Document Detail


New method of sedation in oral surgery.
MedLine Citation:
PMID:  16447904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gintaras Juodzbalys; Rimvydas Giedraitis; Vita Machiulskiene; Luc W J Huys; Ricardas Kubilius
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of oral implantology     Volume:  31     ISSN:  0160-6972     ISO Abbreviation:  J Oral Implantol     Publication Date:  2005  
Date Detail:
Created Date:  2006-02-01     Completed Date:  2006-05-02     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7801086     Medline TA:  J Oral Implantol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  304-8     Citation Subset:  D    
Affiliation:
Department of Maxillofacial Surgery, Kaunas University of Medicine, Lithuania. gintaras@stilusoptimus.lt
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MeSH Terms
Descriptor/Qualifier:
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:
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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