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Post-sedation Events in Children Sedated for Dental Care
Priyanshi Ritwik BDS, MS,
 Linda T. Cao DDS,
 Ronald Curran DDS, and
 Robert J. Musselman DDS, MSD
Article Category: Other
Volume/Issue: Volume 60: Issue 2
Online Publication Date: Jan 01, 2013
DOI: 10.2344/0003-3006-60.2.54
Page Range: 54 – 59

Moderate oral sedation is utilized by pediatric dentists to provide dental care for children who are unable to cooperate during in-office dental procedures. 1 Studies have evaluated the intraoperative safety and effectiveness of sedation medications commonly used in pediatric dentistry by investigating patient parameters such as oxygen saturation, respiratory rate, blood pressure, and patient behavior during the course of the sedation. 2 – 7 However, little is known about the effects of sedation medications used in pediatric dentistry

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Michelle Wong DDS, MSc,
 Peter E. Copp DDS, BScD, and
 Daniel A. Haas DDS, PhD
Article Category: Research Article
Volume/Issue: Volume 62: Issue 4
Online Publication Date: Jan 01, 2015
Page Range: 140 – 152

Pain is defined as an unpleasant “subjective experience that is the product of both emotional and sensory components interrelated with the context of culture and environment.” 1 It is a concrete experience and an abstract concept. 2 Pain results from actual or potential tissue damage, but the perception of pain is modified by physiological mechanisms in the complex human nervous system. Current clinical practices show that health care providers and parents tend to underestimate children's pain when compared with children's self

Marianne M. Sheroan DMD, MS, MS,
 Diane C. Dilley DDS,
 Warner J. Lucas DDS, MD, and
 William F. Vann DMD, PhD
Article Category: Research Article
Volume/Issue: Volume 53: Issue 3
Online Publication Date: Jan 01, 2006
Page Range: 83 – 90

Behavior management strategies for pediatric dental patients have evolved greatly over the past 2 decades, with adverse techniques such as hand-over-mouth exercise and hand-over-mouth with airway restriction having lost considerable popularity. 1 In light of this trend, conscious sedation is a vital dimension of pediatric dentistry for those children who fail to cooperate for treatment in a conventional setting. Surveys of pediatric dentists in the mid to late 1980s found that 70 to 76% of respondents used conscious sedation. 2 3 A recent

Valasingam Sandeep MDS,
 Manikya Kumar MDS,
 P. Jyostna MDS, and
 Vijay Duggi MDS
Article Category: Research Article
Volume/Issue: Volume 63: Issue 1
Online Publication Date: Jan 01, 2016
Page Range: 3 – 7

Local anesthetic injection is the most anxiety-provoking factor for children in dentistry, 1 as it is allied with pain and extreme discomfort. 2 Pain is highly complex and multidimensional, the control of which is crucial to instill a positive dental attitude in children. 3 Various techniques of reducing injection pain in children can be broadly categorized as psychological and physical. The psychological approach includes behavior management techniques such as distraction 4 and hypnosis. 5 Physical means include various strategies such

Robert L. Campbell DDS,
 Navin S. Shetty DDS,
 Kaavya S. Shetty,
 Herbert L. Pope DDS, and
 Jeffrey R. Campbell DDS
Article Category: Research Article
Volume/Issue: Volume 65: Issue 4
Online Publication Date: Jan 01, 2018
Page Range: 225 – 230

General anesthesia (GA) or deep sedation is often required to complete necessary dental radiographs and/or treatment in young, uncooperative children. Treatment can be completed in either the hospital, ambulatory surgery center, or office setting. Despite the low incidence of adverse outcomes from GA, deep sedation, or moderate sedation in the dental office setting, treatment can be safely and efficiently completed with well-trained providers following established protocols and guidelines. The maximum dental surgical working time for

Masahiro Heima RDT, DDS, PhD and
 Kelsey Stehli DDS
Article Category: Research Article
Volume/Issue: Volume 69: Issue 3
Online Publication Date: Oct 06, 2022
Page Range: 13 – 19

Dental care–related fear and anxiety (ie, dental fear) 1 prevent regular dental checkups, which can result in poor oral health and a decreased quality of life. 2 – 6 Many adults with dental fear recall a traumatic experience during their childhood as the origin of their dental fear. 7 , 8 Dentists caring for children play an important role in preventing traumatic dental experiences 9 and should assess dental fear levels before treatment begins. A dental fear questionnaire for children, the Children's Fear Survey Schedule

Janice A. Townsend DDS, MS,
 Steven Ganzberg DMD, MS, and
 S. Thikkurissy DDS, MS
Article Category: Research Article
Volume/Issue: Volume 56: Issue 4
Online Publication Date: Jan 01, 2009
Page Range: 115 – 122

Dental rehabilitation under general anesthesia is commonly performed in young children because children may be unable to cooperate in a dental clinic setting or because they may require a significant amount of dental work. 1 The use of general anesthesia for dental rehabilitation of children, when indicated, is an accepted behavior management technique according to the American Academy of Pediatric Dentistry (AAPD). 1 Although benefits of general anesthesia for dentistry include safe and efficient delivery of dental care, the procedure is

Christy Lam DDS,
 Richard D. Udin DDS,
 Stanley F. Malamed DDS,
 David L. Good DDS, and
 Jane L. Forrest RDH, EdD
Article Category: Research Article
Volume/Issue: Volume 52: Issue 2
Online Publication Date: Jun 01, 2005
Page Range: 56 – 61

relates to modesty issues associated with administering the drug rectally to older children. Intramuscular sedation is popular due to its ease of administration, rapid onset of action, better absorption, and greater predictability of the length of the latent period and duration of action. According to Malamed, 9 intramuscular midazolam is an effective preoperative sedative in children and patients with disabilities. However, one disadvantage of this route relates to the fear of injections, which can be associated with pain. Intranasal administration of

Afsoon Fazeli DDS, MSD,
 Travis M. Nelson DDS, MSD, MPH,
 Mir Sohail Fazeli MD, PhD,
 Yvonne S. Lin PhD, and
 JoAnna Scott PhD
Article Category: Research Article
Volume/Issue: Volume 68: Issue 3
Online Publication Date: Oct 04, 2021
Page Range: 133 – 140

Dental caries is the most common chronic disease of childhood, and it frequently necessitates extensive restorative dental treatment. 1 Prefabricated crowns are the treatment of choice for children with rampant caries involving large or multiple surface lesions or developmental defects. 2 Although there are many full-coverage crown options for restoring primary dentition, prefabricated zirconium dioxide (zirconia) products are popular because of their high strength, positive gingival response, and excellent esthetics. 3 – 6 Teeth

Cara J. Riley DMD, MS,
 Timothy Moore CRNA, MS, MSNA,
 Lauren Eagelston,
 Dale Burkett MD,
 Scott Auerbach MD, and
 Richard J. Ing MBBCh, FCA(SA)
Article Category: Case Report
Volume/Issue: Volume 64: Issue 1
Online Publication Date: Jan 01, 2017
Page Range: 29 – 32

conditions, the literature reports the presence of at least 1 cardiac anomaly in one third to two thirds of patients. The most commonly reported congenital heart defects are ventricular septal defect, atrial septal defect, and patent ductus arteriosus; less common are conditions such as arch anomalies with vascular rings and aberrant left subclavian artery. Most of the studied children exhibited more than 1 cardiac condition. 3 However, to the best of our knowledge, no case of cardiomyopathy has been described in these patients. Following signed parental consent

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