Sedation in the Pediatric Dental Practice

2018 ◽  
pp. 295-304
Author(s):  
John H. Unkel
Keyword(s):  
Nitrous Oxide ◽  
Treatment Duration ◽  
Successful Outcome ◽  
Dental Practice ◽  
Topical Anesthetic ◽  
Moderate Sedation ◽  
Routes Of Administration ◽  
Oral Airway ◽  
Dental Procedures ◽  
Dental Office

A contemporary dental practice offers a variety of sedation medications and routes of administration. Most dental sedation is delivered to children by inhalational and oral routes, although the nasal route is gaining acceptance. Minimal and moderate sedation are the levels that the dentist, acting as both the sedationist and the proceduralist, will wish to achieve in the dental office. Combinations of medications offer the ability to achieve ideal moderate sedation. Nitrous oxide, benzodiazepines, antihistamines, and other agents are discussed. Dental procedures are invasive and unique in that they occur in the oral airway. To achieve a successful outcome, sedationists and proceduralists must take into account instrumentation, loud noises, treatment duration, delivery of local anesthetics, and oropharyngeal protective barriers. Local anesthetic administration can be painful when delivered in the oral cavity. As this is the initial invasive step the child will encounter during the dental experience, providing sedation care may be of value in addition to topical anesthetic.

Child behavior in a private pediatric dental practice associated with types of visits, age and socio-economic factors

2001 ◽  
Vol 25 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Warren Brill
Keyword(s):  
Dental Treatment ◽  
Economic Status ◽  
Dental Practice ◽  
Fee For Service ◽  
Negative Behavior ◽  
Patient Behavior ◽  
Dental Procedures ◽  
Dental Office ◽  
Child Patient ◽  
Method Of Payment

The purpose of this study was to describe child patient behavior patterns seen in a private pediatric dental practice. Patient behavior for every individual visit was recorded over a span of 3 consecutive months using the Sarnat Behavior Scale as the descriptive measurement device. Behavior during 5 categories of procedures was recorded: new patient examination / introduction to the office, periodic recare, restorative dentistry, orthodontic adjustment and quick check observation. Socio-demographic variables such as age, sex, method of payment as an indicator of socio-economic status, prior dental experience and referral source were also recorded. The results of this study showed: 1. the younger the child and the more threatening the procedure, the more often negative behavior was noted, 2. patients whose dental treatment was paid for by Medicaid and who are likely to be in a lower socio-economic strata, often exhibited more negative behavior than the fee-for service counterparts, 3. in general, there was no difference in the behavior between males and females, although males age 8 to 12 had a higher incidence of negative behavior than females when undergoing restorative dental procedures. There are trends between age, type of procedure, source of patient referral, method of payment and familiarity with the office, that may be able to used as behavioral predictors in a private pediatric dental office.

Anesthesia Considerations in Dental Practice

2018 ◽  
Author(s):  
Janice A. Townsend ◽  
Gabriel Hernandez ◽  
Lynda Harhad
Keyword(s):  
Nitrous Oxide ◽  
General Anesthesia ◽  
Operating Room ◽  
Local Anesthesia ◽  
Patient Selection ◽  
Dental Practice ◽  
Office Environment ◽  
Dental Office ◽  
Dental Setting

Demand for anesthesia personnel outside of the operating room is increasing in dentistry. Anesthesia for dentistry is unique due to the shared airway and the limitations of the dental office environment. Knowledge of local anesthesia in dentistry is necessary as profound anesthesia is essential for sedation and may be indicated as an adjunct for general anesthesia. Nitrous oxide is also utilized alone or in conjunction with oral or parenteral sedation, and the anesthesia staff must be familiar with its use in dentistry. Stringent protocols for patient selection and monitoring are essential for safe administration of anesthesia in the dental setting.

scholarly journals The Impact of COVID-19 Related Lockdown on Dental Practice in Central Italy—Outcomes of A Survey

2020 ◽  
Vol 17 (16) ◽  
pp. 5780 ◽  
Author(s):  
Bruna Sinjari ◽  
Imena Rexhepi ◽  
Manlio Santilli ◽  
Gianmaria D′Addazio ◽  
Piero Chiacchiaretta ◽  
...  
Keyword(s):  
Online Survey ◽  
Structural Changes ◽  
Central Italy ◽  
Protective Equipment ◽  
Dental Practice ◽  
Digital Dentistry ◽  
Dental Procedures ◽  
Dental Office ◽  
Pulp Inflammation ◽  
The Impact

The COVID-19 pandemic has affected lives and professions worldwide. We aimed to determine the behavior of dentists during the lockdown in Central Italy through an online survey. We demonstrated that the most frequent of urgencies, not otherwise manageable through telemedicine, was dental pulp inflammation. Although a statistically significant increase in the use of some of the personal protective equipment (PPE) from pre to during lockdown was shown, dentists were afraid of being infected during the dental procedures. Moreover, we showed that digital dentistry, telemedicine, use of the rubber dam, distancing of the appointments and further structural changes at the dental office are necessary to reduce the contagion among dentists and patients. No significant differences were shown between gender.

scholarly journals Changes in dental practice in times of COVID-19: review and recommendations for dental health care

2021 ◽  
Vol 69 ◽  
Author(s):  
Manuela Gonçalves de Souza e Silva SILVEIRA ◽  
Matheus dos Santos FERNANDEZ ◽  
Thais Freitas Formozo TILLMANN ◽  
Júlia Freire DANIGNO ◽  
Mariana Silveira ECHEVERRIA ◽  
...  
Keyword(s):  
Disease Transmission ◽  
Dental Health ◽  
Healthcare Providers ◽  
Dental Practice ◽  
Waiting Room ◽  
Patient Screening ◽  
Health Authorities ◽  
Dental Procedures ◽  
Dental Office ◽  
Dental Professionals

ABSTRACT The aim of this article was to discuss biosafety measures described in the main protocols for minimizing the risk of COVID-19 transmission during dental care. COVID-19 appeared in China in late 2019 and quickly spread to other countries. Factors inherent to dental practice, such as proximity to the patient, transmission through saliva and breath, and the generation of aerosols during procedures, place the dental team at the top of the list among the most vulnerable healthcare providers. Health authorities initially recommended only maintaining urgent and emergency care and suspending elective dental procedures. Currently, elective care is gradually being resumed and requires numerous adjustments to the environment and professional routine in terms of biosafety. Several methods had been recommended to prevent the spread of other infectious diseases prior to the outbreak of COVID-19. However, further modifications are needed for the waiting room, patient screening and flow, procedures, garments, and even in dental office itself. Thus, dental professionals need to be prepared to adopt the new recommendations in order to reduce the chance of disease transmission.

A review of contemporary inhalation sedation guidelines and regulations related to treating children

2017 ◽  
Vol 8 (3) ◽  
pp. 112-118 ◽  
Author(s):  
S Rajan ◽  
DJ Manton ◽  
N Bhujel
Keyword(s):  
Nitrous Oxide ◽  
General Anaesthesia ◽  
Paediatric Dentistry ◽  
Safe Practice ◽  
Global Trends ◽  
Inhalation Sedation ◽  
Dental Procedures ◽  
The Us ◽  
The Uk

Inhalation sedation (IS) with nitrous oxide (N2O) is classified as minimal sedation. In paediatric dentistry, IS works well for mildly anxious but potentially cooperative children, reducing the need for general anaesthesia for simple dental procedures. We review contemporary guidelines relating to ISN2O in Australasia, the UK, Europe and the US. As this is a multispecialty area, with differences in laws, regulations, guidance and governance from country to country, this review aims to illuminate global trends and assist with the designing of local regulations for the safe practice of ISN2O.

scholarly journals Influence of the COVID-19 pandemic on dental practice: why measures to be taken – the experience of an European University Hospital (part 2)

2020 ◽  
Vol 7 (4) ◽  
pp. 275-285
Author(s):  
Politis Constantinus ◽  
◽  
Schuermans Annette ◽  
Lagrou Katrien ◽  
Putte Mia Vande ◽  
...  
Keyword(s):  
Occupational Safety ◽  
Data Extraction ◽  
Legal Framework ◽  
Qualitative Approach ◽  
University Hospital ◽  
Dental Practice ◽  
Safety And Health ◽  
Dental Office ◽  
Study Selection ◽  
European University

Background The COVID-19 pandemic does not leave the dental practice unattended. In Part 1 the reason why measures should be taken was explored. Objective The objective is to review the measures that can be taken to minimize the risk of tranmission in the dental practice. Data Sources These measures can be classified according to the guidelines of the National Institute for Occupational Safety and Health (NIOSH). Study Selection A qualitative approach explores the applicability of these guidelines to the dental practice. Data Extraction In order to prevent aerosol transmission in the dental practice a large number of changes are needed. It concerns hygiene protocols, organizational protocols and architectural changes, none of which are backed by a legal framework. Conclusion Until a vaccination program is introduced to counter the COVID-19 pandemic in a country, the dental society will need to take measures to prevent aerosol transmission in the dental office. The pyramid of measures according to NIOSH offers a suitable frame to classify all measures. Any legal regulatory intervention could use this framework.

scholarly journals The efficacy of eutectic mixture of local anesthetics as a topical anesthetic agent used for dental procedures: A brief review

2016 ◽  
Vol 10 (3) ◽  
pp. 383 ◽  
Author(s):  
SeyyedMohammad Abrisham ◽  
Alireza Daneshkazemi ◽  
Pedram Daneshkazemi ◽  
Amin Davoudi
Keyword(s):  
Local Anesthetics ◽  
Eutectic Mixture ◽  
Anesthetic Agent ◽  
Topical Anesthetic ◽  
Dental Procedures

Importance of Mobile Photography in Dental Practice

2021 ◽  
Vol 11 (02) ◽  
pp. 99-99
Author(s):  
Dilkush Zafar ◽  
Ahsan Inayat ◽  
Uzma Anam Iqbal
Keyword(s):  
Digital Technology ◽  
High Efficiency ◽  
Cell Phones ◽  
Clinical History ◽  
Dental Practice ◽  
Dental Procedures ◽  
Dental Practices ◽  
Multi Level ◽  
Working Practices ◽  
Improved Technology

This letter aims to explain the importance of using cell phones to take helpful images with high efficiency in various types of dental procedures. In our dental practices’ photography is an effective tool. Its applications are widespread such as in the diagnosis and treatment planning, keeping an illustrative clinical history, legal documentation, publishing, and delivering lectures.1 In modern dentistry, photography has grown into a standard of treatment. With the advent of digital technology these days, photography has now become simpler and widely available. Even then, few practitioners introduce them in their daily practices due to reasons such as a lack of expertise in cameras, lenses, and technique, disruption of workflow, and cost considerations. The use of smartphones with improved technology, however, is constantly emerging. It allows every practitioner with minimal interruptions in their patient workflow to incorporate photography into his or her practice.2 Making images from mobile in dentistry has multi-level importance. Its implementation in dental practice is simple, swift, and extremely useful in recording working practices, conducting health promotion sessions, and administering clinical examinations, thus providing dentists and patients with many advantages.1-2

Oral surgery

2020 ◽  
pp. 377-429
Keyword(s):  
Soft Tissue ◽  
Oral Surgery ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Dental Practice ◽  
Comprehensive Overview ◽  
General Dental Practice ◽  
Dental Procedures ◽  
Operative Assessment

This chapter provides a comprehensive overview of several aspects of oral surgery. It starts with some general principles that are applicable to all types of surgery and gradually includes details of common dental procedures. There is emphasis on suturing and dento-alveolar surgery including third molar surgery. More specialized procedures such as an apicectomy and a coronectomy are also described. The aim is to provide guidance that will help with the pre-operative assessment, as well as details of the specific oral surgery techniques. Clinicians in general dental practice and dental core trainees in hospitals often encounter patients with dento-alveolar infections as well as benign soft tissue or bone pathologies. This chapter provides the foundations of management of these conditions.

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