Role of intravenous sedation in postoperative outcome after wisdom tooth surgery
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Date
2022
Authors
Journal Title
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Volume Title
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Anotācija
Zobu ārstēšana un mutes dobuma operācijas bieži tiek saistītas ; ar paaugstinātu stresa līmeni, un bailes no dentālām manipulācijām sastopamas aptuveni 10-30% gadījumu no visas populācijas. Ir pierādījumi, kas liecina, ka paaugstināts stresa līmenis var palielināt komplikāciju risku. Intravenoza (IV) sedācija ir viens no sedācijas veidiem, kam ir tādas priekšrocības, kā ātra sedācijas sākšanās, un IV pieeja var kalpot citu zāļu ievadīšanai, kas ļauj kontrolēt sistēmiskas slimības, piemēram, hipertensiju, un ievadīt medikamentus, lai samazinātu pēcoperācijas komplikācijas, kā sāpes, iekaisums, tūska. Gudrības zobu un citu zobu ekstrakcijas ir viena no visbiežāk veiktajām mutes dobuma operācijām, un pacienti to vērtē kā augsta stresa līmeņa operāciju. Šajā literatūras apskatā mēs apkopojam rakstus no "PubMed", "EBSCO Host" un "China National Knowledge Infrastructure". Pārskatot šos rakstus, mēs cenšamies novērtēt IV sedācijas ietekmi uz zobu ekstrakciju (īpaši gudrības zoba ekstrakciju) salīdzinājumā ar vietējo anestēziju, īpaši pacientiem ar augstāku trauksmes līmeni. Gan no pacientu, gan operatoru puses novērtēt pēcoperācijas apmierinātību, drošību operācijas laikā, sedācijas ietekmi uz pēcoperācijas periodu un, iespējams, ieteikt labāku izvēles medikamentu IV sedācijas izmantošanai. Lai gan pagaidām nav pierādījumu, kas liecinātu, ka IV sedācija ar lokālo anestēziju ir labāka par tikai lokālo anestēziju, pacientiem gudrības zoba ekstrakcijas laikā, tomēr IV sedācija joprojām ir ieteicama pacientiem ar augstu trauksmes līmeni un sistēmiskām slimībām, kas var saasināties ekstrakcijas procedūras laikā, kā arī atvieglot pēcoperācijas periodu.
Annotation Dental treatment and oral surgery are often rated as increased stress levels and dental phobia occurs in around 10-30% of the whole population. There are pieces of evidence showing that increased stress levels can lead to an increased risk of complications, like faint or hypertensive crisis. Intravenous (IV) sedation is one of the administrated routes of sedation which has benefits such as quick onset, and the IV line can serve for other drug administration which allows us to control systemic diseases such as hypertension and deliver medications to reduce the postoperative complications. Wisdom teeth surgery is one of the most common oral surgeries and is also rated as high-stress level by patients. In this literature review, we collect articles from “PubMed”, “EBSCO Host”, and “China National Knowledge Infrastructure”. By reviewing those articles, we try to evaluate the effects of IV sedation on tooth extractions (especially wisdom tooth extraction) in comparison with local anesthesia, especially in patients with higher anxiety levels. From both patients and operators sides, evaluate the postoperative satisfaction, safety during surgery, and possibly recommend a better drug of choice for the future use of IV sedation. Although there is no yet evidence showing that IV sedation is better for patients during wisdom tooth extraction, IV sedation is still recommended for patients with higher anxiety levels and pre-deposit systemic diseases that may arouse during the extraction procedure as well as positively impact postoperative period.
Annotation Dental treatment and oral surgery are often rated as increased stress levels and dental phobia occurs in around 10-30% of the whole population. There are pieces of evidence showing that increased stress levels can lead to an increased risk of complications, like faint or hypertensive crisis. Intravenous (IV) sedation is one of the administrated routes of sedation which has benefits such as quick onset, and the IV line can serve for other drug administration which allows us to control systemic diseases such as hypertension and deliver medications to reduce the postoperative complications. Wisdom teeth surgery is one of the most common oral surgeries and is also rated as high-stress level by patients. In this literature review, we collect articles from “PubMed”, “EBSCO Host”, and “China National Knowledge Infrastructure”. By reviewing those articles, we try to evaluate the effects of IV sedation on tooth extractions (especially wisdom tooth extraction) in comparison with local anesthesia, especially in patients with higher anxiety levels. From both patients and operators sides, evaluate the postoperative satisfaction, safety during surgery, and possibly recommend a better drug of choice for the future use of IV sedation. Although there is no yet evidence showing that IV sedation is better for patients during wisdom tooth extraction, IV sedation is still recommended for patients with higher anxiety levels and pre-deposit systemic diseases that may arouse during the extraction procedure as well as positively impact postoperative period.
Description
Zobārstniecība
Dentistry
Veselības aprūpe
Health Care
Dentistry
Veselības aprūpe
Health Care
Keywords
Intravenoza sedācija, Gudrības zobu ekstrakcija, 3. molāra ekstrakcija, Zoba ekstrakcija, Pēcoperācijas iznākums., Intravenous sedation, Wisdom teeth extraction, 3rd molar extraction, Tooth extraction, Postoperative outcome.