Multiple dental extraction is defined as removal of more than one tooth in a single dental visit. This procedue usually will be done under general anaesthesia (GA) in the hospital setup. Dental extraction under GA also can be performed on children who is anxious, uncooperative or having medical condition such as cerebral palsy or hyperactive child. In some cases, dental extraction under GA is done on children with badly decay teeth which needed multiple dental visit for extraction. It is therefore, better to have it done under general anaesthesia.
The indications of dental extractions under general anesthesia are:
- Young child with rampant decayed teeth
- Children who is unsuitable for local anesthetic or conscious sedation due to lack of cooperation
- Patient with medical condition such as cerebral palsy or severe seizure
- Patient who required lot of tooth extraction
Dental extraction under GA di performed in the hospital setup as day-care (no hospitalization). The patient (or the child) is usually health (ASA I) and fasting since midnight. The anesthesiologist will assess the child and written consent is taken before the procedure started.
In the operating room, the anesthesiologist will put a tube in patient’s throat to administer ‘sleeping’ gas allowing patient to ‘sleep’ during the whole procedure. The oral surgeon will come in to perform the dental extraction. After the procedure, the tube with be removed from the patient’s throat, and he will placed in the recovery room. He will be allowed to discharge from the hospital when fully conscious and ambulated.
Upon the procedure, a minor bleeding in extraction site, swollen tongue/lip/chin/cheek, temporary mouth opening limitation are the sequelae or conditions to be expected.
Advantage of extraction under GA
- Very useful to traet uncooperative patient
- Patient has no experience of the awlful dental extraction
- No need many dental visit for extraction
- Other dental procedures such as fillings and dental cleaning can sometimes be done in the same visit
Disadvantage of extraction under GA
- Patient has to be healthy for GA
- The procedure has to be done in the hospital setup with OT facility
- Treatment will cost more as the patient has to be admitted in the hospital as well as GA fees
- Dental Extraction
- Surgical Extraction
- Impacted Wisdom Teeth
- Problems with missing teeth
- Complications of Dental Extraction
- Multiple Dental Extraction under General Anaesthesia
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