Numb the pain, "sleep through the fear": While anaesthesia is absolutely necessary for many surgical procedures for reasons of pain relief, it is often a basic choice for many patients even for minor procedures.
In our dental practice in Munich Lehel we aim to make your treatment as pleasant and painless as possible. For this reason, we also carry out all dental treatments for adults and children under (general) anaesthesia on request.
Simply make an appointment for a personal consultation and let our specialists inform you about the various options for anaesthesia in our practice.
Further information according anaesthesia at your dentist
What types of anesthesia are available?
There are three basic medical forms of anaesthesia: general anaesthesia, local anaesthesia and partial anaesthesia (regional anaesthesia).
While general anaesthesia also eliminates consciousness, local and partial anaesthesia only numbs a part of the body and thus relieves it of pain. You are conscious, but feel no pain.
A special form of anaesthesia is twilight sleep (sedation).
Sedation is a form of anaesthesia that can be classified as general or partial anaesthesia and is used to trigger a state free of fear and pain. The area of the body to be operated on is locally anaesthetized and a sedative and sleeping pill is administered intravenously. You will have a limited response, but you will not hear the sound of the drill or the duration of the operation.
As twilight sleep avoids the risks of general anaesthesia, it is particularly suitable for children, high-risk and anxious patients.
In general anaesthesia, a sleeping pill is first injected intravenously. Since the sleeping pill is very strong, every patient must be artificially ventilated during general anaesthesia. This can be done during short operations with a respiratory mask. As a rule, however, ventilation is carried out via a ventilation tube (tube) which is inserted through the neck into the trachea. This ensures effective ventilation by the treating anaesthetist for the duration of the operation.
During the anaesthesia your safety is very well taken care of: blood pressure, heart rhythm and oxygen saturation of the blood are monitored all the time. The measurement of brain waves (EEG) ensures that you have the optimal depth of sleep. In this way we ensure that you are guaranteed not to notice anything of the treatment, but also that you are quickly fit again after the anaesthetic.
When is a general anaesthetic useful for dental treatment?
Whether general anaesthesia is the right choice for your treatment depends on several factors. There are short and less complex procedures for which a local anaesthetic is absolutely sufficient.
For longer and more complex operations, such as placing dental implants in the upper or lower jaw, general anaesthesia may be medically necessary.
However, the decision for a general anaesthetic is usually a fundamental one: Especially people with an acute fear of dental treatment wish to be treated under general anaesthesia.
As general anaesthesia is often the only acceptable way for these patients to perform necessary dental operations, we offer all adults and children in our practice treatment under general anaesthesia on request.
Procedure of general anaesthesia
The process of general anaesthesia is divided into the phase of falling asleep, the maintenance phase and the wake-up phase. However, before the actual anaesthesia takes place, we will explain the possible risks of general anaesthesia to you in a comprehensive discussion with our anaesthetist. The anaesthetist will not leave your side during the operation and is solely responsible for monitoring your health and maintaining your deep sleep.
Before the start of the operation we will administer a sedative. As soon as this takes effect, the actual anaesthesia is initiated. While you fall asleep completely relaxed, all those present will take care of your well-being.
During the maintenance phase, the anaesthetist monitors your vital functions on the ECG and EEG and adjusts sleeping pills and oxygen supply so that you can sleep through the treatment in peace.
After the treatment is completed, the supply of anaesthetics is reduced further and further to initiate the recovery phase.
In our specially equipped recovery rooms, we take care of you and make waking up from your deep sleep as pleasant as possible.
After a certain period of observation, during which we make sure that you have survived the operation well and have tolerated the anaesthetic well, you may leave the practice in full-year company and go home.
(General) anaesthesia at the dentist - costs and health insurance
The costs of general anaesthesia generally depend on the duration of the operation. Thereby the costs vary depending on the complexity of the intervention and the chosen type of anaesthesia.
With the exception of operations that require general anaesthesia, the health insurance company only covers the costs of general anaesthesia in exceptional cases for patients with severe acute dental phobia. In our practice, we perform general anaesthesia at the request of the patients only as a private medical optional service due to the comprehensive pre- and post-operative care.
If you have any further questions regarding costs and cost absorption, please contact us! We will be happy to advise you on your individual treatment concept and the right anaesthesia in a personal conversation with our specialists!
What are the risks and side effects of general anaesthesia?
The fear of anaesthesia is probably as old as anaesthesia itself. However, in the course of medical development, measurement and monitoring methods have become so efficient that the risk of anaesthesia is reduced to an absolute minimum. In addition to the vital functions of the body, the oxygen content of the air breathed in and the amount of anaesthetic gas exhaled are also monitored, allowing the depth of sleep and any adjustments in the dosage of the sleeping pill to be determined very precisely.
In order to weigh up possible risks even before the operation and to adapt the treatment as precisely as possible to the needs of the patient, a detailed consultation with your attending anaesthetist and dentist is held before every operation and anaesthesia. Through the conversation and extensive questionnaires, possible complications in risk groups such as alcoholics or allergy sufferers can be assessed and controlled earlier.
If complications such as circulatory problems occur during the operation, you still do not need to be afraid. Throughout the entire treatment you will have an anaesthetist, a specialist in his field, at your side who is trained to register and control even spontaneous complications as quickly as possible.
After-effects of general anaesthesia (recovery time)
Many people fear an impairment or damage to the brain due to the anaesthesia. This fear is understandable because of the strong influence on the organism, but unfounded: All modern anaesthetics have no adverse effect on the brain or memory.
After the treatment is finished, the patient wakes up immediately. It is very important for the anaesthetist that the patient is responsive, even if he is very sleepy. Now you will be gently guided back to consciousness.
It is not uncommon for patients to feel nausea, numbness and disorientation after waking up from general anaesthesia. Intubation can also cause temporary sore throats. Although these after-effects are not pleasant, they are completely harmless and only of short duration.
We do not leave you alone with this either: as soon as the dentist finishes the operation, trained specialists take over and guide you back to consciousness slowly and as pleasantly as possible.
As soon as you feel better again, you can leave the practice in the company of an adult and start your journey home.
Pregnancy and general anaesthesia at the dentist
In principle, there is no danger to mother and child from general anaesthesia. Nevertheless, it is precisely in such cases that the risk must be balanced against the benefits of the treatment.
The premise applies that (very) pregnant women should only be operated on if medically necessary. This means that the expected benefit of the operation for mother and child must outweigh the risk of a general anaesthetic, for example, in order to prevent other, more dangerous circumstances.
In such a case, discontinuing or postponing treatment because of scepticism about general anaesthesia can be dangerous or even life-threatening for mother and child.
In this case, too, a comprehensive information session with the responsible anaesthetist is an important part of the treatment in order to weigh up the benefits against the risks.
If you have any questions about anaesthesia and pregnancy, our specialist staff will be available at any time for a personal consultation.