post-operative instructions will be given to you, along with dietary instructions and a 2 week follow up appointment with Dr. Gindi at the office. Please call the office with any changes in the child’s health or pain he/she may be experiencing. 330-467-2763