Conscious sedation and possibilities for its application in oral surgery

Nikolovski, Bruno (2022) Conscious sedation and possibilities for its application in oral surgery. In: 9th Congress of the Macedonian Dental Society with International participation / 9ти Конгрес на Македонско Стоматолошко Друштво со меѓународно учество, 15-18 Sept 2022, Ohrid.

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Abstract

Managing pain and anxiety is of paramount importance in dentistry. 10 to 30% of adults and children may have some form of dental fear or anxiety. Patient anxiety has always been a major problem in dental offices. We, the dentists, are in lack of expertise in providing control over our patients' anxiety and pain. Although anxiety and pain can be managed with psychological techniques, in many cases a pharmacological approach is required.
Today, there is a wide range of techniques and medications for sedation and anesthesia, which depending on the preference and experience of the anesthesia provider, can achieve the desired effect by oral, inhaler, intramuscular or intravenous administration.
The technique in which low concentrations of nitrogen oxide (N2O) are titrated with oxygen has been used for over 130 years (since 1889) in many countries (USA, UK, Australia and Scandinavia) and is recog-nized as clinically successful, safe and cost effective technique com-pared to general anesthesia.
Properly applied, by trained and accredited dentists, with well-maintained equipment, this technique has an extremely high success rate and must be included in the practice protocol as a basic tool for managing pain and anxiety in patients undergoing dental treatment in dental offices.
In this lecture, we will focus on the evaluation of N2O in overcoming anxiety and pain in patients during the most common oral surgery procedures, as well as its advantages and disadvantages, indications and contraindications.

Item Type:	Conference or Workshop Item (Lecture)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	19 Oct 2022 11:36
Last Modified:	19 Oct 2022 11:36
URI:	https://eprints.ugd.edu.mk/id/eprint/30260

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