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- and postoperative pain control with the use of local anesthesia is essential for satisfactory patient cooperation. Malamed 2 characterized local anesthetics as the most important drugs in dentistry because of their omnipresent use. It has been estimated that more than 300 million local anesthetic cartridges are used annually by dentists in the United States. 2 Local anesthetic agents used in medicine and dentistry primarily function by impairing afferent neuronal conduction and can be categorized into 2 classes based on their molecular structure: amides (lidocaine

Intravenous sedation and general anesthesia play an important role in oral and maxillofacial surgery for the treatment of complex surgical cases, pain control, and management of dental phobic patients. Dionne et al 1 estimated that 23 million people in the United States would visit the dentist more often if general anesthesia and conscious sedation were readily accessible. Because oral health declines when patients avoid dental treatment, options for general anesthesia and sedation in dentistry need to be made accessible to a large

General anesthesia is a form of advanced behavior management utilized by dentists to provide quality dental care for children otherwise unable to tolerate dentistry in an outpatient setting. 1 The use of local anesthesia in conjunction with general anesthesia is an area with conflicting research. The addition of local anesthesia during dental rehabilitations has some potential benefits: decreased postoperative pain, improved hemorrhage control, and reduced need for anesthesiologist intervention. In regards to postoperative pain

, including the United States. 6 , 7 In 1996, a survey of the American Academy of Pediatric Dentistry membership revealed that 89% of pediatric dentists utilize nitrous oxide sedation, with most of them using it more than 5 times per week. 8 Moreover, this sedation technique is the second most accepted BMT by parents in the United States. 9 On the contrary, several studies showed that the majority of parents in Middle East countries did not accept nitrous oxide sedation as a BMT. One study, which was conducted in 2009, demonstrated that most parents in Kuwait prefer

The delivery of anesthesia for dentistry has a long and, at times, controversial history. Even though for some there is still a debate over who is the true discoverer of general anesthesia, there is no doubt that dentists did make significant contributions to the early development of the art and science of anesthesia. Since the birth of anesthesia in the 1840s, it has remained an integral part of the practice of dentistry. 1 Over the next few decades, dentists remained active in the evolution of general anesthesia techniques and the development of new

The discipline of dental anesthesiology across the United States and Canada has been a growing facet of dentistry for several years. Previous literature has shown limited review of the practices of dentist anesthesiologists. 1 These specialized practitioners in the dental field provide unique treatment modalities and professional perspectives. A survey of the members of the American Society of Dentist Anesthesiologists (ASDA) presents information for current and potential future colleagues to gauge the dynamics and scope of dental

The treatment of preschool children with early childhood caries is recognized as a significant public health issue. 1 – 3 For a select few pediatric dental patients, nonpharmacologic and minimal or pharmacologic interventions with moderate sedation are not appropriate or adequate for the pediatric dentist to achieve comprehensive care. In this group of pediatric dental patients, deep sedation or general anesthesia is the treatment of choice because of the patient's extensive treatment needs, acute situational anxiety, uncooperative age-appropriate behavior

modification. There are neither clear guidelines for preoperative IM sedation nor data about the practice patterns of dentist anesthesiologists who use this technique. Specifically, it is not known what drug regimens are typically used, how frequently preoperative sedatives are administered by the IM route, what factors influence clinical decisions regarding the use of preoperative IM sedation, or what the perceived success of preoperative IM sedation is. We conducted a survey of dentist anesthesiologists in North America to characterize their current use of

Office-based sedation and anesthesia is a critical component of the modern pediatric dental practice. This is especially true for the management of special populations that include patients with cognitive impairments, developmental delay, precooperative age, and other conditions that limit the effectiveness of behavior management techniques. Some pediatric dentists provide minimal or moderate sedation while simultaneously performing dentistry. Although this practice has been a cornerstone of pediatric dental practice for generations, there are limitations