dentistry, dentist, and anesthesia

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Dentistry, Dentist, and Anesthesia. (Wells). Horace Wells William TG Morton William Halstead Niels Jorgensen Amer Dental Society of Anesthesiology Amer Society of Dentist Anesthesiology. (Halstead). Why Is Dentistry Concerned With Anesthesia?. Anesthesia = Greek - PowerPoint PPT Presentation

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  • Horace Wells

    William TG Morton

    William Halstead

    Niels Jorgensen Amer Dental Society of Anesthesiology Amer Society of Dentist Anesthesiology (Wells)(Halstead)

  • Anesthesia = Greek

    An = without aesthesis = sensation

    Dentistry is concerned with pain and anxiety relief before, during, and after the procedure

  • Amides vs EsthersCommon Property: Block Na entry at start of AP Main Difference: Onset & DOA

    Newest Local : ARTICANEDOA as xylo 4% solution Fast on & off Good for deep bone penetration May work well in difficult patients Reports of persistent unexplained paresthesia, dysesthesia, & allodynia

  • Anxiolysis - only conscious sedation - Patient awake, responds to commands - Anxiety decreases Conscious Sedation - Minimal depressed L.O.C. - Anxiety decreases - Maintain own airway - Respond to verbal & physical stimuli Deep Sedation - Depressed LOC - Patient not responsive to verbal & physical stimuli - Need AW assistance

  • Benefits: Acceptable

    Low Cost

    SafeDrawbacks:

    Variable reaction

    Inability to titrate

    Prolonged D.O.A.

    Limited & variable effectiveness

    GA: 18 hrs didactic; 20 documented patient cases; permit

  • Benefits

    Quick on & off

    Titrate

    Predictable

    Safe & inexpensive

    Drawbacks

    Skill Set

    Increased liabilityGA: 60 hrs didactic; 20 clinical cases; permit; equipment; site visit

  • Onset (min)DOA (hr)Dosage (mg)Valium 1 2 1 25 10Versed 1 11 2Fentanyl 1 1.025 .050

  • Patient is unconscious, unresponsive, and is unable to perceive or respond to stimuli

  • Joseph Priestly 1775 Will not General Anesthesia Will mild pain relief Benefits

    Onset is swift & potent

    No long-term effectsDrawbacks

    Disorientation, blurred vision, variability

    pain threshold, hallucinations

  • 10 15% of patients are afraid to go to the dentist 30% of people avoid dentist because of fear Sedation dentistry will set your practice apart Sedation dentistry gives the patient an option Sedation dentistry can increase net income 5,000 patients seek out Sedation dentistry per week in the USA

  • Get An Education

    Prepare the Office

    Marketing

    Follow Through

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