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https://www.readbyqxmd.com/read/27747238/inhalation-conscious-sedation-with-nitrous-oxide-and-oxygen-as-alternative-to-general-anesthesia-in-precooperative-fearful-and-disabled-pediatric-dental-patients-a-large-survey-on-688-working-sessions
#1
Angela Galeotti, Annelyse Garret Bernardin, Vincenzo D'Antò, Gianmaria Fabrizio Ferrazzano, Tina Gentile, Valeria Viarani, Giorgio Cassabgi, Tiziana Cantile
Aim. To evaluate the effectiveness and the tolerability of the nitrous oxide sedation for dental treatment on a large pediatric sample constituting precooperative, fearful, and disabled patients. Methods. 472 noncooperating patients (aged 4 to 17) were treated under conscious sedation. The following data were calculated: average age; gender distribution; success/failure; adverse effects; number of treatments; kind of dental procedure undertaken; number of dental procedures for each working session; number of working sessions for each patient; differences between males and females and between healthy and disabled patients in relation to success; success in relation to age; and level of cooperation using Venham score...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27585414/remifentanil-in-combination-with-propofol-is-suitable-for-use-in-the-dental-outpatient-setting
#2
Makoto Maeno, Ken-Ichi Fukuda, Toyoaki Sakamoto, Yoshihiko Koukita, Tatsuya Ichinohe
Although several adjuncts to the general anesthetic propofol have been proposed, there is insufficient research identifying the ideal agent, and in what dosage, to combine with propofol in dental outpatient anesthesia. Here we examined the combination of remifentanil or nitrous oxide and propofol in patients with severe dental avoidance undergoing dental treatment in the outpatient setting. Eighty patients were randomized to 4 groups and administered propofol/saline solution (PS; n = 20), propofol/remifentanil 0...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27513396/the-effects-of-conscious-sedation-with-nitrous-oxide-oxygen-on-cognitive-functions
#3
Sara Samur Ergüven, Ertan Ali Delilbaşi, Berrin İşik, Ferhunde Öktem
BACKGROUND/AIM: The aim of this study was to investigate the effects of conscious sedation with 40% nitrous oxide/oxygen (N2O/O2) on cognitive functions. MATERIALS AND METHODS: Forty dental patients referred to the sedation unit at Gazi University Faculty of Dentistry Department of Oral and Maxillofacial Surgery received a combination of 40% N2O/O2 inhalation for conscious sedation. Psychometric tests were applied three times: before sedation, during sedation, and at the end of the recovery, for assessing cognitive functions...
2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27510373/accuracy-of-teledentistry-examinations-at-predicting-actual-treatment-modality-in-a-pediatric-dentistry-clinic
#4
Sean W McLaren, Dorota T Kopycka-Kedzierawski, Jed Nordfelt
OBJECTIVES: The purpose of this study was to assess the accuracy of predicting dental treatment modalities for children seen initially by means of a live-video teledentistry consultation. METHODS: A retrospective dental record review was completed of 251 rural pediatric patients from the Finger Lakes region of New York State who had an initial teledentistry appointment with a board-certified pediatric dentist located remotely at the Eastman Institute for Oral Health in Rochester, NY...
August 9, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27501304/preoperative-analgesics-for-additional-pain-relief-in-children-and-adolescents-having-dental-treatment
#5
REVIEW
Paul F Ashley, Susan Parekh, David R Moles, Prabhleen Anand, Laura C I MacDonald
BACKGROUND: Fear of dental pain is a major barrier to treatment for children who need dental care. The use of preoperative analgesics has the potential to reduce postoperative discomfort and intraoperative pain. We reviewed the available evidence to determine whether further research is warranted and to inform the development of prescribing guidelines. This is an update of a Cochrane review published in 2012. OBJECTIVES: To assess the effects of preoperative analgesics for intraoperative or postoperative pain relief (or both) in children and adolescents undergoing dental treatment without general anaesthesia or sedation...
August 8, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27475684/current-methods-of-sedation-in-dental-patients-a-systematic-review-of-the-literature
#6
J-R Corcuera-Flores, J Silvestre-Rangil, A Cutando-Soriano, J López-Jiménez
OBJECTIVE: The main objective of this systematic literature review is to identify the safest and most effective sedative drugs so as to ensure successful sedation with as few complications as possible. STUDY DESIGN: A systematic literature review of the PubMed MEDLINE database was carried out using the key words "conscious sedation," "drugs," and "dentistry." A total of 1,827 scientific articles were found, and these were narrowed down to 473 articles after applying inclusion and exclusion criteria...
September 1, 2016: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/27461803/comparative-evaluation-of-diffusion-hypoxia-and-psychomotor-skills-with-or-without-postsedation-oxygenation-following-administration-of-nitrous-oxide-in-children-undergoing-dental-procedures-a-clinical-study
#7
Vineet Inder Singh Khinda, Parvesh Bhuria, Paramjit Khinda, Shiminder Kallar, Gurlal Singh Brar
BACKGROUND: Diffusion hypoxia is the most serious potential complication associated with nitrous oxide. It occurs during the recovery period. Hence, administration of 100% oxygen is mandatory as suggested by many authors. AIM: The aim of this study is to evaluate the occurrence/nonoccurrence of diffusion hypoxia in two groups of patients undergoing routine dental treatment under nitrous oxide sedation when one group is subjected to 7 min of postsedation oxygenation and the second group of the patients is made to breathe room air for the similar period...
July 2016: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/27377113/chloral-hydrate-for-sedation-of-children-with-asthma-during-dental-treatment
#8
I Abdulhamid, M Tremblay, J Stenger, V Tutag Lehr
AIM: We hypothesised that chloral hydrate is safe and effective for sedation during dental treatments for children with mild asthma. We evaluated the safety and efficacy of chloral hydrate by measuring changes in heart rate (HR), transcutaneous oxygen saturation, (SpO2), asthma score, behaviour, types and frequency of adverse reactions associated with chloral hydrate were assessed throughout treatment. MATERIALS AND METHODS: Children (<10 years old) with mild asthma undergoing dental treatments received a single 65 mg/kg oral dose of chloral hydrate liquid 1 hour prior to treatment in an open label trial...
June 2016: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/27190950/a-comparison-of-the-effectiveness-of-oral-midazolam-n2o-versus-oral-ketamine-n2o-in-pediatric-patients-an-in-vivo-study
#9
Vasanthi Done, Ravichandrasekhar Kotha, Aron Arun Kumar Vasa, Suzan Sahana, Raghavendra Kumar Jadadoddi, Sushma Bezawada
INTRODUCTION: Most children are casual and moderately agreeable in the dental treatment environment, however some of them show practices that upset the professional and make the protected conveyance of worthy treatment extremely troublesome. For such cases dental practitioner utilizes behavior management techniques. At the point when behavioral administration procedures come up short, some type of pharmacologic sedation or anesthesia may be an important and vital option. Dental sedation is a strategy in which the utilization of a medication or drugs produce(s) a condition of depression of the central sensory system empowering treatment to be completed during which verbal contact with the patient is kept up all through the time of sedation...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27083777/patient-fire-during-dental-care-a-case-report-and-call-for-safety
#10
Robert C Bosack, Mark E Bruley, Andrea M VanCleave, Joel M Weaver
BACKGROUND AND OVERVIEW: Fire risk is present whenever there is a convergence of fuel, oxidizer, and an ignition source, which is called the fire triangle. A heightened awareness of fire risk is necessary whenever a fire triangle is present. The authors provide a sentinel event case report of fire in a dental office. CASE DESCRIPTION: A 72-year-old woman received second-degree facial burns from a fire that ignited near the nasal hood supplying a nitrous oxide-oxygen mixture...
August 2016: Journal of the American Dental Association
https://www.readbyqxmd.com/read/27080292/-children-s-intelligence-quotient-following-general-anesthesia-for-dental-care-a-clinical-observation-by-chinese-wechsler-young-children-scale-of-intelligence
#11
B Xia, J H Wang, Y M Xiao, K Y Liu, X D Yang, L H Ge
OBJECTIVE: It has been demonstrated that anesthetics exposure may lead to neurocognitive impairment in developing brain of animal models. However, for the limitation that the animal models cannot fully mimic the dose and duration in clinical settings especially for dental general anesthesia, the clinical significance of anesthetics exposure on developing central nervous system remains undetermined. Therefore, we conducted the current study in order to observe the fluctuation of intelligence quotient (IQ) after the administration of dental general anesthesia comparing to that before surgery...
April 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27073749/nitrous-oxide-from-the-operating-room-to-the-emergency-department
#12
Christine Huang, Nathaniel Johnson
Nitrous oxide is a gas inhalation agent that has a long history of administration in procedures requiring analgesia and sedation. Although use may be limited by patient condition, patient comorbidities, and appropriate scavenging equipment, nitrous is a proven and safe tool for use in many health care settings-from the dental office to the operating room to the emergency department.
2016: Current Emergency and Hospital Medicine Reports
https://www.readbyqxmd.com/read/26962318/bispectoral-index-scores-of-pediatric-patients-under-dental-treatment-and-recovery-conditions-study-of-children-assigned-for-general-anesthesia-under-propofol-and-isofloran-regimes
#13
Dana Tahririan, Naser Kaviani, Nosrat Nourbakhsh
BACKGROUND: This study was planned to determine the relationship between bispectoral index (BIS) during dental treatment and recovery conditions in children undergoing two regimes of anesthesia of propofol and isoflurane. MATERIALS AND METHODS: In this single-blind clinical trial study, 57 4-7-year-old healthy children who had been referred for dental treatment under general anesthesia between 60 and 90 min were selected by convenience sampling and assigned to two groups, after obtaining their parents' written consent...
January 2016: Dental Research Journal
https://www.readbyqxmd.com/read/26866411/potent-inhalational-anesthetics-for-dentistry
#14
Mary Satuito, James Tom
Nitrous oxide and the volatile inhalational anesthetics have defined anxiety and pain control in both dentistry and medicine for over a century. From curious experimentation to spectacular public demonstrations, the initial work of 2 dentists, Horace Wells and William T. G. Morton, persists to this day in modern surgery and anesthesia. This article reviews the history, similarities, differences, and clinical applications of the most popular inhalational agents used in contemporary dental surgical settings.
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/26866406/dentists-and-parents-attitude-toward-nitrous-oxide-use-in-kuwait
#15
Sarah A Alkandari, Fatemah Almousa, Mohammad Abdulwahab, Sean G Boynes
The aim of this study was to investigate the attitude of dentists in Kuwait toward the use of nitrous oxide sedation as a behavior management technique (BMT) for pediatric patients and assess their training in nitrous oxide sedation. In addition, we assessed parents' knowledge of and attitude toward the use of nitrous oxide as a BMT for their children. The objective was to determine if nitrous oxide sedation is being provided and utilized as a means to enhance dental care for pediatric patients. A cross-sectional survey was randomly distributed to both groups of interest: parents accompanying their children to the dentist and licensed dentists in Kuwait...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/26742335/discovery-of-modern-anesthesia-a-counterfactual-narrative-about-crawford-w-long-horace-wells-charles-t-jackson-and-william-t-g-morton
#16
Manisha S Desai, Sukumar P Desai
The discovery of anesthesia occurred during a narrow time span in the mid-19th century, but there is no agreement about who deserves credit for this important American contribution to medicine. Based mostly on an examination of primary sources, we explore how formal and informal interactions between the principals affected their careers, lives, and attribution of credit for the discovery of anesthesia. There should be no controversy as to which individual deserves credit for the discovery of anesthesia if credit is ascribed for specific contributions...
December 2015: AANA Journal
https://www.readbyqxmd.com/read/26716163/paediatric-dental-chair-sedation-an-audit-of-current-practice-in-gauteng-south-africa
#17
F Bham, H Perrie, J Scribante, C-A Lee
BACKGROUND: Procedural sedation and analgesia (PSA) is often required to perform dental procedures in children. Serious adverse outcomes, while rare, are usually preventable. OBJECTIVES: To determine the proportion of dental practitioners making use of paediatric dental chair PSA in Gauteng Province, South Africa, describe their PSA practice, and determine compliance with recommended safety standards. METHOD: A prospective, contextual, descriptive study design was used, with 222 randomly selected dental practitioners contacted to determine whether they offered paediatric dental chair PSA...
June 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/26551374/a-retrospective-study-of-248-pediatric-oral-sedations-utilizing-the-combination-of-meperidine-and-hydroxyzine-for-dental-treatment
#18
M Lenahan, M Wells, M Scarbecz
UNLABELLED: Oral sedation for pre-cooperative and anxious pediatric patients is an important tool for the pediatric dentist. Few studies have examined the sedation regimen of meperidine and hydroxyzine. OBJECTIVES: The primary goal of this study was to evaluate the overall safety and effectiveness of the meperidine/hydroxyzine drug combination. Secondary goals included detecting potential factors that alter sedation effectiveness. STUDY DESIGN: Two hundred and forty eight electronic health records of pediatric patients (131 females, 117 males) who received meperidine/hydroxyzine sedations in a university setting were evaluated...
2015: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/26551363/levels-of-stress-among-general-practitioners-students-and-specialists-in-pediatric-dentistry-during-dental-treatment
#19
E Davidovich, Y Pessov, A Baniel, D Ram
OBJECTIVE: To assess self-reported stress during the performance of different procedures in pediatric dentistry, according to the professional experience of the dentists. STUDY DESIGN: During the years 2010 to 2011, an anonymous survey was administered by means of an internet link, and by distribution at professional meetings of dentists . RESULTS: No statistically significant differences in stress were reported for maxilla and mandibular procedures...
2015: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/26529840/the-influence-of-immigrant-background-on-the-choice-of-sedation-method-in-paediatric-dentistry
#20
Andreas Dahlander, Leif Jansson, Kerstin Carlstedt, Margaret Grindefjord
The effects of immigration on the demographics of the Swedish population have changed the situation for many dental care providers, placing increased demand on cultural competence. The aim of this investigation was to study the choice of sedation method among children with immigrant background, referred to paediatric dentistry specialists, because of behaviour management problems or dental fear in combination with treatment needs. The material consisted of dental records from children referred to two clinics for paediatric dentistry: 117 records from children with an immigrant background and 106 from children with a non-immigrant background...
2015: Swedish Dental Journal
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