special care and conscious sedation

Question 1

What is special care

Answer 1

Special Care Dentistry are those with a disability or activity restriction that directly or indirectly affects their oral health

Question 2

What conscious sedation techniques are there

Answer 2

Inhalational

Intravenous

Oral

Transmucosal
–Rectal
- Intranasal
- Sublingual

Question 3

What affects your choice of sedation techniques

Answer 3

Patient co-operation
Degree of anxiety
Dentistry required
Skills of the dental team
Patient’s previous experience
Facilities available
Anaesthetist required?

Question 4

What are the Adv of inhalation sedation

Answer 4

Useful for anxiety relief
Rapid recovery
Flexible duration

Question 5

What are the DisAdv of inhalation sedation

Answer 5

Keep nasal hood in place
Less muscle relaxation
Coordination of nasal breathing when mouth open

Question 6

Whats important with learning difficulties and inhalation sedation

Answer 6

Want to make sure they understand/can breathe through there nose the entire time

Question 7

What are the Adv of intravenous sedation

Answer 7

Good sedation achieved
Less cooperation needed
Muscle relaxation

Question 8

What are DisAdv of IV sedation

Answer 8

Baseline readings
IV cannulation required
Assessing sedation level
Behaviour during recovery
Efficacy swallowing

Question 9

What is used in IV sedation

Answer 9

Midazolam
Propofol
Multiple agent

Question 10

What are the Adv of oral/transmucosal sedation

Answer 10

Avoids cannulation
Can make induction more pleasant
Better cooperation
Better future behaviour
Can spray up nose

Question 11

What are the DisAdv of oral/transmucosal sedation

Answer 11

Baseline readings
Bitter taste
Lag time
Untitrateable
Difficulty monitoring level of sedation
Behaviour in recovery
Very high Conc. due to transmucosal placing

Question 12

What is the Midazolam half time

Answer 12

distribution half time= 4-18 mins
Elimination half time= 1.5-2 hrs