Best Dental Hungary: Dental procedures under anaesthesia


Interventions requiring anaesthesia are performed at our clinic with state-of-the-art equipment and devices by qualified and experienced specialised physicians. Recently our dental clinic broadened its range of equipment with a high-technology Dräger anaesthesia workstation, so now even the most complicated and longest operations may be performed under the safest conditions.


When is anaesthesia recommended by professionals?


In general it is recommended when anaesthesia is required due to the length or extent of an oral surgical intervention (such as major bone grafting).


These interventions include the removal of more than one wisdom tooth simultaneously via oral surgery, the implantation of several implants or the removal of several dental roots simultaneously.


Hypersensitive pharyngeal reflex may also be a reason for using anaesthesia. The dentist may also consider anaesthesia when the anxiety of the patient cannot be reduced by standard techniques.


When don’t dentists recommend anaesthesia for a procedure?


Many patients feel that only anaesthesia can help them with their anxiety over the intervention. As the purpose of our clinic has been the development of patient-friendly dentistry from the very beginning, we are at the forefront of using anti-anxiety techniques and painless procedures, so during personal consultation, our patients often realise that they do not really need any anaesthesia.


Understanding the steps involved in the procedure, the materials used and knowing the physician is often enough to relieve anxiety. Taking a mild tranquilliser (Xanax [alprazolam]) may also be helpful.


What are the potential risks of anaesthesia?


Like any serious intervention in the human body, anaesthesia, especially the administration of intravenous Dormicum (midazolam) and deep sedation may have complications. It is for just this reason that compulsory medical reports must be provided so that the specialist can exclude all potential risks. However, even despite this the human body may respond to a chemical agent in an unexpected way. There may be various side effects and complications, but anaesthesia can affect bodily systems even without these occurring. A conscientious specialist only suggests performing an intervention under anaesthesia after carefully considering its benefits and the disadvantages of potential complications, and deciding that the benefits of anaesthesia exceed the disadvantages.


What are the types of anaesthesia?


There are 3 levels of anaesthesia.


1. Dissociative anaesthesia


In this case, the patient is conscious. The patient breathes a mixture of nitrous oxide and pure oxygen, so-called laughing gas. This induces a cheerful mood and alleviates pain. This method is widely used in the United States and Sweden, since it is easy to use, there are no side effects, and patients have a positive experience with it.


In most cases, dissociative anaesthesia does not have to be performed by an anaesthesiologist, as the attending physician performing the intervention is qualified to perform dissociative anaesthesia. Patients can walk out of the clinic on their own after the procedure.


The price of dissociative anaesthesia: HUF 20,000 /use, in addition to the price of the dental procedure


2. Intravenous Dormicum (midazolam)


During this procedure, the patient actually falls asleep. The intravenous anaesthetic is administered by an anaesthesiologist. Spontaneous breathing and the swallowing reflexes remain active under this anaesthesia.


Before starting the intervention under anaesthesia, the patient has to have had a recent ECG, laboratory tests, chest X-ray diagnosis, and physical examination performed by a specialist in internal medicine. Without these, this anaesthesia cannot be administered. Patients can only leave with an escort, as the anaesthetic only gradually comes out of their system, and their ability to concentrate does not return to the safe level on their way home.


The price of intravenous Dormicum (midazolam): HUF 60,000 /use, in addition to the price of the dental procedure


3. Deep sedation – ITN (intratracheal narcosis)


This is the type of anaesthesia people think of when talking about anaesthesia. This type of anaesthesia is administered by the anaesthesiologist intravenously, who also intubates the patient (i.e. a special tube is inserted into the pharynx by the anaesthesiologist for ventilation). There is no spontaneous breathing or swallowing reflex, and the muscles of the body are completely relaxed. The vital signs of the patient are monitored by the anaesthesiologist with a high-tech device. Deep sedation enables interventions requiring serious surgery lasting for several hours. Naturally, an ECG, laboratory tests and a chest X-ray are also necessary before the surgery. Patients can only go home with an escort after a few hours of observation in this case of anaesthetic as well.


The price of deep sedation: HUF 100,000 /use, in addition to the price of the dental procedure


What kind of high-tech anaesthesia machine is used for this?


Professional equipment is used for all oral surgical interventions performed under anaesthesia, facilitating the work of the experienced anaesthesiologist, the anaesthesiologist's assistant and our specialist doctor.


Our newest device is a high-tech German Dräger anaesthesia machine, which has been placed in the operating room in our newly remodelled upper floor. This device uses extremely modern technology to check and analyse every important indicator on the status of the patient during the surgery while precisely adjusting and administering the anaesthetic. Complicated and especially long surgeries can also be performed with this device.


We are proud to state that this state-of-the-art anaesthesia machine is not available in many Hungarian dental clinics. At the same time, we would like to emphasise that high technology does not replace human knowledge and experience: these factors form an unbeatable team together.


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