The Establishment of an Intravenous Conscious Sedation Service for Adult Patients in a Primary Dental Care Setting Rebecca SL Binnie Nigel D Robb Sarah L Manton Stephen J Bonsor Dental Update 2024 47:1, 707-709.
Authors
Rebecca SLBinnie
BDS, DPDS, GDP
The Dental Practice, 21 Rubislaw Terrace, Aberdeen; Clinical Lecturer (Scholarship), Institute of Dentistry, University of Aberdeen
BDS(Hons) MSc FHEA FDS RCPS(Glasg) FDFTEd FCGDent GDP
The Dental Practice, 21 Rubislaw Terrace, Aberdeen; Hon Senior Clinical Lecturer, Institute of Dentistry, University of Aberdeen; Online Tutor/Clinical Lecturer, University of Edinburgh, UK.
Dental anxiety is common within the population and can detrimentally affect the delivery of dental care for those patients affected. Non-pharmacological-based behaviour management techniques are available to the clinician but may not be sufficient or applicable for every patient. In such cases, intravenous conscious sedation with midazolam has been demonstrated to be safe, effective and well tolerated. The present article reviews the criteria and guidance which must be addressed by the dental team when establishing an intravenous conscious sedation service in a primary dental care setting.
CPD/Clinical Relevance: General dental practitioners may wish to consider establishing a conscious sedation service in their practices to facilitate the care of nervous patients or those undergoing prolonged, unpleasant treatments such as surgical procedures. The present paper aims to highlight the considerations which require to be addressed in order to establish such a service for adult patients using intravenous midazolam.
Article
The incidence of dental fear and anxiety is consistent worldwide.1 Although the United Kingdom (UK) was ranked second amongst European countries for the percentage of adults most likely to visit their dentist for an examination, almost half of UK adults have a fear of dental treatment, with 12% experiencing extreme and disabling anxiety.2 Acute dental fear has many effects on the delivery of dental care. Those exhibiting high levels of anxiety are less likely to attend and more likely to cancel appointments, exhibit poorer oral health and be more challenging to treat. In addition, they are often unable to give full valid consent.1,3, 4, 5 It is therefore imperative that effective anxiety management is provided for such patients.
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