[Evaluation of third molar surgery by patients choosing between local anaesthesia alone and with additional conscious sedation.].

Der Schmerz
J Jürgens, T Hierl

Abstract

This study was conducted on patients undergoing third molar surgery to evaluate their opinions on surgery and the follow-up period. Two groups were formed, as patients were able to choose between local anaesthesia alone or with additional conscious sedation by means of intravenous Midazolam. A total of 426 patients ranging in age from 11 to 61 years (mean 20.8 years) participated, 335 of whom preferred Midazolam sedation (0.1 mg/kg) while 91 voted for local anaesthesia only. During the operation an impacted lower third molar was removed by osteotomy, and in 80% of these cases the upper third molar on the same side was also removed. A questionnaire on the operation, the follow-up period, postoperative pain and use of analgesics was distributed before the event. Women and younger patients preferred conscious sedation. Surgery was described as significantly less distressing by the sedated group (diagram 1), whereas there was no difference in views of the follow-up period or postoperative pain. Patients in the Midazolam group took more analgesics on postoperative days 1-3. Nonsedated men tended to evaluate surgery as more distressing than women in the same group, while there were no sex differences in the Midazolam group. Following...Continue Reading

References

Mar 1, 1986·Anaesthesia·R A DixonJ A Thornton
Jun 1, 1987·International Journal of Oral and Maxillofacial Surgery·P Van der BijlH S Breytenbach
Jun 1, 1987·International Journal of Oral and Maxillofacial Surgery·M R Rodrigo, L K Cheung
Dec 1, 1971·The British Journal of Psychiatry : the Journal of Mental Science·M R Bond
Jul 23, 1983·British Dental Journal·J G McGimpseyJ W Dundee
May 1, 1980·Anaesthesia·J W Dundee, D B Wilson
Sep 1, 1980·Journal of Behavioral Medicine·J M GeorgeJ M Gregg
Aug 1, 1962·Journal of Neurology, Neurosurgery, and Psychiatry·T A GONDA

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