SAAD digest最新文献_第4页

What's new in... the management of post-operative pain in dentistry. 有什么新鲜事吗?牙科手术后疼痛的处理。

SAAD digest Pub Date : 2015-01-01

Pankaj Taneja, Amit Pattni, David Pearson

引用次数: 0

An experimental elective report examining and comparing current levels of dental anxiety and disease in child populations in Peru and the UK. 一项实验性选修报告检查和比较目前水平的牙科焦虑和疾病的儿童人口在秘鲁和英国。

SAAD digest Pub Date : 2015-01-01

Kate Amy Jefferson

{"title":"An experimental elective report examining and comparing current levels of dental anxiety and disease in child populations in Peru and the UK.","authors":"Kate Amy Jefferson","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Dental anxiety is an important factor in influencing patients' decisions to access treatment. It is crucial dental care professionals understand its causative factors in order to prevent and manage it, particularly as dentally anxious patients often have poor oral health. This report is of an elective study that tried to ascertain whether children with signs of dental neglect suffered greater dental anxiety, as existing research suggests that anxiety can stem from previous experiences.Method: 100 children in both the United Kingdom and Peru were examined for signs of dental neglect using the PUFA (Pulpal exposures, Ulcers, Fistulas & Abscesses) system, and their anxiety levels surveyed with the Modified Child Dental Anxiety Scale. A Spearman's rank analysis was performed.Results: Both groups showed similar disease levels, but Peruvian children were significantly less anxious. The r values (United Kingdom r=-0.020 Peru r=-0.0099) were less than rc=0.165 at a significance level of P=0.05, showing that increased dental neglect does not make children more anxious.Discussion: It appears that having a neglected dentition as a child does not make you more anxious, but the resultant invasive treatment procedures likely to have been experienced as a child may have a role. Ultimately, cultural background and attitude to dental care are suggested as being more important in determining the dental anxiety levels of children.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"31 ","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33235963","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

Hungry for nothing: should dental patients fast prior to conscious sedation? 饥肠辘辘:牙科病人在清醒镇静之前是否应该禁食?

SAAD digest Pub Date : 2015-01-01

Khaled Mahmoud-Tawfik, Ellie Heidari, David Craig, Abdel Rahman Tawfik

{"title":"Hungry for nothing: should dental patients fast prior to conscious sedation?","authors":"Khaled Mahmoud-Tawfik, Ellie Heidari, David Craig, Abdel Rahman Tawfik","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This research explores the attitudes of medical professionals towards fasting patients prior to the use of conscious sedation.Materials and methods: Questionnaires were completed by a total of 113 dentists, anaesthetists and dental nurses in order to identify current practices and opinions concerning the employment of pre-operative fasting in the context of conscious sedation in dentistry.Results: Seventy-eight (69%) respondents did not recommend fasting, compared with 35 (31%) who did. Those who did not recommend fasting were able to state significantly more adverse effects (P<0.01) of fasting when compared to the 35 (31%) who advocated fasting. Significantly more anaesthetists (80%) than dentists (14%) advised fasting patients (P<0.001). Thirty-two of 39 (82%) respondents mentioned the risk of aspiration to be the main reason for recommending that patients be fasted.Conclusion: Medical professionals in dentistry provide a wide range of conflicting views on the employment of fasting prior to conscious sedation reflecting the lack of homogeneity in literature surrounding this topic.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"31 ","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33235961","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

How pain is controlled in endodontic therapy. 在牙髓治疗中如何控制疼痛。

SAAD digest Pub Date : 2015-01-01

Rhodri Thomas

引用次数: 0

An audit into the reasons why treatment was not completed as planned under intravenous sedation in an adult oral surgery department, and the cost implications. 对某成人口腔外科静脉镇静治疗未按计划完成的原因及其成本影响进行审计。

SAAD digest Pub Date : 2015-01-01

Kate Parker, Jashme Patel, Mehri Eghtessad

{"title":"An audit into the reasons why treatment was not completed as planned under intravenous sedation in an adult oral surgery department, and the cost implications.","authors":"Kate Parker, Jashme Patel, Mehri Eghtessad","doi":"","DOIUrl":"","url":null,"abstract":"This audit aimed to identify the prevalence of, and reasons for failed intravenous conscious sedation in an adult oral surgery department, to develop recommendations to reduce such failures and to identify any cost implications. Data were collected prospectively for three months for all intravenous sedation appointments in the Oral Surgery department. Data were collected for 109 sedation appointments of which 83 were successful (76%). The failure rate (24%) was higher than the acceptable departmental failure rate (10%), and included reasons for failure that should have been avoided by a thorough patient assessment prior to treatment. Of the 26 failures, the most common reasons for failure were: cancellation: 8 patients (30.8%), failure to attend: 6 patients (23.1%), excessively late arrival of patient: 4 patients (15.4%) and failure to cannulate: 3 patients (11.6%). When sedation was unsuccessful, 13 of the 26 patients (50%) had their treatment successfully completed under local anaesthesia alone, 10 patients (38%) were rebooked for sedation and 3 patient. (12%) were rebooked for a general anaesthetic. Identifying and correcting the reasons for failure can result in vast savings in appointment time, clinical resources and cost. That 13 patients subsequently had their treatment completed under local anaesthesia alone opens the debate on how rigorous the patient assessment and allocation of sedation appointments was, and the potential to achieve savings.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"31 ","pages":"12-5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33235962","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

Secretary's correspondence. 秘书的信件。

SAAD digest Pub Date : 2015-01-01

Francis Collier

引用次数: 0

Dental anxiety--how would you manage it? 牙齿焦虑——你会如何应对?

SAAD digest Pub Date : 2015-01-01

Maya P Rao Karnad

引用次数: 0

Guidance for commissioning NHS England dental conscious sedation services: a framework tool. 指导委托NHS英格兰牙科镇静服务:框架工具。

SAAD digest Pub Date : 2014-01-01

Paul Howlett

{"title":"Guidance for commissioning NHS England dental conscious sedation services: a framework tool.","authors":"Paul Howlett","doi":"","DOIUrl":"","url":null,"abstract":"Conscious sedation is an integral part of modern day dental care and should be delivered through a high quality, effective and evidence-based approach. Commissioning of NHS dental services in England is currently under review by NHS England and the National Dental Commissioning Group. This group has identified the management of vulnerable people including anxious patients, as one of its priorities. The Society for the Advancement of Anaesthesia in Dentistry (SAAD) believes this provides an opportunity to influence the commissioning of NHS conscious sedation services. With this aim in mind,\"Guidance for Commissioning NHS England Dental Conscious Sedation Services: A Framework Tool\" was developed. This guidance proposes a common approach to the organisation of NHS dental conscious sedation services in England, advocating the provision of Tier 1 and Tier 2 services in all regions. Its ethos is a\"hub and spoke\" model of service delivery with patient assessment delivered by experienced and well trained dental sedationists at its core. In line with the recent Francis Report fundamental standards for all aspects of dental conscious sedation practice are outlined, supported by a robust and predictable quality assurance process. This work has been shared with key stakeholders in NHS England including the Chief Dental Officer and the Head of Primary Care Commissioning.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"30 ","pages":"37-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40303516","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 unusual response to intravenous sedation: a case report. 静脉镇静的不寻常反应:一例报告。

SAAD digest Pub Date : 2014-01-01

Liège Lourenço-Matharu, Pritesh Raval

引用次数: 0

Introducing an alternative drug-free technique for pain and anxiety control into a clinical environment cognitive behavioural therapy: a discussion on implementation into dental practice. 在临床环境中引入一种替代的无药物技术来控制疼痛和焦虑认知行为疗法:在牙科实践中实施的讨论。

SAAD digest Pub Date : 2014-01-01

Elin Robinson

{"title":"Introducing an alternative drug-free technique for pain and anxiety control into a clinical environment cognitive behavioural therapy: a discussion on implementation into dental practice.","authors":"Elin Robinson","doi":"","DOIUrl":"","url":null,"abstract":"Pharmacological methods of pain and anxiety control include local anaesthesia and conscious sedation techniques. On occasion the anxiety levels of some patients are so extreme that alternative methods of pain and anxiety control are required.The provision of conscious sedation and even in extreme cases general anesthetic can be useful. These methods are usually very effective in treating nervous patients and offering sedation services helps patients seek dental treatment more readily. However, by decreasing the demand for conscious sedation and certainly the demand for general anaesthetics the risks associated, waiting lists and costs incurred will also be diminished. Despite recent advances in dental techniques and the provision of sedation services there has not been a marked decrease in dental anxiety within the general population.This could be because the anxieties are not being dealt with; they are just being managed by these techniques and patients still cannot cope with having dental treatment without these pharmacological methods. Cognitive behavioural therapy is a non-invasive psychological intervention therapy. Psychological therapies have been shown to decrease dental anxiety.Therefore this therapy could be used to potentially decrease the demand for sedation. Implementing this into a general practice setting could certainly help a number of nervous but motivated patients. It also may improve waiting lists and costs from sedation procedures.The end goal is to help patients receive routine dental care with decreased pharmacological support. It is, however, important for dentists providing this to have sufficient and appropriate training.","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"30 ","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40303511","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