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DİŞ HEKİMLİĞİNDE SEDASYON

Yıl 2021, Cilt: 10 Sayı: 3, 150 - 158, 20.09.2021

Berrin Işık

Öz

Lokal anestezi, sedasyon ve genel anestezi diş hekimliği uygulamalarında önemli bir yer tutmaktadır. Dental işlemler büyük oranda lokal anestezi altında gerçekleştirilse de giderek artan sayıda tedavi işlemi sedasyon veya genel anestezi altında yapılmaktadır. Bu durum; tıp, diş hekimliği ve teknolojide yaşanan gelişmelerle daha kompleks işlemlerin yapılmasına imkan doğması yanı sıra, başta korku ve kaygının kontrolü olmak üzere hasta konforunu artırma çabasından da kaynaklanmaktadır.
Diş hekimliği uygulamalarında sedasyon tüm dünyada giderek artan sayıda araştırmaya ve uygulamaya konu olmakla birlikte olası komplikasyonlar açısından ciddi eleştirilere de maruz kalmaktadır. Bu da sedasyon uygulayıcılarının yeterli donanıma sahip olmasını zorunlu kılmaktadır.
Bu derlemede dental tedaviler için uygulanan sedasyon konusunda anesteziyoloji ve reanimasyon uzmanı perspektifinden, deneyimler ışığında, güncel literatür bilgilerinin sunulması hedeflenmiştir.

Anahtar Kelimeler

Sedasyon Diş hekimliği Anesteziyoloji

Destekleyen Kurum

Yoktur

Kaynakça

  • Kaynaklar 1-Işık Berrin (Ed), Anestezi Pratiğinde Sedasyon. Diş hekimliği Uygulamalarında Sedasyon Ergüven S, Arpacı H, Işık B. Sayfa 385-404. Akademisyen yayınevi, Ankara 2019
  • 2-Malamed S. A Guide to Patient Management, Sedation. 5th Edition ISBN: 9780323056809. Mosby, 2009
  • 3-Ergüven SS, Işık B . Diş Hekimliğinde Bilinçli Sedasyon. ADO Klinik Bilimler Dergisi. 2010; 4(3): 675-682.
  • 4-Skelly M, Craig D. Sedaton for dental procedures. Anaesthesia & intensive care medicine 2005; 6(8): 255-257.
  • 5-Baygın Ö., Işık B. Çocuk Diş Hekimliğinde Nitröz Oksit/Oksijen Sedasyonu. Hacettepe Diş Hekimliği Fakültesi Dergisi. 2010:34;(1-2): Sayfa: 53-61.
  • 6-Cravero JP, Blike GT. Review of pediatric sedaton. Anesth Analg. 2004 ;99(5):1355-64.
  • 7-Işık B , Tulunoğlu Ö . Pedodonti kliniğinde sedasyon ünitesi oluşturulmasında kalite çemberleri yönteminin etkinliğinin değerlendirilmesi. Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2007; 24(1): 31-36.
  • 8-T.C. Sağlık Bakanlığı, Kamu Hastaneleri Genel Müdürlüğü, İstatistik, Analiz ve Raporlama Daire Başkanlığı, Genel Sağlık İstatistikleri, Ağız ve Diş Sağlığı Kurum İstatistikleri.
  • 9-Wilson S, Creedon RL, George M, Troutman K. A history of sedation guidelines: where we are headed in the future. Pediatr Dent. 1996 May-Jun;18(3):194-9. PMID: 8784908.
  • 10-Carol J. Peden, Sara-Catrin Cook, Sedation for dental and other procedures, Anaesthesia & Intensive Care Medicine. 2014;15(8):362-365.
  • 11-Watt, R., Serban, S. Multimorbidity: a challenge and opportunity for the dental profession. Br Dent J 2020; 229:282–286.
  • 12-Bahn EL, Holt KR. Procedural sedation and analgesia: a review and new concepts. Emergency Medicine Clinics of North America. 2005;23(2):503-517.
  • 13-American Academy of Pediatric Dentists (AAPD). Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update. Developed through a collaborative effort between the American Academy of Pediatrics and the AAPD.
  • 14-American Academy of Periodontology (AAP). Guidelines: In-Office Use of Conscious Sedation in Periodontics.
  • 15-American Dental Association Council on Scientific Affairs. Acceptance Program Guidelines: Nitrous Oxide-Oxygen Conscious Sedation Systems, 2000.
  • 16-American Association of Oral and Maxillofacial Surgeons (AAOMS). Parameters and Pathways: Clinical Practice Guidelines for Oral and Maxillofacial Surgery (AAOMS ParPath o1) Anesthesia in Outpatient Facilities.
  • 17-American Association of Oral and Maxillofacial Surgeons (AAOMS). Office Anesthesia Evaluation Manual 7th Edition.
  • 18-American Society of Anesthesiologist (ASA). Practice Guidelines for Preoperative Fasting and the Use of Pharmacological Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures.
  • 19-American Society of Anesthesiologists (ASA). Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists.
  • 20-Commission on Dental Accreditation (CODA). Accreditation Standards for Predoctoral and Advanced Dental Education Programs.
  • 21-National Institute for Occupational Safety and Health (NIOSH). Controlling Exposures to Nitrous Oxide During Anesthetic Administration (NIOSH Alert: 1994 Publication No. 94-100).
  • 22-Paul R. Knight, Douglas R. Bacon; An Unexplained Death: Hannah Greener and Chloroform. Anesthesiology 2002; 96:1250–1253.
  • 23-Dionne, Raymond A.; Yagiela, John A., et al. Balancing efficacy and safety in the use of oral sedation in dental outpatients. JADA 2006;137(4):502-13.
  • 24-Lee, H.H., Milgrom, P., Starks, H. and Burke, W. Trends in death associated with pediatric dental sedation and general anesthesia. Paediatr Anaesth. 2013;23: 741-746.
  • 25-https://www.asahq.org/standards-and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedationanalgesia
  • 26-https://www.asahq.org/standards-and-guidelines/statement-of-granting-privileges-for-administration-of-moderate-sedation-to-practitioners
  • 27-Delfiner A, Myers A, Lumsden C, Chussid S, Yoon R. Characteristics and Associated Comorbidities of Pediatric Dental Patients Treated under General Anesthesia. The Journal of Clinical Pediatric Dentistry. 2017;41(6):482-485.
  • 28-Clewett JA. Dental sedation. Br Dent J. 2004;14;197(3):113.
  • 29-Corcuera-Flores JR, Silvestre-Rangil J, Cutando-Soriano A, López-Jiménez J. Current methods of sedation in dental patients - a systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2016;1;21(5):e579-86.
  • 30-Melloni C., Safety of Conscious Sedation/Analgesia for Dentistry; A Comparison of Midazolam/Fentanyl Vs Promazine/Meperidine. Dent Res Oral Health 2021; 4(1): 001-011.
  • 31-Ergüven SS, Delilbaşi EA, Işık B, Öktem F. The effects of conscious sedation with nitrous oxide/oxygen on cognitive functions. Turk J Med Sci. 2016;23;46(4):997-1003.
  • 32-Baygin O, Bodur H, Isik B. Effectiveness of premedication agents administered prior to nitrous oxide/oxygen. Eur J Anaesthesiol. 2010 Apr;27(4):341-6.
  • 33-Işik B, Tüzüner T, Tezkirecioglu M, Oztaş N. Nitrous oxide sedation and bispectral index. Eur J Dent. 2007;1(4):240-5.
  • 34-Duncan GH, Moore P. Nitrous oxide and the dental patient: a review of adverse reactions. J Am Dent Assoc. 1984;108(2):213-9. 35-Waite PD, Ballard JB, Yonfa A. Malignant hyperthermia in a patient receiving nitrous oxide. J Oral Maxillofac Surg. 1985;43(11):907-9.
  • 36-Edgington TL, Muco E, Maani CV. Sevoflurane. 2020 Jun 22. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021:PMID: 30521202.
  • 37-Olkkola KT, Ahonen J. Midazolam and other benzodiazepines. Handb Exp Pharmacol. 2008;(182):335-60.
  • 38-Isik, B., Baygin, Ö. & Bodur, H. Effect of drinks that are added as flavoring in oral midazolam premedication on sedation success. Pediatric Anesthesia. 2008:18: 494-500.
  • 39-Corcuera-Flores JR, Silvestre-Rangil J, Cutando-Soriano A, López-Jiménez J. Current methods of sedation in dental patients - a systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2016;21(5):e579-86.
  • 40-Oh S, Kingsley K. Efficacy of Ketamine in Pediatric Sedation Dentistry: A Systematic Review. Compend Contin Educ Dent. 2018;39(5):e1-e4. PMID: 29714490.
  • 41-Poonai N, Canton K, Ali S, Hendrikx S, Shah A, Miller M, Joubert G, Rieder M, Hartling L. Intranasal ketamine for procedural sedation and analgesia in children: A systematic review. PLoS One. 2017 Mar 20;12(3):e0173253.
  • 42-Walsh CT. Propofol: Milk of Amnesia. Cell. 2018;175(1):10-13.
  • 43-Scholz J, Steinfath M, Schulz M. Clinical pharmacokinetics of alfentanil, fentanyl and sufentanil. An update. Clin Pharmacokinet. 1996;31(4):275-92.
  • 44-Ashley PF, Chaudhary M, Lourenço-Matharu L. Sedation of children undergoing dental treatment. Cochrane Database Syst Rev. 2018;12(12):CD003877.
  • 45-Bhatt M, Cheng W, Roback MG, Johnson DW, Taljaard M; Sedation Safety Study Group of Pediatric Emergency Research Canada (PERC). Impact of Timing of Preprocedural Opioids on Adverse Events in Procedural Sedation. Acad Emerg Med. 2020;(3):217-227.
  • 46-Arpaci AH, Isik B. Pediatric tooth extractions under sedoanalgesia. Pak J Med Sci. 2016;32(5):1291-1295.
  • 47-Kılınç Y, Işık B. Dental treatment of a patient with central sleep apnea and phobic anxiety under sedation: report of a case and clinical considerations. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;14(5):e9-11.
  • 48-Işık B. (Ed), Anestezi Pratiğinde Sedasyon (In), Kurtipek Ö. Sedasyon ve Hukuki Sorumluluklar. Akademisyen Kitabevi, 2018, pp.127-136.

Yıl 2021, Cilt: 10 Sayı: 3, 150 - 158, 20.09.2021

Berrin Işık

Öz

Local anesthesia, sedation and general anesthesia have an important place in dentistry practices. Although dental procedures generally performes with local anesthesia but underwent sedation or general anesthesia is getting increase. This situation derived from the development of medicine, dentistry and technology enables more complex procedures to be performed, as well as the effort to increase patient comfort, primarily the control of fear and anxiety. This requires sedation practitioners to have adequate training.
Although sedation is the subject of an increasing number of studies and applications all over the world, it is also exposed to serious criticism in terms of possible complications. This requires sedation practitioners to have adequate training and equipment.
In this article, it is aimed to present current literature about sedation for dental treatments, from the perspective of anesthesiology and reanimation specialists in the light of experiences.

Anahtar Kelimeler

Sedation

Kaynakça

  • Kaynaklar 1-Işık Berrin (Ed), Anestezi Pratiğinde Sedasyon. Diş hekimliği Uygulamalarında Sedasyon Ergüven S, Arpacı H, Işık B. Sayfa 385-404. Akademisyen yayınevi, Ankara 2019
  • 2-Malamed S. A Guide to Patient Management, Sedation. 5th Edition ISBN: 9780323056809. Mosby, 2009
  • 3-Ergüven SS, Işık B . Diş Hekimliğinde Bilinçli Sedasyon. ADO Klinik Bilimler Dergisi. 2010; 4(3): 675-682.
  • 4-Skelly M, Craig D. Sedaton for dental procedures. Anaesthesia & intensive care medicine 2005; 6(8): 255-257.
  • 5-Baygın Ö., Işık B. Çocuk Diş Hekimliğinde Nitröz Oksit/Oksijen Sedasyonu. Hacettepe Diş Hekimliği Fakültesi Dergisi. 2010:34;(1-2): Sayfa: 53-61.
  • 6-Cravero JP, Blike GT. Review of pediatric sedaton. Anesth Analg. 2004 ;99(5):1355-64.
  • 7-Işık B , Tulunoğlu Ö . Pedodonti kliniğinde sedasyon ünitesi oluşturulmasında kalite çemberleri yönteminin etkinliğinin değerlendirilmesi. Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2007; 24(1): 31-36.
  • 8-T.C. Sağlık Bakanlığı, Kamu Hastaneleri Genel Müdürlüğü, İstatistik, Analiz ve Raporlama Daire Başkanlığı, Genel Sağlık İstatistikleri, Ağız ve Diş Sağlığı Kurum İstatistikleri.
  • 9-Wilson S, Creedon RL, George M, Troutman K. A history of sedation guidelines: where we are headed in the future. Pediatr Dent. 1996 May-Jun;18(3):194-9. PMID: 8784908.
  • 10-Carol J. Peden, Sara-Catrin Cook, Sedation for dental and other procedures, Anaesthesia & Intensive Care Medicine. 2014;15(8):362-365.
  • 11-Watt, R., Serban, S. Multimorbidity: a challenge and opportunity for the dental profession. Br Dent J 2020; 229:282–286.
  • 12-Bahn EL, Holt KR. Procedural sedation and analgesia: a review and new concepts. Emergency Medicine Clinics of North America. 2005;23(2):503-517.
  • 13-American Academy of Pediatric Dentists (AAPD). Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update. Developed through a collaborative effort between the American Academy of Pediatrics and the AAPD.
  • 14-American Academy of Periodontology (AAP). Guidelines: In-Office Use of Conscious Sedation in Periodontics.
  • 15-American Dental Association Council on Scientific Affairs. Acceptance Program Guidelines: Nitrous Oxide-Oxygen Conscious Sedation Systems, 2000.
  • 16-American Association of Oral and Maxillofacial Surgeons (AAOMS). Parameters and Pathways: Clinical Practice Guidelines for Oral and Maxillofacial Surgery (AAOMS ParPath o1) Anesthesia in Outpatient Facilities.
  • 17-American Association of Oral and Maxillofacial Surgeons (AAOMS). Office Anesthesia Evaluation Manual 7th Edition.
  • 18-American Society of Anesthesiologist (ASA). Practice Guidelines for Preoperative Fasting and the Use of Pharmacological Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures.
  • 19-American Society of Anesthesiologists (ASA). Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists.
  • 20-Commission on Dental Accreditation (CODA). Accreditation Standards for Predoctoral and Advanced Dental Education Programs.
  • 21-National Institute for Occupational Safety and Health (NIOSH). Controlling Exposures to Nitrous Oxide During Anesthetic Administration (NIOSH Alert: 1994 Publication No. 94-100).
  • 22-Paul R. Knight, Douglas R. Bacon; An Unexplained Death: Hannah Greener and Chloroform. Anesthesiology 2002; 96:1250–1253.
  • 23-Dionne, Raymond A.; Yagiela, John A., et al. Balancing efficacy and safety in the use of oral sedation in dental outpatients. JADA 2006;137(4):502-13.
  • 24-Lee, H.H., Milgrom, P., Starks, H. and Burke, W. Trends in death associated with pediatric dental sedation and general anesthesia. Paediatr Anaesth. 2013;23: 741-746.
  • 25-https://www.asahq.org/standards-and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedationanalgesia
  • 26-https://www.asahq.org/standards-and-guidelines/statement-of-granting-privileges-for-administration-of-moderate-sedation-to-practitioners
  • 27-Delfiner A, Myers A, Lumsden C, Chussid S, Yoon R. Characteristics and Associated Comorbidities of Pediatric Dental Patients Treated under General Anesthesia. The Journal of Clinical Pediatric Dentistry. 2017;41(6):482-485.
  • 28-Clewett JA. Dental sedation. Br Dent J. 2004;14;197(3):113.
  • 29-Corcuera-Flores JR, Silvestre-Rangil J, Cutando-Soriano A, López-Jiménez J. Current methods of sedation in dental patients - a systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2016;1;21(5):e579-86.
  • 30-Melloni C., Safety of Conscious Sedation/Analgesia for Dentistry; A Comparison of Midazolam/Fentanyl Vs Promazine/Meperidine. Dent Res Oral Health 2021; 4(1): 001-011.
  • 31-Ergüven SS, Delilbaşi EA, Işık B, Öktem F. The effects of conscious sedation with nitrous oxide/oxygen on cognitive functions. Turk J Med Sci. 2016;23;46(4):997-1003.
  • 32-Baygin O, Bodur H, Isik B. Effectiveness of premedication agents administered prior to nitrous oxide/oxygen. Eur J Anaesthesiol. 2010 Apr;27(4):341-6.
  • 33-Işik B, Tüzüner T, Tezkirecioglu M, Oztaş N. Nitrous oxide sedation and bispectral index. Eur J Dent. 2007;1(4):240-5.
  • 34-Duncan GH, Moore P. Nitrous oxide and the dental patient: a review of adverse reactions. J Am Dent Assoc. 1984;108(2):213-9. 35-Waite PD, Ballard JB, Yonfa A. Malignant hyperthermia in a patient receiving nitrous oxide. J Oral Maxillofac Surg. 1985;43(11):907-9.
  • 36-Edgington TL, Muco E, Maani CV. Sevoflurane. 2020 Jun 22. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021:PMID: 30521202.
  • 37-Olkkola KT, Ahonen J. Midazolam and other benzodiazepines. Handb Exp Pharmacol. 2008;(182):335-60.
  • 38-Isik, B., Baygin, Ö. & Bodur, H. Effect of drinks that are added as flavoring in oral midazolam premedication on sedation success. Pediatric Anesthesia. 2008:18: 494-500.
  • 39-Corcuera-Flores JR, Silvestre-Rangil J, Cutando-Soriano A, López-Jiménez J. Current methods of sedation in dental patients - a systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2016;21(5):e579-86.
  • 40-Oh S, Kingsley K. Efficacy of Ketamine in Pediatric Sedation Dentistry: A Systematic Review. Compend Contin Educ Dent. 2018;39(5):e1-e4. PMID: 29714490.
  • 41-Poonai N, Canton K, Ali S, Hendrikx S, Shah A, Miller M, Joubert G, Rieder M, Hartling L. Intranasal ketamine for procedural sedation and analgesia in children: A systematic review. PLoS One. 2017 Mar 20;12(3):e0173253.
  • 42-Walsh CT. Propofol: Milk of Amnesia. Cell. 2018;175(1):10-13.
  • 43-Scholz J, Steinfath M, Schulz M. Clinical pharmacokinetics of alfentanil, fentanyl and sufentanil. An update. Clin Pharmacokinet. 1996;31(4):275-92.
  • 44-Ashley PF, Chaudhary M, Lourenço-Matharu L. Sedation of children undergoing dental treatment. Cochrane Database Syst Rev. 2018;12(12):CD003877.
  • 45-Bhatt M, Cheng W, Roback MG, Johnson DW, Taljaard M; Sedation Safety Study Group of Pediatric Emergency Research Canada (PERC). Impact of Timing of Preprocedural Opioids on Adverse Events in Procedural Sedation. Acad Emerg Med. 2020;(3):217-227.
  • 46-Arpaci AH, Isik B. Pediatric tooth extractions under sedoanalgesia. Pak J Med Sci. 2016;32(5):1291-1295.
  • 47-Kılınç Y, Işık B. Dental treatment of a patient with central sleep apnea and phobic anxiety under sedation: report of a case and clinical considerations. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;14(5):e9-11.
  • 48-Işık B. (Ed), Anestezi Pratiğinde Sedasyon (In), Kurtipek Ö. Sedasyon ve Hukuki Sorumluluklar. Akademisyen Kitabevi, 2018, pp.127-136.
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Editörden
Yazarlar

Berrin Işık 0000-0002-0420-6589

Yayımlanma Tarihi 20 Eylül 2021
Gönderilme Tarihi 2 Temmuz 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 10 Sayı: 3

Kaynak Göster

Vancouver Işık B. DİŞ HEKİMLİĞİNDE SEDASYON. ADO Klinik Bilimler Dergisi. 2021;10(3):150-8.
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