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Pain
is a complex issue. There is a biochemistry of
pain and a psychology of pain, and you can't
fully explain pain and its intensity without
understanding both fields of knowledge.
There are interactions between hormones related
to emotions and the transmission of the pain.
The dentist can give an injection of local
anesthetic, and, if the anxiety level of the
patient is high enough, the pain transmission
will still occur, in spite of the fact that the
local anesthetic is supposed to be blocking the
transmission. If we treat the anxiety level,
then the local anesthetic works. Or, there are
times when the local anesthetic may work but
because of anxiety, it wears off very quickly.
This anxiety is beyond the patient's control -
he cannot merely reason himself out of it. It is
there, and he has to deal with it.
Without proper empathy, it is difficult for a
dentist to fully treat pain during treatment -
there will be a lack of understanding of the
emotional and psychological aspects of the pain
and its interpretation.
Treatment
options:
For low levels of anxiety, NITROUS OXIDE gas
works well. It brings the level of anxiety down
just enough for the local anesthetic to work and
the treatment to be comfortable.
For higher levels of anxiety, which occurs when
there is a history of traumatic dental
treatment, orally medicated conscious sedation
may be indicated, like Medazolam.
Often, patients with memories of traumatic
dental care, after a few appointments with
sedation, are able to move away from the
sedation. With a few successful dental
appointments under their belt, the doctor can
lower the level of sedation so that they
remember the appointments with greater and
greater clarity, until they no longer need
sedation.
Sometimes, with very high levels of dental fear,
patients, in spite of very adequate levels of
sedative, still cannot seem to endure the dental
treatment. However, after the appointment, they
may not be able to remember the appointment. The
treatment then is successful in their mind and
this successful experience works for their
benefit by reducing their anxiety in subsequent
appointments.
Anesthesia |
Price EURO € |
Dental treatments +
hospital fees (Only for Children) |
800 |
Nitrous Oxide /
Session |
20 |
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