Researchers are literally taking the pain out of visits to the dentist after the successful creation and pilot trial of a needle-free device for dental anaesthesia for teeth extractions. A collaboration between the University of Otago, University of Auckland, and Auckland University of Technology, the device differs from other needle-free dental jet injectors in that … Read more
When Shital Patel accompanied her husband Henry to a dental appointment in Leland on July 30, 2020, she was told it would not be long before he returned to the lobby of Mark Austin’s oral surgery practice. Hemant “Henry” Patel, a cardiologist with ties to the New Hanover Regional Medical Center, had gone to Austin … Read more
Don’t it always seem to go/That you don’t know what you’ve got ‘til it’s gone. – Joni Mitchell (“Big Yellow Taxi”) There is an active application to recognize Dental Anesthesia as a dental specialty nationwide. Dental Anesthesia is recognized as a specialty in Ontario as well as in the United States and Japan. This assistive … Read more
The two most common methods for administering systemic medications to dental patients is by enteral (PO) or intravenous (IV) routes. In an emergency, the PO route has a slow onset of action. The drug, administered PO, needs to be absorbed before being systemically available.1 The IV route will offer faster onset, but IV access can … Read more
Current nil per os (npo) standards promote pre-operative fasting as an approach to reduce the volume and acidity of a patient’s stomach contents to reduce the risks of regurgitation and subsequent pulmonary aspiration. Pre-anesthesia fasting standards apply to any procedure where sedative medications reduce the protective airway reflex that under normal conditions prevent aspiration. The … Read more
Epistaxis (nasal bleeding) is a relatively common complication that may arise during a dental visit that utilizes sedation/anesthesia. While rarely fatal, appropriate and prompt management of peri-operative epistaxis is critical in order to prevent further harm. This article will discuss a case report of epistaxis encountered during dentistry under deep sedation. In addition, the anatomy, … Read more
All practitioners who deliver nitrous oxide to their patients should be intimately familiar with the relative and absolute contraindications to its administration. Relative Contraindications Nasal obstruction: Nitrous oxide sedation can proceed if despite some degree of nasal obstruction, the patient is still able to respire through the nares (or one naris) in such a way … Read more
Abstract When difficulty in obtaining adequate mandibular anesthesia is encountered a systematic approach incorporating the evaluation of patient factors and operator technique will substantially improve outcomes. Even for the most experienced dental practitioners, consistent, profound mandibular anesthesia remains difficult to achieve 100 percent of the time. This can be stressful for both dentist and patient … Read more
Pre-operative airway assessment and management is essential to successful dental treatment under procedural sedation. In the event of oversedation, defined as the transition from an intended level of sedation to an unintended deeper level of sedation, the patient’s ability to independently maintain ventilatory function may be impaired. This can result from an inability for the … Read more
“Sign, sign, everywhere a sign/Blockin’ out the scenery, breakin’ my mind/Do this, don’t do that/Can’t you read the sign?” – Signs by The Five Man Electrical Band A repeated discussion that I have with colleagues is that dentistry, as a profession, is over-regulated. While it’s true that we have rules governing everything in our practices … Read more
Every day children of all ages are sedated or anaesthetized for dental treatment both in the hospital and more commonly now in the dental office. The use of physical restraint for a dental procedure in a child has largely been replaced or significantly reduced with the use of sedative or general anaesthetic drugs. Previously it … Read more
Dental anxiety keeps millions of people from seeing the dentist as often as they should. Our sources indicate that sedation dentistry will soon offer a new way of relieving dental fear: medical marijuana. With an increased tolerance of medicinal marijuana, early reports suggest that British Columbia may add dental anxiety to the list of disorders that can … Read more
The purpose of this study is to explore the use of office-based sedation by board-certified pediatric dentists practicing in the United States. Pediatric dentists have traditionally relied upon self-administered sedation techniques to provide office-based sedation. The use of dentist anesthesiologists to provide office-based sedation is an emerging trend. This study examines and compares these two … Read more
By CATHERINE SAINT LOUIS Published: March 6, 2012 SEATTLE — In the surgical wing of the Center for Pediatric Dentistry at Seattle Children’s Hospital, Devon Koester, 2 ½ years old, was resting last month in his mother’s arms as an anesthesiologist held a bubble-gum-scented mask over his face to put him under. The doctors then took X-rays, which showed that … Read more
From Robin Goodman – Dental Tribune America BOSTON, Mass., USA: During the recent Yankee Dental Congress, constant rain gave attendees ample reason to get lost among the educational lectures or the aisles of the exhibit floor, but one hardly needs an excuse when such a variety is offered in one place. If sitting in a … Read more
By Rob Goszkowski, Assistant Editor Dr.Bicuspid January 4, 2012 — The concerted efforts of U.S. dental schools to offer more IV sedation training for periodontists have had a significant impact on the profession, according to the results of a survey published in the Journal of Periodontology (November 28, 2011). About half of all periodontists currently provide IV sedation, and recent … Read more
From Dental Tribune USA – January 10, 2012 SILVER SPRING, Md. & FORT COLLINS, Colo., USA: Efficacy trials for a new dental anesthetic that saves patients the pain of injections are continuing after the company responsible for the development of the drug secured additional $3.5 million funding from an angel investor this week. The yet unnamed … Read more
By Marty Jablow Allowing a patient to be comfortable and pain-free during surgical and restorative dental procedures is an essential part of the process. The most commonly used local anesthetic injection for lower teeth is the inferior alveolar nerve (IAN) block. However, failure rates ranging from 10 to 39 percent have been reported. The current … Read more
Journal of Oral Implantology – with obvious implications for the endodontically needy hot tooth Hasan A ALTUG, Metin SENCIMEN, Altan VAROL, Necdet DOGAN, Necdet KOCABIYIK, and Aydin GULSES, DDS PhD Gülhane Military Medical Academy, Oral and Maxillofacial Surgery, Gülhane Military Medical Academy ABSTRACT Aim: The aim of this study is to evaluate the anesthetic efficacy of mylohyoid … Read more
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