M. K. Čiurlionio g. 19 Vilnius +370 644 77447
M. K. Čiurlionio g. 19 Vilnius +370 644 77447
Amicus Dentis | Comparison chart

Comparison chart

What are the common reasons to seek anaesthetic procedures?

Usually dental procedures for children and adults are carried out under local anaesthesia, by numbing the teeth. But there are cases when treatment for a conscious patient is impossible. In such cases, sedation and general anaesthesia help. The dentist treats the teeth, and the anaesthetist takes care of the anaesthesia.

Common reasons to seek anaesthetic procedures:

  • Children – young age, fear, no cooperation, many teeth to be treated
  • Adults – fear, long complex surgical procedures

What are the different sedation levels?

  • Minimal sedation – the patient is not asleep, only relaxed
  • Medium level sedation (conscious sedation) – speech is incoherent, patient does not remember part or all of the procedure
  • Deep sedation – the patient is asleep, but is easily awoken
  • General anaesthesia (narcosis) – deep sleep caused by medication, the patient wakes only after the drug effect has passed

Who can perform sedation?

  • A dentist can: perform premedication and conscious sedation, and perform procedures under general anaesthesia in sites where emergency resuscitation is ensured.
  • A pediatric dentist can: perform premedication and conscious sedation in sites where emergency resuscitation is ensured.
  • An anaesthetics can: perform all types of sedation, also general anaesthesia (narcosis) in a licenced treatment facility.

For adults, intravenous sedation is performed the most commonly It is suitable for both short and long, simple and complex procedures General anaesthesia is used rarely, often in difficult surgical cases.

Due to great results of intravenous sedation, other anaesthetic procedures (oral sedation, mask anaesthesia, general anaesthesia) are rarely performed on adults, but, if necessary, they may also be performed in our clinic.

Comparison of anaesthesia for children
 Procedure Advantages Drawbacks
Oral sedation
  • Lowest risk of all three.
  • Success of sedation not guaranteed,
  • Limited duration (approx. 40 min),
  • Cannot be increased/reduces/prolonged (controlled),
  • Paradoxical reactions,
  • Not all children agree to take medication,
  • The child is active,
  • Only one or several teeth are treated during a single sedation.
Mask anaesthesia
  • Guaranteed success,
  • Can be controlled,
  • The child does not move,
  • No paradoxical reactions.
  • Limited duration (approx. 10-15 min),
  • Airways not protected.
General anaesthesia
  • Guaranteed success,
  • The child does not move,
  • Unlimited duration,
  • All teeth are treated at once.
  • Higher risk,
  • Longest wake-up time.

 

Comparison of anaesthesia for adults
 Procedure Advantages Drawbacks
Intravenous sedation
  • Short wake-up time,
  • Controllable (may be increased),
  • Safe, effective.
  • An entourage is needed after the procedure,
  • Driving is forbidden after the procedure.

Friend of your teeth, Amicus Dentis