Dental Sedation by Dentists: A View From Anesthesiologists Working in Central Western Brazil

Costa, Paulo Sucasas; Valadão, Wilson; Costa, Luciane Rezende

doi:10.1213/ane.0b013e3181bdc63d

Cited by 15 publications

(8 citation statements)

References 18 publications

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“…There have been other studies with a similar purpose which had low response rates of 47% [33] and 16% [16]. We understand that, as in another study with Brazilian health professionals [9], factors influencing response rates might include an unwillingness to participate or lack of interest in the subject. Also, we did not include dentists who attended a RA course but did not ask for their BCD license.…”

Section: Discussionmentioning

confidence: 88%

“…In Brazil, one study showed that 93.7% of anesthesiologists surveyed disagreed that licensed dentists are adequately prepared to provide RA after the 96-hr training course required by the BCD [9]. However, this understanding of anesthesiologists’ opposition was not a clear barrier to RA practice among Brazilian respondents, since only about half the respondents agreed that anesthesiologists’ contrary opinion on RA should limit its use by dentists.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to note that many Brazilian dentists have limited training and practice experience in outpatient sedation as part of dental school [8]. Criticism by anesthesiologists concerning the competency of dentists to provide outpatient sedation has been reported as a barrier that prevents RA practice among licensed dentists [9]. …”

Section: Introductionmentioning

confidence: 99%

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Practices and opinions on nitrous oxide/oxygen sedation from dentists licensed to perform relative analgesia in Brazil

et al. 2012

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BackgroundRelative analgesia (RA), defined as the use of inhalation sedation with nitrous oxide and oxygen, is one of the most common pharmacological behavior management techniques used to provide sedation and analgesia for dental patients. This study aimed to assess RA licensed Brazilian dentists’ practices and opinions about nitrous oxide/oxygen sedation in the dental setting.MethodsA cross sectional national survey was conducted with 281 dentists who were certified to perform RA, using an electronically mailed self-administered questionnaire containing closed questions about their practices and opinions regarding RA. Practice and opinion were individually analyzed by descriptive statistics. Non-parametric tests assessed the relationships between RA practice and independent variables. To test the interplay between practices and opinions, a k-means clusters analysis was used to divide the group for statistical comparisons.ResultsThe response rate was 45.2%. Women made up 64.6% of the respondents, the mean age was 39.1 years (SD = 9.8), and the mean time since graduation in dentistry was 16 years (SD = 9.7). Seventy-seven percent of respondents reported the use of RA in clinical practice, most of them ‘sometimes’ (53.5%), and focusing more on adult patients. Patients with certain physical or mental deficiencies were indications associated with RA practice. ‘Equipment acquisition’ (p < 0.001) and ‘living in Southeast and South regions’ (p < 0.02) were also associated with RA practice. The scores for dentists’ opinions ranged from 15 to 41 points (mean 29.2, SD = 5.6), based on nine items scored from 1 to 5. Two clusters representing more favorable (n = 65) and less favorable (n = 55) opinions were established. Dentists who were women (p = 0.04), practiced RA in dental settings (p < 0.01) or practiced it frequently (p < 0.001), had more favorable opinions about RA.ConclusionMost of the RA licensed Brazilian dentists interviewed currently use RA. Current practice of RA and frequency of use determined the degree of favorable opinion about this inhalation sedation among this group of respondents.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Practices and opinions on nitrous oxide/oxygen sedation from dentists licensed to perform relative analgesia in Brazil

et al. 2012

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“…Dentists qualified at educational institutions can perform sedation with nitrous oxide, but the technique requires the collaboration and cooperation of the patient to wear the inhalation mask [25,26]; therefore, it was most likely not performed in the studied cases.…”

Section: Discussionmentioning

confidence: 99%

“…As previously discussed, the high rate of cluster 1 in non-host cities compared to host cities may suggest inadequate prescription or services to patients with other systemic conditions [24,25].…”

Section: Discussionmentioning

confidence: 99%

Hospital Dental Treatment for Special Health Care Needs Patients in Minas Gerais state, Brazil: A Cluster Analysis

Santos

Amaral

Palmier

et al. 2017

Pesqui. bras. odontopediatria clín. integr.

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Objective: To describe and group some demographic and healthcare characteristics of hospital dental care for the special health care needs population. Material and Methods: Cross-sectional census survey with a total of 1,063 visits with special health care need patients under general anesthesia or sedation at the Brazilian Health System Minas Gerais, Brazil, over 12 months. Clinical diagnosis was divided into "mental and behavioral disorders and diseases of the nervous system" and "others". Age group, gender, clinical diagnosis and care by a general dentist were submitted to descriptive and multivariate cluster analysis. The analysis was performed using the software SPSS version 19.0. Results: Cluster 1 (N=173) had no ICD codes for nervous system (NS) diseases and mental and behavioral disorders. Clusters 2 (N=564) and 3 (N=326) are quite similar except for gender distribution. Cluster 1 was 3.5 times more frequent among non-host cities than HER host cities. Dental treatment was mostly performed on males diagnosed with mental and behavioral disorders and diseases of the NS who were over the age of 25 years and were seen by general dentists. The clusters were distributed unevenly between EHR host and non-host cities. Conclusion: Non-host performed more frequently treatment for patients with no mental and behavioral disorders and diseases of the NS than EHR host cities.

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Conscious sedation in Spanish dental schools: Current situation

Vela

Arregui

Giner

et al. 2019

Clinical & Exp Dental Res

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The current Spanish curricula for degrees in dentistry include conscious sedation (CS) as a basic training competency. However, is the CS training delivered by Spanish dental schools a consensus‐based educational framework enabling students to use this anesthetic technique after graduation? To answer this research question, a study was designed aiming to identify the strategies used to teach this competency in Spanish dental schools and the characteristics of teaching. The authors reviewed legislation concerning officially established requirements for a degree in dentistry as well as curricula currently taught in Spain. Our analysis identified clear discrepancies among the schools of dentistry studied. The only overlap was observed in reference to the level of proficiency imparted, which prevents Spanish dentistry students from using this anesthetic technique after graduation. Specific features of the normative framework and of the Spanish legislative system underlying the design of the present curricula of degrees in dentistry would explain the discrepancies in CS competencies taught at our schools of dentistry. Almost 10 years since its implementation and in light of the new demands of the complex society in which we live, Spanish universities must unify their educational criteria regarding CS training to ensure the appropriate qualification of our new dentists in this technique.

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Dental Sedation by Dentists: A View From Anesthesiologists Working in Central Western Brazil

Cited by 15 publications

References 18 publications

Practices and opinions on nitrous oxide/oxygen sedation from dentists licensed to perform relative analgesia in Brazil

Practices and opinions on nitrous oxide/oxygen sedation from dentists licensed to perform relative analgesia in Brazil

Hospital Dental Treatment for Special Health Care Needs Patients in Minas Gerais state, Brazil: A Cluster Analysis

Conscious sedation in Spanish dental schools: Current situation

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