Dental Treatment of Children under Sedation

Dental Treatment of Children under Sedation

Undoubtedly, any parents want their child to have perfectly healthy teeth. So that the child is not afraid of the dentist and any examination or treatment always ends with the smile of the baby, and the dentist and little patient are friends.

All that can be achieved, if with appearance of first tooth, the parents consulted with a pediatric dentist. They learned how to take care, picked a toothbrush and toothpaste and regularly visited their dentist for preventive examinations.

Unfortunately, parents are not always serious about the health of primary teeth in children. Bringing a child to a dentist for the first time only in case of acute pain, parents do not always understand that it is extremely difficult to establish proper contact between the child and the pediatric dentist.

As a result, talking about any positive acquaintance with a doctor is possible only in rare cases. First dentist visits often end up in stress for both the child and the parents. This in the future leads to a complete refusal of the child to visit the dentist.

The decision of how to treat the child and whether to treat baby teeth, of course, is up to the parents.

Ideally if timely assistance of pediatric dentist and following of all recommendations (namely: in the form of game to instill hygiene skills in the child and the need for preventive examinations) will prevent the caries.

But what to do if caries and its complications are already «bursting», and the child does not want at all to go to the doctor, because he is scared by previous treatment experience?


Dental Treatment of Children under Sedation

It is possible to choose from several options.

First option is not to treat the teeth at all.

You can believe in the myth that baby teeth will fall out anyway, but permanent ones will afterwards be healthy.

Let`s shatter the myth right away. Infection of baby teeth always has a negative effect on the rudiments of permanent teeth. Subsequently, permanent teeth erupt already with an enamel defect. Premature removal of baby teeth, due to their destruction, affects the formation of malocclusion.

Second option is to treat a child against his will.

Hold him tight, hear his screams, believe in the myth that it is not a stress for a little patient, which can lead to disorders of the nervous system, that a child will forget everything and you will still remain friends, and he will like a dentist and will not pass on his fears in the future to his own children (this treatment option is not applied in our clinic).

And the third option is treatment under sedation (medication sleep).

Treatment in sleep has long history in our country. Many clinics have long ago implemented this technique in their practice. Certainly we are among them.

The main thing is to understand that treatment under anesthesia in pediatric dentistry is not a whim of a doctor, parents or clinic. Any treatment should have absolute indications.

Indications to treatment under medication sleep:

  • multiple caries and its complications
  • absence of contact with a child (early psychological trauma after retention)
  • fear of a child who does not go away after repeated adaptation visits
  • young child (under 3 years old)
  • need of a large amount of dental work completed (treatment of caries, periodontitis, tooth decay)
  • accompanying illnesses of the child, individual developmental characteristics.

Before planning medication sleep treatment, parents contact an anesthetist who advises which tests the child needs. The dentist also informs the parents about the time and possible amount of treatment.

The process of falling asleep takes place with the support of parents. They can hold the child in the arms or by the hand, depending on the age of the child and approving tactics with parents.

Important to understand

The time spent by a child in a medical sleep depends on the amount of work in the oral cavity. A team of an anesthetist, pediatric dentist and assistants works as quickly as possible in order to reduce the time spent by a small patient in the office. But the quality of treatment, regardless of the situation, should always be at the highest level.

When treating under sedation, the child has a deeper sleep than physiological (regular). Defensive reflexes and spontaneous breathing are saved. Pain sensitivity is also secured, so local anesthesia is used, but at lower doses and according to indications. The patient is constantly monitored.

During treatment anesthetist-resuscitator uses special sensors to monitor the condition of the child. Sensors transmit the body functions to the monitor screen: heart function, pulse, temperature, blood pressure, blood oxygen saturation.

After completing dental treatment, the child wakes up and immediately sees his parents.

Sometimes after treatment, children can be moody, feel weak, so parents need to be especially affectionate and patient. The anesthesiologist remains in touch and is always ready to support them.

Of course, we can once again remind that prevention is better than treatment. But, if your child`s oral cavity is in critical state, and high-quality treatment cannot be carried out in any other way, then treatment in medical sleep is the best option for your baby’s smile and health.