In this study, our goal was to assess the relationship between the total amount of sedative medications necessary for intravenous sedation and the level of preoperative anxiety, while controlling for the level of sedation in patients undergoing third molar extraction. We also assessed the relationship between preoperative anxiety and the degree of patient’s intraoperative movement.
State and trait anxiety scores have been analyzed for the 25 patients in this study. As expected, state and trait anxiety correlated with one another (r = 0.48, P = .016). In this study, 9 of the 25 patients were found to have a high level of anxiety before their surgical procedure (state anxiety score [...]
Twenty-five patients of American Society of Anesthesiologists’ classification I or II undergoing extraction of at least 2 impacted third molars were studied. Before sedation, patients completed the Spielberger State Trait Anxiety Inventory (STAI). The investigators were blinded to the results of the STAI until after the patient wasdismissed. The scores were then compared with tables [...]
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 [...]
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, [...]
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.
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 [...]
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.