J Korean Assoc Maxillofac Plast Reconstr Surg.  2009 Sep;31(5):394-400.

A Multicenter Retrospective Study of Outpatient Intravenous Sedation for Dental Treatments

• Jung SH
• Baik SH
• Roh HK
• Kang N
• Im JJ
• Lee BH
• Jeon JY
• Hwnag KG
• Shim KS
• Park CJ

Abstract

PURPOSE
On outpatient facilities, our sedation protocol focuses on the intermittent bolus injections of midazolam intravenously, according to patient's and operator's needs during the dental treatment. This multicenter retrospective study was aimed to prove the efficiency and safety of our sedation protocol.
PATIENTS AND METHODS
In three centers using the same outpatient sedation protocol for dental treatment (Division of Oral and Maxillofacial Surgery/Department of Dentistry in Hanyang University Medical Center, S-plant Dental Hospital, and Grand Oral and Maxillofacial Surgery), total 937 patients had various dental treatments under intravenous conscious sedations with independent patient monitoring from March 2006 to March 2009. By reviewing charts, we analyzed the results of sedation and dental treatment, retrospectively.
RESULTS
Our sedation protocol had no severe postoperative complications requiring admission, while showing good compatibility with almost all dental treatments, with acceptable satisfaction of both patients and operators.
CONCLUSION
We assure that our sedation protocol can be used efficiently and safely on routine outpatient basis. We also hope that this study will provide the concrete concepts to common dental practitioners, who desire to perform sedation for dental treatment.

Keyword

Conscious sedation; Deep sedation; Dental care; Midazolam; Outpatients

MeSH Terms

Academic Medical Centers
Conscious Sedation
Deep Sedation
Dental Care
Dentistry
Humans
Midazolam
Monitoring, Physiologic
Outpatients
Postoperative Complications
Retrospective Studies
Midazolam