This is the first book devoted to the oral sedation of children in the dental office in order to facilitate their dental care. Written by well-respected and recognized leaders, educators, clinicians and researchers in the field of sedation, it reflects the latest evidenced-based practice and clinical expertise, provides guidance and offers an abundance of consistent and helpful tips. The book is structured to cover the various key elements that must be considered when attempting to provide safe sedation for children undergoing dental procedures. Topics addressed include, among others, patient assessment, drug selection, protocol steps, emergency management, and the most up-to-date guidelines. The contents of each chapter are focused to match the specific concerns associated with the pediatric patient.
This is the first book devoted to the oral sedation of children in the dental office in order to facilitate their dental care.
Author: Stephen Wilson
This clinical handbook is a complete guide to the use of nitrous oxide when performing dental procedures in children. Nitrous oxide offers the easiest and safest form of pharmacological behavior management in this age group and can help greatly in reducing fear and anxiety toward dentists and dental treatment. Importantly, its use in children differs from that in adults, owing in part to the need for appropriate behavior management skills. In considering a range of clinical scenarios in which nitrous oxide is of value, this book will support clinicians in their daily practice. All aspects are covered, including rationale, basic science, mechanism of action, equipment, scavenging systems, technique, monitoring, safety, toxicity, documentation, and team building. Guidance is also provided on the use of nitrous oxide in special pediatric populations requiring oral health care. The book is supplemented by videos that will help readers to comprehend the text easily and to perform the technique efficiently and effectively.
This clinical handbook is a complete guide to the use of nitrous oxide when performing dental procedures in children.
Author: Kunal Gupta
Publisher: Springer Nature
Guiding patient behavior is as important as ever for the practicing dentist, and the behavior of pediatric patients is perhaps the most challenging to manage. Drs. Wright and Kupietzky here update Dr. Wright’s classic work on managing pediatric dental patients. Behavior Management in Dentistry for Children,2nd Edition, has been entirely rewritten and includes the latest and most effective management strategies from an international team of experts in the field. The book addresses the influence of family and parenting styles on children’s behavior and the factors that determine how children behave in the dental office. Pharmacological and non-pharmacological management techniques are described in depth, as are techniques for dealing with special needs patients. Clinical scenarios are described throughout the book, with practical application of the taught principles. The final part of the book covers the dental environment—training office personnel to manage children’s behavior, practical considerations for behavior guidance, and the effects of the physical dental office environment. Behavior Management in Dentistry for Children,2nd Edition, is ideal for pediatric residents, dental students, and practicing dentists who see children on a regular basis.
The book addresses the influence of family and parenting styles on children’s behavior and the factors that determine how children behave in the dental office.
Author: Gerald Z. Wright
Publisher: John Wiley & Sons
Background: Procedural sedation is an advanced pharmacological behavior guidance technique frequently used in the pediatric dental setting. It can be offered as an option for dental treatment for a young, potentially uncooperative pediatric patient to safely and effectively complete dental restorative needs. However, there are no standard regimens or drug dosages used among pediatric dentists, and sedation outcomes vary widely. Purpose: The primary objective of this randomized trial was to assess the effects of oral sedation using midazolam and hydroxyzine with and without meperidine on sedation outcomes in pediatric dental patients. The relationship between child temperament and sedation outcomes was also assessed. Methods: This pilot study recruited 14 children between the ages of 3-7 who met study eligibility criteria and were planned to undergo dental treatment with oral sedation at the University of Washington Center for Pediatric Dentistry. The children were randomly assigned to receive a regimen of midazolam and hydroxyzine with or without meperidine. Parents completed the Child Behavior Questionnaire Short Form (CBQ-SF) to assess temperament. Results: Out of 14 participants, there were no significant differences in sedation outcome in regard to age, sex, insurance status, sedation regimen, isolation method, treatment complexity, and procedure. There were also no significant differences in the effect of child temperament on overall sedation outcome, although within the non-narcotic regimen children with sedation failures displayed higher levels of both effortful control and extraversion/surgency. Conclusion: Further data collection is needed to assess the effect of procedure variables and child temperament on sedation outcomes. Conclusions regarding these relationships cannot be drawn at this time due to the small sample size. However, results from this study will contribute to identification of best practices when choosing a sedation regimen and improve our ability to identify optimal candidates for pediatric procedural sedation.
Background: Procedural sedation is an advanced pharmacological behavior guidance technique frequently used in the pediatric dental setting.
Author: Kathie H. Wang
As the field pediatric anesthesia advances and expands, so too does the gamut of challenges that are faced by today’s anesthesiologists. Gregory’s Pediatric Anesthesia aims to fully prepare trainees and experienced professionals for modern practice by equipping them with the knowledge and cutting-edge techniques necessary to safely and successfully anesthetize children for a range of different surgeries and other procedures. Supporting their work with current data and evidence, the authors explore topics including basic principles, potential complications, and best practice, and illustrate their findings with detailed case studies that cover all major subspecialties. This essential new edition includes access to illustrative videos and features new and expanded sections, such as: Anesthesia for Spinal Surgery complications including postoperative blindness Robotic surgery for Pediatric Urological Procedures Anesthesia for Non-Cardiac Surgery in Patients with Congenital Heart Disease (new chapter) Extensive additional ultrasound images for regional anesthesia Neonatal Resuscitation The Pediatric Surgical Home and Enhanced Recovery after Surgery (new chapter) Now in its sixth edition, Gregory’s Pediatric Anesthesia continues to provide reliable and easy-to-follow guidance to all anesthesiologists caring for younger patients.
oral. surgery. The high prevalence of pediatric dental disease, breadth of options available for difficult child behavior, and parental expectations will generate and maintain the need for sedation/anesthesia services in children who ...
Author: Dean B. Andropoulos
Publisher: John Wiley & Sons
Aimed at the practising clinician, this book, now in its third edition, provides a welcome detailed overview of the medical and surgical conditions that affect patients seen in everyday dental practice. With patients surviving longer due to medical advances, dentists are increasingly faced with complex conditions and possibly some that they have not previously encountered. Here, treatment advice, drug interactions, and the impact of general medical and surgical conditions on treatment planning in the dental context are all covered with a comprehensive but practical approach. In addition to chapters on the implications for dental practice of disorders of each of the different body systems and immunological and infectious diseases, important aspects in particular patient groups, including cancer patients, the elderly, and the paediatric population, are identified. Overall, this book provides dentists with a practical, logical, and convenient guide of great value, helping to update knowledge and foster improved patient care.
Inhalation sedation is the technique of choice. Inhalation sedation has been shown to be an acceptable and cost-effective alternative to general anaesthesia in children having minor oral surgery . The contra-indications to the use of ...
Author: Mark Greenwood
Author: Jon Arthur Dallman
Category: Conscious sedation
Pediatric Dentistry: A Clinical Approach, Third Edition provides a uniquely clear, comprehensive, and clinical approach to the dental treatment of children and adolescents. Offers systematic coverage of all clinical, scientific and social topics relating to pediatric dentistry Thoroughly revised and updated new edition, with an increased focus on evidence based care Includes three new chapters on genetics, child abuse and neglected children, and ethics Pedodontic endodontics is now covered by two chapters – one on primary teeth and one on young permanent teeth Features a companion website with interactive self-assessment questions
This new edition of the highly acclaimed text features extensive updates reflecting the latest developments in the field, with an increased focus on evidence-based oral health care for young people.
Author: Goran Koch
Publisher: John Wiley & Sons
No longer merely a subspecialty, pediatric anesthesia is now a professional entity in its own right, as is amply demonstrated in this comprehensive addition to the medical and surgical literature. Pediatric Anesthesia: Basic Principles--State of the Art--Future contains the contributions of 220 international experts from all five continents. This is the only textbook of its kind that has such a strong international representation of the very best authorities in the field. This textbook will help anesthesiologists already interested in pediatric anesthesia to the knowledge and skills inherent to the safe practice of anesthesia for infants and children.
Oral sedation , intravenous sedation provides both the deep sedation and the surgery in conjunction and general anesthesia are all used by dentists in a variety of with a surgical dental assistant and another dental assistant to ...
Author: Bruno Bissonnette
A leading text in pediatric dentistry, McDonald and Avery’s Dentistry for the Child and Adolescent provides expert, complete coverage of oral care for infants, children, and teenagers. All the latest diagnostic and treatment recommendations are included! Comprehensive discussions are provided on pediatric examination, development, morphology, eruption of the teeth, and dental caries. This edition helps you improve patient outcomes with up-to-date coverage of restorative materials, cosmetic tooth whitening, care of anxious patients, and sedation techniques for children. Complete, one-source coverage includes the best patient outcomes for all of the major pediatric treatments in prosthodontics, restorative dentistry, trauma management, occlusion, gingivitis and periodontal disease, and facial esthetics. A clinical focus includes topics such as such as radiographic techniques, dental materials, pit and fissure sealants, and management of cleft lip and palate. Practical discussions include practice management and how to deal with child abuse and neglect. Full-color photographs and illustrations accurately depict trauma, restorative, implants, and prosthetics. A new Pediatric Oral Surgery chapter discusses the latest developments in office-based pediatric oral surgery, along with head and neck infections and medical conditions in the pediatric patient. Emphasis is added to preventive care and to treatment of the medically compromised patient. An Evolve website includes case studies, an image library, links to ADEA, ADA, and CDC reports on pediatric dentistry, and other web links.
... been completed to evaluate the efficacy of EDA in children.29-34 In general, these studies show that EDA can produce sufficient oral local anesthesia and analgesia to comfortably allow many invasive dental procedures in children.
Author: David R. Avery
Publisher: Elsevier Health Sciences
You can count on McDonald: the go-to source for expert, complete coverage of oral care for infants, children, and teenagers for over half a century. McDonald and Avery’s Dentistry for the Child and Adolescent, 10th Edition discusses pediatric examination, development, morphology, eruption of the teeth, and dental caries in depth — and emphasizes prevention and the treatment of the medically compromised patient. Boasting a new design and handy Evolve site, this new edition by Jeffrey A. Dean equips you with the latest diagnostic and treatment recommendations in the fast-growing field of pediatric dentistry. Complete, one-source coverage includes the best patient outcomes for all of the major pediatric treatments in prosthodontics, restorative dentistry, trauma management, occlusion, gingivitis and periodontal disease, and facial esthetics. A clinical focus includes topics such as such as radiographic techniques, dental materials, pit and fissure sealants, and management of cleft lip and palate. Practical discussions include practice management and how to deal with child abuse and neglect. Evolve site provides you with the best learning tools and resources. UPDATED! More emphasis on preventative care and treatment of medically compromised patients helps you provide more effective care. NEW! Easier-to-follow design.
Utilization of parental presence or child life therapists can markedly reduce the requirement for oral sedation and thus enhance facility ... the dentist should strive to reduce parental apprehension concerning the operative procedure.
Author: Jeffrey A. Dean
Publisher: Elsevier Health Sciences
This issue of Dental Clinics features expert clinical reviews on Pediatric Dentistry which includes current information on topics such as dentistry for children, early childhood caries management, periodontal health for children, trauma management, pulp therapy for children, oral surgery for children, temporomandibular disease in children, treating children in a hospital setting, managing children’s behavior, sedation in children, and restorative dentistry for children.
This issue of Dental Clinics features expert clinical reviews on Pediatric Dentistry which includes current information on topics such as dentistry for children, early childhood caries management, periodontal health for children, trauma ...
Author: Joel H. Berg
Publisher: Elsevier Health Sciences
Purpose: To determine whether Bispectral Index Monitoring is an effective tool for quantifying sedation depth after the administration of oral drug regimens in children. Methods: This retrospective study reviewed the charts of 75 children who received oral conscious sedation for dental treatment. Data collected from the chart included; 1) BIS values at 5 minute intervals and at five critical events: pre-operative, local anesthesia delivery, rubber dam placement (if utilized), during operative treatment, and postoperatively, 2) behavior ratings at the five critical events and an overall behavior assessment, 3) treatment data, and 4) demographic data. Results: The mean BIS value for orally sedation children in this study was 84.53 (SD = 5.76). The mean overall sedation assessment was 2.04 (SD = 1.16). No significant correlation was found between BIS values and behavioral ratings. Conclusion: The BIS monitor provided limited information regarding the depth of sedation in children undergoing oral sedation for dental treatment.
Purpose: To determine whether Bispectral Index Monitoring is an effective tool for quantifying sedation depth after the administration of oral drug regimens in children.
Author: John Alan Flowers
This is a major revision, updating, and expansion of the leading single-source volume on pediatric sedation outside of the operating room. Edited and written by an international roster of outstanding experts, it is the only book aimed at the broad range of specialists who deliver pediatric sedation in the non-OR setting. The Second Edition features a significant expansion of contributions from international leaders and individual new chapters on pre-sedation assessment; sedatives’ short- and long-term effects on neurocognition; non-pharmacologic distractions; Michael Jackson’s death and medical ethics; the role of simulation in safety and training; and palliative sedation in terminally ill children. The specialty-specific chapters continue to be geared toward all sedation providers, regardless of where they practice and patient safety is again emphasized. Fundamental chapters provide in-depth reviews of topics which include, among others, physiology and pharmacology. The book presents the latest guidelines across the specialties, both in the United States and abroad and noteworthy, ongoing research endeavors. From reviews of the First Edition: “This meritorious volume is a splendid collection of materials from highly experienced authors...I will make extensive use of this reference as the academic medical center in which I work continues to build sedation practices and assess credentialing/privileging aspects for professionals of all fields.” —Joseph R. Tobin, MD in Journal of the American Medical Association. “Brings together sedation practice from a broad range of specialties into one well-written pediatric text...I will certainly be using this book as a reference text in the future.” — Pediatric Anesthesia. “The first [text] directed at all specialists that treat children who require some sedation...also recognizes the contributions to pediatric sedation of many international societies and governmental organizations...It should be on the shelves of all office-based practices.” —Journal of Neurosurgical Anesthesiology. "With the ever-increasing opportunities to perform various investigations and therapeutic procedures, combined with increasing demands and expectations from children and their parents, the need and demand for safe and effective sedation of paediatric patients outside the operating room is increasing. Against this background, the second edition of ‘Pediatric Sedation Outside the Operating Room’ is a very timely addition to the anaesthesia literature."—British Journal of Anesthesia
Oral ketamine for pediatric outpatient dental surgery sedation. Pediatr Dent. 1993;15(3):182–5. Avalos-Arenas V, Moyao-Garcia D, Nava-Ocampo AA, ZayasCarranza RE, Fragoso-Rios R. Is chloral hydrate/hydroxyzine a good option for ...
Author: Keira P. Mason
• A thoroughly updated, complete, comprehensive, yet easy to understand book, suitable for the undergraduate students • Covers all the topics in compliance with the syllabus of various universities in a very easy to understand way with adequate illustrations • This edition comprises of 31 chapters designed in a simple and easy to follow manner • Includes a chapter on 'Medical Emergencies in Dental Clinic' as management of such emergencies is very essential in day-to-day practice of dentistry for children.
... meperidine, and hydroxyzine to midazolam regimens for oral sedation of pediatric dental patients. ... behavior with 50% nitrous oxide/ oxygen conscious sedation over repeated visits for dental treatment a 3-year prospective study.
Author: Arathi Rao
Publisher: JP Medical Ltd
Issues in Dentistry, Oral Health, Odontology, and Craniofacial Research: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Dentistry, Oral Health, Odontology, and Craniofacial Research. The editors have built Issues in Dentistry, Oral Health, Odontology, and Craniofacial Research: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Dentistry, Oral Health, Odontology, and Craniofacial Research in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Dentistry, Oral Health, Odontology, and Craniofacial Research: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
King's College Hospital: Oral sedation for dental treatment in young children in a hospital setting Scientists discuss in ... According to a study from Camberwell, the United Kingdom, “Conscious sedation for young children is a rapidly ...
Guiding patient behavior is as important as ever for the practicing dentist, and the behavior of pediatric patients is perhaps the most challenging to manage, especially in today’s modern society characterized by its diversity and unlimited access to information. The Third Edition of Wright’s Behavior Management in Dentistry for Children delivers an up-to-date discussion of modern techniques for managing the behavior of pediatric dental patients. The book addresses the influence of family and parenting styles on children’s behavior and the factors that determine how children behave in the dental office. Pharmacological and non-pharmacological management techniques are described in depth, as are techniques for dealing with special needs patients. Clinical case scenarios are described throughout the book, with practical application of the taught principles. The final part of the book covers the dental environment ̄training office personnel to manage children’s behavior, practical considerations for behavior guidance, and the effects of the physical dental office environment. The new edition adds brand-new information on parent management, discussing the unique characteristics of modern parents and millennials and cultural competence utilizing techniques such as motivational interviewing and empathetic listening, amongst other methods. New sections include the use of hypnosis and magic to guide children through their dental treatment. Wright’s Behavior Management in Dentistry for Children remains the leading book on the management of children’s behavior in the dental context. Readers will also benefit from the inclusion of: A thorough introduction to understanding key moments in child development as well as their behavior in the dental office An examination of establishing a dental home and non-pharmacologic approaches to behavior management Treatment of children with disabilities in the dental setting and tips to parents for proper homecare Understanding the rapidly evolving societal influence on the contemporary family and its impact on treating the pediatric patient How to deal with the Internet: information, misinformation, and negative online reviews Wright’s Behavior Management in Dentistry for Children is an essential reference for pediatric dentists, general dentists, dental students, and dental hygienists who frequently encounter child patients in their dental offices.
Comparison of oral midazolam with oral tramadol, triclofos and zolpidem in the sedation of pediatric dental patients: An in vivo study. ... Special care dentistry: Midazolam conscious sedation for patients with neurological diseases.
Author: Ari Kupietzky
Publisher: John Wiley & Sons
This concise manual offers best practice guidance on dental treatment of pediatric patients with special health care needs (CSHCN). The straightforward approaches described will enable clinicians to deliver high-quality, patient-centered care to children with intellectual and developmental disabilities. Readers will find up-to-date information on case-based treatment planning, alternative caries management strategies, the use of behavioral and pharmacological interventions to facilitate delivery of quality treatment, and a team approach to care. Practical clinical tips are provided on how to achieve and maintain oral health, including good oral hygiene and nutrition. A systematic framework for patient assessment and interaction with medical colleagues will assist readers in understanding when dental protocols must be altered. Other important topics include techniques for effective communication with CSHCN, behavioral strategies to improve treatment acceptance, the role of occupational therapy techniques, the sensory adapted dental environment, and the use protective stabilization.
This concise manual offers best practice guidance on dental treatment of pediatric patients with special health care needs (CSHCN).
Author: Travis M. Nelson
More and more dental professionals are finding that N2O/O2 is a reliable and efficient method of relieving pain, fear, and apprehension in patients undergoing surgical procedures - and is quickly and easily reversed without unwanted side effects. The third edition of this unique chairside handbook is an invaluable resource for this method of sedation. It provides step-by-step techniques of all the uses of N2O/O2 as a means of pain and anxiety management, and is written at a level that can be easily understood by dental students and professionals of all levels. Step-by-step administration techniques and responses to frequently asked questions provide practical information for everyday use of N2O/O2. Concise, outline format and convenient, portable size make this handbook easy to use in the clinical setting. Current American Society of Anesthesiologists classification system familiarizes you with ASA guidelines for assessing patients with medical risk. Information on current equipment in analgesia delivery shows how each component works so you can see and compare what's new in the field. In-depth discussion of recovery from N2O/O2 helps you better determine when it's appropriate to release a patient. Sample forms (sedation record, informed consent, etc.) are provided - copy and use them as needed. New icons speed you to important information on indications, considerations, and contraindications for nitrous oxide. The latest information on biohazards provides current guidelines for proper monitoring. Increased content on pediatric sedation enables you to provide specialized care to younger patients. Expanded art program, including integral sections of color-coded equipment, improving your understanding of proper handling and procedures. Additional step-by-step photos highlight the most current techniques and equipment.
Hosey MT: Managing anxious children: the use of conscious sedation in paediatric dentistry, Int J Paed Dent 12:359, 2002. ... Averley PA et al: A randomised controlled trial of paediatric conscious sedation for dental treatment using ...
Author: Morris S. Clark
Publisher: Elsevier Health Sciences