Carrying out dental treatment for a child is always a painstaking and responsible business. After all, the main task of the doctor is not only to provide qualified medical care, but also to do it without prejudice to the mental state of the child. But what to do if the child does not want or is afraid to go to the doctor and sit in a chair, not to mention open his mouth and allow some procedure to be done?
Prepare your child correctly. And this is the task of not only doctors, but also parents! You can read more about this in our blog, in the article«How to prepare your child to visit the dentist»
But there are times when the child is very small, all persuasion is useless, and the child is still afraid, or it is necessary to treat many teeth or remove teeth? What then?
The solution is medication sleep. All over the world, this type of anesthesia is used to ensure that the child’s treatment is of high quality, painless and comfortable.
Recall that drug sleep is the introduction of a child into a state of sleep by inhalation of the drug Sevoran.
What tests need to be taken before treatment?
Before treatment in a dream, a week before, an anesthesiologist is consulted. The anesthesiologist collects a detailed history of the child, after which he prescribes the necessary tests:
- Complete blood count
- Electrocardiogram
- Review by pediatrician and related specialists as needed
- Additional tests are assigned individually as needed
What tests need to be taken before treatment?
Before treatment in a dream, a week before, an anesthesiologist is consulted. The anesthesiologist collects a detailed history of the child, after which he prescribes the necessary tests:
- Complete blood count
- Electrocardiogram
- Review by pediatrician and related specialists as needed
- Additional tests are assigned individually as needed
How is medication sedation done?
After arriving at the medical center, the parents with the child enter the preoperative room calmly, without hasty actions. The less time elapses from arriving at the center until the child begins to sleep, the less fear and stress the child will feel. Until the moment of the first inhalation of the drug, parents can hold the child’s hand or be near.
The child is put into a state of superficial sleep by inhalation of Sevoran through a mask. All further actions (imposing monitoring sensors, measuring all the necessary parameters, intravenous administration of drugs, intubation) — are prescribed according to clear indications of the anesthesiologist and are carried out when the child is asleep and does not feel anything at all.
After that, dental treatment or surgical procedures begin. All the time, while the child is in anesthesia, there is a children’s doctor next to him — a dentist, a dentist’s nurse, an anesthesiologist-resuscitation specialist, an anesthetist nurse.
What kind of monitoring is carried out when treating a child under anesthesia
In the course of treatment, the anesthesiologist monitors all the necessary indicators:
- ECG
- saturation of tissues with oxygen
- applies a pulse oximeter
- measures blood pressure
- measures body temperature
- conducts gas monitoring
- measure all indicators of respiration
How to protect the airway during a child’s dental treatment
Depending on the duration and volume of dental interventions, protection of the respiratory tract from attempts to spit, cough, from the ingress of water and foreign objects, that is, from all risks during treatment — laryngeal masks and endotracheal tubes are used. What kind of protection is needed and shown to each specific patient is decided by the anesthesiologist. It should be understood that this is for the safety and reliability of treatment.
How long before the anesthesia is it possible to feed and water the child?
You can eat 6 hours before treatment in a dream, and drink plain water 2 hours before manipulation.
Important: Drinking yoghurts, jelly, kefir, milk, carbonated drinks, any opaque liquids are equated to food.
In what clothes is it better to come for treatment under medication sleep
Clothes should be as comfortable as possible for sleeping. For example, knitted pants and a long sleeve blouse. It is desirable that there be no wool, ruffles and sequins. The main thing is comfortable clothes so that the little patient can sleep comfortably.
What happens after medication sleep treatment
As soon as the supply of drugs stops, the child begins to wake up. This can take from 10-15 minutes. For some time, the child can sleep or sleep. During this time, the anesthesiologist monitors the ECG parameters, tissue oxygenation, blood pressure, heart rate monitoring, and body temperature. When the doctor is convinced that everything is normal, he removes all the sensors, checks the breathing, invites the parents and waits for the child to wake up completely. This can all take about an hour. The main thing is not to rush anywhere and let the child wake up in peace.
What is the state of the child upon waking up?
This is quite individual. Some children quickly become cheerful and cheerful, while others may be lethargic for a while. It all depends on the duration of anesthesia and the amount of manipulations performed.
We release the child only after he does not need the help of doctors and staff. And then — only the love and support of parents and a timely examination by a pediatric dentist!
