Archive for September, 2009
The Effects of Preoperative Anxiety on Intravenous Sedation
In: Health
15 Sep 2009Anxiety describes an unpleasant emotional state or condition. Anxiety states are characterized by subjective feelings of apprehension, nervousness, tension, and worry when subjected to an anxiety-provoking stimulus, such as going to the dentist or oral surgeon. Anxiety-provoking stimuli also cause a neuroendocrine response that contributes to the anxious state. This neuroendocrine response is associated with [...]
FIRE HAZARDS WITH AMBULATORY ANESTHESIA IN THE DENTAL OFFICE
In: Health
15 Sep 2009According to statistics recently released by the American Society of Plastic Surgeons, US surgeons performed more than 8.7 million cosmetic surgical procedures in 2003, an increase of 32% over the previous year. Importantly, 56% of these cases were performed in offices. Many of these procedures were performed on patients under various levels of conscious sedation, [...]
Dental Anesthesia Management of Methemoglobinemia-susceptible Patients: A Case Report and Review of Literature
In: Health
14 Sep 2009Methemoglobinemia is an uncommon but potentially serious adverse reaction to many local anesthetics and other substances. Careful review of medical and dental histories can often uncover patients who are sensitive to agents with the potential of causing methemoglobinemia. This case report is a review of the literature and demonstrates the management of methe-moglobinemia-susceptible patients.
Dental Anesthesia Management of Methemoglobinemia-susceptible Patients: A Case Report and Review of Literature. DISCUSSION
In: Health
14 Sep 2009Methemoglobinemia occurs when iron atoms in hemoglobin molecules are oxidized from their normal ferrous (Fe++) to a nonfunctional ferric (Fe+++) state, resulting in reduced oxygen delivery to the tissue level. Methe-moglobin (MetHb) is normally present in human blood at levels less than 1-2%. In normal patients, its rapid reduction back to hemoglobin is catalyzed primarily [...]
A Randomized Controlled Trial Comparing Mandibular Local Anesthesia Techniques in Children Receiving Nitrous Oxide-Oxygen Sedation. DISCUSSION
In: Health
13 Sep 2009This clinical trial demonstrates no difference in pain control effectiveness between infiltration/intrapapillary injections and inferior alveolar block/long buccal infiltration for children undergoing mandibular pulpotomy and stainless steel crown placement.
These results fail to confirm suggested differences in 1 previous study. Pain control was effective overall for 91% of children. This result is qualitatively similar to the [...]
A Randomized Controlled Trial Comparing Mandibular Local Anesthesia Techniques in Children Receiving Nitrous Oxide-Oxygen Sedation. RESULTS
In: Health
12 Sep 2009RESULTS
The mean age of children in both groups was 78 months (SD =12 months). Thirty girls were randomized into the block group and 25 girls to the infiltration group. There was no difference in the average age or proportion of girls in each group (both P > .05). Eight children (15.4%) in the block group [...]
A Randomized Controlled Trial Comparing Mandibular Local Anesthesia Techniques in Children Receiving Nitrous Oxide-Oxygen Sedation. METHODS Part 2
In: Health
11 Sep 2009Conditions
All children were given 40% nitrous oxide via a nasal mask. After 3 minutes, the site of the injection was dried with a cotton tip applicator, and topical anesthetic (Hur-ricaine, 20% benzocaine gel) was applied for 60 seconds. The dental hygienist then opened an envelope giving the anesthetic assignment, and local anesthetic was administered. The [...]
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Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.
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- Shelby Miller: Hi, i'm doing a project called History day. The theme is innovation in history and I choose Anesthes [...]
- Tim Tav: For newly qualified dentists it may help to join firms with a training department that may help to s [...]
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