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KMID : 0362720130510070398
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Journal of the Korean Dental Association
2013 Volume.51 No. 7 p.398 ~ p.404
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Intravenous Sedation for Dental Procedure
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Kim Cheul-Hong
Yoon Ji-Young
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Abstract
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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 cooperateduring care, procedural sedation may permit completion of intraoralprocedures. In mostcases, 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 ofcomplete analgesia provided by local anesthesia. Therefore, the goal of procedural sedation is to primarily suppress patient fear and apprehensionand gain cooperation. Any issues regarding actual pain are usually limited to that produced by the local anesthetic injections or, rarely, theextent 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.
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KEYWORD
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Intraveous sedation, procedure, phobia, pain
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