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Female Patients Require a Higher Propofol Infusion Rate for Sedation
Shigeru Maeda DDS, PhD,
 Yumiko Tomoyasu DDS, PhD,
 Hitoshi Higuchi DDS, PhD,
 Yuka Honda DDS,
 Minako Ishii-Maruhama DDS, PhD, and
 Takuya Miyawaki DDS, PhD
Article Category: Research Article
Volume/Issue: Volume 63: Issue 2
Online Publication Date: Jan 01, 2016
DOI: 10.2344/0003-3006-63.2.67
Page Range: 67 – 70

Sedation is useful for minor oral surgery because it helps prevent excessive increases in blood pressure and heart rate and reduces mental stress arising from the surgery. 1 – 3 This is a significant benefit for both the patient and the operator. However, if the sedative level goes beyond moderate sedation, airway problems may arise, and deep sedation may also lead to a delay in recovery from sedation. In addition, implant surgery often takes longer than tooth extraction, and maintaining an adequate sedation level for longer procedures can

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Management of Patients With Cardiovascular Implantable Electronic Devices in Dental, Oral, and Maxillofacial Surgery
James Tom DDS, MS
Article Category: Research Article
Volume/Issue: Volume 63: Issue 2
Online Publication Date: Jan 01, 2016
DOI: 10.2344/0003-3006-63.2.95
Page Range: 95 – 104

Recent statistics point to an increasing number of patients in North America with cardiovascular implantable electronic devices (CIEDs), which include implantable cardiac pacemakers, implanted cardioverter-defibrillators (ICDs), cardiac resynchronization devices, and implantable cardiac monitors. In 2012, it was estimated that at least 3 million patients have these devices implanted and more than 250,000 new devices are implanted each year. 1 Of major concern to the dentist practitioner is the possibility of electromagnetic

Efficacy of Topical Anesthetics in Pain Perception During Mini-implant Insertion: Systematic Review of Controlled Clinical Trials
Rogério Lacerda-Santos DDS, MS,,
 Thaísa Caliman Bravin DS,,
 Fabíola Galbiatti Carvalho DDS, MS,,
 Matheus Melo Pithon DDS, MS, PhD,,
 Antonia Bárbara Leite Lima DS,, and
 Karina Gomes da Silva , DS
Article Category: Research Article
Volume/Issue: Volume 66: Issue 3
Online Publication Date: Jan 01, 2019
DOI: 10.2344/anpr-66-01-11
Page Range: 119 – 132

The use of mini-implants in orthodontics has been shown to be an extremely advantageous method for skeletal anchorage, and their efficacy has been proved in different orthodontic treatments. 1 , 2 The use of these devices has made planned tooth movement possible without undesirable results in the vertical, transverse, and anterior-posterior planes, 1 – 3 and the technique for using them is simple and relatively low-cost. 4 – 6 However, the acceptance of patients with regard to the procedure for placement of these mini-implants

A Comparison of Dexmedetomidine Sedation With and Without Midazolam for Dental Implant Surgery
Ryo Wakita PhD, DDS,
 Hikaru Kohase PhD, DDS, and
 Haruhisa Fukayama PhD, DDS
Article Category: Research Article
Volume/Issue: Volume 59: Issue 2
Online Publication Date: Jan 01, 2012
DOI: 10.2344/11-11.1
Page Range: 62 – 68

combination. The purpose of the present study was to clarify the quality of the sedative effect of various doses of DEX and MDZ in dentistry. SUBJECTS AND METHODS We conducted this study after obtaining the approval of the Ethics Committee of the Faculty of Dentistry, Tokyo Medical and Dental University. The subjects included in this study were healthy patients between 20 and 65 years of age who were scheduled to undergo 1 or 2 primary dental implants in the alveolar bone. Informed consent was obtained from each patient after he/she had received a

Figure 1 ; Differences in average infusion rate of propofol by sex. Data are mean ± SD; n = 36 and 89 for male and female, respectively. * P < .01.
Shigeru Maeda,
 Yumiko Tomoyasu,
 Hitoshi Higuchi,
 Yuka Honda,
 Minako Ishii-Maruhama, and
 Takuya Miyawaki
<bold>Figure 1</bold>
Figure 1

Differences in average infusion rate of propofol by sex. Data are mean ± SD; n = 36 and 89 for male and female, respectively. * P < .01.

Figure 2 ; Differences in body weight by sex. Data are mean ± SD; n = 36 and 89 for male and female, respectively. * P < .01.
Shigeru Maeda,
 Yumiko Tomoyasu,
 Hitoshi Higuchi,
 Yuka Honda,
 Minako Ishii-Maruhama, and
 Takuya Miyawaki
<bold>Figure 2</bold>
Figure 2

Differences in body weight by sex. Data are mean ± SD; n = 36 and 89 for male and female, respectively. * P < .01.

Figure 3.; Places where medical emergencies occurred (n  =  205). Outpatient clinics of conservative dentistry and oral surgery were the two main sources of medical emergency cases. Others included on the campus (3%) and outpatient clinic of oral implant (3%), radiology (2%), ward (1%), general reception (1%) and unknown (1%).
Figure 3.
Figure 3.

Places where medical emergencies occurred (n  =  205).

Outpatient clinics of conservative dentistry and oral surgery were the two main sources of medical emergency cases. Others included on the campus (3%) and outpatient clinic of oral implant (3%), radiology (2%), ward (1%), general reception (1%) and unknown (1%).

Comparing the Efficiencies of Third Molar Surgeries With and Without a Dentist Anesthesiologist
Uday Reebye MD, DMD,
 S. Young BS,
 E. Boukas DDS,
 E. Davidian DDS, MS, and
 J. Carnahan PhD
Article Category: Research Article
Volume/Issue: Volume 64: Issue 1
Online Publication Date: Jan 01, 2017
DOI: 10.2344/anpr-63-03-11
Page Range: 8 – 16

period (June 2009–May 2010) at the Triangle Implant Center (Durham, NC). Included in the study were those patients who had all of their M3s (teeth #1, #16, #17, and #32) extracted under IV sedation/general anesthesia without any additional procedures. There were 200 patients that fit the criteria. Out of this subsample, 100 cases were performed with a dentist anesthesiologist (SDA model) and 100 cases were performed with a single operator-anesthetist (SSPA model). The same surgeon performed all extractions in the same facility, eliminating the potential confounding

Complicated Airway Due to Unexpected Lingual Tonsil Hypertrophy
Aarti Bhavesh Patel BS,
 Edward Davidian DDS, MS, and
 Uday Reebye DMD, MD
Article Category: Research Article
Volume/Issue: Volume 59: Issue 2
Online Publication Date: Jan 01, 2012
DOI: 10.2344/11-06.1
Page Range: 82 – 84

Office-Based Anesthetic and Oral Surgical Management of a Child With Hereditary Sensory Autonomic Neuropathy Type IV: A Case Report
Shamit Prabhu BS,
 Kevin Fortier MS,
 Lisa Newsome MD, DMD, and
 Uday N. Reebye MD, DMD
Article Category: Case Report
Volume/Issue: Volume 65: Issue 3
Online Publication Date: Jan 01, 2018
DOI: 10.2344/anpr-65-03-07
Page Range: 181 – 186

-mutilation, dental implants can be used to correct for the dental damage that occurs in early childhood. When presented with a patient diagnosed with HSAN IV in an outpatient setting, the use of office-based general anesthesia can be hazardous without thermoregulatory equipment, such as warming and cooling blankets, advanced monitoring systems, and a pediatric intensive care unit should it be needed. The autonomic irregularities can present challenges for anesthesiologists since there is an increased risk of irregularities in blood pressure and heart rate, including the

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