Sedation In Dental Practice Research Articles

Knowledge and Awareness of Undergraduate Dental Students About Conscious Sedation in Dental Practice: A Cross Sectional Survey Study

Aim: Dentists identify treating nervous patients as a major source of stress. Most dentists are keen to deal with this problem. The use of drugs to help patients deal with their fears has been extensively researched and a number of techniques have become established in dental practice throughout the world. The aim of the present study is to evaluate the knowledge and attitude of the dental practitioners towards the conscious sedation and its implementations. Methodology: The present cross-sectional study was carried out among 300 dental practitioners in Telangana state. The questionnaire comprised ten questions regarding the knowledge attitude of the dental practitioner about Conscious sedation and its implementations. Results: The obtained results were analyzed and interpreted in percentages. About 92.4% Dental Practitioners stated that they are willing To Take Training for conscious sedation for better patient management. Conclusion: When practicing sedation in a dental setting, awareness of limitations is necessary. Keywords: Conscious sedation, dental practitioners, sedative.

Midazolam as a Conscious Sedation in Dental Practice: A Systematic Review

Background: Conscious sedation is a guidance technique used to control the behavior of anxious or uncooperative patients. A variety of drugs are used in the sedation process, including inhalation agents such as orally or parenterally midazolam and other benzodiazepines. Midazolam is considered a member of the benzodiazepine family with the highest lipid-soluble properties. Objective: This article aims to review the use of Midazolam for conscious sedation in dental practice and illustrate each route of administration. Materials and Methods: This study involved a review of published articles related to the use of Midazolam for conscious sedation in dental practice. The PubMed search engine and Cochrane electronic databases were used to collect the most relevant and recent information on midazolam in dental practice. Results: By applying this method, 10 articles were gathered and used in the current review. Conclusion: Midazolam has shown its ability to be a safe and effective drug in conscious sedation in dental practice. However, some points must be considered before administering midazolam, including patient age and weight, the dose required, drug-drug interaction, special care patients, route of administration, and level of anxiety.

Sedation in dental practice in Russia. Status of the question

Проблема обезболивания пациентов в стоматологической практике по-прежнему остается актуальной. Не всегда только местной анестезии бывает достаточно для безопасного проведения вмешательств. Значимо повысить эффективность купирования болевого синдрома можно при помощи анксиолитической премедикации или управляемой седации. Каждому врачу-стоматологу, независимо от специализации, необходимо владеть навыком безопасного обезболивания, а также уметь проводить профилактику и лечение неотложных и экстренных соматических состояний. В статье освещается современное законодательное видение компетенций, трудовых действий и полномочий врачей-стоматологов относительно лечения пациентов с применением седации/премедикации. Допустимые для применения стоматологами седативные препараты обладают успокаивающим действием, не имеют значимого влияния на дыхание и гемодинамику, не вызывают развития привыкания при условии корректного их назначения в соответствии с рекомендациями производителя. При недостаточной эффективности пероральных седативных средств стоматологические пациенты могут быть пролечены в условиях анестезиологического пособия, наиболее востребованной является методика управляемой седации.

Safety of chloral hydrate sedation in dental practice for children: an overview.

Chloral hydrate is the oldest and most common sedative drug used in moderate sedation for pediatric dental patients. Hence, the purpose of this article is to review the safety and possible adverse events of this drug when used for pediatric dental treatment. A bibliographic search in PubMed, MEDLINE, Cochrane Library and KMbase, KISS, DBpia, KoreaMed, and RISS databases was performed. Using the keywords “dental sedation,” “chloral hydrate,” and “children or adolescent,” 512 scientific articles were found. Subsequently, 183 studies were individually assessed for their suitability for inclusion in this literature review. Altogether, 24 studies were selected. They included 12 cases of death before, during, or after chloral hydrate sedation for dental treatment, majorly due to dosing error and use of multiple sedatives. Additionally, intraoperative adverse events were mostly respiratory problems such as hypoxia and apnea, but most events were temporary. After treatment, prolonged sedation, including excessive sleep and less activity were the most common postoperative adverse events, and even death cases were reported. Despite the wide acceptance of chloral hydrate as a sedative-hypnotic agent, the risk of adverse events and adequate dose should be of great concern when using it for pediatric dental sedation.

Benzodiazepines: Sedation and Agitation.

Dental anxiety is common and frequently poses a barrier to necessary dental treatment. The increasing availability of conscious sedation in dental practice has made treatment much more accessible for anxious patients. At present, benzodiazepines are the most commonly used drugs in sedation practice and provide a pleasant experience for most, but not all, patients. An understanding of the mechanism of action of benzodiazepines should inform our practice and deepen our understanding of why and how sedation may fail. CPD/CLINICAL RELEVANCE: As an increasing number of dentists provide sedation for their patients an update on benzodiazepines is timely.

Sedation in dental practice: prevalence and experience of dentist doctors

Sedation in dental practice: prevalence and experience of dentist doctors

Survey of general anaesthesia and sedation in dental practice in two cities'

Survey of general anaesthesia and sedation in dental practice in two cities'

A survey of general anaesthesia and sedation in dental practice in two cities

Using a postal questionnaire, the use of general anaesthesia and sedation in general dental practice in two cities over a 4-week period was investigated. Questionnaires were sent to a random sample of one in five dental practitioners in Bristol and Sheffield, and an 82% response rate was attained. More practices in Sheffield administered general anaesthesia than those in Bristol. The differences between the facilities provided are discussed. Equipment and facilities have improved since a larger survey was described in 1976, but the use and availability of monitoring equipment has changed little since then. The results reflect the decline in the use of general anaesthesia in dental practice seen nationally. The survey provides an insight into the current anaesthetic services provided in general dental practice in two cities, both of which contain dental hospitals, and provides a basis for the design of a protocol for a further national survey.

The benzodiazepines: a pharmacological overview.

Benzodiazepines exert their effects by facilitating neurotransmission in GABAergic synapses, probably by increasing the affinity of the GABA receptor to GABA. Stimulation of GABA receptors (at least of the A type) opens chloride ion channels which inhibits the ability of the cell (e.g. monoaminergic or cholinergic) to conduct nerve impulses. The endogenous ligand for the benzodiazepine receptor is probably a peptide, which is able to induce "anxiety" in rats. Thus, if the benzodiazepines are receptor agonists, the endogenous ligand would be an antagonist. The clinical effects resulting from the above mechanism of action (anticonvulsant, muscle relaxant, anxiolytic, sedative-hypnotic and amnesic) are discussed with special attention to preoperative sedation in dental practice.

Book Reviews

Book reviewed in this article:CLINICAL PHARMACOLOGY IN DENTAL PRACTICE, edited by Sam V. Holroyd.ORAL DIAGNOSIS, by D. A. Kerr, M. M. Ash, and H. D. Millard.THE YEAR BOOK OF DENTISTRY 1978, edited by M. L. Hale, S. P. Hazcn, R. E. Moyers, D. F. Redig, M. B. O. Robinson, S. I. Silverman.RADIOLOGY FOR DENTAL AUXILIARIES, by Herbert H. Frommer.WHO STUDY OF DENTAL CARIES ETIOLOGY IN PAPUA NEW GUINEA, WHO Offset Publication No. 40, by R. G. Schainschula, B. L. Adkins, D. E. Barmes, G. Charlton, and B. G. Davey.DEVELOPMENT, FUNCTION AND EVOLUTION OF TEETH, edited by P. M. Butler, and K. A. Joysey.FLUORIDES AND DENTAL FLUOROSIS, by Howard M. Myers.SELF ASSESSMENT MANUAL. PART I. ORAL SURGERY AND PATHOLOGY, by B. Cohen, D. Mason, and D. Poswillo.DICTIONARY OF ABBREVIATIONS IN MEDICINE AND THE HEALTH SCIENCES, by Harold K. Hughes.MANUAL OF CLINICAL PERIODONTICS, edited by H. L. Ward, and M. Simring. St. LouisCONSCIOUS SEDATION IN DENTAL PRACTICE, by C. Richard Bennett. St LouisBEHAVIOURAL SCIENCE AND DENTAL PRACTICE, by Samuel F. Dworkin, Thomas P. Ference, and Donald B. Giddon.