J Korean Dent Soc Anesthesiol.  2008 Jun;8(1):1-9. 10.17245/jkdsa.2008.8.1.1.

Stress Reduction Protocol for Proper Local Anesthesia of Advanced Infected Teeth in Medically Compromised Patients: Review of Literature & Report of Cases

• Yoo JH
• Choi BH
• Sul SH
• Kim HR
• Mo DY

• KMID: 2345120
• DOI: http://doi.org/10.17245/jkdsa.2008.8.1.1

Abstract

Common dental procedures (local anesthesia and dental treatment) are potentially stress-inducing in many patients, especially medically compromised patients. The body response to dental stress involves the cardiovascular system (an increase in cardiovascular workload), the respiratory organ and the endocrine system (change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient's degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment: do not exceed the patient's limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given This protocol is predicated on the belief that the prevention of or reduction of stress ought to begin before the start of an appointment, continue throughout treatment, and, if indicated, into the postoperative period. The authors used the stress reduction protocol in the care of local anesthesia infected teeth in medically compromised patients. The final prognosis was comfortable without any complications.

Keyword

Local anesthesia; Medically compromised patient; Psychosedation; Stress reduction protocol

MeSH Terms

Anesthesia
Anesthesia, Local*
Appointments and Schedules
Cardiovascular System
Endocrine System
Follow-Up Studies
Humans
Postoperative Period
Prognosis
Telephone
Tooth*
Vital Signs