{"title":"The advantages and limitations of the analgesics available for control of postoperative pain after a dental procedure.","authors":"Jasmin Davey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"29 ","pages":"70-81"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40238411","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}
{"title":"Distraction techniques for anxious dental patients an arising field in analgesia for modern dentistry.","authors":"Yvonne Yeung","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"29 ","pages":"82-7"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40238412","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}
{"title":"The use of intravenous midazolam and ketamine in paediatric dental sedation.","authors":"Michael Wood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the UK, Dental General Anaesthesia (DGA) was removed from primary care at the end of 2001. Since then anxious and 'difficult' paediatric dental patients have been treated using local anaesthesia with or without conscious sedation. Evidence has been lacking as to the safety and efficacy of paediatric dental sedation in primary care. Various centres have presented evidence of good clinical practice when anaesthetist-led. This study describes an audit of 500 children treated using intravenous midazolam and ketamine, by an operator-sedationist in a primary care setting.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"29 ","pages":"18-30"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40238405","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}
{"title":"An audit of the sedation activity of participants following their attendance on SAAD conscious sedation courses.","authors":"Peter Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to analyse the results of a questionnaire given directly to participants of SAAD courses in 2011, and posted to previous participants, on their own use of conscious sedation. Apart from general interest, such data will help the SAAD Faculty to tailor the courses in future better to meet the needs of participants by providing insights into the attitudes and level of experience in sedation of course participants. Questionnaires were distributed to participants on all the 2011 SAAD courses and to all members of the dental team. In addition, the same questionnaire was posted to dentists who had attended courses in 2010 and 2007. In total 71% of the 157 dentists who completed questionnaires were providing conscious sedation in their practices. The most common technique used was intravenous sedation. Only 3% carried out any advanced techniques. 14% (n = 81) of dentists who had completed a SAAD course previously did not go on to use conscious sedation, and possible reasons for this are discussed. Participants' overall confidence in specific areas of sedation training were rated from 'good' to 'excellent' after completion of a SAAD course. Participants completing SAAD courses believe they have gained in confidence and in knowledge, and obtained the skills required to provide conscious sedation although some identify barriers which prevent them from putting these new skills into practice.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"29 ","pages":"46-50"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40238408","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}
Trilby Coolidge, Scott P Irwin, Kimberly A Leyster, Peter Milgrom
{"title":"Determinants of receiving intravenous sedation in a sample of dentally-fearful patients in the USA.","authors":"Trilby Coolidge, Scott P Irwin, Kimberly A Leyster, Peter Milgrom","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dental fear may be the most common reason for referral for intravenous sedation. Intravenous sedation offers many patients an opportunity to obtain needed dental care. However, intravenous sedation also has costs and may not help patients overcome their fear. Given a sample of 518 dentally-fearful patients in the USA presenting for dental care, this study examined the variables which predicted receiving intravenous sedation or not. About one-fifth of the patients received intravenous sedation, while the others received only cognitive behavioural therapy. Having more carious teeth, higher dental fear, more negative beliefs about dentists, lifetime diagnoses of panic disorder and/or generalized anxiety disorder, fewer existing coping skills, and a lower desire to cope with the dental situation were each predictive of having intravenous sedation. When the variables were considered simultaneously, only lower desire to cope contributed uniquely to the prediction. In a setting where psychological treatment for dental fear is available, patients' desire to cope with their fear was the most important factor in determining whether they received intravenous sedation or not.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"28 ","pages":"52-60"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3526014/pdf/nihms357820.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31144569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa J Heaton, Halee A Hyatt, Kimberly Hanson Huggins, Peter Milgrom
{"title":"UNITED STATES DENTAL PROFESSIONALS' PERCEPTIONS OF DENTAL ANXIETY AND NEED FOR SEDATION IN PATIENTS WITH MENTAL ILLNESS.","authors":"Lisa J Heaton, Halee A Hyatt, Kimberly Hanson Huggins, Peter Milgrom","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dental fear is a barrier to receiving dental care, particularly for those patients who also suffer from mental illnesses. The current study examined United States dental professionals' perceptions of dental fear experienced by patients with mental illness, and frequency of sedation of patients with and without mental illness. Dentists and dental staff members (n = 187) completed a survey about their experiences in treating patients with mental illness. More participants agreed (79.8%) than disagreed (20.2%) that patients with mental illness have more anxiety regarding dental treatment (<i>p</i> < .001) than dental patients without mental illness. Further, significantly more participants reported mentally ill patients' anxiety is \"possibly\" or \"definitely\" a barrier to both receiving (96.8%; p < .001) and providing (76.9%; p < .01) dental treatment. Despite reporting more fear in these patients, there were no significant differences in frequency of sedation procedures between those with and without mental illness, regardless of type of sedation (p's > .05). This lack of difference in sedation for mentally ill patients suggests hesitancy on the part of dental providers to sedate patients with mental illness and highlights a lack of clinical guidelines for this population in the US. Suggestions are given for the assessment and clinical management of patients with mental illness.</p>","PeriodicalId":21571,"journal":{"name":"SAAD digest","volume":"28 ","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033904/pdf/nihms398199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32381760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}