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Anesthesiology

Sedation is a medication-induced inhibition of consciousness that helps the patient relax during the procedure.

OZO clinics are one of few Lithuanian dentistry clinics which have the right to perform intravenous sedation and general anesthesia.

Paying attention to patient‘s needs and to the complexity of the procedure, the following ways of inhibition of consciousness/ anesthesia are applied at OZO dentistry clinics:

  • Oral sedation;
  • intravenous sedation ( the patient does not sleep, but he is relaxed, does not feel any fear, or the sleep is very light and the patient can be quickly awoken);
  • general (intubation) anesthesia ( the patient is made to sleep and is awake after the procedure)

Applying these ways of inhibition of consciousness an experienced doctor-anaesthesiologist takes care of the patient.

Oral sedation in our clinics most often is applied to children. The oral dose is calculated according to child‘s weight, and the impact starts after some 15-30 minutes. During one oral sedation, 1-2 teeth can be cured, as the duration of effective work is about 30-40 minutes. Under the positive influence of sedation, the child stays quiet, dizzy, sleepy, he wobbles and does not feel any fear. After the procedure, he even can not remember what has happened or only have the best memories of the experienced treatment. The main minus of this way of sedation is that the intaking of medicine itself does not ensure the success of dental treatment. There is a possibility that a child would hardly accept the treatment and its effects and his reaction would be negative. In this case, the general anesthesia should be applied.

What should one know before oral sedation?

Before the procedure, a patient must not eat for 6 and drink for 2 hours. If the patient takes some other medicine, he must tell about this to the doctor, who performs oral sedation. The patient must wear comfortable clothing. If the patient is sick with cold, if he has asore throat, if he coughs, has atemperature, feels pain in the stomach or is sick with any other acute illness, please, call the registration office and inform us about that.

What should one know after sedation?

After the procedure, one can drink. It is better to drink more often, taking in little quantities and observing if there is no nausea. One can eat after two hours when the effect of sedation and local anesthesia (sleep of part of face and lips). It is better to eat soft, easily digested food – porridge, yogurt, bananas. Take the medicine, prescribed by the doctor. If a child feels pain, give him asuspension of paracetamol or ibuprofen. If you have any unusual problems, urgently call the clinic‘s registration office. During non-working hours contact a wake-up clinic. The child should not be allowed for 24 hours after sedation to ride a bike, to climb. On that day the child should stay and have a rest at home, he should not go eitherto the kindergarten or to school.

For whom oral sedation cannot be applied?

Oral sedation cannot be applied to persons, who are allergicto benzodiazepines, suffering from certain diseases of central nerve system, having a cold, or running temperature. Sedation is not recommended for children, who are not motivated to teeth treatmentand are hysterical. Oral sedation is not recommended for small kids, under 2-2,5 years of age.

Is oral sedation asafe procedure?

It is safe if the attention is paid to child‘s age and weight peculiarities, but always there is some risk.  The risk is minimal when sedation is performed by an experienced doctor, in the licensed clinic, and if any problems appear, they can be professionally solved.

During intravenous sedation, the patient is given intravenous medicines. It reduces fear. The patient does not feel anxiety, tension, or fear; he is not worried about the procedure going on, although he does not sleep or lightly sleeps, he can be easily awakened.The effect of the drugs used is predictable, the dosage is accurate, and this type of sedation is more effective for adults.The sedation is left to such a depth that it is not only comfortable for the patient, but it provides comfortable work for a dentist or surgeon. During intravenous sedation patient‘s breathing, heart activity, and blood pressure are observed. The patient may not fully remember the procedure or remember it unclearly. An accompanying person is required to be able to bring the patient home.

Treatment with intravenous sedation is recommendedfor the patients:

  • who feel fear
  • who cannot bear thepain
  • who need difficult and long dental treatment
  • who feels strong nausea.

For whom treatment with intravenous sedation is not recommended:

  • for pregnant women
  • when there is an allergic reaction to medicine, used in general anesthesia ( if you know this, please, inform anesthesiologist-reanimatologist);
  • When there is an acute upper respiratory tract infection
  • In the case of bronchial asthma or allergy exacerbation
  • In the case of severe decompensation of the somatic state (pronounced cardiac, respiratory, hepatic insufficiency)

What is general anesthesia?

General anesthesia (general anesthesia, anesthesia) is performed in both for children and adults. This is a controlled condition caused by anesthetics. The patient sleeps and does not feel any pain. After the dental treatment is completed, the anesthetic supply is stopped and the patient wakes up. During general anesthesia, the patient is observed by the doctor anaesthesiologist-reanimatologist who monitors cardiac function, blood pressure, and oxygen concentration in the blood.

For whom and what procedures are performed during general anesthesia?

  • milk-teeth and permanent teeth treatment and sealing
  • milk-teeth and permanent tooth extraction
  • the treatment of children and especially sensitive people
  • more extensive surgical procedures
  • patients with allergy to local anesthetics
  • treatment for patients with mental disabilities
  • dentistry complexes for patients of the “One Visit” program

How to get prepared for sedation or general anesthesia?

Before anesthesia*:

  • no eating 6 hours before, and no drinking 3 hours before anesthesia
  • please inform the doctor if during the last 14 days you had a cold, cough, or running temperature or any other illness
  • an accompanying person is required.

24 hours after anesthesia it is forbidden to*:

  • take in alcoholic drinks or not prescribed medicine
  • drive transport vehicles, work with mechanisms or perform any other difficult work
  • make responsible decisions and sign important documents.

* The information provided above are recommendations. More accurate information will be provided by your doctor- anaesthesiologist

What information should be given to anaesthesiologist before intravenous sedation or general anesthesia?

Before anesthesia patients are examined by an anesthetist -reanimatologist. The patient or his / her relatives must indicate all the illnesses of the patient, what drugs and when the patient uses. It is important to indicate if there is a disease if the patient feels cold or has had an upper respiratory tract infection in the last six weeks.  For an anesthesiologist is important to know if the patient has any allergies. The doctor must be informed about pregnancy, allergies before performing sedation.