Dental implants:
Are you scared of the dentist? Then here is
general anaesthetics (or narcosis) and conscious sedation.
What to do, how to overcome fear, and what does dental
phobia mean.
At the origin of the terror that many adults
feel in regards of only the slightest mention of the
dentist are often the harsh and unpleasant experiences had
as a child during the first cures. An impatient doctor can
ruin the trust relationship that must be created with a
young patient, and this awful memory of pain and fear
lasts a lifetime. It should not surprise us. The same
thing happens when a child meets a teacher at school that
makes him hate a subject that instead could have been
interesting for him. Bad doctors and bad teachers can
wreak great damage to the life of a child.
When
such experiences have taken place the same state of
anxiety and fear remains in the patient, who in the
meanwhile in now adult. Usually by having some face to
face meeting it is possible to overcome these fears and
make the patient understand that now, contrasting to the
past, it is he who commands. In whatever moment he is free
to get up and stop the session. In any case it is his
right to ask to not feel any pain. This in truth should
have occurred even when he was a child...
However,
for unreasonable and uncontrollable fears of the
dentist narcosis can be employed, that is a
procedure that allows one to peacefully sleep while the
dentist works on teeth and gums. The patient is put to
sleep via gas and does not remember anything of the
procedures. However, narcosis and sedation can only be
practices in authorized and qualified structures, with the
help of a
doctor specialised in dealing with anesthesia.
Narcosis (or sedation) is certainly the
preferred treatment when numerous endoosteal implants are
to be inserted for new tooth support, or in case special
interventions must be carried out such as the lengthening
or shortening of the mandible or the jaw, or for mentally
impaired patients who are not able to collaborate. Usually,
after the needed controls and check-ups the patient can be
operated in general anaesthesia and sent home the same day
. If instead the intervention is more complex, then it
might be necessary to remain under observation for one
day. As we will see there are other possibilities.
In conscious
sedation the patient remains awake and fully aware of
what is going on, but does not feel any anxiety or pain;
this anesthesia simply instates in the patient a sort of
relaxation and calmness, together with numbing of the
mucoses, of nerves and gums. A sensation of sleepiness
overcomes the patient so that injections of local
anaesthesia can be done during the intervention without
causing pain due to the needle. Usually, after a few
visits the patient no longer presents any fear thus not
requiring the procedure any further.
last update: 21 January 2008