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Chapter 26 - Sedation in Dentistry

Published online by Cambridge University Press:  12 December 2024

By
Alan D. Kaye ,
Ghali. E. Ghali ,
Elyse M. Cornett  and
Charles J. Fox III
Edited by
Richard D. Urman  and
Alan David Kaye
Richard D. Urman
Affiliation:
Ohio State University
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
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Summary

Modern dentistry has made much progress in pain control and in providing a patient-friendly service, which has expanded the dentist’s ability to perform a wide range of treatments in a pain-free environment. Nevertheless, despite revolutionary new dental techniques, it is well recognized in the dental literature that substantial fear exists concerning seeking dental care. This fear can be so extensive that people from all races and socioeconomic categories can be affected by it in some form.

Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 341 - 367
Publisher: Cambridge University Press
Print publication year: 2024

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References

References

Slovin, M, Falagario-Wasserman, J. Special needs of anxious and phobic dental patients. Dent Clin North Am. 2009;53:207–19.CrossRefGoogle ScholarPubMed
Gale, E. Fears of the dental situation. J Dent Res. 1972;51:964–6.CrossRefGoogle ScholarPubMed
American Association of Endodontists. Dealing with anxious patients. www.aae.org/specialty/dealing-with-anxious-patientsGoogle Scholar
Malamed, SF. Sedation: A Guide to Patient Management, 5th ed. St Louis, MO: Mosby, 2009.Google Scholar
Rubin, J, Slovin, M, Kaplan, A. Assessing patients’ fears: recognizing and reacting to signs of anxiety. Dent Clin North Am. 1986;1:14–18.Google Scholar
Weaver, JM. Two notable pioneers in conscious sedation pass their gifts of pain-free dentistry to another generation. Anesth Prog. 2000;47:27–8.Google ScholarPubMed
American Dental Association. Guidelines for the use of sedation and general anesthesia by dentists. www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/ada_sedation_use_guidelines.pdfGoogle Scholar
Mallampati, S, Gatt, S, Gugino, L, et al. A clinical sign to predict difficult tracheal intubation:a prospective study. Can Anaesth Soc J. 1985;32(4):429–34.CrossRefGoogle ScholarPubMed
Karakoc, O, Akcam, T, Gerek, M, Genc, H, Ozgen, F. The upper airway evaluation of habitual snorers and obstructive sleep apnea patients. ORL J Otorhinolaryngol Relat Spec. 2012;74(3):136–40.CrossRefGoogle ScholarPubMed
Glassman, P, Caputo, A, Dougherty, N, et al. Special Care Dentistry Association consensus statement on sedation, anesthesia, and alternative techniques for people with special needs. Spec Care Dentist 2009;29:2–8.CrossRefGoogle ScholarPubMed
American Dental Association. Guidelines for teaching pain control and sedation to dentists and dental students. www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/library/oral-health-topics/ada_sedation_teaching_guidelines.pdfGoogle Scholar
American Academy of Pediatrics, American Academy of Pediatric Dentistry, Coté CJ, Wilson S, Work Group on Sedation. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures: an update. Pediatrics 2006;118:2587–602.Google Scholar
American Association of Oral and Maxillofacial Surgeons. Statement by the American Association of Oral and Maxillofacial Surgeons concerning the management of selected clinical conditions and associated clinical procedures: the control of pain and anxiety. www.aaoms.org/docs/practice_resources/clinical_resources/control_of_pain_and_anxiety.pdfGoogle Scholar
American Association of Anesthesiologists. Statement on continuum of depth of sedation: definition of general anesthesia and levels of sedation/analgesia. www.asahq.org/standards-and-practice-parameters/statement-on-continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedation-analgesiaGoogle Scholar
American Society of Dentist Anesthesiologists: Parameters of Care. Anesth Prog. 2018;65(3):197–203. doi:10.2344/anpr-65-03-19. PMID:30235432CrossRefGoogle Scholar
Weaver, J. The latest ASA mandate: CO2 monitoring for moderate and deep sedation. Anesth Prog. 2011;58(3):111–2. doi: 10.2344/0003-3006-58.3.111. PMID: 21882985CrossRefGoogle ScholarPubMed
American Association of Anesthesiologists. Standards for basic anesthetic monitoring. www.asahq.org/standards-and-practice-parameters/standards-for-basic-anesthetic-monitoringGoogle Scholar
Eden, N, Rajan, S. ASA monitoring standards. In Abd-Elsayed, A, ed., Advanced Anesthesia Review. Oxford: Oxford University Press, 2023, 19–C8.S13.Google Scholar
American Association of Oral and Maxillofacial Surgeons (AAOMS). Anesthesia in outpatient facilities. In AAOMS Parameters of Care: Clinical Practice Guidelines, 5th ed. Rosemont, IL: AAOMS, 2012, e24–37.Google Scholar
American Society of Anesthesiologists. Continuum of depth of sedation: definition of general anesthesia and levels of sedation/analgesia. Committee of origin: Quality Management and Departmental Administration (approved by the ASA House of Delegates on October 13, 1999, and last amended on October 23, 2019). www.asahq.org/standards-and-practice-parameters/statement-on-continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedation-analgesiaGoogle Scholar
Hall, DL, Tatakis, DN, Walters, JD, Rezvan, E. Oral clonidine pre-treatment and diazepam/meperidine sedation. J Dent Res. 2006;85:854–8.CrossRefGoogle ScholarPubMed
Fazi, L. A comparison of oral clonidine and oral midazolam as preanesthetic medications in the pediatric tonsillectomy patient. Anesth Analg. 2001;92:56–61.CrossRefGoogle ScholarPubMed
Wright, PMC, Carabine, UA, McClune, S, Orr, DA, Moore, J. Preanesthetic medication with clonidine. Br J Anaesth. 1990;65:628–32.CrossRefGoogle ScholarPubMed
Carabine, UA, Wright, PMC, Moore, J. Preanesthetic medication with clonidine. Br J Anaesth. 1991;67(1):79–83.CrossRefGoogle ScholarPubMed
Segal, IS, Jarvis, DJ, Duncan, SR, White, PF, Maze, M. Clinical efficacy of oral transdermal clonidine combinations during the perioperative period. Anesthesiology. 1991;74:220–5.CrossRefGoogle ScholarPubMed
Treasure, T, Bennett, J. Office-based anesthesia. Oral Maxillofac Surg Clin N Am. 2007;19:45–57.CrossRefGoogle ScholarPubMed
Boynes, SG, Lewis, CL, Moore, PA, Zovko, J, Close, J. Complications associated with anesthesia administered for dental treatment. Gen Dent. 2010;58:e20–5.Google ScholarPubMed
D’Eramo, EM. Mortality and morbidity with outpatient anesthesia: the Massachusetts experience. J Oral Maxillofac Surg. 1999;57:531–6.Google ScholarPubMed
Nkansah, PJ, Haas, DA, Saso, MA. Mortality incidence in outpatient anesthesia for dentistry in Ontario. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:646–51.CrossRefGoogle ScholarPubMed
Hines, R, Barash, PG, Watrous, G, O’Connor, T. Complications occurring in the postanesthesia care unit: a survey. Anesth Analg 1992;74:503–9.CrossRefGoogle ScholarPubMed

Additional Reading

Green, SA, Saxen, MA, Urman, RD. A review of scientific literature of interest to office-based anesthesiology practice. Anesth Prog. 2017;64(2):119–21.CrossRefGoogle ScholarPubMed
Lunn, JN, Hunter, AR, Scott, DB. Anaesthesia related surgical mortality. Anaesthesia. 1983;83:1090–6.Google Scholar
Tarrac, SE. A description of intraoperative and post anesthesia complication rates. J Perianesth Nurs 2006;21:88–96.CrossRefGoogle ScholarPubMed

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