Reaching the goal, cautiously and carefully
Practice makes perfect!
By desensitisation we mean introducing a child to treatment slowly and gradually. In principle, it is useful for all children who are rather anxious, reserved, or cautious or who are still very young. These children often feel overwhelmed when suddenly confronted with too many new instruments and situations. However, if treatment is gradually introduced to children during check-ups and prophylaxis visits occurring at close intervals, they are often more cooperative during subsequent treatment because they are already familiar with many of the instruments and sounds.
Simply switch off!
Hypnotic language patterns are an effective instrument for supporting fear- and pain-free treatment. Hypnosis has nothing to do with witchcraft or submission but makes use of the child’s natural state of relaxation and imagination. It enables your child to focus more on pleasant things whilst unpleasant things fade into the background and your child leaves our practice feeling good.
What do we do?
- Use positive concepts
- Explain in a language suitable for children
- Reinforce positive feelings with praise
- Tell stories
- Constant physical contact gives a feeling of safety and security
Your child’s state:
- Reduced pain perception
- Altered perception of time
- Concentrated on inner self (introspection)
- Thus less distracted by external stimuli
- Positive memory of the treatment
Nitrous oxide (laughing gas)
Modern nitrous oxide (laughing gas) treatment helps your child to relax during treatment. Procedures which are necessary during treatment (e.g. administering an anaesthetic injection) are therefore better accepted. During treatment, the child inhales a mixture of nitrous oxide and oxygen via a small nasal mask. The child is fully conscious and responsive throughout. For this reason, what is referred to as nitrous oxide analgesia is a very simple and safe method of sedation which should not be confused with general anaesthesia. We would be happy to advise you whether nitrous oxide (laughing gas) treatment would be useful for your child.
Your child’s state:
- Feeling of relaxation
- Lost sense of time
- Concentration on inner self, less aware of external stimuli
- Increased willingness for positive thoughts
Advantages of nitrous oxide (laughing gas) treatment:
- Opportunity to have a positive influence through suggestive choice of words
- Longer treatments are possible due to a lost sense of time
- Fully conscious during treatment, therefore very safe for the child
- Very high tolerability
- Return to normal immediately after the gas is discontinued
- Pleasant treatment experience due to the feeling of relaxation, the child leaves the practice with a good feeling
Sedation can be appropriate for young, anxious children and for minor, quick procedures to spare them a negative experience at the dentist’s. The sedative is a medication which greatly reduces anxiety. Often, the effect is also such that children do not remember the treatment afterwards. Therefore, it is also possible to treat very anxious or uncooperative children or perform unpleasant procedures without traumatising the child with the treatment. Sedation is performed under the supervision of an experienced anaesthetist.
For some children, it is necessary to carry out dental rehabilitation under anaesthetic. Particularly in the case of young children with badly damaged teeth, treatment under general anaesthesia is often the best and most gentle method of achieving a healthy set of teeth. In our practice, anaesthesia is carried out by an experienced anaesthesia team.
The child must be treated on an empty stomach. Half an hour before the procedure, the child is given a sedative which makes them sleepy and calms their fear, which makes administering the anaesthetic easy and more comfortable. The child will fall asleep after a few minutes. Parents are allowed to stay with their child up until this point. Your child is monitored throughout the entire procedure by an anaesthetist. After treatment, parents may stay with their child in the recovery room until they have come around and are discharged by the anaesthetist after 1-2 hours.
In principle, treatment under general anaesthetic ensures that all teeth receive the best possible care so that the child needs no further treatment for a long as possible and in order to avoid a possible secondary procedure otherwise needed.