| Autor: |
Boynton, C., Harford, S., Spence, S. |
| Předmět: |
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| Zdroj: |
SAAD Digest; 2024, Vol. 40 Issue 1, p28-32, 5p |
| Abstrakt: |
Conscious sedation using midazolam can be an effective primary care dental treatment modality for patients with both dental anxiety and additional needs. This retrospective service evaluation aims to assess the efficacy of conscious sedation with midazolam in a new special care primary dental service, by identifying whether midazolam provided operating conditions sufficient to allow planned dental treatment to be completed. Individual electronic records of patients treated with conscious sedation with midazolam by the West Dorset Special Care Primary Care Dental Service during the first nine months were examined. Efficacy of midazolam was evaluated using patient sedation scores and operating conditions. Planned treatment was successfully completed in 37 out of the 41 appointments (90%). Four patients were unable to have treatment carried out for reasons including cannulation refusal, suboptimal co-operation and vomiting. This study demonstrates that delivering dentist-led conscious sedation with midazolam in a primary care setting is a highly effective, costefficient alternative to general anaesthesia for a range of patients with anxiety and I or additional needs, and has significant potential to reduce wait times. However, the technique requires appropriately trained staff, careful patient selection together with suitable premises and equipment in line with evidence-based national policy and guidelines. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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