Sedation is practiced in all areas of dentistry, and clinicians who want to offer sedation to their patients must have a thorough understanding of how to administer sedation safely and effectively. This concise guide bridges the gap between classroom instruction and the actual application of various methods of sedation. The considerations for each dental specialty are covered, with special focus on pediatric and special needs patients. Chapters summarize the medications used in sedation, including dosages, warnings, and reversal agents, and sections on nitrous oxide discuss how to administer it without harm to the provider. Minimizing pain and anxiety for patients is as important a goal in dentistry as providing a functional and esthetic smile, and this concise reference book provides best practices to achieve it.
Author(s): Leonard B. Goldstein, Alfred Mauro, Lindsay M. Gilbert
Publisher: Quintessence Publishing Co, Inc
Year: 2022
Language: English
Tags: dental, sedation
A Guide to Dental Sedation
Frontmatter
Dedications
Contents
Preface
Contributors
SECTION I: INTRODUCTION TO DENTAL SEDATION
CHAPTER 1: A Brief History of Dental Sedation from 1960
The Author’s Experience in Early Years
Confl icting Voices: The Many Interests of Dental Anesthesiology
The Current State of Anesthesiology in Dentistry
References
CHAPTER 2: Understanding Dental Sedation
Definition of Terms
Behavioral Assessment
Continuum of Sedation
Sedation Phases
Patient Selection
Conclusion
References
CHAPTER 3: Patient Assessment and Evaluation
Medical History
Physical Evaluation
Risk Assessment
Special Considerations
Medical Consultation
Patient Selection for Sedation
References
CHAPTER 4: Sedation Strategies
Nitrous Oxide-Oxygen Sedation
Oral Sedation
Sublingual Sedation
Intranasal Sedation
Intramuscular Sedation
Intravenous Sedation
Reference
CHAPTER 5: Patient Monitoring During Sedation
Pulse Oximetry
Capnography
Electrocardiogram
Blood Pressure
Temperature
Discharge Criteria
Conclusion
References
CHAPTER 6: Sedation Drugs
Benzodiazepines
Barbiturates
α2-Adrenoceptor Agonist
Opioids
Dissociative Anesthesia
Nitrous Oxide–Oxygen
Reversal Agents and Rescue
Facilitating Successful Oral Sedation
Conclusion
References
SECTION II: SEDATION IN SPECIALTY PRACTICE
CHAPTER 7: Periodontic Sedation
Guidelines from the AAP and the ADA
Goals and Clinical Considerations
Periodontal Patient: Evaluation and Presedation Assessment
Pharmacologic Agents Used for Sedation
Airway Management
Conclusion
References
CHAPTER 8: Endodontic Sedation
Pain and Endodontic Treatment
Proper Case Selection
Endodontic Armamentarium
Reliability of Electronic Apex Locators
Prophylactic Antibiotics
Staff Training
Local Anesthetics
Proper Postoperative Care
Conclusion
References
CHAPTER 9: Orthodontic Sedation
Types of Sedation
Indications
Other Considerations
Complications
Conclusion
References
CHAPTER 10: Pediatric Dentistry and Sedation
Pediatric Patients Versus Adult Patients
Managing Disruptive Behavior
Challenges and Complications with Pediatric Sedation
Sedation Agents and Administration Methods
Conclusion
References
SECTION III: OTHER CONSIDERATIONS
CHAPTER 11: Special Needs Dental Patients
Down Syndrome
Autism Spectrum Disorder
Seizure Disorders
Cerebral Palsy
Multiple Sclerosis
References
CHAPTER 12: Complications, Emergencies, and Emergency Management
Preparing for Emergencies
Management of Emergencies
Resuscitation and Airway
Conclusion
References
CHAPTER 13: Animal-Assisted Therapy in the Dental Setting
History of AAT
Goals of AAT
AAT in Dentistry
Benefits of AAT
Types of AAT
Challenges of Utilizing AAT
Selection Process
Conclusion
References
