Management of general and local anesthesia and sedation in pediatric dentistry

The dentist must determine the type of anesthesia to be used in dental treatment in a pediatric patient. The use of anesthesia aims to reduce the patient's stress and anxiety.

In complex cases it is advisable to use general anesthesia or conscious sedation, after adequate preparation of the child to avoid risks during the dental procedure.

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We share an article that offers us important information on the use, management and complications of local and general anesthesia and sedation in pediatric dentistry.

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Lola Adewale MBChB DCH FRCA. Anaesthesia for paediatric dentistry. Continuing Education in Anaesthesia, Critical Care & Pain j Volume 12 Number 6 2012.

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Pharmacological management of the behavior of the pediatric patient: Nitrous Oxide and General Anesthesia

When pediatric patients attend their dental appointment, it can create a feeling of fear and stress that influences their behavior during the procedure. There are two types of behavior management: pharmacological and non-pharmacological.

When non-pharmacological behavior management techniques have been tried without results, we can use pharmacological methods: conscious sedation and general anesthesia.

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We share two videos that teach us the use of nitrous oxide and general anesthesia as a method of pharmacological control in pediatric patients, touching on topics such as: indications, contraindications, dosage and recommendations.

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Source: Youtube/ Dentistry Madeeasy

Source: Youtube/ Dentistry Madeeasy

Dental Anesthesia: Overdose and Complications in Pediatric Patients

The use of dental anesthesia helps us control pain and anxiety in dental procedures in pediatric dentistry patients. The pediatric dentist must know the anesthesia application technique, the dose, the anatomical references, and the management of complications due to dental anesthesia.

Knowing the proper dose for the patient avoids the risk of overdose, and knowing the anatomical landmarks ensures correct application of the anesthetic solution.

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We share an article that teaches us to anticipate cases of overdose due to dental anesthesia in pediatric patients, and the behavior that we must have in the face of complications that may arise in the dental office.

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Manual of Local Anesthesia - Anesthetic techniques and anatomical references

Stress and fear are present in patients when they undergo invasive dental procedures, so proper administration of dental anesthesia ensures a painless, fast and effective dental procedure.

The professional must know the appropriate administration technique for the dental procedure, the anatomical references, and the recommended dose for the patient.

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We share a dental anesthesia manual, which teaches us in a practical and simple way the different anesthetic techniques and their anatomical references.

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Inferior alveolar nerve block Technique For Children - Tips and tricks

Dental anesthesia blocks the painful sensations that result from a dental procedure, thus controlling the stress and fear that patients have. There are several anesthetic application techniques in dentistry, each one of them block specific regions.

The inferior alveolar nerve block technique is one of the most used, because it blocks the painful sensations of half of the tongue, lip, teeth and bone of the lower jaw.

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In pediatric dentistry, the inferior alveolar nerve block technique can be quite a challenge, and the video that we share offers several tips and tricks for its administration in pediatric patients.

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Source: Youtube/ AtoZ Kidsdental

Allergic manifestations to local anaesthetic in pediatric dentistry: Prevention and management

The use of local anesthetics in dentistry is of great importance because in this way we can reduce the stress, anxiety and fear of patients regarding dental procedures.

Allergic reactions to local anesthetics in pediatric patients are not frequent, but we must take the necessary preventive measures and know how to manage hypersensitivity to anesthetics.

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We share an article that teaches us how to prevent, recognize and manage allergic manifestations to local anesthetics in pediatric patients.

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PERONI D. ET AL. European Journal of Paediatric Dentistry vol. 20/1-2019

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Local anesthesia calculations: How to avoid overdose and toxicity in pediatric patients?

It is important to know the physiology and anatomy of the child when administering local anesthetics in a pediatric dentistry intervention. Overdose in pediatric dentistry occurs when the dosage of anesthetics is not handled correctly.

Local anesthetic systemic toxicity is a consequence of overdose, it is rare but usually occurs in children. This event is avoidable if all safety measures are taken.

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We share an article that teaches us what are the symptoms of local anesthetic systemic toxicity in pediatric patients, and also how to properly calculate local anesthetics.

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Deepak G Krishnan. Oral Maxillofac Surg Clin North Am. 2018 May.

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