Sedation and General Anesthesia in Pediatric Dental Treatments

Fearless and Single-Session Solution

Our rule in the modern pediatric dentistry approach is clear: No child should be treated forcibly, by crying or being traumatized! Thanks to evolving medical facilities, highly comfortable treatments are possible with Sedation and General Anesthesia applications where our little ones remember nothing, and are treated painlessly in a single session. All procedures are carried out with maximum safety under fully equipped operating room conditions, accompanied by an expert anesthesiologist.

One of the most common situations we encounter in our clinic is our children who rightly hesitate to sit in the dentist’s chair due to bad experiences in the past or intense anxiety. Our families generally have to delay the treatment process so that their children don’t get hurt. Unfortunately, this situation can cause a simple decay to turn into severe infections that spread throughout the mouth and interrupt sleep.

As Prof. Dr. Behiye Bolgül, we have compiled the medical details and strict security protocols of this “treatment during sleep” process, which you dear parents are most worried about, to ease your mind.

Çocuk diş hekimliğinde güvenli sedasyon ve genel anestezi ile uyutarak diş tedavisi - Dental treatment under safe sedation and general anesthesia in pediatric dentistry - Безопасное лечение зубов в детской стоматологии под седацией и общим наркозом

Why Don’t We Apply “Forced Treatment”?

Performing dental treatment on a frightened, crying, and struggling child by applying physical restraint (holding tightly) carries medical risks (such as damage to the tiny lips and cheeks during movement) and causes our child to develop a profound “Dentist Phobia (Dentophobia)” that will last a lifetime. Our goal is not only to clean the decay of that moment but also to protect our little ones’ future perception of oral health and their trust in us.

What is the Difference Between Sedation and General Anesthesia?

You dear parents often rightly confuse these two concepts. In both methods, our fundamental aim is to completely eliminate our child’s anxiety and pain sensation, but their application methods are different from each other:

  • Conscious Sedation: It is the state of taking our child into a “deep and peaceful sleep” with the help of special medications. Our child continues to breathe on their own, can hear the commands we say, but never feels the procedure and the pain. When they wake up, they remember nothing about that process.
  • General Anesthesia: It is a state of total sleep in which our child is in a complete state of unconsciousness, and their respiration is provided under the control of state-of-the-art anesthesia devices and specialist physicians. It is the gold standard we refer to in extensive and long-lasting procedures.

In Which Situations is “Treatment Under Anesthesia” Preferred?

Of course, general anesthesia or sedation is not applied to every child. As a result of our detailed clinical examination, if one or more of the following situations are present, we refer to these methods for the well-being of our little ones:

  • Severe Phobia: Our little ones who rightly refuse to sit in the chair and feel intense anxiety.
  • Age Factor: Our babies who are under 4 years old, have not yet fully developed persuasive abilities, and experience multiple Early Childhood Caries (Baby Bottle Tooth Decay) problems.
  • Individuals with Special Needs: Our very precious patients with autism, Down syndrome, or mental/physical disabilities who cannot cooperate with us.
  • Need for Comprehensive Treatment: Situations that require extensive procedures such as multiple root canal treatments, tooth extractions, and zirconium crowns in the same session, necessitating a long time on the operation table.

Security Protocol: By Whom and Where is the Procedure Performed?

Please rest assured; these treatments are never performed in a standard dentist’s chair. General anesthesia and deep sedation procedures are carried out under fully equipped operating room conditions, accompanied by an Anesthesiology and Reanimation Specialist (Anesthesiologist) who is an expert in their field. While our anesthesiologist monitors our child’s vital signs (heart rate, blood pressure, oxygen level) second by second, we strictly and meticulously focus on dental treatments. This dual specialty collaboration ensures that the procedure is performed with maximum safety and flawlessly.

Comparison Table: Comparison of Anesthesia Methods

FeatureDigital / Local AnesthesiaConscious SedationGeneral Anesthesia
State of ConsciousnessCompletely awakeSemi-asleep (Deep relaxation)Completely unconscious (Full sleep)
Recollection of ProcedureRemembers everythingUsually doesn’t rememberRemembers nothing
Pain SensationOnly the region goes numbDoesn’t feel painDoesn’t feel pain
Application SettingDental ClinicEquipped Clinic / HospitalFully Equipped Operating Room
Patient ComplianceRequires high complianceCan be applied with low complianceNo compliance required (Zero compliance)

Frequently Asked Questions (FAQ)

Should our baby fast before the procedure?

Yes. Against the risk of nausea and vomiting, according to the safe protocol to be determined by our anesthesiologist, we must completely stop our child’s intake of solid food and liquid a certain period before the procedure (usually 6-8 hours).

Can all decayed teeth be finished in a single session?

This is exactly the biggest advantage general anesthesia offers to you, our families! All the fillings, root canal treatments, crowns, and, if necessary, preventive applications in our child’s mouth (no matter the quantity) are finished in a single session of approximately 1-2 hours. In this way, you do not have to come to the clinic repeatedly and get tired.

When points are discharged after the procedure, can we go home the same day?

When the treatment is over, our little hero is taken to a special recovery room. Following an observation and rest period of about 1-2 hours to be spent with their family, our child is discharged walking happily on the same day when they have completely recovered.

Professional Solution for a Trauma-Free Future

Delaying dental treatments directly threatens your child’s overall health, nutrition, growth, and even their beautiful sleep pattern. To lovingly overcome fears and say goodbye to all dental problems in a single session, contact Prof. Dr. Behiye Bolgül and her expert team immediately, who serve with fully equipped and safe anesthesia protocols.

While your child sleeps peacefully, let us redesign their healthy smile.

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Prof.Dr. Behiye Bolgül

Antalya Pediatric Dentist Prof. Dr. Behiye Bolgül graduated from Dicle University Faculty of Dentistry as the top student in 1995. She started her doctorate in the Department of Pedodontics at the same university in 1996 and completed it in 2001, receiving the title of Pedodontist

About Dr. Bolgül

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Antalya Pedodontist

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