Dentistry, Dentist,

Download Dentistry, Dentist,

Post on 17-Jun-2015

180 views

Category:

Documents

5 download

Embed Size (px)

TRANSCRIPT

<ul><li> 1. <ul><li>Horace Wells</li></ul></li></ul> <ul><li>William TG Morton </li></ul> <ul><li>William Halstead </li></ul> <ul><li>Niels Jorgensen </li></ul> <ul><li>Amer Dental Society of Anesthesiology</li></ul> <ul><li>Amer Society of Dentist Anesthesiology</li></ul> <p>(Wells) (Halstead) 2. Anesthesia = Greek An= withoutaesthesis= sensation </p> <ul><li>Dentistry is concerned with pain and anxiety reliefbefore, during, and after the procedure </li></ul> <p> 3. </p> <ul><li>Amides vs Esthers </li></ul> <ul><li>Common Property: Block Na entry at start of APMain Difference: Onset &amp; DOA</li></ul> <ul><li>Newest Local : ARTICANE </li></ul> <ul><li><ul><li>DOA as xylo </li></ul></li></ul> <ul><li><ul><li>4% solution </li></ul></li></ul> <ul><li><ul><li>Fast on &amp; off</li></ul></li></ul> <ul><li><ul><li>Good for deep bone penetration </li></ul></li></ul> <ul><li><ul><li>May work well in difficult patients </li></ul></li></ul> <ul><li>Reports of persistent unexplained paresthesia, dysesthesia, &amp; allodynia </li></ul> <p> 4. </p> <ul><li>Anxiolysis </li></ul> <ul><li>-only conscious sedation </li></ul> <ul><li>-Patient awake, responds to commands </li></ul> <ul><li>-Anxiety decreases </li></ul> <ul><li>Conscious Sedation </li></ul> <ul><li>- Minimal depressed L.O.C. </li></ul> <ul><li>- Anxiety decreases </li></ul> <ul><li>- Maintain own airway </li></ul> <ul><li>- Respond to verbal&amp; physical stimuli </li></ul> <ul><li>Deep Sedation </li></ul> <ul><li>- Depressed LOC </li></ul> <ul><li>- Patient not responsive to verbal&amp; physical stimuli </li></ul> <ul><li>- Need AW assistance</li></ul> <p> 5. </p> <ul><li>Benefits: </li></ul> <ul><li>Acceptable </li></ul> <ul><li>Low Cost </li></ul> <ul><li>Safe </li></ul> <ul><li>Drawbacks: </li></ul> <ul><li>Variable reaction </li></ul> <ul><li>Inability to titrate</li></ul> <ul><li>Prolonged D.O.A. </li></ul> <ul><li>Limited &amp; variableeffectiveness </li></ul> <p>GA: 18 hrs didactic; 20 documented patient cases; permit 6. 7. </p> <ul><li>Benefits </li></ul> <ul><li>Quick on &amp; off </li></ul> <ul><li>Titrate </li></ul> <ul><li>Predictable </li></ul> <ul><li>Safe &amp; inexpensive </li></ul> <ul><li>Drawbacks </li></ul> <ul><li>Skill Set </li></ul> <ul><li>Increased liability </li></ul> <p>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. </p> <ul><li>Patient is unconscious, unresponsive, and is unable to perceive or respond to stimuli </li></ul> <p> 10. </p> <ul><li>Joseph Priestly 1775 </li></ul> <ul><li>Will notGeneral Anesthesia </li></ul> <ul><li>Willmild pain relief</li></ul> <ul><li>Benefits </li></ul> <ul><li>Onset is swift &amp; potent </li></ul> <ul><li>No long-term effects </li></ul> <ul><li>Drawbacks </li></ul> <ul><li>Disorientation, blurred vision, variability </li></ul> <ul><li> pain threshold, hallucinations </li></ul> <p> 11. </p> <ul><li>10 15% of patients are afraid to go to the dentist </li></ul> <ul><li>30% of people avoid dentist because of fear </li></ul> <ul><li>Sedation dentistry will set your practice apart </li></ul> <ul><li>Sedation dentistry gives the patient an option </li></ul> <ul><li>Sedation dentistry can increase net income </li></ul> <ul><li>5,000 patients seek out Sedation dentistry per week in the USA </li></ul> <p> 12. </p> <ul><li>Get An Education </li></ul> <ul><li>Prepare the Office </li></ul> <ul><li>Marketing </li></ul> <ul><li>Follow Through </li></ul>

Recommended

View more >