Intravenous Sedation for Dental Procedure

Kim,  Cheul Hong; Yoon,  Ji Young

doi:2013.51.7.398

J Korean Dent Assoc > Volume 51(7); 2013 > Article

The Journal of The Korean Dental Association 2013;51(7):398-404.
DOI: https://doi.org/10.22974/jkda.2013.51.7.003 Published online July 31, 2013.

임상가를 위한 특집 3 - 치과시술을 위한 정주진정

김철홍¹, 윤지영²

^¹부산대학교 치의학전문대학원 치과마취통증학교실
^²부산대학교 치의학전문대학원 치과마취통증학교실

Intravenous Sedation for Dental Procedure

Cheul Hong Kim¹, Ji Young Yoon²

¹Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University
²Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University

Abstract

Apprehension and phobia regarding dental procedures are represent the most common deterrents in patients seeking dental care and very common. For these individuals, and others who cannot cooperate during care, procedural sedation may permit completion of intraoral procedures. In most cases, the level of sedation may be kept at minimal to moderate levels permitting patient maintenance of their airway patency and ventilation. Unlike many medical procedures, the majority of dental procedures, no matter the depth of sedation, are performed in the presence of complete analgesia provided by local anesthesia. Therefore, the goal of procedural sedation is to primarily suppress patient fear and apprehension and gain cooperation. Any issues regarding actual pain are usually limited to that produced by the local anesthetic injections or, rarely, the extent of the procedure. For the extremely phobic patient, however, allaying apprehension may be very challenging. Intravenous titration of sedative drugs is the most effective route of administration to achieve this goal but requires advanced training beyond that provided in undergraduate training.

Key Words: Intraveous sedation;procedure;phobia;pain;