Literature DB >> 26989448

Techniques to administer oral, inhalational, and IV sedation in dentistry.

Diana Krystyna Harbuz1, Michael O'Halloran1.   

Abstract

BACKGROUND: Sedation in dentistry is a controversial topic given the variety of opinions regarding its safe practice. AIMS: This article evaluates the various techniques used to administer sedation in dentistry and specific methods practiced to form a recommendation for clinicians.
METHODS: An extensive literature search was performed using PubMed, Medline, Google Scholar, Google, and local library resources.
RESULTS: Most of the literature revealed a consensus that light sedation on low-risk American Society of Anesthesiologists (ASA) groups, that is ASA I, and possibly II, is the safest method for sedation in a dental outpatient setting.
CONCLUSION: Formal training is essential to achieve the safe practice of sedation in dentistry or medicine. The appropriate setting for sedation should be determined as there is an increased risk outside the hospital setting. Patients should be adequately assessed and medication titrated appropriately, based on individual requirements.

Entities:  

Keywords:  Sedation; anaesthetic agents; conscious sedation; deep sedation; dental phobia; dentistry; pharmacology

Year:  2016        PMID: 26989448      PMCID: PMC4780209          DOI: 10.4066/AMJ.2015.2543

Source DB:  PubMed          Journal:  Australas Med J        ISSN: 1836-1935


  22 in total

Review 1.  Conscious sedation in pediatric dentistry. A short review of the current UK guidelines and the technique of inhalational sedation with nitrous oxide.

Authors:  I Holroyd
Journal:  Paediatr Anaesth       Date:  2008-01       Impact factor: 2.556

Review 2.  A critical review of approaches to the treatment of dental anxiety in adults.

Authors:  Dina Gordon; Richard G Heimberg; Marisol Tellez; Amid I Ismail
Journal:  J Anxiety Disord       Date:  2013-04-13

Review 3.  Sedation for invasive procedures in paediatrics.

Authors:  M S Murphy
Journal:  Arch Dis Child       Date:  1997-10       Impact factor: 3.791

Review 4.  Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds.

Authors:  Paul F Ashley; Catherine E C S Williams; David R Moles; Jennifer Parry
Journal:  Cochrane Database Syst Rev       Date:  2012-11-14

5.  A randomized, clinical trial of oral midazolam plus placebo versus oral midazolam plus oral transmucosal fentanyl for sedation during laceration repair.

Authors:  Eileen J Klein; Douglas S Diekema; Carolyn A Paris; Linda Quan; Morty Cohen; Kristy D Seidel
Journal:  Pediatrics       Date:  2002-05       Impact factor: 7.124

Review 6.  The use of anaesthetic agents to provide anxiolysis and sedation in dentistry and oral surgery.

Authors:  Michael O'Halloran
Journal:  Australas Med J       Date:  2013-12-31

7.  The safety and efficacy of outpatient midazolam intravenous sedation for oral surgery with and without fentanyl.

Authors:  P Milgrom; O R Beirne; L Fiset; P Weinstein; K M Tay; M Martin
Journal:  Anesth Prog       Date:  1993

8.  Randomized, controlled, cross-over clinical trial comparing intravenous midazolam sedation with nitrous oxide sedation in children undergoing dental extractions.

Authors:  K E Wilson; N M Girdler; R R Welbury
Journal:  Br J Anaesth       Date:  2003-12       Impact factor: 9.166

9.  Comparison of oral and buccal midazolam for pediatric dental sedation: a randomized, cross-over, clinical trial for efficacy, acceptance and safety.

Authors:  Sara Tavassoli-Hojjati; Majid Mehran; Roza Haghgoo; Monireh Tohid-Rahbari; Rahil Ahmadi
Journal:  Iran J Pediatr       Date:  2014-04       Impact factor: 0.364

10.  An evaluation of intranasal sufentanil and dexmedetomidine for pediatric dental sedation.

Authors:  James M Hitt; Toby Corcoran; Kelly Michienzi; Paul Creighton; Christopher Heard
Journal:  Pharmaceutics       Date:  2014-03-21       Impact factor: 6.321

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  5 in total

Review 1.  Dental implant treatment for renal failure patients on dialysis: a clinical guideline.

Authors:  Quan Yuan; Qiu-Chan Xiong; Megha Gupta; Rosa María López-Pintor; Xiao-Lei Chen; Dutmanee Seriwatanachai; Michael Densmore; Yi Man; Ping Gong
Journal:  Int J Oral Sci       Date:  2017-06-23       Impact factor: 6.344

2.  Evidence of pharmacological and non-pharmacological interventions for the management of dental fear in paediatric dentistry: a systematic review protocol.

Authors:  Stefano Cianetti; Luigi Paglia; Roberto Gatto; Alessandro Montedori; Eleonora Lupatelli
Journal:  BMJ Open       Date:  2017-08-18       Impact factor: 2.692

Review 3.  Conscious Sedation in Dentistry.

Authors:  Arpita Kapur; Vinay Kapur
Journal:  Ann Maxillofac Surg       Date:  2018 Jul-Dec

4.  The challenges of dental care provision in patients with learning disabilities and special requirements during COVID-19 pandemic.

Authors:  Bruna Lavinas Sayed Picciani; Ana Gabriela Bausen; Bruna Michalski Dos Santos; Marcello Alves Marinho; Marcelo Brito Faria; Luciana Freitas Bastos; Arkadiusz Dziedzic
Journal:  Spec Care Dentist       Date:  2020-07-02

5.  Contribution of benzodiazepines in dental care of patients with special needs.

Authors:  Bruna-Lavinas-Sayed Picciani; Bruna-Michalski Dos Santos; Geraldo-Oliveira Silva-Júnior; Marcello-Alves Marinho; Eliane-Garritano Papa; Marcelo-Daniel-Brito Faria; Luciana-Freitas Bastos; Cresus-Vinícius-Depes de Gouvêa
Journal:  J Clin Exp Dent       Date:  2019-12-01
  5 in total

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