In: Anesthesia
23 Dec 2009Sample
The recruitment goal was 180 subjects with specific phobia of dental injections according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The initial expectations were not met. After 3 years, 108 subjects were enrolled and the goal revised downward to 144. Exclusion criteria were (1) obesity, (2) too young/old, (3) [...]
In: Anesthesia
22 Dec 2009The importance of evidence-based practice has resulted in increasing reliance on clinical trials. A critical aspect of clinical trials is subject recruitment. The tendency to be avoidant makes the anxious population particularly difficult to recruit for studies and increases their time and budget. We were in the situation of having to recruit for a randomized [...]
In: Anesthesia
9 Dec 2009Reactions
After removal of the patch, the site of application was examined to evaluate the area for signs of irritation. No tissue discoloration, swelling, or sloughing was noted in association with patch application in any of the patients. In addition, no drug-related adverse effects were associated with patch application. None of the patients experienced any complications, [...]
In: Anesthesia
8 Dec 2009Although plasma levels of local anesthetic are usually low in adults, plasma concentrations can be an important concern in the delivery of local anesthetics to children. The dose as a proportion of total body weight in the adult is relatively small, and thus the chance of local anesthetic toxicity is low. However, in children, particularly [...]
This study was approved by the institutional review board of Columbus Children’s Hospital. Eligible subjects were selected from children scheduled for operative dentistry under general anesthesia at the Children’s Hospital Outpatient Surgery Center. These children had exhibited disruptive behaviors during routine dental appointments, thus requiring general anesthesia for comprehensive dental care. Eligible patients were those [...]
In: Anesthesia
6 Dec 2009INTRODUCTION
Children most often associate pain during a dental visit with the administration of local anesthetic. Pain and discomfort perceived by pediatric patients can be severe. In a survey of 119 children, 65 thought that a “shot” or “needle” hurt more than anything else that had ever happened to them.
In: Anesthesia
28 Nov 2009DISCUSSION
The use of the 80 reading as a criterion for pulpal anesthesia was based on the studies of Dreven et al and Certosimo and Archer. These studies showed that an 80 reading ensured pulpal anesthesia in vital asymptomatic teeth. Additionally, Certosimo and Archer demonstrated that electric pulp test readings less than 80 resulted in pain [...]
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.