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General anaesthetic GA and general anaesthesia dental treatment Germany

 

 

General anaesthetic ga dental treatments at Berlin Klinik

General anaesthesia GA is a controlled condition of unconsciousness caused by medication. Pain perception, defence reflexes and muscle tension are switched off throughout the body by controlled paralysis of the central nervous system. Anaesthesia permits performance of particularly painful procedures or procedures otherwise not tolerated by the patient. All total anaesthesia Treatments are only performed by a specialised anaesthesiologic team under the supervision of a doctor for emergency medicine and anaestiologic medicine. Inpatient as well as outpatient. Also see: BERLIN KLINIK Index and FAQ General Anaesthetic

 

 

 

Specifically at the BERLIN-KLINIK International Hospital and Dental Clinic, we offer patients tested and successful concepts for full dental and implantological restoration, rehabilitation or surgical interventions of all kind in total anaesthesia and  venous full anaesthesia: "Sleep – wake up – done!" This usually permits painless and stress-free, as well as time-saving performance of many unpleasant appointments that may cause anxiety or have been rescheduled often in a single treatment under anaesthesia. Both inpatient or outpatient solutions possible.

 

 

 

You can find anaesthesia topics under:

General anaesthetic treatment offers

Total intravenous anaesthesia TIVA at BERLIN KLINIK

Pharmacokinetics management at BERLIN KLINIK

General anaesthetic procedure in Berlin Klinik

General anaesthetic for internatonal patients

Anaesthesia medication and obligations Germany

Risk control in general anaesthetic treatment

FAQ general anaesthetic for dental treatment

BERLIN-KLINIK offers an essential Health Benefit: General Anesthesia for dental treatment

Why is genaral anaesthesia needed in dentistry?

General anaesthesia in BERLIN-KLINIK dental hospital brings improvement in the quality of life

General anesthesia what is it and when is it needed?

Objectives of general anesthesia in BERLIN-KLINIK

The use of general anesthesia for dental restorations can lead to improved quality of life

Do people want and acceptdental treatment in general anaesthesia?

Definitions in the field of general anesthesia

 

 

General anaesthetic treatment offers

Treatment under total anaesthesia for any Kind of unpleasant treatment up to complete restoration of the jaws, gums and teeth, with or without implants in the meaning of complete mouth dental rehabilitation and dental treatment  are performed as routine selective offers in BERLIN KLINIK International Hospital and Dental Clinic. But are there differences? Yes there are! General anaesthesia means unconsciousness, Sedation means diminished consciousness and Nitrous Oxide means sedation! We comprehensively plan every little detail and combine many long and sometimes unpleasant and stressful tooth treatments in a single treatment under anaesthesia. As well as general anaesthetic for cosmetic surgical treatment under anaesthesia for wellness surgery and aesthetic-plastic surgery. Almost all aesthetic-plastic surgeries, such as facelift procedures of different techniques or all breast enhancement procedures are offered under general anaesthetic at BERLIN KLINIK International Hospital and Dental Clinic as well. General anaesthetic for performance of all oral and maxillofacial surgeries, including those performed on the nose and ears, are, of course, also offered under general anaesthetic at BERLIN KLINIK International Hospital and Dental Clinic. Short to say that from a dental hygienist under total anaesthesia up to a complete dental rehabilitation in full ceramic to total jaw replacements in zirconium oxide all imaginable treatments are possible in total anaesthesia here.

 

 

Total intravenous anaesthesia TIVA at BERLIN KLINIK

Total intravenous anaesthesia in BERLIN KLINIK Anaesthesiologic Department can be defined as a technique of general anaesthesia using a combination of agents given solely by the intravenous route and in the absence of all inhalational agents including nitrous oxide. TIVA is the most often used general anaesthetic at Berlin Klinik International Hospital. For complete mouth dental treatment therapies we often use Propofol. Propofol was introduced into clinical practice in 1986 and now seems to be taking over that role. It has also become widely used as a component of TIVA.

 

TIVA has become popular, practical and possible only in relatively recent times. There are two main reasons for this. Firstly, unlike other popular intravenous agents of the past, the pharmacokinetic and pharmacodynamic properties of modern drugs like propofol and the newer synthetic, short acting opioids make them very suitable for administration by continuous infusion. Berlin Klinik dental and implantological treatments in general anaesthesia often last for many hours. Secondly, new concepts in pharmacokinetic modelling and advances in computer technology have allowed the development of sophisticated delivery systems which make control of anaesthesia given by the intravenous route as straightforward and user friendly as conventional inhalational techniques.

 

Intravenous drug administration to provide anaesthesia has evolved to become a popular alternative to inhalational anaesthesia. This evolutionary process is a result of improved understanding of pharmacokinetics, pharmacodynamics and the interactions which take place during continuous drug administration. Understanding these processes has facilitated the development of computerised syringe drivers that allow optimal drug selection and combinations. New intravenous drug delivery systems allow anaesthetists to vary anaesthetic depth in response to clinical signs in a manner intuitively similar to conventional volatile systems; thus simplifying the administration of intravenous anaesthesia. The result is an easy to use modern system of providing anaesthesia, which allows rapid, precise and independent control of amnesia, hypnosis and analgesia.

 

 

Pharmacokinetics management at BERLIN KLINIK

Pharmacokinetics is a potentially complex subject but an understanding of the basic concepts in relation to anaesthetic drugs can help to clarify the clinical implications of using a particular drug for TIVA and so assist optimal drug selection and combination. In BERLIN KLINIK Anaesthesiologic Department the use of Propofol is daily routine with up to 10h total anaesthesia treatments and more since over than 10 years. The science of pharmacokinetics is simply the use of mathematics to describe how the body 'handles' particular drugs. Data can be gathered by performing plasma assays of specific drugs after administration by either single dose or infusion to examine how the plasma concentration changes over time. There is a mathematical relationship between an administered dose of a drug and the resulting observed changes in plasma concentration. This relationship allows mathematical pharmacokinetic models to be constructed that may then be used to facilitate the calculation of dosing regimens and to guide pharmacotherapeutic management. The system of intravenous drug delivery used during TIVA must help to achieve the following goals: smooth induction, reliable and titratable maintenance and rapid emergence. In addition, a system that uses the skills the anaesthetist has already learned administering inhalational anaesthetics would seem logical. Target controlled infusion BERLIN KLINIK TCI-devices have been developed to meet these requirements.

 

 

General anaesthetic procedure in Berlin Klinik

At the BERLIN-KLINIK Zahnklinik, balanced anaesthesia with injection narcotics and the very gentle, well compatible TIVA total intravenous anaesthesia using only injected anaesthetics are usually used. In these, a soporific like Propofol is combined with an analgesic like Fentanyl or used pure if needed. This combination can be controlled relatively well. No gas is used. Except of the seldom use of laughing gas anaesthesia. At BERLIN-KLINIK, where general anaesthesia is regularly used, patients can look at the anaesthesia workplaces within the surgery areas if they wish. In practices where anaesthesia is used rarely, a "mobile anaesthetist" will bring in a mobile workplace. Dont hesitate to ask us about all your themes and thoughts about General anaesthetic Treatments concerning basic anaesthesia techniques, basic monitoring, general anaesthesia, cannulation small gauge, cannulation large gauge, surgical scrub, ketamine in total anaesthetic, intubation, extubation , techniques for intubation and extubation, Intubation nonrsi, rapid sequence induction, measures to improve larynscopic view, intubation with bougie nonrsi, extubation techniques, airway, laryngeal mask and cricothyroidotomy basic airway maneuvers, oropharyngeal airway insertion, holding paediatric Airway, aryngeal mask insertion, LMA insertion failure, cricothyroidotomy, giving spinal anaesthesia, spinal anaesthetic sitting, spinal anaesthetic lateral, high spinal anaesthetic, basic principles of immunity, outlining the innate and acquired immune responses, providing a summary of the main cells involved in the immune system, important immunoglobulins and the principles of the complement system.

 

 

General anaesthetic for internatonal patients

A scientific description of anaesthesia is "pharmacologically induced, reversible coma." Artificial anaesthesia therefore causes a temporary, reversible functional inhibition of the central nervous system, causing loss of consciousness, sleep and deactivation of perception of pain (analgesia). In many cases, flaccid paralysis of the controlled muscles is desired as well. Anaesthesia also causes reduction of reflexes. Anaesthesia is part of anaesthesiology, which is performed routinely at BERLIN-KLINIK International Hospital and Dental Clinic by specialists with special further training: Specialist physician for anaesthesiology and intensive care, anaesthetist. Like all medical processes, anaesthesia requires active contribution not only from the physician, but also from the patient! The patient cooperates with the anaesthetist for his safety. In particular for out-patient treatment under anaesthesia, the medical team requires the patient's cooperation. Before surgery the patient learns everything that is important about the upcoming anaesthesia and his stay at BERLIN KLINIK from the anaesthetist and receives answers to his questions. The physician assesses the possibility of using anaesthesia and the anaesthesia risk. Together with the patient, the best anaesthesia procedure (general anaesthesia, regional anaesthesia or a combination of the two) is selected. The patient is informed in detail of the risks of the anaesthesia procedure sand signs an informed consent. Because of the pre-medication prescribed during this meeting, the pre-surgery doctor's visit is also called pre-medication meeting.

 

 

Anaesthesia medication and obligations Germany

The current recommendations on medication to be taken in the context of surgery and anaesthesia/regional anaesthesia are complex. In this context, medication effects, co-morbidities, the type of surgery and anaesthesia/regional anaesthesia must be considered. This particularly refers to medication for hypertension/arterial hypertension, antidiabetics and substances that influence blood clotting. Therefore, the procedure may have to be coordinated with the treating physician and the anaesthetist before the surgery. These medical productions are available in a liquid, dissolved form. They must be injected. The highly popular and very well compatible product Propofol, for example, is well compatible even for longer anaesthesia and poses a low strain on the body. Absorption and elimination of an injection narcotic are generally different from those of inhalation narcotics. While the gases are mainly supplied to and removed from the organism by breathing, injection narcotics are supplied by injection and eliminated by metabolisation in the liver or elimination through the kidneys. The intraoperative monitoring measures for Germany are stipulated in the medical products act (Medizinproduktegesetz) and the medical device operator ordinance (Medizingerätebetreiberverordnung). Both laws implement the European standard EN 740. The recommendation of the Deutsche Gesellschaft für Anästhesie und Intensivmedizin DGAI on monitoring anaesthesia and equipping anaesthesia workplaces is used as a standard.

 

 

Risk control in general anaesthetic treatment

These are the reasons for fasting before surgery: General anaesthetic anaesthesia temporarily switches off the patient's consciousness in a controlled fashion. This includes failure of important protective reflexes, such as the inhalation reflex, gag reflex, cough reflex. The cough reflex usually serves to free the trachea of foreign bodies or contamination. To avoid aspiration, i.e. entering of stomach contents into the breathing tract, it is important for the stomach to be empty. In case of regional anaesthesia, complications may occur that require intubation and subsequent general anaesthetic. For planned surgeries, the patient therefore has to fast even if regional anaesthetic is used. For emergency surgery, not having an empty stomach may be an argument for preferring regional procedures to keep the danger of aspiration low.

 

 

FAQ general anaesthetic for dental treatment

What is the difference between local anaesthetic and general anaesthetic?

Answer: A local anaesthetic is injected close to the nerves (e.g. Articain, Lidocain, Procain, Novocain...) at the body or in the mouth, so that they no longer forward any pain. This permits pain-free surgery of the affected part of the body. General anaesthetic uses narcotics to induce unconsciousness. Such substances can be injected into the veins (e.g. Propofol, Ketamine) or inhaled as a gas (e.g. nitrous oxide or Halothane). In addition to inducing unconsciousness, pain killers and muscle relaxants are administrated as well. We at BERLIN-KLINIK usually use TIVA general anaesthetic and the very well compatible medication Propofol.

 

Why do dentists and oral surgeons offer GA?

Answer: GA is used to provide safe and comprehensive dental care for patients of all ages with behavioural, medical or other problems that preclude treatment in the usual dental practice setting. Berlin Klinik especially offers GA for total mouth and jaw dental and implantological treatments. The use of GA reduces cognitive, sensory, and skeletal motor activity in order to facilitate the delivery of high quality, comprehensive dental services. Procedures are performed on patients under GA when the procedure itself is complex, lengthy and cannot be performed in a dental practice. In some cases, the use of GA is not only necessary for the practitioner to successfully complete the procedure; it is also required for patient comfort.

 

Who requires general anaesthesia for dental treatment?

Answer: Those who require dental treatment under GA include: Rehabilitation of full mouth. Many implants at the same time, Bone reconstruction. Periodontal treatments. Patients with certain physical, mental, or medically compromising conditions. The uncooperative, fearful, anxious, physically resistant or uncommunicative patient with substantial dental needs and no expectation that the behaviour will soon improve. Patients that have extensive orofacial and/or dental trauma. Patients with immediate comprehensive dental needs who otherwise would not receive comprehensive dental care. Patients requiring dental care for whom the use of GA may protect the developing psyche and/or reduce medical risks. Patients requiring significant maxillofacial surgical procedures. Patients with dental restorative or surgical needs for whom local anaesthesia is ineffective because of acute infection, anatomic variations, or allergy. Patients who require treatment not possible under local anaesthesia settings, for example, the removal of impacted wisdom teeth

 

Berlin Klinik offers access to general anaesthetic for all?

Answer: Yes! Because in our eyes access to GA for dentists is extremely important as it allows those patients who are unable to undergo dental treatment in the usual dental practice setting to receive safe, effective and suitable dental treatment. Berlin Klinik International dental clinic considers that those who require dental treatment under GA should be able to access this service just as easily as those patients who require a non-dental procedure. The need and justification for GA is the same, regardless of the procedural challenge or the areas of the body for which the procedures are performed. GA is provided because of the patient’s inability to receive, tolerate or cooperate with medically-necessary treatment secondary to such factors as age, disability, or physical or mental impairment and not sec-ondary to the nature of the procedure itself. For instance, GA coverage is routinely provided for such procedures as tonsillectomy and removal of cutaneous growths and lesions for infants and persons with disabilities when these procedures and others like them would be performed under a local anesthetic in an office setting for the typical adult and older pediatric patient.

 

Berlin Klinik is the right facility for inpatient general anaesthesia?

Answer: While most people will recognise that Oral and Maxillofacial Surgeons and Oral Surgeons need GA for treatment of trauma and cancer patients, it is not so well recognised that other dental practitioners also require these facilities. Those who need them on a frequent basis are mainly paedodontists dealing with children who require extensive and therefore long procedures, and special needs dentists dealing with disabled and other special needs patients who could not cope with treatments under only local anaesthetic or conscious sedation. Dental treatment undertaken under GA if not possible in the dentists chair may include examinations, radiographs, scaling and cleaning, restorative and periodontal treatment. Other specialists and general practitioners will also have patients from time to time whose circumstances demand that their treatment is delivered under GA.

 

Who is responsible for general anaesthetic at BERLIN KLINIK?

Answer: The anaesthetist, a specialist for anaesthesia and emergency medicine, is responsible for keeping the patient in an artificially induced sleep during surgery and to remove his muscle reflexes. He is responsible for the overall condition of the patient during surgery and the time after surgery. The anaesthetist is not only responsible for preparation and performance of anaesthesia during surgery, but also monitors and ventilates the patient after the surgery on the ward and in intensive care, as well as dealing with pain therapy. Anaesthetists are responsible for ensuring the vital functions of breathing and cardiac activity.

 

Who can be treated under general anaesthetic at BERLIN-KLINIK?

Answer: Generally, any healthy person can be treated under general anaesthetic. There is hardly any age limit for it anymore. General anaesthetic can be used just as well in a two-year old child as in an eighty-year-old adult. The anaesthetist will decide from case to case, according to condition and constitution, whether or not anaesthesia is possible. We specialise in therapy for adults, but we are able to treat children as well. Treatment under general anaesthetic permits unpleasant, complicated or very comprehensive surgery and therapy at best efficiency for therapy scope / time.

 

How will I be monitored during general anaesthesia at BERLIN KLINIK?

Answer: The following of the patient's body functions are monitored continually: ECG, recording of the heart's electrical activity, by a monitoring device for continuous observation of the patient's cardiac activity. The blood oxygen content is also continually monitored. For this, a pulse oxymeter with a sensor is attached to the patient's finger. Blood oxygen content is also continually registered to continually adjust the concentration and mixture of the anaesthetics. For this, a small bracket with a sensor is attached to the patient's finger. The patient's blood pressure is measured with a collar on his arm or by a probe in the wrist artery. For larger surgeries, the blood pressure can also be measured right at the heart. This is performed by a catheter that is pushed through a vein at the neck or below the clavicle until it nearly reaches the heart.

 

How will the anaesthetic be administered at BERLIN-KLINIK?

Answer: To initiate general anaesthesia, a quick-acting soporific is injected into the patient's vein. The most frequently used anaesthesia is called TIVA Total Intravenous Anaesthesia. The medication used is Propofol. During surgery, various medications must be injected into the blood stream through a cannula with vein access. It is usually applied at the back of the hand.

 

What is dental day case treatment?

Answer: Dental day case treatment in Berlin Klinik means coming into hospital for a dental procedure or surgery, and going home the same day. It is for people who do not need to stay in hospital overnight. Not all patients are suitable for day case treatment. We will assess your physical health and home circumstances to decide if day surgery or a one day inpatient treatment is the best option for you.

 

What is a general anaesthetic in easy words?

Answer: A general anaesthetic is medication that causes you to be temporarily unconscious in the meaning of asleep so you do not feel anything during your surgery. An anaesthetist performing the GA is a specially trained medical doctor who gives will stay with you and monitor you during your surgery and as long as you will wake up in a comfortable and well protected room in Berlin Klinik. The anaesthetist caring for you will meet with you to discuss your care. They will explain which type of anaesthetic is recommended for you. The doctor will also explain how any pain will be managed.

 

Who performs anaesthesia and general anaesthesia at BERLIN-KLINK?

Answer: Local anaesthesia is usually performed by the surgeon himself. For more comprehensive types of anaesthesia, analgo sedation or general anaesthesia, the anaesthetist, specialist for anaesthesia and emergency medicine at BERLIN-KLINIK, is responsible. He is supported by specialised nurses and regular nurses, who will assist him before, during and after surgery.

 

Which examinations are required before anaesthesia?

Answer: The anaesthetist must be informed in detail about the physical condition of his patient before any surgery. There is a premedication interview for this. Only this information enables him to select the correct type of anaesthesia. Possibly required preliminary examinations include recording of the heart current curve (ECG), a thoracic X-ray (heart and lung) and blood examination (haemoglobin, potassium, sodium, coagulation factor, creatinine, urea and liver values); a lung-function test may also be required. The examinations are determined by the number and type of existing diseases and the surgery's requirements. The patient must not suffer from any acute sickness like cold, flu, cough, etc. After such sickness, surgery should not be performed for at least two weeks. In case of chronic diseases of the heart, lungs, blood, liver, thyroid gland or lungs, your attending physician must approve the anaesthesia! In this case, the patient must inform his or her general practitioner.

 

Will the anaesthetist inform the patient of the type and risks of anaesthesia?

Answer: Of course. Before surgery, the anaesthetist will discuss everything that may be important for anaesthesia based on the anaesthesia questionnaire the patient completed. In particular, existing diseases, earlier surgery and possible facts and results that may lead to anaesthesia problems are inquired about. The anaesthetist will also inform the patient of the different possibilities of anaesthesia and support him in his decision. The anaesthetist does, however, depend on focussed and honest cooperation by the patient.

 

Why is it forbidden to eat or drink for eight hours before surgery?

Answer: During general anaesthetic, the entire tension of the body's muscles is removed by muscle relaxants. This measure is required to permit the surgeon to work easily. At the same time, this means that the muscles of the gastrointestinal tract are relaxed. This leads to the danger of stomach content flowing back into the oesophagus and from there getting into the trachea and the lungs. This would be a potentially fatal complication! Therefore, you must not eat or drink within eight hours before your elective anaesthesia. In case of emergency surgery, the stomach is emptied with a probe or emptying is inhibited by medication.

 

What medication must be taken before surgery under general anaesthetic?

Answer: The anaesthetist and your general practitioner will decide together whether you may/should continue to take medication you previously took regularly due to your doctor's prescription or voluntarily. The patient is obliged to inform the anaesthetist as precisely a possible of EVERYTHING he has taken, if possible in writing. The anaesthetist specifies the previous medication / medication to be taken before the surgery or what medication is to be used to prepare you for surgery.

 

Do I have to expect adverse effects or any complications during surgery?

Answer: Of course. Just as you need to expect to be injured or die when crossing a road, disaster is possible during ANY medical intervention! Frequent adverse effects of various anaesthesia methods are nausea, vomiting, sore throat or temporary numbness of anaesthetized or strained body regions. Usually, they are unpleasant for patients, but relatively harmless and will pass without any consequences. The anaesthetist tries to avoid them and also knows how to alleviate these symptoms if required. Other complications like allergic shock, metabolic decompensation or cardiac arrest are unpredictable adverse effects.

 

Will I surely wake up again after anaesthesia?

Answer: When the surgery is completed, anaesthesia will be ended by no longer adding any anaesthetic. The anaesthetist will inject medication that revokes the anaesthesia effect and removes the muscle relaxation. The patient will wake up in the surgical theatre and be taken to the ward room in the bed or a wheelchair, where his bed is waiting for him. However, the patient will be sleepy for some time longer, depending on constitution, intensity and duration of anaesthesia. All important bodily functions need to be monitored uninterrupted for some time longer on the ward and the organism must be supplied with all necessary substances and medication intravenously.

 

Will I need to vomit after anaesthesia?

Answer: The older ether or chloroform anaesthesia methods had vomiting as a near-typical part of anaesthesia. State-of-the-art anaesthesia gases and venous anaesthetics that are injected are much less of a strain on the organism, so that post-surgical vomiting occurs rarely or never. If the patient is nauseous after waking from anaesthesia anyway, this condition is treated with medication.

 

Does general anaesthetic at BERLIN-KLINIK also have adverse effects that may harm me?

Answer: Just like any medication, anaesthetics may also have adverse effects. They need to be degraded by the liver, for example, which may cause problems if the liver is already damaged. Very. very rare allergic reactions may also occur. If there is an allergic shock during anaesthesia, an allergologist must systematically find out the substance that may have triggered the allergy after surgery. This is vital for later surgeries.

 

Is it possible to go home after general anaesthetic at BERLIN-KLINIK?

Answer: Generally yes. Outpatient anaesthesia requires that there is a person available to take the patient home and present close to the patient's residence. Driving is forbidden, but going home by public transport on your own is not allowed either. If the patient starts to feel unwell at home, she or he must be able to call help. A controlled and monitored stay at the BERLIN-KLINIK ward is usually safer for you.

 

Are costs for dental treatment under anaesthesia assumed by the health insurance?

Answer: The costs for anaesthesia are only assumed by the health insurance in case of certain rare indications. Indications are currently patients with mental disabilities, children under 12 years who will not permit treatment otherwise, and patients who do not tolerate dentist's local anaesthetics or who are allergic to them, and in whom this has been documented by a specialist. In individual cases, excessive gag reflex in the scope of dental treatment may be accepted as an exception that warrants general anaesthesia. However, this must be reviewed from case to case and approved by health insurance in writing. Private insurance will only assume costs for general anaesthetic if they are justified and contractually agreed on.

 

What is the difference between sedation by the dentist and anaesthesia at BERLIN-KLINIK?

Answer: Analgo sedation means that you do not sleep! You will be awake and responsive, but the medication will cause deep relaxation to the point of retrograde amnesia. You will still be able to perceive pain, so that the dentist must inject local anaesthetic. Sedation is only permitted if monitored by an anaesthetist because the medication administered may lead to respiratory depression. Breathing on your own may be a problem during dental treatment and there is the definite danger of inhaling something, which is a very severe complication. During general anaesthetic, you are deeply asleep. Pain perception is completely gone due to the medication and additional local anaesthesia is not absolutely required. Treatment may take up to several hours if required. You will not be able to swallow or inhale anything.

 

Are fear or phobia of the dentist a disease?

Answer: Dentist phobia is defined as a disease (ICD 10, 40.2, an anxiety disorder). Among others, fear causes you to more or less lose focus and control of your rationally controlled action, the pulse frequency rises and motor skills reduce as well as the ability to think rationally. You may lose control of your bowels or bladder. Among others, measurable biochemical processes will occur. All in all, this is a condition in which rational behaviours or decisions are not possible, or only with limitation. Sedatives will not help or help only little. A person suffering from dentist phobia has a disease and requires medical help.

 

What makes a "Specialist for dentist phobia"?    

Answer: Some say: emotional intelligence, special communicative skills and the ability to cooperate. In bitter reality of the advertising outward presentation, it's more like: unscrupulous business skills, hypocrisy and moderate quality of dental treatment as such. Fear is and has always been something some people have "specialised" in to make great business. They use fear and lack of information for their own benefit. It is particularly negative if these self-proclaimed "specialists for dental phobia" claim that other dentists are unable to treat patients suffering from dentist phobia with the aid of an anaesthetist.

 

What is a "Specialist for dentist phobia"?

Answer: There are certainly laudable exceptions. However. advertising with this "specialisation" means a dentist who had little success in patients who are awake and mature. Dentists who have only achieved medium-quality and little representative success may have turned to the much more lucrative sleeping fear patients at some point. They can perform very comprehensive treatments that are often far too expensive as compared to the quality of the dental medicine provided. It is worst in those cases where dentists specialising in treatment of dentist phobia patients are commercially organised on a commercial-organisational level.

 

 

BERLIN-KLINIK offers an essential Health Benefit: General Anesthesia for dental treatment

General anesthesia dental treatments a medical procedure that renders the patient unconscious, allowing for the safe and humane provision of medical and dental diagnostic and surgically invasive procedures. Dental treatment under general anesthesia is an effective way to provide medically necessary care to all patients who have no time for many long term visits or may be highly anxious or fearful, have special needs, or medically-compromised and unable to receive treatment in a traditional office setting in local anaesthesia. Delivering dental treatment in BERLIN-KLINIK under general anesthesia can have significant positive effects on the quality of life for patients and their families and can improve access to regular dental care. general anaesthesia may be medically necessary when treating some dental patients and, therefore, should be included as an essential health benefit under private medical insurance coverage for these patients. While general anesthesia is necessary for only a small subset of dental patients, insurance coverage is not needed in general so that necessary dental procedures can be accomplished in a humane, appropriate, efficacious, and safe manner.

 

Much attention has recently focused on the use of general anesthesia to enable dentists to perform extensive or long term dental treatment. BERLIN-KLINIK offers the sleep-wake-up-ready treatment no matter what dental need or dental whish the patient has. These inpatient treatments sometimes take up to 10hours or more. However, sedation and general anesthesia have been utilized in the practice of dentistry and medicine since the 18th century. Dentistry, especially surgical dentistry has continued to build upon this foundation and has been instrumental in developing safe and effective sedative and anesthetic techniques that have enabled millions of people to gain access to dental care. The use of general anesthesia in BERLIN-KLINIK for dental care contin­ues to have a remarkable record of safety.

 

 

Why is genaral anaesthesia needed in dentistry?

While most dental care is provided in a traditional dental office setting utilizing local anesthesia and, when indicated, a variety of adjunctive pharmacologic and behavioral guidance techniques, a subset of patients cannot benefit from routine approaches. Therefore BERLIN-KLINIK offers general anaesthesia dental treatment and general anaesthesia rehabilitation of tooth, jaws and joints as a regular treatment option. Some children and patients with special health care needs have treatment conditions, acute situational anxiety, uncooperative age-appropriate behavior, immature cognitive functioning, disabilities, or medical condi­tions that definitely require deep sedation or general anesthesia to undergo dental procedures in a safe and humane fashion. Included in this group are patients who have not yet developed the ability to comprehend the need for their treatment nor the effective and appropriate skills to cope with invasive and potentially uncomfortable and psychologically threatening procedures. For many of these patients, inpatient or outpatient treatment under general anesthesia in a hospital like BERLIN-KLINIK or ambulant treatment in a dental office or practice represents the optimum or only venue to deliver necessary oral health care.

 

To effectively address the challenges associated with these patients, dentists and other professionals have developed a variety of patient management techniques, including the provision of dental care under general anesthesia in the dental office and in the hospital, ambulatory surgicenter, or other accredited surgical facility. In fact, instruction and experience in providing dental care under general anesthesia is a required component of the curriculum in all surgical dental residency training, as well as in many other dental post-doctoral programs like the german “Facharzt”/”Fachzahnarzt” here: Oral Surgeon or TMJ Surgeon.

 

 

General anaesthesia in BERLIN-KLINIK dental hospital brings improvement in the quality of life

by allowing for extensive dental rehabilitation in patients who are experiencing dental pain and difficulties in eating and sleeping, and whose partners, children, parents have concerns related to the health, nutrition and behavior. Facilitating dental access for very young patients, patients with special health care needs and or patients with a high degree of dental fear or anxiety. General anaesthesia in BERLIN-KLINIK providing an enhanced opportunity for patients, parents and children education on positive oral health behaviors which can lead to positive behavioral changes and improved oral health.

 

 

General anesthesia what is it and when is it needed?

General anesthesia dental treatment in BERLIN-KLINIK is a clinician-controlled state of patient unconsciousness accompanied by a loss of protective reflexes, including the ability to maintain an airway independently and respond purposefully to physical stimulation or verbal command. The use of general anesthesia sometimes is necessary to provide quality dental care for demanding patients or for long term or extensive treatments. Depending on the patient and other factors, general anesthesia can be done inpatient/outpatient in a hospital like BERLIN-KLINIK or an ambulatory setting, including some dental offices.

 

The need to diagnose and treat, as well as the safety of the patient, practitioner, and staff should be specialized and performing general anaesthesia in daily routine like in BERLIN-KLINIK. They should be professionally considered in the professional use of general anesthesia. The decision to use general anesthesia must take into consider­ation: Alternative behavioral guidance modalities, dental needs of the patient, the effect on the quality of dental care, the patient’s emotional development and basically the patient’s anamnestic and clinical medical status

 

 

Objectives of general anesthesia in BERLIN-KLINIK

General anaesthesia is to provide safe, efficient, and effective dental care and dental and tmj-rehabilitation. Eliminate anxiety. Reduce untoward movement and reaction to dental treatment. Aid in treatment of the anatomic, mentally, physically, or medi­cally compromised patient. Eliminate the patient’s pain response.

 

 

The use of general anesthesia for dental restorations can lead to improved quality of life

Dental treatment under general anesthesia provides a safe approach for demanding patients and persons with extensive dental treatment needs or -whishes or special health care needs who cannot accept treatment in a conventional office setting. Provision of dental treatment under general anesthesia for uncooperative, young children with dental needs has significant positive effects on quality of life for both these children and their families. Oral health related quality of life is measured in relation to how the mouth and teeth affect physical, psychological and social well-being and daily activities such as eating, chewing, swallowing, speaking, playing, learning, happiness, embarrassment, and social interactions.

 

 

Do people want and acceptdental treatment in general anaesthesia?

According to federal and international satisfaction surveys, patients who underwent dental rehabilitation under general anesthesia demonstrated improvements in pain relief, as well as in their ability to smile, laugh, eat and sleep. Patients with medical or compromising devel­opmental conditions were significantly more likely to have improved abilities to eat and sleep, and have a significantly improved overall health status. Partners and relatives have also reported improved social function, including more smiling, improved performance in business or education, and increased social interaction after receiving dental care under general anesthesia and that general anesthesia has a high degree of acceptance among all ages.

 

Many patients and relatives express “fear,” “worry,” and “concern,” as well as some level of anxiety during general anesthesia and prior to treat­ment. However, after treatment under general anesthesia in BERLIN-KLINIK is complete, people reported a lessening and improvement in the amount of dental pain, sleeping pattern, eating habits and tooth brushing. Additionally, research indicates that postoperative discomfort is mild and subsides substan­tially over the first week after surgery. In fact, a systematic review of the literature found that “oral rehabilitation under general anesthesia results in the immediate improvement of the people’s oral health and physical, emotional and social quality of life. It also has a positive impact on the family.”Additionally, peoples acceptance of general anesthesia especially in the health care capital Berlin and its premium institution BERLIN-KLINIK over more physical management techniques has increased dramatically, because of many scientific reports, publications and growing expectations in public of safe and compassionate treatment.

 

 

Definitions in the field of general anesthesia

Analgesia – the diminution or elimination of pain.

Local anesthesia – the elimination of sensation, especially pain, in one part of the body by the topical application or regional injec­tion of a drug.

Minimal sedation – a minimally depressed level of consciousness, produced by a pharmacologic method that retains the patient’s ability to independently and continuously maintain an airway and respond normally to tactile stimulation and verbal command.

Moderate sedation – a drug-induced depression of consciousness during which patients respond purposefully to verbal com­mands, either alone or accompanied by light tactile stimulation.

Deep sedation – a drug-induced depression of consciousness during which patients cannot be easily aroused but respond purpose­fully following repeated or painful stimulation.

General anesthesia – a controlled state of un-consciousness accompanied by a loss of protective reflexes, including the ability to maintain an airway independently and respond purposefully to physical stimulation or verbal command. The use of general anesthe­sia sometimes is necessary to provide quality dental care for patients with fear or extended treatment needs.

Special healthcare needs – Special health care needs include any physical, developmental, mental, sensory, behavioral, cognitive, or emotional impairment or limiting condition that requires medical management, health care intervention, and/or use of specialized services or programs. The condition may be developmental or acquired and may cause limitations in performing daily self-mainte­nance activities or substantial limitations in a major life activity. Healthcare for individuals with special needs requires specialized knowledge, increased awareness and attention, adaptation, and accommodative measures beyond what are considered routine.