pain and anxiety control Flashcards
Give 4 examples of conditions which are aggravated by the stress of dental treatment
Any 4 from:
- ischaemia heart disease
- hypertension
- asthma
- epilepsy
- psychosomatic illness (somatoform disorders)
- ulcerative colitis
- Crohn’s disease
Give 3 examples of conditions which affect cooperation
Mild to moderate movement of learning difficulties
Spasticity disorders
Parkinson’s disease
Name 4 psychosocial indications for sedation
Phobias
Gagging
Persistent fainting
Idiosyncrasy to local anaesthetic (abnormal reaction)
What’s is dental anxiety?
An irrational and uncontrollable fear which is related to a specific object or situation
It is persistent, despite avoidance of the provoking stimulus
It has a direct effect on the patient’s lifestyle
Name 8 causes of dental anxiety
Any from:
- trauma
- transference (learned)
- 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
Give 4 medical contraindications to sedation
Any from:
- severe or uncontrolled systemic disease
- severe mental or physical disability
- severe psychiatric problems
- narcolepsy
- hypothyroidism
Give 4 medical contraindications specific to IV sedation
Any from:
- intracranial pathology
- COPD
- myasthenia gravis (muscle weakness)
- hepatic insufficiency
- pregnancy and lactation
Give 3 medical contraindications specific to IS
Blocked nasal airway
COPD
Pregnancy
Give 4 social contraindications to sedation
Any from:
- unwilling
- uncooperative
- unaccompanied
- children (for IV)
- very old
Give 4 dental contraindications to sedation
Procedure too difficult for LA alone
Procedure too long
Spreading infection
Procedure too traumatic
Give 4 social advantages to sedation
Any from:
- decreased dentist stress
- decreased staff stress
- decreased patient stress
- fewer medical incidents
- more productive appointments
