J Korean Dent Soc Anesthesiol.  2010 Dec;10(2):209-213. 10.17245/jkdsa.2010.10.2.209.

Sedation for Implant Surgery using Propofol and Remifentanil in Severe Dental Phobia Patient: A Case Report

Affiliations
  • 1Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul, Korea. stone90@snu.ac.kr

Abstract

Anxiety and fear is two main factors that keep patients from going to dental clinic. Especially, patients may feel implants operations are more traumatic. Intravenous conscious sedation for dental treatment can make patient comfortable and relaxable. Midazolam is more popular for sedation for dental treatment, but target-controlled infusion (TCI) of propofol and remifentanil is gaining wide popularity. A 54-year-old female patient who had severe dental phobia was referred to our dental hospital. She had past history of 2 times of hyperventilation and syncope during dental treatment. The patient showed a lot of dental anxiety and fear to dental treatments and stress reduction protocol was needed. We administered intravenous conscious sedation using target controlled infusion system with remifentanil and propofol. During sedation, we monitored the status of consciousness with bispectral index and vital signs. Dental treatment could be finished successfully without any problems.

Keyword

Dental phobia; Propofol; Remifentanil; Sedation; Target controlled infusion; Conscious sedation

MeSH Terms

Anxiety
Conscious Sedation
Consciousness
Dental Anxiety*
Dental Clinics
Female
Humans
Hyperventilation
Midazolam
Middle Aged
Propofol*
Syncope
Vital Signs
Midazolam
Propofol
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