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Anesthetic Helps Recovery After Oral Surgery
Like your dentist the perfect sedative for an oral surgery procedure should make you feel comfortable during surgery with little to no pain. Once the surgery is complete the sedative should quickly wear off so that you may go on with your day without a problem. For these reasons, finding the right anesthetic is important to having a successful surgery at your oral surgeon’s office. The right combinations of sedatives can greatly help in reducing pain and discomfort during common procedures like the extraction of wisdom teeth.

The extraction of third molars, or wisdom teeth, is usually performed at your local dentist, not at a hospital. For this reason there are no extensive facilities and extra personnel to help patients recover after surgery. The need for a rapid recovery as an important part of dental anesthesia is therefore a crucial factor in making surgery more successful. To help in the recovery of patients after oral surgery a study was conducted testing the anesthetic propofolremifentanil and propofolketamine. Both the dentists and the surgeons did not know which sedative was given to patients until after, in what is known as a double-blinded study.

Thirty-Seven patients were monitored while they were sedated, and the time it took for them to emerge from the anesthesia and make a total recovery was recorded. Both patients and the surgeons were asked which anesthetic treatment seemed to be better, and which they were much more satisfied with. Patients who received the ketamine took a longer time to come out of the anesthesia and become fully conscious, taking them an average time of 13.6 minutes to emerge compared to the 7.1 minutes of the remifentanil group. It also took the ketamine group an average of 18.4 minutes longer to make a full recovery after emerging from the anesthetic.

Top dentists and the patients seemed satisfied with either treatment, but an increase in heart rate while under sedation was witnessed within the patients that were given the ketamine. While all signs point to remidentanil as a better and more perfect sedative for dentists to use during the removal of third molars, it is also more expensive than ketamine. So, if you are looking to have your wisdom teeth removed and want a quick recovery time, the propofolremidentanil would be a much better combination of anesthetic to receive during your procedure.


Posted  October 29, 2012
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