Browse > Article

Intravenous Sedation for Dental Procedure  

Kim, Cheul Hong (Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University)
Yoon, Ji Young (Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University)
Publication Information
The Journal of the Korean dental association / v.51, no.7, 2013 , pp. 398-404 More about this Journal
Abstract
Apprehension and phobia regarding dental procedures are represent the most common deterrents in patients seeking dental care and very common. For these individuals, and others who cannot cooperate during care, procedural sedation may permit completion of intraoral procedures. In most cases, the level of sedation may be kept at minimal to moderate levels permitting patient maintenance of their airway patency and ventilation. Unlike many medical procedures, the majority of dental procedures, no matter the depth of sedation, are performed in the presence of complete analgesia provided by local anesthesia. Therefore, the goal of procedural sedation is to primarily suppress patient fear and apprehension and gain cooperation. Any issues regarding actual pain are usually limited to that produced by the local anesthetic injections or, rarely, the extent of the procedure. For the extremely phobic patient, however, allaying apprehension may be very challenging. Intravenous titration of sedative drugs is the most effective route of administration to achieve this goal but requires advanced training beyond that provided in undergraduate training.
Keywords
Intraveous sedation; procedure; phobia; pain;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Lewis D: Summary of: The use of flumazenil after midazolam-induced conscious sedation. Br Dent J 2010; 209: 568-9.   DOI   ScienceOn
2 Ogawa S, Seino H, Ito H, Yamazaki S, Ganzberg S, Kawaai H: Intravenous sedation with low-dose dexmedetomidine: Its potential for use in dentistry. Anesth Prog 2008; 55: 82-8.   DOI   ScienceOn
3 McNeir DA, Mainous EG, Trieger N: Propofol as an intravenous agent in general anesthesia and conscious sedation. Anesth Prog 1988; 35: 147-51.
4 Pang WW, Huang PY, Chang DP, Huang MH: The peripheral analgesic effect of tramadol in reducing propofol injection pain: A comparison with lidocaine. Reg Anesth Pain Med 1999; 24: 246-9.
5 Jackson DL, Johnson BS: Conscious sedation for dentistry: Risk management and patient selection. Dent Clin North Am 2002; 46: 767-80.   DOI
6 Coolidge T, Irwin SP, Leyster KA, Milgrom P: Determinants of receiving intravenous sedation in a sample of dentally-fearful patients in the USA. SAAD Dig 2012; 28: 52-60.
7 Jackson DL, Johnson BS: Inhalational and enteral conscious sedation for the adult dental patient. Dent Clin North Am 2002; 46: 781-802.   DOI   ScienceOn
8 Montagnese TA: Why intravenous moderate sedation should be taught in graduate endodontic programs. J Dent Educ 2012; 76: 288-90.
9 Tiernan J: Consent in general anaesthesia and sedation. A legal or conduct issue? SAAD Dig 1995; 12: 3-6.
10 Boynes SG, Lewis CL, Moore PA, Zovko J, Close J: Complications associated with anesthesia administered for dental treatment. Gen Dent 2010; 58: e20-5.
11 McKenna G, Manton S, Neilson A: A study of patient attitudes towards fasting prior to intravenous sedation for dental treatment in a dental hospital department. Prim Dent Care 2010; 17: 5-11.   DOI   ScienceOn
12 Coulthard P: Conscious sedation. Br Dent J 2008; 204: 52.
13 Becker DE, Casabianca AB: Respiratory monitoring: Physiological and technical considerations. Anesth Prog 2009; 56: 14,20; quiz 21-2.
14 Braidy HF, Singh P, Ziccardi VB: Safety of deep sedation in an urban oral and maxillofacial surgery training program. J Oral Maxillofac Surg 2011; 69: 2112-9.   DOI   ScienceOn
15 Mizuno J: Flumazenil. Masui 2013; 62: 10-8.