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Are anesthesia complications in dentistry?

One of the most important efforts in clinical oral surgery is to maintain safe and effective local anesthesia. Dental procedures are often performed under local anesthesia. Therefore, drug-related complications are frequently encountered. Preoperative assessment of the patient and selection of the appropriate local anesthetic is mandatory. Various complications such as hypersensitivity, allergy, overdose, toxicity, hematoma, trismus, paresthesia, or neuralgia can be observed during training. Therefore, the physician should be aware of possible complications and management methods. This chapter aims to investigate the pre- and post-operative side effects related to local anesthesia in oral and maxillofacial surgery. Preventive measures and treatment of complications are also emphasized.

Local anesthetics have been used in clinical dentistry to relieve or eliminate pain from invasive procedures as early as the 19th century. Local anesthetics are also commonly used in oral and maxillofacial surgery. Even though local anesthetics are reliable and effective drugs, risks of which doctors should be aware have also been reported.

Complications related to local anesthesia can be evaluated systemically and locally. Common systemic reactions caused by local anesthesia are reported as psychogenic reactions, systemic toxicity, allergy, and methemoglobinemia. Common side effects associated with regional anesthesia have been reported in the form of pain during injection, needle breakage, prolonged anesthesia various sensory disturbances, lack of effect, trismus, infection, edema, hematoma, gum lesions, soft tissue damage, and eye complications.

This chapter presents the local and systemic complications associated with local anesthetics used in oral and maxillofacial surgery. Prevention of complications and management methods are also emphasized.

What are the benefits of sedation dentistry?

Sedation dentistry reduces anxiety and phobias and helps you stay calm and comfortable during dental procedures. Because your dentist often works faster while you’re under sedation, it can result in fewer appointments. Finally, many people have so much dental anxiety that they avoid going to the dentist altogether. Sedative dentistry helps you feel more comfortable so you can receive the care you need and deserve.

What are the risks or complications of sedation dentistry?

Sedation dentistry is generally safe when performed by a licensed healthcare provider. However, there is a small risk of complications. Possible short-term risks include:

  • Prolonged sleepiness
  • It is difficult to predict the effect of oral sedatives.
  • Dry mouth (dry mouth).
  • Nausea and vomiting.
  • headache
  • Bruising caused by IV.

It can also be difficult to predict the effect of oral sedatives. Rarely, people may have an allergic reaction. There are medications available that can deal with these problems.

Side effects of pediatric sedation dentistry

Sedation dentistry is safe for children. But as a parent, it can still be scary when your child is taking an unfamiliar medication. Side effects of pediatric sedation dentistry are usually short-lived but can include:

  • irritability
  • snoring
  • fever
  • Nausea and vomiting.

Sometimes, your child may wake up late after sedation. If this happens, your dentist will monitor your child until he is ready to go home. These side effects are normal and should go away on their own within a day or two. If you have any questions or concerns, contact your dentist.

Can I have sedation dentistry if I am pregnant?

In general, sedation dentistry is not recommended for people who are pregnant because some sedation drugs can affect fetal development. In some cases, nitrous oxide may be prescribed during the second trimester. But in general, most dentists in Toronto wait until after pregnancy to perform sedation dentistry.

How long is the recovery period?

Recovery time varies. It depends on what type of sedation you choose and how your body responds to the drugs. Generally, people who have nitrous oxide recover within 15 to 30 minutes and can go home after their appointment. Those who choose oral conscious sedation or IV sedation usually need about 24 hours to fully recover.

When can I return to work or school?

If you have nitrous oxide, you can return to normal activities after leaving the dental office. However, if you have taken oral or intravenous pain relievers, you should wait at least one full day before returning to work or school. Some people may need more time. Your dentist can tell you what to expect in your situation.

When can I drive?

If you have taken oral or IV sedation, you must wait a full 24 hours before driving again. If you only have nitrous oxide, you can drive after being discharged from the dental office.

When can I eat my meals again?

You can eat and drink immediately after your appointment. However, most people prefer to wait until the numbness from the local anesthetic wears off. It’s best to start with something light, like clear liquids, and work your way up to a smoothie or milkshake. If you’re into it, you can eat something substantial after a few hours.

Your dentist will provide you with a list of post-operative instructions. These guidelines tell you which foods to avoid and which are safe to eat. For most dental procedures, you can eat normally again within a week. If the work is done on both sides of your mouth, it may take longer.

When should I see my healthcare provider?

If you have recently had sedation dentistry, it may take at least 24 hours for the effects to wear off. If you have worrisome symptoms such as nausea or vomiting, a fever above 101°F (38.33°C), or pain that does not improve with medication, call your dentist for further instructions.

 

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