| Maximum cumulative doses of sedation medications for in-office use. | |
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MedLine Citation:
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PMID: 17333989 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The AGD acknowledges that dentists may need an additional permit to perform the procedure described in this article. Many states require dental practitioners to have additional or advanced training in order to perform enteral sedation. In some states, practitioners must have an i.v./conscious sedation permit before they are allowed to titrate (dose) oral medication. The ADA does not believe that oral medication can be titrated (dosed) without an i.v. sedation license. The AGD has adopted and published a white paper on sedation issues, which appeared in the September-October 2006 issue of General Dentistry. The AGD encourages continuing education in sedation modalities for general dentists. Oral conscious sedation (OCS) is an increasingly common practice in dentistry and is at the forefront of evolving state regulations. At the center of the OCS controversy is the oral titration of medications. Most medications available for OCS are used in an "off-label" manner and have no determined maximum recommended dosage for that purpose. This article proposes cumulative maximum dosing guidelines for in-office OCS, with an emphasis on triazolam. |
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Authors:
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Mark Donaldson; Jason H Goodchild |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: General dentistry Volume: 55 ISSN: 0363-6771 ISO Abbreviation: Gen Dent Publication Date: 2007 Mar-Apr |
Date Detail:
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Created Date: 2007-03-05 Completed Date: 2007-03-20 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7610466 Medline TA: Gen Dent Country: United States |
Other Details:
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Languages: eng Pagination: 143-8; quiz 149, 167-8 Citation Subset: D |
Affiliation:
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Kalispell Regional Medical Center, Montana, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Sublingual Ambulatory Surgical Procedures Anesthesia, Dental / methods* Body Weight Conscious Sedation / methods* Dose-Response Relationship, Drug Drug Interactions GABA Modulators / administration & dosage*, blood, pharmacokinetics General Practice, Dental Humans Hypnotics and Sedatives / administration & dosage*, blood, pharmacokinetics Maximum Tolerated Dose Practice Guidelines as Topic Titrimetry Triazolam / administration & dosage*, blood, pharmacokinetics |
| Chemical | |
Reg. No./Substance:
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0/GABA Modulators; 0/Hypnotics and Sedatives; 28911-01-5/Triazolam |
| Comments/Corrections | |
Comment In:
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Gen Dent. 2007 Jul-Aug;55(4):273-4; author reply 274
[PMID:
17682632
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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