Comfort and Sedation in our dental clinic
The protocol of Rhône Dental Clinic consists in adapting the type of sedation in addition to the local anesthesia for each clinical case, as well as the duration of the acts according to the emotional of the patient.
Committed to offering our patients the highest quality of care with maximum comfort, the practitioners of our clinic are experienced and trained in pain management using Dr. Christophe Gachet's protocols.
Our sedation protocols are adapted to each clinical case, to the psychological profile and emotional state of the patients, as well as to the complexity and the duration of the interventions.
Beyond one hour of intervention, going even to the long protocols corresponding to certain transplants or the laying of several implants at the same time, an individualized sedation is a factor of success. From diagnosis to intervention, Rhône Dental Clinic guarantees you a professional, human-centered approach to dental care that is personalized to each patient's situation, even the most anxious.
What is a sedation procedure?
The Rhône Dental Clinic provides patients with 5 types of anesthesia that correspond to different protocols:
1. Local anesthesia
Local intra-ligamentous anesthesia, with pre-anesthesia of the injection site (by application of an anesthetic ointment or cooling spray) This injection procedure is not done in the gum, but along the root of the tooth, directly into the bone. Virtually painless (thanks to the use of a very fine cannula), intra-ligamentous anesthesia has an immediate effect and does not cause numbness of the lips or tongue for several hours which often happens after conventional local anesthesia.2. Nitrous oxide anesthesia and anesthesia.
For many patients with dentophobia, conscious sedation with nitrous oxide or tranquilizers is an ideal complement to local anesthesia.
Administration of oral medicated tranquilizers:
It is generally active ingredients belonging to the class of benzodiazepines whose most known preparations are Dormicum® (active ingredient: midazolam) and Valium® (active ingredient: diazepam).
Inhalation anesthesia of nitrous oxide:
Popularly known as "laughing gas", nitrous oxide has been used since the mid-19th century in dentistry, when there was no effective local anesthetic.
This gas is in fact composed of a mixture of nitrous oxide and oxygen (at least 30%). The presence of oxygen avoids the undesirable or potentially dangerous effects of laughing gas, such as loss of consciousness. The gas flow rate and the protoxide concentration are adjustable according to the individual needs of the patient and determined in advance of the intervention.
This sedation protocol offers 3 benefits: the attenuation of the pain (analgesic effect), the reduction of the anxiety (anxiolytic effect), as well as a decrease of the nausea state (antiemetic effect).
3. Semi-conscious sedation with intravenous tranquillisers
Called Diazanalgesia, this type of sedation procedure helps eliminate anxiety, thus helping to improve local anaesthesia. It removes the notion of time, eliminates noises and unpleasant sensations, while greatly facilitating the subsequent surgical operation (less oedema, resumption of immediate professional activity and quicker return to social life). This sedation therefore gives the patient the possibility of facing dental care in a state of comfort and absolute relaxation. It is especially recommended for patients with dentophobia. The patient remains conscious and feels no pain. It just creates a temporary lack of orientation (regarding the notions of time and space), but the patient can still communicate and co-operate with the dentist during the intervention. This act is performed by an anesthesia-resuscitation specialist who by law is solely permitted to practice it. With the support of a technical environment which ensures all the required safety measures (monitoring), the anesthesiologist constantly monitors all the vital signs This pain management protocol is practiced in our dental office, which is less onerous to set up than general anesthesia which requires hospitalization.4. Unconscious sedation by general anesthesia (reserved for the most serious cases), in partnership with local private clinics
As part of its sedation protocols, the Rhône Dental Clinic uses the services of two qualified anesthetists practicing in different clinics in the canton of Geneva. These professionals, experienced in pain management, can advise the patient on the most appropriate sedation protocol, depending on the nature and duration of the care to be performed, and the degree of anxiety and medical history of the person.5. Hypnosis
As part of its sedation protocols, the Rhône Dental Clinic uses the services of two qualified anesthetists practicing in different clinics in the canton of Geneva. These professionals, experienced in pain management, can advise the patient on the most appropriate sedation protocol, depending on the nature and duration of the care to be performed, and the degree of anxiety and medical history of the person.NOUVEAUTÉ : L'anesthésie générale
INTRODUCTION DE L’ANESTHÉSIE GÉNÉRALE AU SEIN DE LA RHÔNE DENTAL CLINIC
6. Anesthésie générale
Le Docteur Christophe Gachet et son équipe sont heureux de vous annoncer la décision d’introduire en exclusivité l’anesthésie générale au sein de la Rhône Dental Clinic Genève.
Qu’est ce que l’anesthésie générale ?
L’anesthésie générale est un acte médical ayant comme objectif principal la suspension temporaire et réversible de la conscience et de la sensibilité douloureuse de notre corps à l’aide de médicaments anesthésiques administrés par voie intraveineuse.
Les interventions peuvent ainsi se dérouler sans douleurs ni craintes. Lors d’une anesthésie générale, les fonctions corporelles vitales comme la respiration, les battements du coeur ou le système cardiovasculaire sont surveillées en permanence.
Un entretien pré-anesthésique est effectué par notre spécialiste dans le but d’aborder les antécédents médicaux, les allergies, la prise de médicaments et l’état de santé général du patient. Notre anesthésiste apporte une attention particulière aux fonctions cardiaques et pulmonaires.
Pourquoi l’avoir intégré à la Rhône Dental Clinic ?
Après une longue réflexion du Dr. Christophe Gachet et une rencontre formidable avec notre anesthésiste, ayant 30 ans d’expérience dans ce domaine en Suisse, nous sommes convaincus qu’il faut un pallier supplémentaire dans l’offre de nos soins.
Nous avons toujours privilégié le confort du patient, notamment lors de longues interventions. Et dans ce sens, notre équipe est ravie de proposer l’anesthésie générale pour des cas de chirurgie avancée et complexe où le défi principal est de maîtriser les saignements et le côté post-opératoire.
À quel type de patient est destiné ce type de soin ?
Les interventions sous anesthésie générale sont destinées aux patients phobiques, aux enfants difficiles ainsi qu’aux patients voulant simplement augmenter leur confort et ne pas avoir à subir les temps d’intervention.
Il faut comprendre que l’anesthésie générale est autant un avantage pour le patient que pour le praticien en charge de l’intervention qui, aura plus de facilité sur le travail des traumatismes avec les personnes phobiques, moins de stress lié aux mouvements lors des soins et donc une meilleure marge de manoeuvre.
C’est également la solution idéale pour soigner les enfants difficiles ou avec des syndromes, nécessitant une attention particulière, en témoigne notre spécialiste pour enfants :
« Je recommande aux parents l’anesthésie générale lors de cas de poly-caries chez les petits enfants. Un enfant de 3-4 ans n’est pas encore développé pour rester plusieurs heures au fauteuil, le but est de ne pas laisser de traces dans leur mémoire pour éviter de futurs traumatismes« .
– Dr. Nikolaos Angelakopoulos