Removal of wisdom teeth under anesthesia
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Indications for wisdom teeth removal under general anesthesia
General anesthesia for wisdom teeth removal is used to ensure the comfort and safety of the procedure for both the patient and the doctor.
Cerebral palsy and autism make it difficult for the patient to remain immobile during treatment. Anesthesia ensures that the patient does not make sudden movements, which is important to ensure the accuracy of the procedure.
Below are the main indications for the use of general anesthesia:
- Complexity of the clinical case Sometimes wisdom teeth grow in hard-to-reach places or are misaligned, making them difficult to remove. Anesthesia allows the surgeon to quickly and accurately perform the operation, minimizing the risk to surrounding tissue.
- Allergy to local anesthetics If the patient has hypersensitivity to the components of anesthetic drugs, general anesthesia becomes the optimal choice for pain relief.
- Dentophobia (fear of dental procedures) General anesthesia helps the patient to completely get rid of anxiety before procedures and undergo surgical treatment without stress.
- The need to remove several wisdom teeth at once Anesthesia facilitates the process, allowing you to complete all manipulations in one session.
- Pronounced gag reflex General anesthesia is necessary to avoid nausea and vomiting during surgery.
Contraindications
There are a number of restrictions for removing wisdom teeth under general anesthesia:
- Pregnancy. General anesthesia has a negative effect on the fetus, so pregnant women are given it only when absolutely necessary
- Acute infectious diseases. An active infection in the body increases the risk of complications and slows down the recovery process after surgery
- Exacerbation of chronic diseases (peptic ulcer, bronchial asthma, etc.). It is necessary to postpone surgical treatment until the condition has stabilized
- Decompensated diabetes mellitus. Unstable blood glucose levels in patients can lead to serious complications during and after anesthesia
- Cardiovascular diseases. Uncontrolled hypertension or heart failure significantly increases the risk of complications with pain management
- Diseases of the ENT organs. Active inflammatory processes in the middle ear or sinuses can aggravate the condition, so their preliminary treatment is required
- Epilepsy and recent traumatic brain injury. General anesthesia makes you feel worse or causes a relapse
Low hemoglobin levels in the blood increase the risk of hypoxia (lack of oxygen) in the tissues during surgery, making pain management riskier.
Pros and cons of different types of anesthesia for dental treatment
| Type | Application method | When to use | Alarm level | Features of sensations |
|---|---|---|---|---|
| Local anesthesia | Injections or applications to the gums | For all cases: dental treatment, implantation, gum procedures | High due to fear of injections | The patient is conscious, feels pressure and movement |
| General anesthesia | Intravenously or inhalation | For complex cases: extensive surgical interventions, installation of implants, with panic fear | Low during and after the procedure | The patient does not feel or remember how the operation took place |
| Xenon sedation | Inhalation before local or general anesthesia | As an adjunct to general anesthesia for relaxation | Medium, relaxation without loss of consciousness | The patient is relaxed, but aware of what is happening, can answer the doctor’s questions |
General information about the procedure
Stages of wisdom teeth removal under anesthesia
The following describes the main steps of wisdom tooth removal under anesthesia in Moscow at the K+31 clinic:
- Preparation for surgery. Involves a detailed history taking to ensure there are no contraindications or allergic reactions to anesthetics
- Administration of the drug. General anesthesia allows you to completely turn off the patient's consciousness to avoid pain during the operation
- Surgical intervention. As soon as the anesthesia begins to take effect, the doctor begins to remove the figure eight. If the tooth has fully erupted and does not have a complex root shape, it is carefully removed using forceps or elevators. In more complex cases, an incision in the gum or removal of part of the bone tissue is required to provide access to the roots of the tooth
- Treatment and closure of the wound. After tooth extraction, the hole is thoroughly washed with antiseptic solutions. To prevent infection, an anti-inflammatory and antibacterial agent is applied, after which the wound is sutured
At the final stage, a sterile cotton-gauze swab is applied to the wound. The doctor gives recommendations on oral care, prescribes antibiotics to prevent infectious complications and antiseptics for rinsing. The patient is also scheduled for an appointment in 2-3 days for examination and treatment adjustment if necessary.
Answers to popular questions
In this section, we have collected answers to frequently asked questions about wisdom teeth removal under anesthesia so that you can properly prepare for the upcoming treatment.
What tests must be taken before removing the figure eight under anesthesia?
How long does it take to recover after wisdom teeth removal?
What complications are possible after removal?
Is it always necessary to remove wisdom teeth?
What does the K+31 dentist advise you to do after wisdom tooth removal?
After wisdom tooth extraction, it is important to strictly follow your doctor's recommendations: avoid physical activity, avoid hard and spicy foods, quit smoking and drinking alcohol, and avoid hot baths. Maintaining good oral hygiene and taking prescribed medications is also important.
All dental procedures are performed by highly qualified specialists using painless techniques and the latest, expert-grade equipment.
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