| New method of sedation in oral surgery. | |
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MedLine Citation:
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PMID: 16447904 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Local anesthesia, the well-known method of sedation, usually is insufficient for dental implantation and the augmentation of the alveolar ridge, because the operations last for 1 to 2 hours and patients may experience fear and strain. This article examines a new complex sedation method using ketorolac, midazolam, and a local anesthetic 4% solution of articaine hydrochloride and epinephrine (Septanest) in combination with a vasoconstrictor. This method was applied to 67 patients operated on for dental implantation with screw implants or for the alveolar ridge augmentation with biocompatible materials. The control group, which consisted of 20 patients, received local anesthesia with articaine-epinephrine only. Most of the control patients were found to have experienced fear and strain during the aforementioned surgical procedures; their blood pressure and pulse rate increased, and more than half of them experienced pain. No disorders of hemodynamics or the psychoemotional status of the patients were observed during sedation with ketorolac, midazolam, and articaine-epinephrine. Furthermore, anterograde amnesia was determined for the 80% of the patients in the test group. |
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Authors:
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Gintaras Juodzbalys; Rimvydas Giedraitis; Vita Machiulskiene; Luc W J Huys; Ricardas Kubilius |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of oral implantology Volume: 31 ISSN: 0160-6972 ISO Abbreviation: J Oral Implantol Publication Date: 2005 |
Date Detail:
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Created Date: 2006-02-01 Completed Date: 2006-05-02 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7801086 Medline TA: J Oral Implantol Country: United States |
Other Details:
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Languages: eng Pagination: 304-8 Citation Subset: D |
Affiliation:
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Department of Maxillofacial Surgery, Kaunas University of Medicine, Lithuania. gintaras@stilusoptimus.lt |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Alveolar Ridge Augmentation* Anesthesia, Dental / methods* Anesthetics, Local / administration & dosage Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Biocompatible Materials / therapeutic use Blood Pressure / physiology Bone Substitutes / therapeutic use Carticaine / administration & dosage Conscious Sedation / methods* Dental Implantation, Endosseous* Epinephrine / administration & dosage Fear / physiology Female Guided Tissue Regeneration, Periodontal Heart Rate / physiology Humans Hypnotics and Sedatives / administration & dosage Ketorolac / therapeutic use Male Midazolam / administration & dosage Middle Aged Stress, Psychological / physiopathology Vasoconstrictor Agents / administration & dosage |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 0/Anti-Inflammatory Agents, Non-Steroidal; 0/Biocompatible Materials; 0/Bone Substitutes; 0/Hypnotics and Sedatives; 0/Vasoconstrictor Agents; 23964-58-1/Carticaine; 51-43-4/Epinephrine; 59467-70-8/Midazolam; 66635-83-4/Ketorolac |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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