Introduction to Pain and Anxiety Control Flashcards
what are the medical indications for sedation
conditions aggravated by stress of dental treatment
conditions which affect cooperation
what are the psychosocial indications for sedation
phobias, gagging, persistent fainting, idiosyncrasy to LA, needles
what is a phobia
persistent irrational and uncontrollable fear related to specific object/situation
what can cause dental anxiety
trauma
transference
fear of criticism
fear of dress
lack of communication
helplessness
invasion of body orifice
influenced by environment
surgery appearance
staff continuity
age
stage of development
gender
socio-economic group
what are the dental indications for sedation
difficult or unpleasant procedures
what are the medical contraindications to sedation
severe systemic disease
severe mental/physical disability
severe psychiatric problems
narcolepsy
hypothyroidism
what are the contraindications to IV sedation
intracranial pathology
COPD
myasthenia gravis
hepatic insufficiency
pregnancy and lactation
what are the contraindications to IHS
blocked nasal airway
COPD
pregnancy
what are the social contraindications to sedation
unwilling
uncooperative
unaccompanied
children
very old
what are the dental contraindications to sedation
procedure too difficult for LA alone
procedure too long
spreading infection
procedure too traumatic
what is 1 ASA classification
normal healthy patient
what is 2 ASA classification
mild systemic disease
what is 3 ASA classification
severe systemic disease
what is 4 ASA classification
severe systemic disease that is threat to life
what is 5 ASA classification
moribund patient not expected to survive without operation
