Paradoxical Reactions following Intravenous Midazolam in Patients with Severe Anxiety for Dental Treatment: A Case Report

Background Anxiety related to dental treatment is a common phenomenon that has a significant impact on the provision of appropriate dental care. The aim of this case series was to examine the effect of acupuncture given prior to dental treatment on the level of anxiety. Methods Eight dentists submitted 21 case reports regarding the treatment of dental anxiety. The level of anxiety was assessed by the Beck Anxiety Inventory (BAI). Only patients with moderate to severe anxiety (BAI score ≥16) were included. The remaining 20 patients, 16 women and 4 men, with a mean age of 40.3 years, had a median BAI score of 26.5 at baseline. The BAI score was assessed before and after the acupuncture treatment. All patients received acupuncture treatment for 5 min prior to the planned dental treatment using the points GV20 and EX6. Results There was a significant reduction in median value of BAI scores after treatment with acupuncture (26.5 reduced to 11.5; p<0.01), and it was possible to carry out the planned dental treatment in all 20 cases after acupuncture treatment. Previously this had only been possible in six cases. Conclusion Acupuncture prior to dental treatment has a beneficial effect on the level of anxiety in patients with dental anxiety and may offer a simple and inexpensive method of treatment. However, the present results need to be tested in a larger randomised clinical trial in order to evaluate the effectiveness of the acupuncture treatment in patients with dental anxiety.

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Management of dental fluorosis by amodified treatment strategy amidst a global pandemic

RGUHS Journal of Dental Sciences ◽

10.26715/rjds.12_2_10 ◽

2020 ◽

Vol 12 (2) ◽

pp. 46-49

Author(s):

Dr Nileena Mary Cherian ◽

Dr K. C Ponnappa ◽

Dr SalinNanjappa ◽

Dr K. K Nanjamma

Keyword(s):

Case Report ◽

Treatment Strategy ◽

Treatment Modality ◽

Dental Treatment ◽

Dental Fluorosis ◽

Cost Effective ◽

Treatment Scenario ◽

Global Pandemic ◽

Effective Treatment Modality ◽

Cost Effective Treatment

In recent months, the dental treatment scenario has changed due to the outbreak of the Covid 19 pandemic. Most of the aerosol generating procedures have been avoided. This case report, describes a conservative, less aerosol generating and cost-effective treatment modality, for the immediate aesthetic management of moderate fluorosis using enamel microabrasion technique.

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Recovery Profile and Patient Satisfaction After Ambulatory Anesthesia for Dental Treatment—A Crossover Comparison Between Propofol and Sevoflurane

Anesthesia Progress ◽

10.2344/15-00012.1 ◽

2016 ◽

Vol 63 (4) ◽

pp. 175-180 ◽

Cited By ~ 3

Author(s):

Keita Ohkushi ◽

Ken-ichi Fukuda ◽

Yoshihiko Koukita ◽

Yuzuru Kaneko ◽

Tatsuya Ichinohe

Keyword(s):

Patient Satisfaction ◽

Dental Treatment ◽

Recovery Phase ◽

Day Case ◽

Ambulatory Anesthesia ◽

Verbal Command ◽

Recovery Profile ◽

Eye Opening ◽

Emergence Phase ◽

Severe Anxiety

The purpose of this study was to determine which anesthetic was preferable for ambulatory anesthesia: propofol alone or sevoflurane alone. A crossover study was performed to compare the recovery profile and patient satisfaction after 2 anesthesia methods. Twenty healthy patients with severe anxiety toward dental treatment undergoing 2 sessions of day-case dental treatment received either propofol or sevoflurane anesthesia. The order of these methods was randomized. The depths of anesthesia were kept constant using bispectral index (BIS) monitoring. Observations on recovery profiles were performed in the emergence phase, in the recovery phase, and 24 hours after discharge. Patient satisfaction and preference were obtained by a questionnaire. Most of the recovery profiles in the emergence phase such as time to eye opening to respond to verbal command, time to BIS ≥ 75, and time to extubation were shorter in the sevoflurane group than in the propofol group. All recovery profiles in the recovery phase showed no differences between the 2 groups. Based on the subject's satisfaction and preference, propofol was evaluated as a better anesthetic for ambulatory anesthesia than sevoflurane. Higher patient satisfaction and a greater preference for future dental treatment were revealed for propofol anesthesia. Propofol may be more suitable for ambulatory anesthesia for dental treatment.

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Koro Associated with Phobia for AIDS

The International Journal of Psychiatry in Medicine ◽

10.2190/k0xx-0t5m-pqj5-j63w ◽

1998 ◽

Vol 28 (3) ◽

pp. 353-356 ◽

Cited By ~ 2

Author(s):

Suma P. Chand

Keyword(s):

Case Report ◽

Psychiatric Disorder ◽

Behavioral Approach ◽

Cognitive Behavioral ◽

Healthy Individuals ◽

Incomplete Form ◽

Classic Form ◽

First Time ◽

Severe Anxiety

Koro, in its complete, classic form has been described as a culture bound syndrome. It usually occurs in otherwise healthy individuals in the context of acute, severe anxiety. The incomplete form of Koro is said to occur as part of a recognizable primary psychiatric disorder. A case report is presented for the first time of Koro in association with phobia for AIDS. A cognitive-behavioral approach was utilized in the management of the AIDS phobia and symptoms of Koro.

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Periorbital emphysema during dental treatment: a case report

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/j.tripleo.2011.05.036 ◽

2011 ◽

Vol 112 (6) ◽

pp. e94-e96 ◽

Cited By ~ 9

Author(s):

Lokman Onur Uyanık ◽

Melek Aydın ◽

Oğuz Buhara ◽

Aysa Ayalı ◽

Atakan Kalender

Keyword(s):

Case Report ◽

Dental Treatment

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Dental Management of a Patient with Congenital Hypothyroidism: A Case Report

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672057 ◽

2016 ◽

Vol 04 (02) ◽

pp. 122-125

Author(s):

Monisha Singhal ◽

Nitin Singh ◽

Anand Rohit ◽

C. Chaudhary

Keyword(s):

Case Report ◽

Congenital Hypothyroidism ◽

Dental Treatment ◽

Neural System ◽

Present Case Report ◽

Pediatric Dentist ◽

Dental Management ◽

Child Patient ◽

Oral Conditions

AbstractCongenital hypothyroidism (CHT) is one of the most common thyroid disorders. It occurs because of dysgenesis of thyroid gland which is responsible for the normal development of neural system. Child patient suffering from congenital hypothyroidism shows various medical and behavioral symptoms which makes routine dental care very challenging to the pediatric dentist. Due to increased awareness and introduction of neonatal screening, the long term hypothyroidism has become rare. The most significant oral conditions related to these patients are delayed eruption and dental caries. The present case report outlines the dental treatment of a 9yr old girl with congenital hypothyroidism.

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