Pain control and anxiety management for periodontal therapies

Wilson, Katherine; Dorman, M. L.; Moore, Paul A.; Girdler, N.M.

doi:10.1111/j.1600-0757.2008.00245.x

Cited by 8 publications

(3 citation statements)

References 54 publications

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“…[33][34][35][36] Although these adverse effects are less likely than originally reported, nitrous oxide has been shown to interrupt normal biological processes and it is imperative to practice meticulously to minimise these risks. 37,38 Nitrous oxide is used as the carrier for the volatile anaesthetic gas sevoflurane, which is being increasingly used at low concentrations to provide dental sedation in children in the outpatient setting. This is in an attempt to compensate for GA where these services are not available.…”

Section: The Practice Of Conscious Sedationmentioning

confidence: 99%

The use of anaesthetic agents to provide anxiolysis and sedation in dentistry and oral surgery

O'Halloran¹

2013

AMJ

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Throughout the world there is considerable variation in the techniques used to manage anxious dental patients requiring treatment. Traditionally anxious or phobic dental patients may have been sent for general anaesthesia to allow dental treatment be undertaken. While this is still the case for the more invasive oral surgical procedures, such as wisdom teeth extraction, sedation in general dentistry is becoming more popular. Various sedation techniques using many different anaesthetic agents have gained considerable popularity over the past 30 years. While the practice of sedating patients for dental procedures is invaluable in the management of suitably assessed patients, patient safety must always be the primary concern. Medical, dental and psychosocial considerations must be taken into account when evaluating the patient need and the patient suitability for sedation or general anaesthesia. The regulations that govern the practice of dental sedation vary throughout the world, in particular regarding the techniques used and the training necessary for dental practitioners to sedate patients. It is necessary for medical and dental practitioners to be up to date on current practice to ensure standards of practice, competence and safety throughout our profession. This article, the first in a two-part series, will provide information to practitioners on the practice of sedation in dentistry, the circumstances where it may be appropriate instead of general anaesthesia and the risks involved with sedation. It will also discuss the specific training and qualifications required for dental practitioners to provide sedation. The second article in this series will outline the different techniques used to administer inhalation, oral and intravenous sedation in dentistry and will focus on specific methods that are practiced.

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Section: The Practice Of Conscious Sedationmentioning

confidence: 99%

The use of anaesthetic agents to provide anxiolysis and sedation in dentistry and oral surgery

O'Halloran¹

2013

AMJ

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“…Techniques and favored agents vary from country to country and likewise guidelines on safe practice show similar variation. The basic principles of sedation and details of techniques and agents that are widely used are discussed in the paper by Wilson et al (9). Sedation techniques do have a significant place in periodontal practice, especially in the support of surgical procedures and implant placement.…”

Section: Robin a Seymourmentioning

confidence: 99%

Pharmacology and therapeutics in dentistry

Seymour¹

2008

Periodontology 2000

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“…Strategies for pain control and anxiety management in periodontics are tailored to address some of the unique features of these treatments. 4 Scaling and root planing are the pillars of success as basic modality of periodontal therapy undertaken before any surgical techniques. Visits for periodontal maintenance care include supra and subgingival debridement of areas of deposits or signs of gingival inflammation.…”

Section: Introductionmentioning

confidence: 99%

Experiencing Pain during Scaling and Root Planing: A Clinical Study Using Visual Analogue Scale

2014

IJDA

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Introduction: Pain is the major criteria modifying patient compliance during scaling and root planing. It has been documented that mild to moderate amount of pain occur during the procedure. Various efforts have been made to quantify this pain. The present study has been an attempt to quantify the pain experienced by the patient during the basic periodontal treatment. Objective: With the present study an attempt is made to quantify the intensity of pain using Visual Analogue Scale (VAS). Methodology: A total of eighty (80) patients, including thirty seven males and forty three females, between age groups 16 to 60 years, were included in the study. The patients were randomly selected based on the inclusion and exclusion criteria of the study. The patients were under the advice for ultrasonic scaling and root planning from the outpatient department of Army Dental Centre (Research and Referral) Delhi. Patients were asked to quantify the maximum pain experienced by them during the procedure and mark accordingly on the VAS score chart on the questionnaire provided. Result: Mild to moderate pain was experienced by the subjects as per their assessment and record on the VAS. Conclusion: The procedure of scaling and root planing has its goal for achievement of optimum oral health and hygiene with minimum procedural complications. The result of the study confirms varying degree of pain in the subjects. This is a cause of concern to the clinician and the oral healthcare provider. Further feedbacks may help with the development of enhanced quality control measures.

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Pain control and anxiety management for periodontal therapies

Cited by 8 publications

References 54 publications

The use of anaesthetic agents to provide anxiolysis and sedation in dentistry and oral surgery

The use of anaesthetic agents to provide anxiolysis and sedation in dentistry and oral surgery

Pharmacology and therapeutics in dentistry

Experiencing Pain during Scaling and Root Planing: A Clinical Study Using Visual Analogue Scale

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