[Risks and complications anesthesia with intubation during dental treatment]

In many hospitals and dental clinics the delivery of dental care under general anesthesia is a routine practice. Most often mentally handicapped patients and uncooperative children are concerned. In order to minimise the risk of anesthesia-related complications, an exact preoperative examination of anatomic particularities and accompanying diseases is mandatory. An analysis of 402 anesthesias performed from 1992 to 1995 revealed a 13.9% of complications. Main problems observed were difficult intubation and marked drop in blood pressure. Despite of a relatively low anesthetic risk we still limit ambulatory anesthesias to patients belonging to the ASA risk groups 1 and 2 with a maximum extent of the narcosis of 2 hours.