Abstract:
AIM:The aim of this case review was to describe the use of local anaesthesia (LA) and intravenous conscious sedation (IVCS) as a safe and effective means of managing patients requiring surgical orthodontic procedures as an alternative to general anaesthesia (GA) in children between the age of 11 and 15 years. MAIN OUTCOME MEASURES:1) Whether treatment was completed, partially completed or not completed; 2) assessment of physiological parameters to verify safety profile of the technique. METHODS:Records were reviewed retrospectively for all patients included in the series undergoing planned surgical orthodontic procedures between January 2001 and January 2004 under IVCS. All patients had been pre-assessed and deemed to be of sufficient mental and physical maturity to be treated with IVCS. Written informed consent was gained from patients and their parents/guardians with full discussion of the alternative pain and anxiety control methods available including GA. All cases were undertaken by experienced SAS grade surgeons assisted by two dental nurses holding the certificate in dental sedation nursing and their recovery was supervised by registered general nurses. Patients were clinically monitored throughout together with continuous pulse oximetry and intermittent recording of non invasive blood pressure and pulse at 10-15 minute intervals. Patients were reviewed post operatively and any complications or comments noted. RESULTS:Over a three year period a total of 107 patients underwent surgical procedures to aid orthodontic treatment, 28 (26%) under IVCS and 79 (74%) under GA. Twenty-five out of 28 patients in the IVCS group successfully completed all of their planned treatment. CONCLUSIONS:Based on this case series, IVCS would appear to offer a safe and effective alternative to GA for this group of patients providing they are selected and managed by an appropriately trained team in a suitable setting. Further prospective evidence is needed if IVCS is to be recommended for general dental treatment in patients under the age of 16 years.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Dorman ML,Wilson K,Stone K,Stassen LFdoi
10.1038/bdj.2007.229subject
Has Abstractpub_date
2007-06-09 00:00:00pages
E30issue
11eissn
0007-0610issn
1476-5373pii
bdj.2007.229journal_volume
202pub_type
杂志文章abstract::One hundred and fifty years ago, a dentist practising in Tavistock signed off a letter to the editor of The British Journal of Dental Science, 'Suaviter et Fortiter'. This paper discusses the commissioning from the eminent portrait painter Fiona Graham-Mackay of a painting of a dentist's hands. In the course of the si...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.603
更新日期:2016-08-26 00:00:00
abstract::Powered toothbrushes were first developed over 50 years ago. More recent advances in design and technology mean that there are now a considerable number of different models available on the market. It is not surprising, therefore, that patients, when considering buying a powered toothbrush, often turn to their general...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809569
更新日期:1998-02-28 00:00:00
abstract::There is much mystique surrounding the acquisition by a young practitioner of his or her first dental practice, arising largely from his fear of the unknown. In fact, provided that he or she obtains sound legal and commercial advice, he or she can purchase a dental practice almost exclusively out of borrowed capital. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807524
更新日期:1991-04-20 00:00:00
abstract:OBJECTIVE:To investigate the impact of repair vs replacement of failed restorations on patient related outcome measures, and to explore the clinical factors that influence this decision. DESIGN:Multicentre, prospective practice-based study.Setting Dental practices within Salford, Trafford and East Lancashire in the No...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2014.1164
更新日期:2015-01-01 00:00:00
abstract::There are various motivators that prompt people to study dentistry but there is evidence that the salience of each varies according to gender and black and minority ethnic (BME) group. Given the current focus on inequality within the science, technology, engineering, medicine and mathematics (STEMM) academic disciplin...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.22
更新日期:2017-01-13 00:00:00
abstract::This paper will explore the pathological process involved in dental resorption as well as its classifications and aetiology. The second subsequent paper will look at its diagnosis and management. ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2013.431
更新日期:2013-05-01 00:00:00
abstract::Alcohol abuse is an important problem in Britain and is imposing increasing burdens both in general practice and in the hospital service. In the absence of previous investigations of the prevalence of intoxication and dependence in dental patients, 225 consecutive patients who attended the University of Bristol Dental...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807364
更新日期:1990-11-24 00:00:00
abstract::In 1998, research on 'What the general public wants from the general dental service' was carried out by the Centre for Dental Services Studies (CDSS) at the University of York and was commissioned by the British Dental Association (BDA). The research culminated in the report: 'User Priorities for General Dental Servic...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800588
更新日期:2000-07-08 00:00:00
abstract::When confronting a defiant or pre-co-operative young patient with extensive dental decay the dentist must decide between treatment under conscious sedation with passive restraint or general anaesthesia. Although some practitioners prefer to attempt and exhaust sedative techniques in most cases and use general anaesthe...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4810932
更新日期:2004-02-14 00:00:00
abstract::Continuing professional development should embrace all aspects of our professional life. Changes in the pattern of oral disease, developing concepts of specialisation and delivery of dental care require a flexible approach to the interface between the end of the undergraduate dental course and the early years of gener...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809004
更新日期:1996-02-24 00:00:00
abstract:OBJECTIVE:To compare the dental caries' experience and treatment received by 5-year-old children registered with a GDP. DESIGN:Retrospective case note review of all 5-year-old children registered with seven GDPs. SETTING:The study was carried out in 1996/7 in Wirral and North Cheshire in the north west of England. S...
journal_title:British dental journal
pub_type: 杂志文章,多中心研究
doi:10.1038/sj.bdj.4800042
更新日期:1999-02-13 00:00:00
abstract::Despite its excellent safety record there remains disquiet about the provision of conscious sedation for dental care. This applies particularly to the use of 'alternative' sedation techniques which extend beyond the 'standard' techniques (intravenous midazolam for adults and nitrous oxide/oxygen) described in Consciou...
journal_title:British dental journal
pub_type: 杂志文章,实务指引
doi:10.1038/bdj.2007.1105
更新日期:2007-12-08 00:00:00
abstract::A global transformation is taking place in dentistry with the use of CADCAM based technology. Whilst the headlines in the dental press continue to be dominated by precision fitting ceramic dental prostheses it is reasonable for us to ask--how well do they fit and how good are they? These questions of course cannot be ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.474
更新日期:2009-06-13 00:00:00
abstract::In the eighteenth century, a pedestrian strolling around Georgian London may have witnessed the bizarre sight of an ageing gentleman parading the streets on a painted horse and brandishing the jawbone of an ass. Not only was this man an eccentric, he was also a dentist. David Watkins here relates the remarkable story ...
journal_title:British dental journal
pub_type: 传,历史文章,杂志文章
doi:10.1038/sj.bdj.4807021
更新日期:1989-11-11 00:00:00
abstract::Background Heart transplants have become a successful treatment for some cardiovascular diseases. To prevent rejection of the transplanted heart, patients have to take immunosuppressive medication.Aims The aims of this study were to identify and review oral health complications after heart transplantation.Methods The ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1244-0
更新日期:2020-02-01 00:00:00
abstract::The first two articles in this series exploring the oral and dental health of male prisoners in the UK demonstrated how the general and oral health of prisoners is compromised compared to those of a similar age who are not prisoners. In caring for the oral health needs of this group the high demand for emergency denta...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.646
更新日期:2014-08-01 00:00:00
abstract::Background There have been anecdotal concerns that the skill mix of recently qualified graduates is very different to those qualifying several years ago, in particular that the clinical skills on qualification are less. If true, such changes may have ramifications for providers of undergraduate training, postgraduate ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.226
更新日期:2017-03-10 00:00:00
abstract::Mixed connective tissue disease (MCTD) is a multisystem disorder with overlapping features of systemic lupus erythematosus, scleroderma and polymyositis and is differentiated from them by a high titre of antibody to ribonucleoprotein. Orofacial manifestations of MCTD include trigeminal neuralgia-like pain, neuropathy,...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807193
更新日期:1990-04-21 00:00:00
abstract:OBJECTIVES:The objectives of this study were to determine on what evidence infective endocarditis (IE) could be legally linked to dental treatment. METHOD:The records of 319 legal cases involving dental treatment as the probable cause of IE were analysed. The medical history, type of dental operation, and whether anti...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.123
更新日期:2007-07-14 00:00:00
abstract::Objective To ascertain the survival of teeth having undergone root canal therapy, when bacterial photo-dynamic therapy (bacterial PDT) was used as an adjunct during root canal system disinfection. Design Retrospective survival analysis (Kaplan-Meier method) of endodontically-treated teeth, when bacterial PDT was used ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0026-z
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:Acupuncture is frequently advocated as an effective treatment of dental pain. The question whether or not it is effective for this indication remains controversial. The aim of this systematic review therefore was to assess the effectiveness of acupuncture in dental pain. DATA SOURCES:Four electronic database...
journal_title:British dental journal
pub_type: 杂志文章,meta分析
doi:10.1038/sj.bdj.4809654
更新日期:1998-05-09 00:00:00
abstract:AIM:The aim of this study was to measure organ doses and calculate the effective dose for indirect and direct digital cephalometric exposures. MATERIAL AND METHODS:Indirect digital cephalometric exposures were made of a Rando phantom head using a Cranex Tome multipurpose unit with storage phosphor plates from Agfa and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811532
更新日期:2004-08-14 00:00:00
abstract:OBJECTIVE:To determine the relationships between working conditions for new dental graduates and their mental and physical health. DESIGN:A cross-sectional postal survey. SUBJECTS:Graduates from the years 1991 and 1994 were selected to provide cohorts before and after the introduction of mandatory vocational training...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800010
更新日期:1999-01-09 00:00:00
abstract::The British Association of Oral and Maxillofacial Surgeons and the Royal Colleges have rightly responded over the years to pressures within, and outside dentistry for higher levels of training in oral and maxillofacial surgery. There has been adoption of a series of qualification as, at first desirable, then mandatory...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807667
更新日期:1991-10-19 00:00:00
abstract:AIM:To identify those patients most likely to fail to attend dental appointments. DESIGN:Retrospective analysis of the attendance pattern of patients. SETTING:A National Health Service practice in Kent. SUBJECTS AND METHODS:Dental records of 1000 patients. MAIN OUTCOME MEASURES:Data (age, gender, plaque score, trea...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809325
更新日期:1997-02-22 00:00:00
abstract::There is evidence, although limited, for beneficial effects of bisphophonates (BPs) across multiple dental specialties. Within implant dentistry BP coatings have been shown to significantly increase pull out forces and bone density in animal models, and significantly increase implant stability whilst reducing marginal...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2017.412
更新日期:2017-05-12 00:00:00
abstract::Potential proteolytic and hydrolytic enzymes of inflammatory cell origin might serve as biomarkers of periodontal disease activity. The role of these enzymes in periodontal pathology, particularly in respect of collagen and proteoglycan degradation, is discussed. The cellular location of these enzymes and their normal...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4809599
更新日期:1998-03-28 00:00:00
abstract:OBJECTIVE:To compare clinical and microbiological responses following non-surgical treatment of moderate to advanced adult periodontitis using subgingival scaling with and without adjunctive topical or systemic metronidazole. DESIGN:A single blind randomised clinical trial of 90 subjects, stratified for periodontitis ...
journal_title:British dental journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1038/sj.bdj.4809695
更新日期:1998-06-13 00:00:00
abstract::Bleaching has changed the way the world looks at teeth, with lighter teeth becoming the norm due to the ease and simplicity of tray bleaching. The resultant lighter teeth have changed prosthodontics in that there is less need for some types of restoration, less aggressive preparation design, as well as new techniques ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0314-7
更新日期:2019-05-01 00:00:00
abstract::Tongue piercing remains popular. A variety of complications have been reported, including life-threatening infection, airway problems and damaged teeth or mucosal surfaces. A patient who collapsed after continuous profuse bleeding following tongue piercing is presented. It is recommended that piercing practitioners be...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800568
更新日期:2000-06-24 00:00:00