Behavioural Management and Sedation Flashcards
What percentage of the population have a true dental phobia
around 5%
in the 2008 adult dental health survey, what % of people had moderate to severe dental anxiety
49%
What factors have a major impact on dental fear and anxiety
previous events/past experience
pain
cost
word of mouth
What are the four components involved in the cycle of improvement
improved information
increased predictability
decreased fear
decreased pain
Which three methods can be employed to make adminstering LA less painful?
Vibrajet
Buzzy
STA (wand)
What is the next step when behavioural management and therapy fails?
conscious sedation
What is conscious sedation
a technique in which the use of a drug/drugs creates a state of depression of the CNS, allowing treatment to be carried out
What is inhalation sedation
Nitrous oxide plus oxygen
What are the benefits of inhalation sedation
safe rapidly reversible no needles generally well accepted provides analgesia few contraindications rapid recovery limited side effects if enough oxygen is given in the recovery phase
What are the contraindications for inhalation sedation
no nasal airway
not for patients with chronic obstructive airway disease
not for use in unstable MH patients
Neurological conditions such as myasthenia gravis
Pernicious anaemia
What does IHS do?
decreased stress and anxiety
decreased pain perception
decreased gagging
What kind of drug is midazolam
benzodiazepine
What is the half life of midazolam
15-40 mins
What is the elimination half life of midazolam in patients who are obese
1.5-2.5 hours
How is midazolam titrated?
2mg over 2 mins and then 1mg every 30 seconds until level of sedation is achieved
