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

Can You Use Nitrous Oxide Inhalation combined with Propofol Sedation for Dental Treatment?

An interesting article titled “A Prospective, Randomized Controlled Trial of Conscious Sedation Using Propofol Combined With Inhaled Nitrous Oxide for Dental Treatment” written by Chizuko Yokoe and et al. appears in the 2015 Journal of Oral and Maxilofacial Surgery (issue 73, pp. 402-409). The article discusses how propofol is one of the most common sedative agents used during dental procedures. However, when used by itself it can lead to adverse complications in patients. The authors set to explore if you can safely combine nitrous oxide with propofol for dental procedures and also improve the quality of the sedation. A total of 90 patients in Osaka, Japan were used in this study. All patients were between 20 and 70 years of age and were not able to undergo their procedure without the use of sedation. After the patients were seated in … Read more

Family Reaches $3 million settlement from faulty medical gas during wisdom teeth removal

I have previously reported on Austin Stone, a teenager who was left with partial blindness and neurological problems after having his wisdom teeth removed. Today a partial settlement has been reached for $3 million with Action Plumbing; however, they denied being liable. Legal action is still pending against other defendants. Austin visited Dr.  Steven Kirk Vincent in Lawrence, Kansas, U.S., in March 2009, to have all four of his wisdom teeth removed.  Dr. Vincent had just had a new dental surgery center opened and Austin was the first patient to visit on a Monday morning. Dr. Vincent began administering to Austin what he believed to be nitrous oxide and oxygen. Austin did not become sedated and so Dr. Vincent administered diazepam, fentanyl, and later propofol. Austin’s heart rate began to decrease and Dr. Vincent administered what he believed to be … Read more

Wisdom Teeth Removal Leads to Coma

I was saddened to hear recently that a high school junior in Tonganoxie, Kansas, who recently went in to have his wisdom teeth removed, was seriously injured and left in a coma.  The oral surgeon who performed the surgery had just opened a new dental center. The cause for the injury is due to a faulty medical gas system which delivered oxygen and nitrous oxide. My prayers and thoughts go out to the family of Austin Stone, his friends, and the community. Already, the community has organized ‘Team Tongie’ to help raise money for incidental expenses of those who suffer from medical emergencies and crisis. To learn more visit the following links. http://www2.ljworld.com/news/2009/apr/22/medical-gas-accident-may-lead-policy-change/ http://www.drbicuspid.com/index.aspx?sec=sup&sub=pmt&pag=dis&ItemID=301758&wf=34 http://www.kctv5.com/news/19223205/detail.html