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Dentistry, Dentist, and Anesthesia

Dentistry, Dentist, and Anesthesia. (Wells). Horace Wells William TG Morton William Halstead Niels Jorgensen Amer Dental Society of Anesthesiology Amer Society of Dentist Anesthesiology. (Halstead). Why Is Dentistry Concerned With Anesthesia?. Anesthesia = Greek

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Dentistry, Dentist, and Anesthesia

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  1. Dentistry, Dentist, and Anesthesia (Wells) • Horace Wells • William TG Morton • William Halstead • Niels Jorgensen • Amer Dental Society of Anesthesiology • Amer Society of Dentist Anesthesiology (Halstead)

  2. Why Is Dentistry Concerned With Anesthesia? Anesthesia = Greek An = without aesthesis = sensation • Dentistry is concerned with pain and anxiety relief before, during, and after the procedure

  3. Local Anesthesia • Amides vs Esthers • Common Property: Block Na entry at start of AP Main Difference: Onset & DOA • Newest Local : ARTICANE • DOA ¼ as xylo • 4% solution • Fast on & off • Good for deep bone penetration • May work well in “difficult” patients • Reports of persistent unexplained paresthesia, dysesthesia, & allodynia

  4. Sedation • Anxiolysis • - only conscious sedation • - Patient awake, responds to commands • - Anxiety decreases • Conscious Sedation • - Minimal depressed L.O.C. • - Anxiety decreases • - Maintain own airway • - Respond to verbal & physical stimuli • Deep Sedation • - Depressed LOC • - Patient not responsive to verbal & physical stimuli • - Need AW assistance

  5. Oral Sedation • Benefits: • Acceptable • Low Cost • Safe • Drawbacks: • Variable reaction • Inability to titrate • Prolonged D.O.A. • Limited & variable effectiveness GA: 18 hrs didactic; 20 documented patient cases; permit

  6. Common Oral Sedation Agents

  7. Intravenous Sedation • Drawbacks • Skill Set • Increased liability • Benefits • Quick on & off • Titrate • Predictable • Safe & inexpensive GA: 60 hrs didactic; 20 clinical cases; permit; equipment; site visit

  8. Common IV Sedation Agents

  9. General Anesthesia • Patient is unconscious, unresponsive, and is unable to perceive or respond to stimuli

  10. Nitrous Oxide (N O) 2 • Joseph Priestly 1775 • Will not General Anesthesia • Will mild pain relief • Drawbacks • Disorientation, blurred vision, variability • Î pain threshold, hallucinations • Benefits • Onset is swift & potent • No long-term effects

  11. Why Offer Sedation In Your Practice? • 10 – 15% of patients are afraid to go to the dentist • 30% of people avoid dentist because of fear • Sedation dentistry will set your practice apart • Sedation dentistry gives the patient an option • Sedation dentistry can increase net income • 5,000 patients seek out Sedation dentistry per week in the USA

  12. How To Make Sedation Dentistry Happen In Your Practice Get An Education Prepare the Office Marketing Follow Through

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