Patient anxiety and IV sedation in Northern Ireland

Hunt, Orlagh; McCurley, N.; Dempster, Martin; Marley, John

doi:10.1038/sj.bdj.2011.483

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Previous studies have reported the need and demand for sedation in the United States and other countries (2,7,9,22). Tools to evaluate the need for sedation in individual patients are available, but they do not address the demands of the patient (23,24).…”

mentioning

confidence: 98%

“…Some of the benefits include adjunctive pain control (13)(14)(15), behavior management (16), reduction of the gag reflex (17), and the reduction of fear and anxiety (2,7,9,11). The use of minimal and moderate sedation in endodontic practice allows for patient cooperation during treatment such as holding a radiographic sensor or film holder, opening or closing their mouth, and changing their head position (10,18).…”

mentioning

confidence: 99%

“…Sedation has been shown to be useful in dentistry to manage a variety of patient concerns and conditions; fear and anxiety are the most common (7)(8)(9)(10)(11)(12). Some of the benefits include adjunctive pain control (13)(14)(15), behavior management (16), reduction of the gag reflex (17), and the reduction of fear and anxiety (2,7,9,11).…”

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confidence: 99%

See 2 more Smart Citations

Assessment of Patients' Awareness and Factors Influencing Patients' Demands for Sedation in Endodontics

Huh

Montagnese

Harding

et al. 2015

Journal of Endodontics

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confidence: 98%

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confidence: 99%

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Assessment of Patients' Awareness and Factors Influencing Patients' Demands for Sedation in Endodontics

Huh

Montagnese

Harding

et al. 2015

Journal of Endodontics

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“…Although intravenous sedation is recommended for reducing body movements of patients with disabilities considering its reliable sedative effect [21], regular use in patients with DADP should be avoided, owing to its psychological dependence. Although the level of DA has a stronger in uence than patient demand on the clinician's decision-making [22], there is a lack of guidance on the assessment of anxiety among patients by dentists. Few dentists can accurately evaluate the DA levels for deciding whether to use intravenous sedation.…”

Section: Discussionmentioning

confidence: 99%

Experience of Intravenous Sedation Increases Incidence of Caries in Patients With Dental Anxiety

Kawasaki¹,

Tanoue²,

Ayuse³

et al. 2021

Preprint

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ObjectivesThe aim of this study was to investigate the factors that influence the decayed, missing due to caries, and filled teeth (DMFT) index of patients with dental anxiety during dental treatment discontinuation.Materials and MethodsA total of 110 patients who complained of fear and anxiety toward dental treatments and who re-visited following treatment discontinuation were enrolled in the study. Patient and dental data considered to be related to caries were digitally collected from medical and dental records. The decayed (D), missing (M), and filled (F) scores, and the DMFT index before and after discontinuation were compared using Wilcoxon signed-rank tests, and the influential factors were evaluated using the Poisson and multiple regression analyses.ResultsThe D score and DMFT index increased significantly during the discontinuation period, and the F score decreased. There was no significant change in the M score. The change in the D score was influenced by the pre-discontinuation D score and the number of experiences of intravenous sedation, and the change in the F score was affected by the duration of treatment discontinuation, the DMFT index before discontinuation, and the number of experiences of intravenous sedation. The increase in the DMFT index was affected by the experience of intravenous sedation, the D and M scores, and the DMFT index before discontinuation.ConclusionDiscontinuation of dental treatment was proven to increase the incidence of caries in patients with dental anxiety.Clinical Relevance: Avoiding treatment discontinuation is crucial, particularly in patients treated using intravenous sedation.

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