anesthesia

Delivering Sedation in Dentistry

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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

Two million settlement in wisdom teeth extraction death

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A 17 year old woman died in June 2015, after having her wisdom teeth removed. This has been reported on http://teethremoval.com/death.html since 2015. The woman was from Minnesota and went into cardiac arrest during the surgery. The woman’s parents in early 2017, filed a wrongful death lawsuit against the oral and maxillofacial surgeon. The court documents said that the surgeon and staff did not appropriately anticipate or respond to the emergency. The lawsuit said there were dangerous actions, from incorrectly administering general anesthesia to failing to provide proper monitoring during surgery. The attorney said the parents sued the doctor as it “…gave the family a better understanding of how the death of their daughter came about… They had the courage in a difficult situation to seek the truth about why their daughter died.” The attorney also said “I’m absolutely convinced that … Read more

Continuing to Assess the Death Rate of Dental Treatment

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For years on teethremoval.com one has been able to find more information about deaths from dental treatment and wisdom teeth removal. In addition it has been estimated that the death rate in dentistry occurs in 1 out of every 400,000 cases. Due to a few recent review articles that appeared in 2017, the mortality rate in dentistry page at http://www.teethremoval.com/mortality_rates_in_dentistry.html has been updated. Two articles that may be of note are H. Mortazavi, M. Baharvand, and Y. Safi, Death Rate of Dental Anaesthesia, Journal of Clinical and Diagnostic Research, Jun., Vol-11 (6): ZE07-ZE09 2017, and N. G. Reuter, P. M. Westage, M. Ingram, and C. S. Miller, Death related to dental treatment: a systematic review, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, vol. 123, iss. 2, pp. 194-204. e10, Feb. 2017. The first article performed a review of over 20 studies focused on death … Read more

Comparing Complications from Anesthesia with Wisdom Teeth Extractions

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An article titled “Anesthesia Complications of Diazepam Use for Adolescents Receiving Extraction of Third Molars,” appears in the 2016 Journal of Oral and Maxilofacial Surgery by Gino Inverso and et. al, vol. 74, pp. 1140-1144. The article seeks to evaluate the safety of midazolam and diazepam for adolescents during wisdom teeth extraction and whether any differences in complications exist when using the 2 benzodiazepines alone or in combination. Compared with diazepam, midazolam has a faster onset of action, greater incidence of amnesia, and shorter recovery time. The authors hypothesized that diazepam, when used as an intravenous sedative agent for third molar extraction, would be associated with a higher rate of anesthetic complication than midazolam. The study included patients enrolled in the OMSOS from January 2001 through December 2010. To be included, patients had to be adolescents (<21 yr old) who … Read more

Will There Be No More Needles at the Dentist Soon?

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A new study reveals how a dentist could give you an anesthetic using a tiny electric current instead of a needle.  The study was published in Colloids and Surfaces B: Biointerfaces and reveals how a dentist could give you anesthetic using a tiny electric current instead of a needle. The researchers from the study are from the University of São Paulo and believe their findings could help improve dental procedures and bring relief to millions of people who are scared of needles. Dentists commonly currently use anesthetics that block pain administered using needles. Many patients are afraid of these injections, and this can result in them postponing and canceling visits to the dentist. For patients who do not like needles, dentists can give them a topical painkiller to reduce their pain and fear. This can come in the form of … Read more