General anaesthesia (GA) that is done for paediatric dental patients is to provide comprehensive and high quality dental care when conventional dental treatment is not an option. General anaesthesia means that your child is fully asleep. This is for children who are unable to cooperate, experience ineffective local anaesthesia, are extremely fearful, anxious, or uncommunicative, require significant surgical procedures, can benefit from GA protecting them from psychological trauma and/or reducing medical risks, and require immediate, comprehensive oral care.
The American Society of Anesthesiology (ASA) classifies patients according to their physical status as follows: (I) a normal healthy patient (II) a patient with mild systemic disease (III) a patient with severe systemic disease (IV) a patient with severe systemic disease that is a constant threat to life (V) a moribund patient who is not expected to survive without the operation and (VI) a patient declared brain-dead whose organs are being removed for donor purposes. We carry out general anaesthesia for ASA I and II patients only. Due to the increased demands in safely monitoring for such a procedure, anaesthetic procedures are carried out in a hospital environment as a day-stay procedure.
Children with airway problems including sleep apnoea, loud snoring, large tonsils, adenoids, retruded (small mandibles) or children with obesity have an increased risk of side effects during conscious sedation. Consequently, some of these children are better treated under general anaesthesia.
Fasting is an important part of general anaesthesia. The Dentist/ nurses will advise you regarding the fasting instructions. Not fasting may compromise and endanger the recovery of your child post-operatively.
Dental treatment involving fillings, tooth removal and other surgical procedures are often be carried out using injections (local anaesthesia) to numb the child’s mouth. It is also possible to add sedation (oral), which makes the child feel drowsy, and helps to relax children who are anxious or afraid.
Please be aware that your child will need close supervision after the procedure and a day’s rest after the sedation. Avoid outdoor activities (e.g. running around, sports or swimming) on this particular day.
Fee structure for general anaesthesia :
The fee structure is mainly based on the following,
Dental fee : includes the cost for the work(filling, extractions, prevention) done on the teeth, materials used etc.
Theatre fee : includes the time taken for the procedure
Anaesthetist fee : based on the time taken from the start of the procedure to the end
The average time taken for comprehensive dental care under GA is around 1.5 hours. A quality, less traumatic dental treatment is provided in this one visit compare to 3-4 visits of dental appointment at the dental clinic.
If you would like further information then please ask our dentist, nurses and your anaesthetists.