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Combining Sedation and Cognitive Behavioural Therapy (CBT) to Overcome Dental Phobia: a Case Report. 结合镇静和认知行为疗法(CBT)克服牙科恐惧症1例报告。
SAAD digest Pub Date : 2017-01-01
Jennifer S J Hare
{"title":"Combining Sedation and Cognitive Behavioural Therapy (CBT) to Overcome Dental Phobia: a Case Report.","authors":"Jennifer S J Hare","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case report presents a Cognitive Behavioural Therapy (CBT)\u0000intervention provided for a 63-year-old male, who had experienced\u0000dental phobia for over 50-years. This gentleman initially received\u0000intravenous sedation (IVS) for 5-years within a Specialist Sedation\u0000and Special Care dental department, before being referred for the\u0000long-term management of his dental phobia, within the\u0000embedded specialist Dental Health Psychology Service in a\u0000London Dental Hospital. This brief report will consider aspects of\u0000the CBT intervention delivered in relation to assessment, case\u0000conceptualisation, course of treatment and outcomes; reflecting on\u0000the complementary aspects of sedation and CBT. Learning points\u0000will be identified for the role of CBT or CBT-based techniques\u0000within dental anxiety management settings.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"33 ","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35975492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Clinical Management of the Gagging Patient. 呕吐病人的临床处理。
SAAD digest Pub Date : 2017-01-01
Cameron Warwicker
{"title":"The Clinical Management of the Gagging Patient.","authors":"Cameron Warwicker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A pronounced gag reflex can be a burden for patients and dentists\u0000alike. It can limit the capability of a patient to undergo dental\u0000treatment and complicate the dentist’s ability to provide\u0000treatment. Understanding the somatic and psychological basis of\u0000an overactive gag reflex is key to providing treatment. The first\u0000techniques involved should be local measures to reduce anxiety.\u0000Further techniques can be used if this proves fruitless. Local\u0000anaesthetic, conscious sedation, acupuncture, hypnosis and TENS\u0000are techniques that have been suggested in the literature to\u0000overcome a pronounced gag reflex. This paper will explore the\u0000aetiology of the gag reflex and the many suggested approaches to\u0000the management of a patient with a pronounced gag reflex.\u0000Understanding the causes and having a working knowledge of the\u0000management approaches will help dentists overcome gag reflexes\u0000in the treatment of these patients.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"33 ","pages":"44-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35975200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Clinical Audit of Escorts' Awareness And Patients' Safety Following Intravenous Sedation In Adult Oral Surgery. 成人口腔手术中静脉镇静后陪护意识及患者安全的临床审计。
SAAD digest Pub Date : 2016-01-01
Luca Licheri, Matteo Erriu, Vincenzo Bryant, Vincenzo Piras
{"title":"A Clinical Audit of Escorts' Awareness And Patients' Safety Following Intravenous Sedation In Adult Oral Surgery.","authors":"Luca Licheri,&nbsp;Matteo Erriu,&nbsp;Vincenzo Bryant,&nbsp;Vincenzo Piras","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate current level of safety under the care of an escort following intravenous sedation, post-sedation arrangements and to identify potential risk levels.</p><p><strong>Background: </strong>Information and post-sedation arrangements are important to patients'safety following surgery but although there is a general consensus over what is recommended for patients and their escorts, there is little, if any, literature on the escorts' awareness of sedation and accordance to post-sedation arrangement and recommendations.</p><p><strong>Method: </strong>Escorts of 113 consecutive patients treated in oral surgery under sedation (midazolam) completed a questionnaire composed of 27 questions divided into seven sections including demographics, awareness of sedation, source of information and post-operative arrangement. From the data collected, two scores were calculated representative of the escorts' Safety and Reliability. Data were then analysed by ANOVA.</p><p><strong>Results: </strong>Safety scores were statistically correlated with instruction source while Reliability correlated to a wider variety of parameters including gender, age as well as information source.</p><p><strong>Conclusion: </strong>Provision of clear written information to escorts is recommended as likely to improve patients' safety. Assessment of escorts' Safety and Reliability could provide a means for improving quality and safety of sedation service.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34371512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interview With Francis Collier President of SAAD. Sadie Hughes (Honorary Secretary). 专访SAAD总裁弗朗西斯·科利尔。赛迪·休斯(名誉秘书)。
SAAD digest Pub Date : 2016-01-01
Sadie Hughes, Francis Collier
{"title":"Interview With Francis Collier President of SAAD. Sadie Hughes (Honorary Secretary).","authors":"Sadie Hughes,&nbsp;Francis Collier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"68-9"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Investigation into Dental Local Anaesthesia Teaching in United Kingdom Dental Schools. 英国牙科学校口腔局部麻醉教学现状调查。
SAAD digest Pub Date : 2016-01-01
Graham Oliver, Ailsa DavidD, Christopher Bell, Nigel Robb
{"title":"An Investigation into Dental Local Anaesthesia Teaching in United Kingdom Dental Schools.","authors":"Graham Oliver,&nbsp;Ailsa DavidD,&nbsp;Christopher Bell,&nbsp;Nigel Robb","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To review the current teaching of the use and administration of local anaesthesia in United Kingdom dental schools, along with their local guidelines and protocols.</p><p><strong>Methods: </strong>A qualitative and quantitative questionnaire was sent to sixteen UK dental schools to probe the methods of local anaesthetic teaching within each school.</p><p><strong>Results: </strong>14 of the 16 schools replied and the responses show a variety of practices being taught in the dental schools. 2% Lidocaine 1:80,000 Adrenaline is the first choice local anaesthetic solution for the majority of clinical situations.</p><p><strong>Conclusion: </strong>2% Lidocaine with 1:80,000 Adrenaline remains the gold standard dental local anaesthetic with teaching about its safety and uses in all but a few situations. Most are taught the use of additional aids such as safety syringes and topical anaesthesia. There is variation with regards to the use of alternative anaesthetic agents.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34371509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kellie Boles New SAAD Trustee. 凯利·博尔斯，萨德新理事。
SAAD digest Pub Date : 2016-01-01
{"title":"Kellie Boles New SAAD Trustee.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The use of Midazolam as an Intranasal Sedative in Dentistry. 咪达唑仑在牙科中作为鼻内镇静剂的使用。
SAAD digest Pub Date : 2016-01-01
Anwen Greaves
{"title":"The use of Midazolam as an Intranasal Sedative in Dentistry.","authors":"Anwen Greaves","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The administration of midazolam intranasally exploits the unique structure of the nasopharynx thus ensuring rapid delivery to the systemic circulation (The Nose - Brain Pathway). The absorption of midazolam nasally is influenced by the volume and concentration of midazolam, its physicochemical properties and the characteristics of the nasal mucosa. Delivering midazolam intranasally is non-titratable. The level of conscious sedation may be equivalent to that achieved by intravenous routes but is approached in a less controlled manner. Randomised Control trials using intranasal sedation in children have shown the technique to be safe and effective in secondary care for dental procedures at concentrations varying from 0.2 mg/kg to 0.5 mg/kg. A combined technique of intranasal midazolam (to facilitate cannulation) and intravenous midazolam is used for adults with moderate to severe learning disabilities. This has revolutionised dental treatment for this group of patients as treatment under General Anaesthesia (GA) may be avoided. Intranasal delivery of midazolam is emerging as a significant tool in our dental armamentarium for the treatment of anxious children, phobic adult patients and patients with learning disabilities.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"46-9"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Short Report. Audit of Conscious Sedation Provision in a Salaried Dental Service. 简短的报告。某受薪牙科服务提供清醒镇静的审核。
SAAD digest Pub Date : 2016-01-01
Stephen G Jones
{"title":"Short Report. Audit of Conscious Sedation Provision in a Salaried Dental Service.","authors":"Stephen G Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical audit is a tool that may be used to improve the quality of care and outcomes for patients in a health care setting as well as a mechanism for clinicians to reflect on their performance. The audit described in this short report involved the collection and analysis of data related to the administration of 1,756 conscious sedations, categorised as standard techniques, by clinicians employed by an NHS Trust-based dental service during the year 2014. Data collected included gender, age and medical status of subject, the type of care delivered, the dose of drug administered and the quality of the achieved sedation and any sedation-related complications. This was the first time that a service-wide clinical audit had been undertaken with the objective of determining the safety and effectiveness of this aspect of care provision. Evaluation of the analysed data supported the perceived view that such care was being delivered satisfactorily. This on-going audit will collect data during year 2016 on the abandonment of clinical sessions, in which successful sedation had been achieved, due to the failure to obtain adequate local anaesthesia.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Articaine--to use or not to use? 阿替卡因——用还是不用?
SAAD digest Pub Date : 2016-01-01
Vinson Yeung
{"title":"Articaine--to use or not to use?","authors":"Vinson Yeung","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"50-4"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34455447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DIAZEPAM. 安定。
SAAD digest Pub Date : 2016-01-01
Mike Sury
{"title":"DIAZEPAM.","authors":"Mike Sury","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"32 ","pages":"1 p. preceeding 1"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34371506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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