Journal of Disability and Oral Health

cover art

Cover Date:
April 2005
Print ISSN:
1470-8558
Electronic ISSN:
1754-2758
Vol:
6
Issue:
1

A prospective study of complications and outcomes associated with conscious sedation for the anxious dental patient

Aim: To establish baseline standards for the prevalence of complications and success rates for dental treatment under intravenous and inhalation sedation. Objective: To establish the nature and frequency of complications and the outcome of treatment in patients undergoing conscious sedation with intravenous midazolam or inhalation nitrous oxide/oxygen. Design: Prospective prevalence study. Setting: Dental hospital & community dental service in north east England. Methodology: All patients undergoing adult intravenous midazolam sedation and paediatric inhalation nitrous oxide/oxygen sedation for dental care over a specified period of time were audited. Data on demographics, sedative drug and dose, complications and outcome were collected. Results: Intravenous Sedation. At Newcastle Dental Hospital (NDH) the records for 89 patients were audited. Eighty-three patients (92%) experienced no complications and 7 (8%) patients experienced only minor complications. At South Tyneside Community Dental Service (STCDS), the records of 59 patients were audited. Fifty-eight (98%) experienced no complications and 1 (2%) patient experienced a minor complication. Dental treatment was successfully completed in 88 patients (98.8%) at Newcastle Dental Hospital and 59 patients (100%) at South Tyneside. Inhalation Sedation. At NDH 160 patients were audited. 138 patients (86%) had no complications. At STCDS 107 patients were audited and 96 (90%) had no complications. At NDH dental treatment was successfully completed in 141 patients (88%), with 7 patients (4%) requiring referral for GA. At STCDS dental treatment was successfully completed in 94 patients (88%), with 9 patients (8%) requiring referral for GA. Conclusion: This audit has established baseline standards for the prevalence of complications and outcome of dental treatment with two established sedation techniques. Key Words: Conscious sedation, treatment outcomes, complications

Article Price
£15.00
Institution Article Price
£15.00
Page Start
24
Page End
30
Authors
E J Booth, K E Wilson, N M Girdler

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial - Emily is Emily
  2. 2
  3. 2

  1. Developing an Undergraduate Curriculum in Special Care Dentistry
  2. 3
  3. 15

  1. Study of the value of the panoramic radiographic examination in special risk patients with a history of infective endocarditis
  2. 16
  3. 20

  1. Dental care for children (and the not so young) with intellectual disabilities
  2. 21
  3. 23

  1. A prospective study of complications and outcomes associated with conscious sedation for the anxious dental patient
  2. 24
  3. 30

  1. Recovering drug users and oral health: a qualitative study
  2. 34
  3. 41

  1. Oral findings and 18-month follow-up care in two siblings with autistic disorder
  2. 42
  3. 44

  1. Case report – Treatment of localised, moderately deep periodontal pockets in an HIV-positive patient with minimal intervention
  2. 45
  3. 47

  1. BSDH News
  2. 48
  3. 52

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