Treatment Under sedation

Treatments under sedation

A dentist would recommend dental treatment under sedation for certain situations to properly perform extensive dental treatment including extractions, pulp treatment, crowns and fillings etc the patient’s co-operation is vital. Often additional medications are needed to help kids to be comfortable and co-operate treatment to be carried out. Often, it is even necessary to do treatment under general anesthesia. Things can be unpredictable as medications elicit different responses in different children. The induction of sedation is either through swallowing of the medicines by mouth, or by injection of the drugs into the thigh or buttock muscles or veins of the arm which makes the child oblivious to pain although he is conscious.

Your dentist may recommend general anesthesia if your child

  • Can't relax or calm down enough for treatment to be performed safely,

  • For dental treatment that would be difficult for the child to tolerate while awake like oral surgery etc.

  • A lot of dental work has to be done in one long appointment rather than many shorter visits

  • Has a medical, physical or emotional disability that limits his or her ability to understand directions and be treated safely as an outpatient

Although general anesthesia is often the best choice in these cases, it also involves some risk. Your dentist should discuss the risks and benefits with you and explain why it might be right for your child. Your child will need a physical examination before receiving general anesthesia to make sure he or she doesn't have any conditions that could interfere with or be affected by the anesthesia. The doctor's guidelines about intake of food and fluid before and after the procedure are to be followed strictly.

Treatment of specially challenged children

In children with disabilities and disorders the oral cavity and its functions are affected by problems related to eating, swallowing, speech and communication problems, esthetics, malocclusions etc. Hence such children have increased treatment needs than normal children.

Disturbances in occlusal development, dental caries and periodontal problems are the most commonly found in medically compromised children. The rate of caries, periodontal disease and malocclusion in disabled children exceeds that of children without disabilities.

An efficient and systematic approach to the examination and treatment is necessary in the case of specially challenged children so that appointments are short, when necessary. Thorough knowledge and understanding of the child’s medical, physical, mental or behavioral condition is necessary in order to better manage the appointment and oral health needs of the patient. Our dentists are trained professionals to provide caring treatment for children with special needs and ensure your child’s comfort.

Preventive orthodontics

If a child loses a primary tooth early through decay or injury, the nearby r teeth could shift and begin to fill the vacant space. As a result when the permanent teeth emerge, they get occluded due to lack of space present. This leads to crooked or crowded teeth and difficulties with chewing or speaking.

To prevent that, a dentist inserts a space maintainer, made of stainless steel or plastic, which may be either removable or fixed, to hold the spot left by the lost tooth until the permanent tooth emerges. These maybe a band or a temporary crown attached to one side of the vacant space. The maintainer keeps the space open until the permanent tooth comes in.