Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric Patients
Background: Dental procedures often require local anesthesia, but managing fearful patients, especially children, can be challenging, potentially leading to dental phobia development. Sedation methods such as conscious sedation, deep sedation, or general anesthesia can aid in managing these patients...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_637_24 |
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| author | Mridul Sharma Amit K. Sahu Puja Kaila Ali Abdel H. A. A. Hassan Mohamed Mansy Raksha Thakur Husham E. Homeida |
| author_facet | Mridul Sharma Amit K. Sahu Puja Kaila Ali Abdel H. A. A. Hassan Mohamed Mansy Raksha Thakur Husham E. Homeida |
| author_sort | Mridul Sharma |
| collection | DOAJ |
| description | Background:
Dental procedures often require local anesthesia, but managing fearful patients, especially children, can be challenging, potentially leading to dental phobia development. Sedation methods such as conscious sedation, deep sedation, or general anesthesia can aid in managing these patients.
Material and Method:
This study focuses on evaluating various sedation techniques used in an Oral and Maxillofacial Surgery Clinic for adults with special needs requiring dental treatments under sedation or general anesthesia. A retrospective analysis was conducted on 250 adult patients with special needs who underwent dental procedures between January 2019 and December 2023. Data on demographic characteristics, types of procedures, sedation techniques used, dosages, and complications were collected from medical records. Sedation techniques included midazolam-sufentanil, ketamine-midazolam, oral midazolam, chloral hydrate, ketamine, and propofol.
Results:
The midazolam-sufentanil combination was the most commonly used sedation technique (27.2%), followed by ketamine-midazolam (21.6%). Complications such as respiratory issues (2.9%), cardiovascular events (1.5%), nausea/vomiting (4.4%), and prolonged recovery time (2.9%) were observed.
Conclusion:
Overall, the incidence of complications was relatively low, indicating the safety and efficacy of the sedation techniques. Sedation techniques, particularly the midazolam-sufentanil and ketamine-midazolam combinations, were found to be effective and safe for managing dental procedures in adults with special needs. Personalized sedation approaches based on individual patient factors are essential for optimizing outcomes. Further research is needed to explore long-term effects and patient satisfaction. |
| format | Article |
| id | doaj-art-60699021d76241e18f2fb22fd5d8f3f2 |
| institution | Kabale University |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-60699021d76241e18f2fb22fd5d8f3f22025-01-12T14:06:58ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3150S315210.4103/jpbs.jpbs_637_24Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric PatientsMridul SharmaAmit K. SahuPuja KailaAli Abdel H. A. A. HassanMohamed MansyRaksha ThakurHusham E. HomeidaBackground: Dental procedures often require local anesthesia, but managing fearful patients, especially children, can be challenging, potentially leading to dental phobia development. Sedation methods such as conscious sedation, deep sedation, or general anesthesia can aid in managing these patients. Material and Method: This study focuses on evaluating various sedation techniques used in an Oral and Maxillofacial Surgery Clinic for adults with special needs requiring dental treatments under sedation or general anesthesia. A retrospective analysis was conducted on 250 adult patients with special needs who underwent dental procedures between January 2019 and December 2023. Data on demographic characteristics, types of procedures, sedation techniques used, dosages, and complications were collected from medical records. Sedation techniques included midazolam-sufentanil, ketamine-midazolam, oral midazolam, chloral hydrate, ketamine, and propofol. Results: The midazolam-sufentanil combination was the most commonly used sedation technique (27.2%), followed by ketamine-midazolam (21.6%). Complications such as respiratory issues (2.9%), cardiovascular events (1.5%), nausea/vomiting (4.4%), and prolonged recovery time (2.9%) were observed. Conclusion: Overall, the incidence of complications was relatively low, indicating the safety and efficacy of the sedation techniques. Sedation techniques, particularly the midazolam-sufentanil and ketamine-midazolam combinations, were found to be effective and safe for managing dental procedures in adults with special needs. Personalized sedation approaches based on individual patient factors are essential for optimizing outcomes. Further research is needed to explore long-term effects and patient satisfaction.https://journals.lww.com/10.4103/jpbs.jpbs_637_24complicationsdental sedationketamine-midazolammidazolam-sufentanilspecial needs |
| spellingShingle | Mridul Sharma Amit K. Sahu Puja Kaila Ali Abdel H. A. A. Hassan Mohamed Mansy Raksha Thakur Husham E. Homeida Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric Patients Journal of Pharmacy and Bioallied Sciences complications dental sedation ketamine-midazolam midazolam-sufentanil special needs |
| title | Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric Patients |
| title_full | Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric Patients |
| title_fullStr | Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric Patients |
| title_full_unstemmed | Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric Patients |
| title_short | Retrospective Evaluation of Sedation Techniques for Tooth Extraction in Paediatric Patients |
| title_sort | retrospective evaluation of sedation techniques for tooth extraction in paediatric patients |
| topic | complications dental sedation ketamine-midazolam midazolam-sufentanil special needs |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_637_24 |
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