Intro To Anxiety And Pain Control

Question 1

What conditions may be aggravated by dental stress, and sedation would be indicated in some cases?

Answer 1

Ischaemic heart disease

Hypertension

Asthma

Epilepsy

If pt dentally anxious too

Question 2

What phobias may affect someone’s ability to cope with treatment?

Answer 2

Things in mouth

Dental procedures

Needles

Drills

Gagging

Fainting

Question 3

Define phobia

Answer 3

An irrational and uncontrollable fear, which is relayed to a specific object or situation. It is persistent, despite avoidance of the provoking stimulus. It has direct effect on pts lifestyle.

Question 4

Give some causes of dental anxiety

Answer 4

Primary traumatic experience
- usually in childhood

Transference (learned)
- parenteral
- playground

Fear of criticism

Invasion of body orifice

Surgery appearance

Staff continuity

Question 5

Give some strong medical contraindications for sedation

Answer 5

Severe or uncontrolled systemic disease

Severe mental or physical disability

Severe psychiatric problems

Narcolepsy

Hypothyroidism

Question 6

What medical conditions may contraindicate IV sedation specifically?

Answer 6

Intracranial pathology

COPD

Hepatic insufficiency

Pregnancy and lactation

Question 7

What medical conditions contraindicate inhalation sedation specifically?

Answer 7

Blocked nasal airway

COPD

Pregnancy

Question 8

What are some social contraindications to sedation?

Answer 8

Unwilling to accept sedation

Uncooperative with sedation

Those who are unaccompanied or bring unsuitable person

Young children too young for IV - 12

Very old patients