How safe is deep sedation or general anesthesia while providing dental care?

The Journal of the American Dental Association
Jeffrey D BennettRobert C Bosack

Abstract

Deep sedation and general anesthesia are administered daily in dental offices, most commonly by oral and maxillofacial surgeons and dentist anesthesiologists. The goal of deep sedation or general anesthesia is to establish a safe environment in which the patient is comfortable and cooperative. This requires meticulous care in which the practitioner balances the patient's depth of sedation and level of responsiveness while maintaining airway integrity, ventilation, and cardiovascular hemodynamics. Using the available data and informational reports, the authors estimate that the incidence of death and brain injury associated with deep sedation or general anesthesia administered by all dentists most likely exceeds 1 per month. Airway compromise is a significant contributing factor to anesthetic complications. The American Society of Anesthesiology closed claim analysis also concluded that human error contributed highly to anesthetic mishaps. The establishment of a patient safety database for anesthetic management in dentistry would allow for a more complete assessment of morbidity and mortality that could direct efforts to further increase safe anesthetic care. Deep sedation and general anesthesia can be safely administered in the...Continue Reading

References

May 1, 1990·Anesthesiology·R A CaplanF W Cheney
Apr 20, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists
Jun 10, 2009·Current Opinion in Anaesthesiology·Julia MetznerKaren B Domino

❮ Previous
Next ❯

Citations

Sep 24, 2019·Anesthesia Progress·Alia El-MowafyDaniel A Haas
Jun 13, 2017·Anesthesia Progress·Jeffrey D BennettRobert C Bosack
Mar 28, 2017·European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry·P RajavaaraV Anttonen
Sep 13, 2019·Stomatologii︠a︡·A Yu ZajtsevD N Nazaryan
Apr 1, 2017·JDR Clinical and Translational Research·K TakayaT Miyawaki
Oct 22, 2020·Cadernos de saúde pública·Claudia Dolores Trierweiler Sampaio de Oliveira CorrêaClaudia Tartaglia Reis
Mar 4, 2018·Pediatrics·Rita AgarwalCharles J Coté

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Related Papers

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
P J NkansahM A Saso
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Edward M D'EramoJoanne B Howard
Journal of the American Dental Society of Anesthesiology
T C Levitas
© 2021 Meta ULC. All rights reserved