Dental fear is a most common aspect among different age groups of society. Along with fear anxiety and pain related issues observed by the dentist many years. To find a solution to because neurological factors a patient acceptable yet effective procedure invented. Dental fear
Conscious sedation technique in which the use drugs and gases reduces a state of depression on the central nervous system (CNS) enabling treatment carried out. During which verbal contact with the patient maintained throughout the period of sedation. It also retains the patient’s ability to maintain a patent airway independently and continuously.
This procedure performed first time using nitrous oxide USA Horace Wells 1844. This individual was a dentist and he was successful in administrating conscious sedation to the patient.
Dental fear Most commonly used drugs are:
- Nitrous oxide gas
Dental fear Various delivery methods and drugs:
- Oral: A tablet that swallowed containing Diazepam or Trizolam.
- Intra Muscular: A Shot of Benzodiazepine such as Midazolam most likely in your upper arm or butt.
- Intra-venous: Benzodiazepine such as Midazolam or propofol in injected in the patient’s venous system, most commonly arm vein.
- Inhalation: Patient made to wear a facial mask where he breathes nitrous oxide.
There are three stages of conscious sedation:
- Minimal- Patient feels relaxed but fully conscious and responsive.
- Moderate- Patient feels dizzy and may lose consciousness but is still somewhat responsive.
- Deep- Patient falls asleep and is mostly unresponsive.
- Dental Phobia and anxiety
- Traumatic and long dental procedures
- Medical conditions aggravated by stress such as Angina, Asthma, Epilepsy.
- Children more than one year of age
- Mentally challenged individual
- Ineffective local Anesthesia due to any reason.
- Patient preparation:
- Consent for treatment: therefore Valid informed written consent is necessary.
- Pre-sedation checkup: Patient detail history and examination should be done. A through detailed airway examination is necessary for pediatric patients.
- Operating setup:
- Monitoring: All the equipments to whereas monitor the vital should be handy.
- Resuscitation apparatus and drugs should be ready if required
- To maintain a proper airway and adequate oxygen to the patient all the appropriate sized airway equipments and oxygen cylinder kept operating room where conscious sedation performed.
Procedure: the steps may differ and based on the procedure a patient may undergo
- The patient is made to site on the dental chair or lie on the chair.
- Patient will be induced the sedative by either delivery methods.
- A waiting period of 15-20 minutes is kept till the time sedative acts.
- The Dentist will monitor your breathing and blood pressure.
- Once the sedative acts on the patient, your dentist will begin the procedure. royaldentalclinics
This technique is totally safe for dental treatment as it has minimal or no patient’s discomfort. The most safe is nitrous oxide gas breathing technique. this gas is also known laughing gas because it gives a happy feeling to the patients after inhalation. [email protected]