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Adult patient
3 min čtení

General anesthesia in adult patients

Dentist consulting treatment with a patient in a clinic
MUDr. David Doubek

For most adult patients, routine dental treatment is easily manageable while conscious – with local anesthesia or sedation (analgesia). However, there are situations where even these methods do not allow for high-quality, safe treatment without excessive stress. These may include severe dental phobia, special health needs, limited ability to cooperate, or an extensive treatment plan requiring a longer and more complex procedure.

In such cases, general anesthesia may be the most appropriate solution.

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When is it appropriate to consider treatment under general anesthesia?

The treating dentist will decide on the indication after a comprehensive assessment of your health and dental condition. The most common reasons are:

  • Severe dental phobia or significant anxiety that makes normal treatment impossible.
  • Health limitations or neurodevelopmental disorders that make cooperation difficult (e.g., autism spectrum disorders, neurological diseases, mental disabilities).
  • Extensive dental damage requiring multiple procedures in a single session – reconstructive procedures, extractions, treatment of multiple cavities or complicated inflammations.
  • Significant hypersensitivity of the gag reflex, which makes normal treatment impossible.
  • Unpleasant experiences in the past (trauma, painful procedures) where fear is beyond the scope of normal treatment.

We always recommend general anesthesia only when it is not possible to provide high-quality, safe, and painless treatment under normal conditions. In such situations, general anesthesia is the most comfortable and often the safest solution.

What is needed before the procedure?

Before the planned treatment, it is necessary to:

  1. Preoperative examination by a general practitioner
  2. Anesthesiology questionnaire and informed consent
  3. Possible consultation with an anesthesiologist

How does treatment under general anesthesia work?

Arrival and reception

Please arrive at the clinic reception at the appointed time. On the day of the procedure, it is necessary to:

  • Completely healthy – no fever, infection, cough, or acute symptoms
  • Fasting – at least 6 hours without food and, according to instructions, also without fluids.

Any symptoms of illness may lead to the procedure being postponed for safety reasons. Upon arrival, there will be a brief consultation with the dentist and anesthesiologist, who will verify all information once again.

Induction of anesthesia

Patients are sedated intravenously, quickly and comfortably. Throughout the procedure, the anesthesiologist continuously monitors vital functions, ensuring safety and smooth progress.

The procedure itself

Treatment duration depends on the planned work, typically lasting 1–3 hours. Under general anesthesia, patients feel no pain or stress, which allows the dentist to work efficiently and precisely.

Wake-up and sleep mode

After the procedure, patients are moved to a recovery room and monitored until fully awake and stable. Staff remain available at all times.

Going home

Once examined and cleared by the anesthesiologist, patients may go home accompanied by an adult. On the same day, driving, work, or high-risk activities are prohibited. Detailed instructions for home care are provided.

When will the check-up take place?

We recommend a follow-up visit to the dentist 10–14 days after the procedure.
During the check-up:

  • we assess healing,
  • remove stitches if necessary,
  • and discuss further treatment steps.

How to behave after the procedure?

After arriving home, we recommend:

  • rest for at least 1–2 days,
  • drink plenty of fluids and eat soft foods,
  • cool your face with a cloth during activities that require it,
  • avoid sports, alcohol, and physical exertion,
  • do not drive or operate machinery for 24 hours.

It is common to experience mild drowsiness, nausea, weakness, or confusion— these symptoms usually subside quickly.

Price list

Painless Care

Midazolam

Midazolam is a drug that keeps the patient calm and relaxed during treatment. It often makes the patient sleepy and unable to remember the procedure, while allowing them to breathe on their own.

from 3,500 CZK / 143 €

Baldus nitrous oxide

Baldus is a modern system for administering nitrous oxide, which ensures maximum safety and precision during sedation. The patient remains calm and relaxed throughout the procedure, breathing independently while remaining conscious. The effect sets in quickly and wears off immediately after sedation ends. It is an ideal and very well-tolerated method, especially for children.

from 2 500 CZK / from 102 €

General anesthesia

General anesthesia allows treatment to be performed in complete peace, as the patient sleeps throughout and is unaware of anything. It is suitable for more demanding procedures or where treatment under local anesthesia is not possible. The price quoted applies only to the anesthesiology part of the treatment.

from 15,000 CZK / from 612 €

Analgesic sedation

Analgesic sedation is a combination of sedatives and painkillers that keeps the patient relaxed and sleepy during the procedure and prevents them from remembering the treatment. It is a sedative state in which the patient breathes independently throughout the procedure. It is suitable for anxious patients and more complex procedures.
The price quoted applies only to the anesthetic part of the treatment.

from 9,000 CZK / from 367 €