J Dent Anesth Pain Med.  2016 Dec;16(4):283-288. 10.17245/jdapm.2016.16.4.283.

Survey of the sevoflurane sedation status in one provincial dental clinic center for the disabled

• Park CH
• Kim S

• KMID: 2366156
• DOI: http://doi.org/10.17245/jdapm.2016.16.4.283

Abstract

BACKGROUND
Sevoflurane sedation in pediatric and disabled patients has the advantage of faster induction and recovery compared to general anesthesia, as well as minimum influence on the respiratory and cardiovascular functions, and airway protective reflexes. This study aimed to evaluate the clinical efficacy of sevoflurane sedation used in dental treatment at one provincial dental clinic center for the disabled.
METHODS
We investigated patients' gender, age, reasons for undergoing sedation, medication history prior to treatment, duration of anesthesia, treatment length, type of treatment, and yearly patterns, for 387 cases of dental treatment performed using sevoflurane sedation from January 2013 to October 2016.
RESULTS
We analyzed 387 cases (215 male patients, 172 female patients). Male patients aged 20 year or older accounted for 39.0% of all patients, marking the highest proportion. Patient's lack of cooperation was the most common reason for performing dental sedation. Prosthetic treatment was the most frequently practiced, accounting for 174 treatment cases. The mean lengths of the entire treatment and of the dental procedure were 55.2 min and 39.8 min, respectively.
CONCLUSIONS
Sevoflurane sedation has the advantage of fast anesthesia induction and recovery compared to general anesthesia; therefore, it can be used efficiently to induce anesthesia in pediatric and disabled patients during short dental procedures, enabling stable treatment of these patients.

Keyword

Handicapped patients; Pediatric; Sedation; Sevoflurane

MeSH Terms

Anesthesia
Anesthesia, General
Dental Clinics*
Female
Humans
Male
Reflex
Treatment Outcome

Figure

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  Fig. 1 Annual patterns of the number of patients.

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  Fig. 2 Gender distribution.

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  Fig. 3 Distribution of dental treatment types.

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  Fig. 4 Mean lengths of the entire treatment and of the dental procedures (min).

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