Dental sedation by anesthesiologist or dentists: A view from Turkey

Yıl 2015, Cilt: 2 Sayı: 3, 211 - 214, 19.02.2015

Berrin Isik Mustafa Arslan Mustafa Atac Ergun Yücel

https://doi.org/10.17546/msd.57251

Öz

Background: Except conscious sedation (with nitrous oxide/oxygen), sedation of dental patient has been applied by anesthesiologists in Turkey. But little is known about Anesthesiology and Reanimation Specialist (ARS)’s and Dental Medical Doctors (DMD)’s views about who manages the dental sedation. Using a survey, Turkish ARS’s and DMD’s opinions regarding sedation of dental patients, are examined.

Methods: A questionnaire was conducted to ARS and DMD participants that are active in clinical practices in Turkey. The questionnaire consists of 5 point Likert Scale which contains the options; strongly disagree (1), disagree (2), unsure (3), agree (4), strongly agree (5) , and  it aims to evaluate the perceptions of ARS and DMD participants, about 11 statements in relation to dental sedation which is performed by DMDs.

Results: From 200 ARSs and 200 DMDs, a total of 400 questionnaires were obtained. The findings reveal that except 4.5%, most of the ARSs had performed sedation or general anesthesia for dental treatment rarely or never, and half of the ARSs strongly disagreed with the statement that DMDs can provide moderate sedation during dental treatment.

Conclusions: Many ARSs in Turkey do not perform sedation of dental patients but they suspect that DMDs are able to do it.  Sedation applications for dental treatments are real necessity for handicapped or anxious patient and children. Guidelines for education and management of the sedation should be presented to clarify who should be in charge of managing sedation of dental patients. 

Anahtar Kelimeler

Sedation, survey, dental treatment

Kaynakça

• Marks LA, Martens LA. Pharmacologic sedation in dentistry: an overview. Rev Belge Med Dent. 2003;58(4):245-56.
• Gozal D, Gozal Y. Pediatric sedation/anesthesia outside the operating room. Curr Opin Anaesthesiol 2008;21:494–8.
• An Updated Report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists Anesthesiology 2002;96:1004–17.
• Krauss B, Green SM. Procedural sedation and analgesia in children. Lancet 2006;367:766–80.
• Becker DE, Haas DA. Management of complications during moderate and deep sedation: respiratory and cardiovascular considerations. Anesth Prog. 2007;54(2):59-68.
• Günerli A. Professional and Legal Responsibilities of Anaesthesiologists, Legal Decrees, Relevant Legislation and Bylaws J Turk Anaesth Int Care 2009; 37(6):333-349.
• Chanpong B, Haas DA, Locker D. Need and demand for sedation or general anesthesia in dentistry: a national survey of the Canadian population. Anesth Prog 2005;52:3–11.
• Costa PS, Valadao WJ Jr, Costa LR. Dental sedation by dentists: a view from anesthesiologists working in central Western Brazil. Anesth Analg. 2010:1;110(1):110-4.
• Allen SC, Bernat JE, Perinpanayagam MK. Survey of sedation techniques used among pediatric dentists in New York State. N Y State Dent J. 2006;72(5):53-5.
• Paterson SA, Tahmassebi JF. Paediatric dentistry in the new millennium: Use of inhalation sedation in paediatric dentistry. Dent Update. 2003;30(7):350-6, 358.
• Hicks CG, Jones JE, Saxen MA, Maupome G, Sanders BJ, Walker LA, Weddell JA, Tomlin A. Demand in pediatric dentistry for sedation and general anesthesia by dentist anesthesiologists: a survey of directors of dentist anesthesiologist and pediatric dentistry residencies. Anesth Prog. 2012;59(1):3-11.
• Allen SC, Bernat JE, Perinpanayagam MK. Survey of Sedation Techniques used Among Pediatric Dentists in New York State. N Y State Dent J. 2006;72(5):53-5.
• ASA guidelines: Basic Anesthetic Monitoring http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.
• ASA Guidelines: Continuum Depth of Sedation. http://www.asahq.org/For-Members/Standards-and-Guidelines.
• American Academy of Pediatric Dentistry. Guidelines on use of anesthesia personnel in the administration of office-based deep sedation/general anesthesia to the pediatric dental patient. Reference Manual. 2009–10;31(6):169–171.
• Hallonsten A.L., Jensen B., Raadal M., Veerkamp J., Hosey M.T., Poulsen S.. EAPD European Academy of Paediatric Dentistry: Guidelines on Sedation in Paediatric Dentistry. http://www.eapd.gr/dat/5CF03741/file.pdf.
• Boynes SG, Moore PA, Tan PM Jr, Zovko J. Practice characteristics among dental anesthesia providers in the United States. Anesth Prog. 2010;57(2):52-8.
• Olabi NF, Jones JE, Saxen MA, Sanders BJ, Walker LA, Weddell JA, Schrader SM, Tomlin AM. The use of office-based sedation and general anesthesia by board certified pediatric dentists practicing in the United States. Anesth Prog. 2012;59(1):12-7.
• Flick WG, Katsnelson A, Alstrom H. Illinois dental anesthesia and sedation survey for 2006. Anesth Prog. 2007;54(2):52-8.
• Moore PA, Boynes SG, Cuddy MA, Giovannitti JA Jr, Zovko J. Educational experiences and preparedness in dental anesthesia: five-year outcome assessment and conclusions. J Dent Educ. 2009;73(12):1379-86.
• Moore PA, Nahouraii HS, Zovko JG, Wisniewski SR. Dental therapeutic practice patterns in the U.S. I. Anesthesia and sedation. Gen Dent. 2006;54(2):92-8.
• American Dental Association. Guidelines for teaching pain control and sedation to dentists and dental students, as adopted by the October 2007 ADA House of Delegates. www.ada.org/prof/resources/positions/statements/anxiety_guidelines.pdf