Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지
DOI QR코드

DOI QR Code

A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea

  • Seok, Ujeong (Department of Pediatric Department, School of Dentistry, Dankook University) ;
  • Ji, Sangeun (Department of Pediatric Department, School of Dentistry, Dankook University) ;
  • Yoo, Seunghoon (Department of Pediatric Department, School of Dentistry, Dankook University) ;
  • Kim, Jongsoo (Department of Pediatric Department, School of Dentistry, Dankook University) ;
  • Kim, Seungoh (Department of Anesthesiology, School of Dentistry, Dankook University) ;
  • Kim, Jongbin (Department of Pediatric Department, School of Dentistry, Dankook University)
  • Received : 2016.06.22
  • Accepted : 2016.06.29
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation at Chungnam Dental Clinic for the Disabled in Korea from its inception to the present time, and to review the analysis results. Methods: Retrospective analysis was performed on 305 cases of patients who had received dental treatments under IV sedation between January 2011 and May 2016. The analysis examined the patient's sex, age, primary reason for IV sedation, duration of anesthesia and dental treatment, type of dental treatment performed, number of clinical departments involved in the dental treatment and level of multidisciplinary cooperation, and annual trends. Results: Most dental treatments using intravenous sedation were performed on medically disabled patients or dentally disabled patients with an extreme gag reflex or dental phobia. The mean duration of IV sedation was 72.5 min, while the mean duration of treatment was 58.0 min. The types of dental treatments included surgical treatment (n = 209), periodontal treatment (n = 28), prosthodontic treatment (n = 28), restorative treatment (n = 23), implant surgery (n = 22), endodontic treatment (n = 9), reduction of temporomandibular joint dislocation (n = 1), and treatment of traumatic injuries (n = 1), with treatments mostly performed on adult patients. Conclusions: With increasing demand for minimally painful treatment, cases using IV sedation are on an upward trend and are expected to continue to increase.

Keywords

References

  1. Dionne RA, Yagiela JA, Moore PA, Gonty A, Zuniga J, BEIRNE OR, et al. Comparing efficacy and safety of four intravenous sedation regimens in dental outpatients. J Am Dent Assoc 2001; 132: 740-51. https://doi.org/10.14219/jada.archive.2001.0271
  2. Kwak HJ, Kim JY, Kwak YL, Park WS, Lee KC. Comparison of a bolus of fentanyl with an infusion of alfentanil during target-controlled propofol infusion in third molar extraction under conscious sedation. J Oral Maxillofac Surg 2006; 64: 1577-82. https://doi.org/10.1016/j.joms.2005.11.112
  3. Whitwam J. Co-induction of anaesthesia: Day-case surgery. Eur J Anaesthesiol Suppl 1995; 12: 25-34.
  4. You YS, Kim JS, Kim SO. A survey of the outpatient general anesthesia and dental treatment in chungnam dental clinic for the disabled. J Korean Dent Soc Anesthesiol 2011; 11: 133-40. https://doi.org/10.17245/jkdsa.2011.11.2.133
  5. Kim SO. A survey of general anesthesia, sevoflurane sedation and intravenous sedation in chungnam dental clinic for the disabled. J Korean Acad Pediatr Dent 2013; 40: 28-39.
  6. McMurray T, Johnston J, Milligan K, Grant I, Mackenzie S, Servin F, et al. Propofol sedation using diprifusortm target-controlled infusion in adult intensive care unit patients. Anaesthesia 2004; 59: 636-41. https://doi.org/10.1111/j.1365-2044.2004.03745.x
  7. De Castro V, Godet G, Mencia G, Raux M, Coriat P. Target-controlled infusion for remifentanil in vascular patients improves hemodynamics and decreases remifentanil requirement. Anesth Analg 2003; 96: 33-8.
  8. O JE, Kim JS, Kim SO. A study of intravenous sedation in dankook university dental hospital. J Korean Dent Soc Anesthesiol 2013; 13: 1-7.
  9. O SR, Lee J. Intravenous sedation using propofol and midazolam in the exaggerated gag reflex patient's dental implant treatment. J Korean Dent Soc Anesthesiol 2010; 10: 27-33. https://doi.org/10.17245/jkdsa.2010.10.1.27
  10. Sebel PS, Lowdon JD. Propofol: A new intravenous anesthetic. Anesthesiology 1989; 71: 260-77. https://doi.org/10.1097/00000542-198908000-00015
  11. Tesniere A, Servin F. Intravenous techniques in ambulatory anesthesia. Anesthesiol Clin North America 2003; 21: 273-88. https://doi.org/10.1016/S0889-8537(02)00081-0
  12. Barash PG, Cullen BF, Stoelting RK. Clinical anesthesia. 5th ed. Lippincott Williams Willkins. 2006, pp 269, 70, 341-2, 71, 75.
  13. Glass PS, Dyar OJ, Jacobs JR, Reves JG. Intravenous anesthetic drugs: Infusion regimens. Int Anesthesiol Clin 1991; 29: 73-82. https://doi.org/10.1097/00004311-199102940-00007
  14. Keidan I, Berkenstadt H, Sidi A, Perel A. Propofol/remifentanil versus propofol alone for bone marrow aspiration in paediatric haemato-oncological patients. Paediatr Anaesth 2001; 11: 297-301. https://doi.org/10.1046/j.1460-9592.2001.00662.x
  15. Dar AQ, Shah ZA. Anesthesia and sedation in pediatric gastrointestinal endoscopic procedures: A review. World J Gastrointest Endosc 2010; 2: 257-62. https://doi.org/10.4253/wjge.v2.i7.257
  16. Craig DC, Boyle CA, Fleming GJ, Palmer P. A sedation technique for implant and periodontal surgery. J Clin Periodontol 2000; 27: 955-9. https://doi.org/10.1034/j.1600-051x.2000.027012955.x
  17. Pirwitz B, Schlender M, Enders A, Knauer O. [risks and complications anesthesia with intubation during dental treatment]. Rev Stomatol Chir Maxillofac 1998; 98: 387-9.
  18. Saunders RM, Cameron J. Psychogenic gagging: Identification and treatment recommendations. Compend Contin Educ Dent 1997; 18: 430-3, 6, 8 passim.
  19. Kramer RB, Braham RL. The management of the chronic or hysterical gagger. ASDC J Dent Child 1977; 44: 111-6.
  20. Weinstein P. Treating fearful dental patients: a patient management handbook. 2nd ed. University of Washington. 1996.
  21. Hodgkiss A. The puzzle of pain. Medical History 1996; 40: 114-5. https://doi.org/10.1017/S0025727300060762
  22. Jones A, Bentler P, Petry G. The reduction of uncertainty concerning future pain. Journal of abnormal psychology 1966; 71: 87. https://doi.org/10.1037/h0023115
  23. van Wijk AJ, Hoogstraten J. Reducing fear of pain associated with endodontic therapy. Int Endod J 2006; 39: 384-8. https://doi.org/10.1111/j.1365-2591.2006.01090.x
  24. Holzman RS, Cullen DJ, Eichhorn JH, Philip JH. Guidelines for sedation by nonanesthesiologists during diagnostic and therapeutic procedures. The risk management committee of the department of anaesthesia of harvard medical school. J Clin Anesth 1994; 6: 265-76. https://doi.org/10.1016/0952-8180(94)90072-8
  25. Yoshida H, Ayuse T, Ishizaka S, Ishitobi S, Nogami T, Oi K. Management of exaggerated gag reflex using intravenous sedation in prosthodontic treatment. Tohoku J Exp Med 2007; 212: 373-8. https://doi.org/10.1620/tjem.212.373