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Dental sedation

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https://www.readbyqxmd.com/read/29754157/-patient-satisfaction-with-procedural-sedation-in-oral-and-maxillofacial-surgery
#1
J T Deferm, M Burger, T Prudon, M van Bergen, M Vaneker, W A Borstlap
Fear of treatment by an oral and maxillofacial (OMF) surgeon or the dentist is a widespread and deep-rooted phenomenon. A patient can be taught to cope with dental phobia by means of psychological, cognitive behavioural therapy, but in cases of invasive oral treatment, such therapy may be insufficiently effective. For these invasive procedures, sedation serves as an alternative treatment option. The department of Oral and Maxillofacial Surgery at the Radboud University Medical Centre in Nijmegen, the Netherlands, offers the possibility to utilise intravenous sedation with midazolam (Dormicum®) and remifentanil (Ultiva®)...
May 2018: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/29744384/the-effect-of-dental-scaling-noise-during-intravenous-sedation-on-acoustic-respiration-rate-rra%C3%A2
#2
Jung Ho Kim, Seong In Chi, Hyun Jeong Kim, Kwang-Suk Seo
Background: Respiration monitoring is necessary during sedation for dental treatment. Recently, acoustic respiration rate (RRa™), an acoustics-based respiration monitoring method, has been used in addition to auscultation or capnography. The accuracy of this method may be compromised in an environment with excessive noise. This study evaluated whether noise from the ultrasonic scaler affects the performance of RRa in respiratory rate measurement. Methods: We analyzed data from 49 volunteers who underwent scaling under intravenous sedation...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29744381/complications-caused-by-nitrous-oxide-in-dental-sedation
#3
REVIEW
Seong In Chi
The first clinical application of nitrous oxide (N2 O) was in 1844, by an American dentist named Horace Wells who used it to control pain during tooth extraction. Since then, N2 O has shared a 170-year history with modern dental anesthesia. N2 O, an odorless and colorless gas, is very appealing as a sedative owing to its anxiolytic, analgesic, and amnestic properties, rapid onset and recovery, and, in particular, needle-free application. Numerous studies have reported that N2 O can be used safely and effectively as a procedural sedation and analgesia (PSA) agent...
April 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29714490/efficacy-of-ketamine-in-pediatric-sedation-dentistry-a-systematic-review
#4
Samuel Oh, Karl Kingsley
BACKGROUND: Ketamine has been used as a safe and effective sedative to treat adults and children exhibiting high levels of anxiety or fear during dental treatment. Pediatric dentistry often involves patients with high levels of anxiety and fear and possibly few positive dental experiences. Patient management can involve behavioral approaches, as well as the use of sedation or general anesthesia with a variety of agents, including midazolam, diazepam, hydroxyzine, meperidine, and ketamine...
May 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29698135/the-prevalence-of-adhd-patients-among-pediatric-dentists-in-israel-and-knowledge-of-dental-and-behavioral-aspects-of-treating-them
#5
Sigalit Blumer, Rula Shehadi Khoury, Benjamin Peretz
OBJECTIVE: There are no clear guidelines for managing the dental treatment of children with attention deficit hyperactivity disorder (ADHD). The use of sedation in combination with chronic ADHD medication use is also not well defined. This study surveyed the prevalence of ADHD children, management techniques and knowledge of pharmacologic therapies of these children among Israeli dentists. STUDY DESIGN: A specially designed questionnaire was distributed to all Israeli dentists attending a national conference in 2016...
April 26, 2018: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/29674738/survey-of-treatment-policies-under-conscious-sedation-at-centres-dealing-with-people-with-high-levels-of-dental-anxiety-across-the-united-kingdom
#6
E Heidari, A Banerjee, T Newton
No abstract text is available yet for this article.
April 27, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29663906/an-algorithm-based-approach-for-behavior-and-disease-management-in-children
#7
Beau D Meyer, Jessica Y Lee, S Thikkurissy, Paul S Casamassimo, William F Vann
Pharmacologic behavior management for dental treatment is an approach to provide invasive yet compassionate care for young children; it can facilitate the treatment of children who otherwise may not cooperate for traditional in-office care. Some recent highly publicized procedural sedation-related tragedies have drawn attention to risks associated with pharmacologic management. However, it remains widely accepted that, by adhering to proper guidelines, procedural sedation can assist in the provision of high-quality dental care while minimizing morbidity and mortality from the procedure...
March 15, 2018: Pediatric Dentistry
https://www.readbyqxmd.com/read/29661381/a-review-of-the-safety-and-efficacy-of-inhaled-methoxyflurane-as-an-analgesic-for-outpatient-procedures
#8
REVIEW
C Jephcott, J Grummet, N Nguyen, O Spruyt
Methoxyflurane delivered via a hand-held inhaler is a proven analgesic which has been used in Australasia for emergency relief of trauma associated pain since the 1970s. The agent is self-administered by the patient under the supervision of trained personnel. More than 5 million patients have received inhaled methoxyflurane without significant side effects. Methoxyflurane is also licensed in Australasia for the relief of pain in monitored conscious patients requiring analgesia for minor surgical procedures...
May 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29628733/setting-up-dental-sedation-services-for-special-care-and-medically-compromised-patients
#9
EDITORIAL
Hassan Abed, Aza Rahman
No abstract text is available yet for this article.
April 2018: Saudi Dental Journal
https://www.readbyqxmd.com/read/29556559/administration-order-of-midazolam-fentanyl-for-moderate-dental-sedation
#10
Douglas Lobb, Alix Clarke, Hollis Lai
Background: The purpose of this study is to investigate the effects of administration order when a sedative drug (midazolam) and an opioid analgesic drug (fentanyl) is applied for moderate intravenous (IV) sedation in dentistry. Methods: A retrospective chart review was conducted in one dental clinic during its transition from a midazolam-first to a fentanyl-first protocol for dental procedures requiring moderate IV sedation. Physiological parameters, drug administration times, patient recovery times, drug dosages, and patient recall and satisfaction were investigated for differences...
February 2018: Journal of Dental Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29513208/use-of-and-access-to-deep-sedation-and-general-anesthesia-for-dental-patients-a-survey-of-ontario-dentists
#11
Andrew Adams, Carilynne Yarascavitch, Carlos Quiñonez, Amir Azarpazhooh
OBJECTIVE: This study aims to assess barriers to the use of deep sedation/general anesthesia (DS/GA) identified by dentists in Ontario. METHODS: An email invitation to a web-based survey was distributed to all licensed dentists and specialists who have provided an email address to the provincial regulator (n = 5507). Descriptive and regression analyses were performed to explore practice and demographic factors associated with the use of DS/GA. RESULTS: The response rate was 18...
July 2017: Journal—Canadian Dental Association, Journal de L'Association Dentaire Canadienne
https://www.readbyqxmd.com/read/29509522/dexmedetomidine-enhances-the-pulpal-anesthetic-effect-of-lidocaine-a-pilot-study
#12
Yoko Tonooka, Katsuhisa Sunada
Dexmedetomidine hydrochloride (DEX) demonstrates analgesic, sedative, and hypotensive effects. DEX may also enhance the effect of local anesthetics used in the oral cavity, although this has not been well established in combination with lidocaine. We conducted a single-blind crossover study in 8 healthy volunteers to investigate whether DEX enhances the anesthetic effect of lidocaine in the oral cavity. DEX or DEX + lidocaine was injected into the labial gingiva corresponding to the root apex of the maxillary left central incisor and into the buccal gingiva corresponding to the root apex of the mandibular right first molar...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509521/practice-patterns-of-dentist-anesthesiologists-in-north-america
#13
Andrew S Young, Michael W Fischer, Nicholas S Lang, Matthew R Cooke
This study provides trends in the discipline of dental anesthesiology. A questionnaire-based survey was sent to 338 members of the American Society of Dentist Anesthesiologists to evaluate practice patterns. One focus of the study was modality of sedation/anesthesia used for dentistry in North America. Age, gender, years in practice, and geographic region of practice were also obtained. Data gathered from the returned questionnaires were entered into an Excel spreadsheet and then imported into JMP Statistical Discovery Software (v12...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29500837/investigation-of-factors-that-influence-pain-experienced-and-the-use-of-pain-medication-following-periodontal-surgery
#14
Jennifer R Beaudette, Peter C Fritz, Philip J Sullivan, Assunta Piccini, Wendy E Ward
AIMS: To determine the relationship between anticipated pain and actual pain experienced following soft tissue grafting or implant surgery; to identify the factors that predict actual pain experienced and the use of pain medication following soft tissue grafting or implant surgery. MATERIALS AND METHODS: Prior to dental implant placement (n = 98) or soft tissue grafting (n = 115) and for seven days following the procedure, patients completed a visual analog scale indicating anticipated or experienced pain, respectively...
May 2018: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/29482682/comparison-of-two-morphine-benzodiazepine-hydroxyzine-combinations-for-the-oral-sedation-of-pediatric-dental-patients-a-retrospective-study
#15
Norman Chen, Thomas Tanbonliong
PURPOSE: To investigate the effectiveness of oral morphine sulfate regimens in sedating pediatric dental patients and assess whether pre-sedation disposition and willingness to take the sedative were related to the outcome of the sedation. METHODS: The sedation records of 271 pediatric dental patients sedated with oral morphine were reviewed. Children were either sedated with regimen one (morphine plus midazolam plus hydroxyzine) or regimen two (morphine plus diazepam plus hydroxyzine)...
January 1, 2018: Pediatric Dentistry
https://www.readbyqxmd.com/read/29403234/conscious-sedation-with-nitrous-oxide-to-control-stress-during-dental-treatment-in-patients-with-cerebral-palsy-an-experimental-clinical-trial
#16
Fernando M Baeder, Daniel F Silva, Ana Cl de Albuquerque, Maria Tbr Santos
Introduction: Individuals with cerebral palsy (CP) often present with oral alterations that impact oral health and require dental treatment. Aim: This study aimed to evaluate the use of conscious sedation with nitrous oxide (N2 O) to control stress during dental treatment in individuals with CP using as parameters: Venham score (VS), heart rate (HR), and respiratory rate (RR). Materials and methods: A total of 77 CP patients >3 years of age with a mean age of 11...
October 2017: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/29399858/pharmacological-behaviour-support-for-adults-with-intellectual-disabilities-frequency-and-predictors-in-a-national-cross-sectional-survey
#17
C Mac Giolla Phadraig, C Griffiths, P McCallion, M McCarron, E Donnelly-Swift, J Nunn
OBJECTIVE: To report frequency and predictors of reported pharmacological behaviour support use among older adults with intellectual disabilities (ID) accessing dental care in Ireland. METHODS: Data from a nationally representative cross-sectional survey of adults with ID over 40 years of age allowed identification of the reported frequency of pharmacological behaviour support use. Predictors of pharmacological support were identified using multiple logistic regression...
February 5, 2018: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/29397871/outbreak-of-bacterial-endocarditis-associated-with-an-oral-surgery-practice-new-jersey-public-health-surveillance-2013-to-2014
#18
Kathleen M Ross, Jason S Mehr, Rebecca D Greeley, Lindsay A Montoya, Prathit A Kulkarni, Sonya Frontin, Trevor J Weigle, Helen Giles, Barbara E Montana
BACKGROUND: In October and November 2014, the New Jersey Department of Health received reports of 3 patients who developed Enterococcus faecalis endocarditis after undergoing surgical procedures at the same oral surgery practice in New Jersey. Bacterial endocarditis is an uncommon but life-threatening condition; 3 patients with enterococcal endocarditis associated with a single oral surgery practice is unusual. An investigation was initiated because of the potential ongoing public health risk...
March 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29397125/tracking-and-reporting-outcomes-of-procedural-sedation-troops-standardized-quality-improvement-and-research-tools-from-the-international-committee-for-the-advancement-of-procedural-sedation
#19
M G Roback, S M Green, G Andolfatto, P L Leroy, K P Mason
Many hospitals, and medical and dental clinics and offices, routinely monitor their procedural-sedation practices-tracking adverse events, outcomes, and efficacy in order to optimize the sedation delivery and practice. Currently, there exist substantial differences between settings in the content, collection, definition, and interpretation of such sedation outcomes, with resulting widespread reporting variation. With the objective of reducing such disparities, the International Committee for the Advancement of Procedural Sedation has herein developed a multidisciplinary, consensus-based, standardized tool intended to be applicable for all types of sedation providers in all locations worldwide...
January 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29349349/a-retrospective-analysis-of-outpatient-anesthesia-management-for-dental-treatment-of-patients-with-severe-alzheimer-s-disease
#20
Eunsun So, Hyun Jeong Kim, Myong-Hwan Karm, Kwang-Suk Seo, Juhea Chang, Joo Hyung Lee
Background: The number of patients with Alzheimer's disease is growing worldwide, and the proportion of patients requiring dental treatment under general anesthesia increases with increasing severity of the disease. However, outpatient anesthesia management for these patients involves great risks, as most patients with Alzheimer's disease are old and may show reduced cardiopulmonary functions and have cognitive disorders. Methods: This study retrospectively investigated 43 patients with Alzheimer's disease who received outpatient anesthesia for dental treatment between 2012-2017...
December 2017: Journal of Dental Anesthesia and Pain Medicine
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