Modern sedative agents and techniques used in dentistry for patients with special needs: A review

Yang, Ruijia; Zhao, Rusin; Chaudry, Fatima; Wang, Tao; Brunton, Paul; Khurshid, Zohaib; Ratnayake, Jithendra

doi:10.1016/j.jtumed.2023.10.004

Cited by 3 publications

(4 citation statements)

References 75 publications

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“…Administered via inhalation, N 2 O boasts rapid onset and clearance, facilitating safe sedation and prompt recovery postprocedure. Its flexibility allows for a combination of oxygen and titration according to individual patient response, thus delivering effective anxiolysis and analgesia within mild to moderate sedation [45]. Ketamine, a dissociative anesthetic agent, is widely employed for dental sedation, functioning by inhibiting the release of the NMDA neurotransmitter glutamine.…”

Section: Emerging Sedation Agents and Alternative Approachesmentioning

confidence: 99%

“…Ketamine, a dissociative anesthetic agent, is widely employed for dental sedation, functioning by inhibiting the release of the NMDA neurotransmitter glutamine. Distinguished by its unique mechanism of action, ketamine finds utility in various medical settings, including dentistry, owing to its efficacy in inducing sedation [45].…”

Section: Emerging Sedation Agents and Alternative Approachesmentioning

confidence: 99%

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Evaluating Sedation Strategies for Magnetic Resonance Imaging: A Comprehensive Review of Intravenous Fentanyl, Butorphanol, and Midazolam in Adult and Pediatric Populations

Verma,

Dahake

2024

Cureus

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Magnetic resonance imaging (MRI) is a critical diagnostic tool that often requires patient sedation to ensure optimal image quality and patient comfort, particularly in those with anxiety or an inability to remain still. This comprehensive review examines the efficacy, safety, and practical considerations of three commonly used intravenous sedatives, namely, fentanyl, butorphanol, and midazolam, in adult populations undergoing MRI procedures. This review highlights the pharmacological profiles, advantages, and limitations associated with each sedative agent through a detailed analysis of current literature, clinical guidelines, and practice-based evidence. Fentanyl is noted for its potent analgesic properties and rapid onset of action, making it suitable for painful procedures. Butorphanol, with its unique opioid agonist-antagonist activity, presents an alternative with a balance between analgesia and sedation, potentially offering a safer profile for certain patient populations. Midazolam, widely recognized for its anxiolytic and amnestic effects, remains a staple in managing procedure-related anxiety. The review further discusses patient selection criteria, dosing strategies, and the importance of individualized sedation planning to enhance patient experience and procedural outcomes. Future directions highlight the potential of emerging sedation agents and non-pharmacological approaches to improve patient comfort and compliance. The findings underscore the necessity for healthcare providers to adapt sedation practices to the specific needs of each patient, considering both the clinical context and the inherent characteristics of the sedative agents. This review aims to guide clinicians in selecting the most appropriate sedation strategy for adult patients undergoing MRI, optimizing patient care and diagnostic efficacy.

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Section: Emerging Sedation Agents and Alternative Approachesmentioning

confidence: 99%

Section: Emerging Sedation Agents and Alternative Approachesmentioning

confidence: 99%

Evaluating Sedation Strategies for Magnetic Resonance Imaging: A Comprehensive Review of Intravenous Fentanyl, Butorphanol, and Midazolam in Adult and Pediatric Populations

Verma,

Dahake

2024

Cureus

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“…Reduzir o nível de ansiedade e dor em pacientes infantis com deficiências submetidos a procedimentos odontológicos tem sido um problema para os cirurgiões-dentistas. A maioria dos pacientes pode ser tratada usando métodos convencionais de manejo comportamental, contudo, embora as técnicas comportamentais possam ser úteis na redução da ansiedade, há uma parte dos pacientes pediátricos com deficiência que não é capaz de tolerar procedimentos odontológicos e pode necessitar de abordagens alternativas, como uso de sedativos como as benzodiazepinas, sedação com óxido nitroso e oxigênio ou anestesia geral (Ferrazzano et al 2020;Gómez-Ríos et al 2023;Yang et al 2023).…”

Section: Introductionunclassified

“…Um resumo da classificação é fornecido no Quadro 4. A literatura tem sugerido que pacientes classificados como ASA I ou II são candidatos aceitáveis para sedação, mas que aqueles em categorias superiores devem ser tratados em instalações hospitalares(Yang et al 2023). Classificação das comorbidades pré-operatórias do paciente da American Society of Anesthesiology.…”

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Sedação em crianças com deficiências no âmbito Odontológico

Nascimento,

Silva,

Medeiros

et al. 2024

RSD

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Objetivos: Com base na dificuldade e na grande demanda do atendimento odontológico para crianças com deficiência, o objetivo dessa revisão é analisar a literatura acerca das técnicas e substâncias sedativas mais utilizada e disponíveis para a condução do manejo odontológico. Metodologia: Para este estudo foi realizado uma busca nos bancos de dados da Bireme, Scielo e PubMed utilizando os descritores “crianças com deficiência”, “sedação consciente”, “odontopediatria”, “conscious sedation”, “disabled patients”, “sedation”, “pediatric dentistry”, “children with disabilities” associados ao operador booleano AND. Os artigos selecionados para compor o presente trabalho foram os publicados no período de 2015 a 2024 de maior relevância. Resultados e Discussão: De maneira geral, com base nos estudos analisados, a sedação é uma técnica com bons resultados em pacientes infantis com deficiência. O óxido nitroso, por suas características, tem sido sugerido como uma boa alternativa ao uso da anestesia geral. Dentre os benzodiazepínicos, o midazolam apresenta melhor farmacocinética e aceitação. Conclusão: Atender uma criança com deficiência é desafiador, é importante destacar a necessidade de conhecimento e um maior preparo profissional do cirurgião-dentista e da equipe envolvida.

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Personalized approaches: Dental implants in dentistry for patients with special needs

Teles,

Dallepiane,

Pacheco

et al. 2024

Oral Surgery

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Modern sedative agents and techniques used in dentistry for patients with special needs: A review

Cited by 3 publications

References 75 publications

Evaluating Sedation Strategies for Magnetic Resonance Imaging: A Comprehensive Review of Intravenous Fentanyl, Butorphanol, and Midazolam in Adult and Pediatric Populations

Evaluating Sedation Strategies for Magnetic Resonance Imaging: A Comprehensive Review of Intravenous Fentanyl, Butorphanol, and Midazolam in Adult and Pediatric Populations

Sedação em crianças com deficiências no âmbito Odontológico

Personalized approaches: Dental implants in dentistry for patients with special needs

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