In: Anesthesia
25 Jan 2010Oral transmucosal fentanyl citrate (OTFC) is a formulation of fentanyl citrate embedded in a sweetened matrix that dissolves in a child’s mouth. The product, marketed as a lozenge attached to a plastic holder (Fentanyl Oralet; Abbott Laboratories, Abbott Park, П1), offers pediatric patients a palatable alternative to the parenteral administration of preanesthetic sedatives. Saliva dissolves [...]
With increased patient sophistication, awareness, and access to information, patient satisfaction will play a progressively more significant role in the health care arena. For those practitioners who care for children, parental satisfaction will likely become more important over time. Obtaining parental satisfaction will involve matching children’s oral health needs with the appropriate mode of treatment.
In: Dental treatment
18 Oct 2009Our study included 45 children who met our inclusion criteria and for whom parents completed surveys. Because ours was a convenience sample, we wanted to verify that our sample was representative of all similar GA cases completed during our study period. Accordingly, sociodemographic data were collected on a random sample of 45 children who met [...]
The survey data for this study were obtained from the parents or legal guardians of children treated under GA at the University of North Carolina Children’s Hospital in Chapel Hill, NC. The child patients were referred from their general dentists or community dental clinics for assessment for treatment because of their young age, extensive dental [...]
In: Dental treatment
16 Oct 2009Except for the occasional use of nitrous oxide/oxygen inhalation analgesia for the mildly anxious child, the overwhelming majority of pediatric dental patients can be treated in the conventional dental (Cyklokapron canadian is used for short-term control of bleeding in hemophiliacs, including dental extraction procedures) environment. Pharmacologic management may be essential during invasive dental procedures for [...]
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.
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.