In: Dental treatment21 Mar 2010
At our center, induction was accomplished in the majority of patients using IV access with the help of patient restraint by the dental surgeon, assistants, registered nurse, and patient’s guardians, parents, or caretakers. Once the IV was established, induction was achieved with either 2.5 to 3 mgAg thiopental and 0.2 to 0.4 mg glycopyrrolate or […]
In: Dental treatment20 Mar 2010
The majority of dental procedures may be done in the office usually without sedation or general anesthesia. More complicated procedures and/or patients who are uncooperative or suffering from phobias may require a general anesthetic to provide their dental treatment. Providing anesthesia for the mentally challenged, combative, and uncooperative patient presents a unique challenge to the […]
In: Dental treatment19 Mar 2010
METHODS After approval from the institutional review board, the medical records of patients treated in this program between 1992 and 1994 were reviewed to determine the patient profiles, the anesthetic management, and any peri- or postoperative complications.
Providing required dental treatment to adults with uncooperative behavior because of varying degrees of developmental delay continues to be a challenge for the dental profession. Dental care provided under general anesthesia continues to be an important means by which their behavior can be predictably managed. Studies have shown that approximately 5% of persons with disabilities […]
In: Anesthesia28 Jan 2010
Clinical onset of sedation following OTFC administration was found to occur within 10-20 minutes. Monitoring clinical onset of sedation is advantageous because it permits the anesthesia care provider to remove the unused lozenge and to avoid potential oversedation. This attribute distinguishes OTFC from an injection or an oral sedative, where none of the drug dose […]
Thirty-three children were enrolled into this study during the week prior to the oral rehabilitation appointment. On the day of the general anesthetic/dental restoration appointment, 2 parents withdrew consent, 2 children refused to accept the OTFC lozenge, 2 children had baseline sedation scores of 3 (calm), and 1 child chewed and swallowed the formulation immediately. […]
Thirty-three young children, scheduled for outpatient general anesthesia to permit treatment of dental caries, were enrolled in this randomized controlled clinical trial. Seven to 10 days prior to the rehabilitation appointment, the parent or guardian was invited to have their child participate in the study and, if willing, to sign the Institutional Review Board (IRB) […]
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.