Management of children who will have dental procedures that require general anesthesia or sedation differs slightly from adult management. In any dental procedure, the child should always be accompanied by at least one parent to help the pediatric dentist Mississauga-based prepare the child psychologically, especially for the administration of anesthesia and the procedure itself.
Prior to the scheduled procedure, the child will only be allowed to drink 1 cup of water or clear apple juice up to 3 hours before the booked time. No other liquids are allowed. Children should also be dressed in loose fitting clothes to facilitate easy application of monitoring equipment necessary for the procedure. Extra clothes and diaper, if necessary are required. Two persons, a parent and another person if the other parent is not available should accompany the child to the pediatric dental clinic.
During the procedure, the child will be given fresh oxygen and some sleep medicine if necessary. The child will have monitor stickers placed on the chest and a clip is placed on the child’s finger. A blood pressure cuff will be wrapped around the child’s arm. Plastic intravenous catheter will be used so as not to trigger the child’s anxiety or fear of the needle. The plastic intravenous catheter will be placed in the child’s hand or foot when the child has fallen asleep. Children will also toss or turn, stretch out their arms, roll their eyes when they are under anesthesia or sedation. Breathing patterns will also change. In case of general anesthesia, the child will be completely asleep for the entire procedure and about 15 to 30 minutes more after the procedure is finished.
Expectedly, after the procedure, the child will feel dizzy and disoriented due to the anesthesia. Children will most of the time cry, not because of pain or discomfort but as a natural or normal effect of anesthesia. A parent should be by the side of the child in the car when going home in order to attend to the child’s needs. Postoperative rest at home for 24 hours is required of the child after the dental procedure. The child should take plenty of fluids – water or clear apple juice, after the procedure.
The child may be offered easily digested solid foods if he/she does not experience any nausea or vomiting. Sore throat or sore nose with slight bleeding may also develop after the procedure. Parents should not worry about these because they will resolve on their own, after the effects of anesthesia have dissipated. Parents should monitor the condition of the child after the procedure and should call the Mississauga kid dentist if any of the following occurs:
- The child vomits beyond 4 hours after anesthesia
- The child does not pass urine
- The child develops a fever over 38.5 degree Celcius
- The child shows difficulty in breathing
- There is significant bleeding
- There is severe pain which is not relieved with rest and medication
To read more literature about general anesthesia and deep sedation, you can check this. That article fully explains the difference of the two, how it is administered, the effects and other important things you need to know about anesthesia administration in dental procedures.