Delivering Sedation in Dentistry

It has become increasing popular to deliver sedation to patients receiving dental work. Sedation is defined as the deliberate drug-induced depression of consciousness used to reduce anxiety and awareness associated with unpleasant medical procedures. Sedation is used to reduce anxiety.  In some cases dentists or oral surgeons deliver both the dental work and the sedation, while in others there is a separate anesthesiologist to do so. One should always verify proper training and license prior to undertaking any sedation from a healthcare professional. Sedation is generally considered very safe as long as it is performed by an appropriately trained practitioner in a monitored environment. Sedation dentistry uses different approaches depending on personal choice and comfort. In the order of increasing anesthesia these are local anesthesia, minimal sedation, nitrous oxide/oxygen, moderate (conscious) sedation, deep sedation, and general anesthesia. A more thorough discussion … Read more

Reducing mental distress in patients undergoing dental procedures including hypnosis, relaxation, and counseling

An interesting article titled “Non-pharmacological interventions for reducing mental distress in patients undergoing dental procedures: Systematic review and meta-analysis” by Sophia Burghardt  et al., appears in the Journal of Dentistry in 2018 (vol. 68, pp. 22 – 31). The article seeks to determine the effects of hypnosis, enhanced information, relaxation, music, or cognitive-behavioral approaches on adults undergoing dental procedures. The researchers explored 29 randomized controlled trials and found through random effects meta-analyses significant reduction of mental distress when patients underwent a non-pharmacological intervention. In particular the largest effect was shown for hypnosis. People experience anxiety and fear of going to a dentist and some even have a diagnosable condition of dental phobia. Research shows a general dentist is capable of treating adults with mild or moderate forms of dental anxiety but those with severe dental anxiety or even dental phobia often requires … Read more

Poor Oral Health is Linked to Depression: Implications for Public Health

A 2014 research project confirmed the link between poor oral health and depression, a relevant finding that can help in improving public health.  Oral health plays a significant role in the mental condition of a person, a two-way relationship that can become complex. On the one hand, dental care and treatments may produce anxieties and phobias. However, the absence of good oral hygiene can cause tooth problems, gum diseases, infections and other complications. Medications for mental health issues also produce side effects such as teeth grinding and dry mouths. The Importance of Oral Health and the Science Behind It Two National Health and Nutrition Examination Surveys (NHANES) examined the relationship of dental health and depression. Oral health questionnaires (OHQ) were used as bases for dental health while depression was measured using the Patient Health Questionnaire-9 (PHQ-9). Using logistic regression to measure the … Read more

Top Benefits of Therapy

Everyone faces challenges and adversity in their lives that can result in stress. For many people a coping mechanism may be to talk to friends and family members or exercise to get endorphins flowing. Everyone can benefit by getting extra support and talking with a professional. It has been shown that talking about your feelings can have a therapeutic effect on the brain. Therefore, getting your thoughts out in the open can help improve your health. For all parties involved with wisdom teeth removal there a lot of challenges one may face. Those considering the surgery may suffer from dental phobia and have a strong fear of the dentist which prevents them from getting the dental treatment they need. They may have a fear of pain or a previous negative experience that is contributing. Others who have gone through with … Read more

Exploring the Prevalence of Generalized Anxiety Disorder in Adults with Migraine

Researchers at the University of Toronto have shown that generalized anxiety disorder is more common among adults who have migraines than those without migraine (6% vs. 2%). The link between migraine and generalized anxiety disorders was partially explained by the high prevalence of debilitating chronic pain (30%) and problems in managing household responsibilities (28%) among those with migraine. The researchers were not surprised chronic pain played a role in the association between migraines and generalized anxiety disorders. The unpredictable and uncontrollable nature of migraine pain can be anxiety producing as it can interfere with family and work responsibilities without warning. The study found men with migraine had almost double the odds of generalized anxiety disorder compared with women with migraine. The researchers found this result to be surprising because in the general population, women are more likely than men to develop … Read more