In: Dental treatment6 Dec 2009
This study offers confirmation that IV sedation techniques utilized in the general practice setting are a modality of pain and anxiety control that is amenable to the short turnover times encountered in general practice. Even the use of strict discharge criteria did not seem to have an impact on the recovery time in this study. Patients recovered within a minimal amount of time and were street fit and capable of being discharged in a relatively brief time span. The recovery times obtained were consistent with the short turnover times encountered in private general practice. Neither procedure length and complexity nor patient age or weight seemed to have an impact on the recovery times encountered in this study. The use of appropriate discharge criteria allows for the discharge of the patient when he or she is physiologically ready. Previous studies used discharge criteria that were either vague or inappropriate. Unlike general surgery, where the effects of the procedures may have a major influence on recovery and discharge, dental procedures are much less invasive and in the general dental practice setting do not generally influence recovery speed and discharge time. Anecdotally, operating conditions were improved for the operating dentists, and many commented that the procedures took less time than they had anticipated. It would be interesting to compare these results with those obtained from a larger institutional center that administered ambulatory IV sedation for the full range of general dental practice as opposed to the more generally studied oral surgery model. These results suggest that the technique utilized here is appropriate to the general practice milieu in the hands of a properly trained dental sedation provider.
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.