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  • 1.
    • Horace Wells
  • William TG Morton
  • William Halstead
  • Niels Jorgensen
  • Amer Dental Society of Anesthesiology
  • Amer Society of Dentist Anesthesiology

(Wells) (Halstead) 2. Anesthesia = Greek An= withoutaesthesis= sensation

  • Dentistry is concerned with pain and anxiety reliefbefore, during, and after the procedure

3.

  • Amides vs Esthers
  • Common Property: Block Na entry at start of APMain Difference: Onset & DOA
  • Newest Local : ARTICANE
    • DOA 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

4.

  • 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

5.

  • Benefits:
  • Acceptable
  • Low Cost
  • Safe
  • Drawbacks:
  • Variable reaction
  • Inability to titrate
  • Prolonged D.O.A.
  • Limited & variableeffectiveness

GA: 18 hrs didactic; 20 documented patient cases; permit 6. 7.

  • Benefits
  • Quick on & off
  • Titrate
  • Predictable
  • Safe & inexpensive
  • Drawbacks
  • Skill Set
  • Increased liability

GA: 60 hrs didactic; 20 clinical cases; permit; equipment; site visit 8. Onset (min) DOA (hr) Dosage (mg) Valium 1 2 1 2 5 10 Versed 1 1 1 2 Fentanyl 1 1 .025 .050 9.

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

10.

  • Joseph Priestly 1775
  • Will notGeneral Anesthesia
  • Willmild pain relief
  • Benefits
  • Onset is swift & potent
  • No long-term effects
  • Drawbacks
  • Disorientation, blurred vision, variability
  • pain threshold, hallucinations

11.

  • 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

12.

  • Get An Education
  • Prepare the Office
  • Marketing
  • Follow Through

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