Treatment

When the previous desensitisation appointment in the paediatric dental clinic has been satisfactorily completed, or if your child has already had enough previous experience with dentists, treatment can normally proceed with your child fully awake. In most cases, the friendly atmosphere in our paediatric dental clinic, along with the fact that we explain everything carefully beforehand and, most importantly, our child-friendly chairside manner using our own vocabulary, will ensure the success of the treatment.

Local anaesthetic

In dental medicine, too, it is often necessary to inject a local anaesthetic to make sure that dental treatment is entirely painless. Before giving the injection, the gums are treated with a special numbing gel (“marmalade”) so that the injection itself (“a cushion for the teeth”) can be given painlessly.

Recommendation:

Paediatric hypnosis

Hypnosis is an entirely voluntary method of going from a “waking state” into a “trance” and vice versa.

During normal consciousness, we always notice a range of different stimuli at the same time; a trance, on the other hand, is a state of deep physical relaxation in which we only perceive what is important and agreeable to us. You may be familiar with the sensation of becoming totally immersed in a book or wondering how you got home, without actively having paid attention to the route you took.

In other words, doing something “in a trance” is a perfectly normal state to be in!

During dental hypnosis, the patient’s attention is directed away from external stimuli and focused on an inner experience.

When hypnotising adults, it is usual to employ the “activation of pleasant experiences”, i.e. the patient is instructed by the dentist to relive a positive memory.

Children, on the other hand, live more in the here and now. They have strong powers of imagination and are therefore able to immerse themselves into a world of fantasy when guided by suitable metaphors. They enter into (everyday) trances much more often than grown-ups do, but they also return to the here and now more quickly, which in some cases can make treatment very difficult.

Our goal is to use so-called verbal and non-verbal hypnotic means of communication to put your child in a state in which it concentrates so hard on agreeable things that the treatment itself becomes virtually irrelevant.

We achieve this by using suitable word games, visual distractions, positive words, and confusion techniques, for example, as well as intensive praise and continuous physical contact, which gives your child a sense of security and comfort.

Inhalational sedation (N2O)

Paediatric dentist: laughing gas

As paediatric dentists, we have modern laughing-gas equipment and the necessary qualifications to make procedures even easier for your child.
A harmless mixture of nitrous oxide and oxygen (N2O limited to max. 50%) is administered to your child via a nasal mask with a pleasant odour, and exhaled in the same way.
This mixture, known as “laughing gas”, results in a deep sense of relaxation to the point where one loses one’s sense of time, as well as feelings of euphoria. This reduces the sensation of pain and increases the willingness to think positive thoughts, increasing the acceptance of the individual treatment steps.
One session generally lasts approx. 30 minutes, which means that when more extensive work is necessary, several sessions may be required.
Laughing gas has a sedative (soothing), anxiolytic (anxiety-relieving) and analgesic (pain-reducing) effect. In most cases, an additional local anaesthetic is required, but this will hardly be noticed. As this is not a general anaesthetic, your child will remain fully conscious and responsive throughout the treatment.

Laughing gas is particularly suitable in the following situations:

General anaesthetic

Paediatric dentist

Despite the many gentle methods available to the paediatric dentist, situations do arise in which a general anaesthetic is the best way of treating a child. This may be the case in the following situations:

Before the procedure, you will always receive a detailed consultation, in the course of which the exact procedure will be described to you and your child. When treatment is performed under a general anaesthetic, we will treat all the teeth requiring attention at once, so that your child will not need to undergo any further treatment for as long as possible.
At our clinic, the general anaesthetic itself is always administered under the best possible conditions by an experienced team of paediatric anaesthetists.
This ensures that the pain will be safely and gently blocked throughout the out-patient procedure, and that your child’s health is carefully monitored throughout. After the procedure, you will remain with your child in its personal recovery room, until it is fully awake and the anaesthetist discharges you.
Children usually have few problems with a general anaesthetic because their heart and circulation are healthy and are better at dealing with the after-effects of the anaesthetic than those of adults.

Up to the age of 12 years, the cost of a general anaesthetic is covered by the statutory health insurance, provided certain conditions are met.

top