Sleepy 4 Kids (AIC-assisted general anesthesia)

Children who experience painful dental treatments from an early age are prone to develop anxiety about their dentist. This is why, in certain situations, dentists use local anesthesia or AIC-assisted general anesthesia, as appropriate.

What local anesthesia entails and when is it recommended?

The simplest, safest and most effective method is to use local anesthesia. This involves the introduction into the body of drugs that act directly on receptors and nerve endings, the effect being from alleviate to the disappearance of the sensation of pain.

The dentist will use local anesthesia only if necessary and depending on the complexity of the treatment performed.

There are two types of local dental anesthesia:

Topical – It is made with gel-like substances, with a pleasant taste, appreciated by children. It is applied directly on the mucosa, on the surface and has the role of numbing the area for simpler interventions or to prepare it for the administration of injectable anesthesia.

Local – It is performed by injecting the anesthetic substance in the area of a tooth, on which the intervention is performed. It is the most used method to reduce pain and increase the comfort of the child.

When AIC-assisted general anesthesia treatment is used

According to the American Academy of Pediatric Dentistry, there is a certain category of the population that cannot tolerate routine dental treatments and for which general anesthesia is needed.

In pediatric dentistry, general anesthesia is indicated for the following types of patients:

  • Pre-cooperative (children too young to receive extended dental treatment)
  • Children with special needs (physical/neurological) or maxillofacial abnormalities
  • Children with major/extensive dental problems that would require an increased number of treatment sessions
  • Children with a high degree of anxiety about the dentist or the dental office environment (instruments, etc.)

Advantages of AIC-assisted general anesthesia in pediatric dentistry:

  • It takes effect immediately, and the child is constantly monitored by an AIC specialist
  • It allows to resolve all severe dental conditions of the child in a single treatment session (2-3 hours)
  • The child remembers absolutely nothing of the experience that could otherwise scare him
  • Prevents the development of carious processes and their complication, preventing the occurrence of local infections that can spread throughout the body

Things to know before AIC assisted general anesthesia

Are certain tests and investigations performed before anesthesia?

  • Before general anesthesia, each patient is evaluated and subjected to a series of investigations and medical tests, which certify that he can benefit from dental treatment under anesthesia.
  • All tests are recommended by the anesthesiologist and pediatric dentist
  • Parents fill in a form regarding the child’s medical history

How long does the intervention take and how is it performed?

  • The interventions last between 60 – 200 minutes, depending on the complexity of the case
  • If the treatment includes more extractions and fewer restorations, the duration of the intervention is shorter
  • General anesthesia is always performed by intubation, so that all vital signs of the child are continuously monitored.
  • The anesthetist is present throughout the procedure

What happens after the anesthesia treatment?

  • After the operation, the child is transferred to the recovery room and is monitored until the effect of the anesthesia disappears completely.

General anesthesia is the last step of treatment, when all the other stages did not work: the child does not cooperate with the doctor, even in the case of inhalosedation sessions, psychological counseling was not a solution, and the child’s health is put in danger of delaying dental treatments.