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Chapter 21 - Sedation in dentistry

Published online by Cambridge University Press:  05 March 2012

By
Benjamin R. Record  and
Alfredo R. Arribas
Edited by
Richard D. Urman  and
Alan D. Kaye
Richard D. Urman
Affiliation:
Brigham and Women's Hospital/Harvard Medical School
Alan D. Kaye
Affiliation:
LSU School of Medicine, New Orleans
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Summary

Modern dentistry has made much progress in pain control and in providing a patient-friendly service, which has expanded the dentist's ability to perform a wide range of treatments in a pain-free environment. Dental care can have a profound effect on both the physical and psychological well-being of the patient. The chapter describes the considerations during physical and psychological assessment. It then focuses on enteral (oral) and parenteral (intravenous) sedation techniques for adults, although it recognizes that inhalation is one of the more commonly used techniques for sedation in outpatient dental clinics. Minimal, moderate, and deep sedation are major modalities of pharmacological intervention and behavior modification that assist the dental profession in providing dental treatment to patients with different levels of dental anxiety and fear, and they have become an integral part of dental practice.

Keywords

patient monitoringpre-sedation patient assessmentsedationmedication reconciliationAmerican Society of Anesthesiologistsgastrointestinal endoscopy
Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 254 - 280
Publisher: Cambridge University Press
Print publication year: 2012

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