Conscious sedation for the management of dental anxiety in third molar extraction surgery: a systematic review.

Abstract

Background: Dental anxiety is a condition associated with avoidance of dental treatment and increased medical and surgical risks. This systematic review aims to summarize available evidence on conscious sedation techniques used for the management of Dental anxiety in patients scheduled for third molar extraction surgery, to identify best approaches and knowledge gaps. Methods: A comprehensive search was conducted including MEDLINE/Pubmed, EMBASE, SCOPUS, clinicaltrials.gov and the Cochrane Database of Systematic Reviews through March 2019. Only randomized controlled trials were included. PRISMA guidelines were followed. Risk of bias was appraised as reported in the Cochrane Handbook for Systematic Reviews of Interventions. Results: Seventeen RCTs with a total of 1,788 patients were included. Some aspects limited the feasibility of a meaningful meta-analysis, thus a narrative synthesis was conducted. Conscious sedation was associated with improvement in Dental anxiety in six studies. One study reported lower cortisol levels with midazolam vs. placebo, while another study found significant variation in perioperative renin levels with remifentanil vs. placebo. Conclusions: This review found inconclusive and conflicting findings about the role of Conscious sedation in managing Dental anxiety during third molar extraction surgery. Relevant questions remain unanswered due to the lack of consistent, standardized outcome measures. Future research may benefit from addressing these limitations in study design.

A comparative study of patient satisfaction about anesthesia with dexmedetomidine for ambulatory dental surgery

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Estudo comparativo entre Valeriana Officinalis L. e diazepam: uma revisão de literatura

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Conscious sedation and anesthesiologist — A Review

“…Many a time's anxiety can be managed either by non-pharmacological techniques like behavior therapy or desensitization. 1 Sometimes the patients are exposed to general anesthesia which neither a cost effective technique nor free from complications. This technique also improves the patient and surgeon satisfaction.…”