Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: Jan 01, 2007

Illinois Dental Anesthesia and Sedation Survey for 2006

DDS, MPH,
DMD, MS, and
DDS, MPH
Page Range: 52 – 58
DOI: 10.2344/0003-3006(2007)54[52:IDAASS]2.0.CO;2
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Abstract

This is a 10-year follow-up survey of a 1996 study of all dentists in Illinois holding a permit to administer sedation or general anesthesia. The survey describes the scope of sedation and anesthesia services provided in dental offices in Illinois. A mail survey was sent to 471 dentists who were registered with the department of professional regulation to administer sedation or general anesthesia. Classification by specialty area of practice showed: 63% (84% in 1996) are oral and maxillofacial surgeons, 20% (11% in 1996) general dentists, 6% (5% in 1996) periodontists, 9% (0% in 1996) pediatric dentists, 1% (less than 1% in 1996) dentist anesthesiologists. Advanced cardiovascular life support (ACLS) training was reported by 90% (85% in 1996) of the respondents. The total number of sedations and general anesthetics administered for the year was 115,940. Two mortalities and two cases of long-term morbidity were reported for the 10-year period. Respondents reported that 30 patients required transfer to a hospital but suffered no long-term morbidity. Other practice characteristics were detailed.

Keywords: Dental sedation; Dental anesthesia; Morbidity and mortality; Practice parameters
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Copyright: © 2007 American Institute of Biological Sciences.
Figure 1.
Figure 1.

Increase in proportion of practitioners with Type A sedation permit.

Figure 2.
Figure 2.

Comparison in percentage of practitioners by practice type (specialty).

Figure 3.
Figure 3.

Increase in percentage of practitioners reporting initial advanced cardiovascular life support (ACLS) training and current recertification.

Figure 4.
Figure 4.

Number of respondents reporting participation in peer review or office accreditation. Abbreviations: ISOMS, Illinois Society of Oral and Maxillofacial Surgeons; AAOMS, American Association of Oral and Maxillofacial Surgeons; JCAHO, Joint Commission on Accreditation of Healthcare Organizations; AAAHC, Accreditation Association for Ambulatory Health Care.

Figure 5.
Figure 5.

Most commonly utilized anesthesia team configuration as a percentage of respondents reporting.

Figure 6.
Figure 6.

Percentage of practitioners intubating in office remains low.

Figure 7.
Figure 7.

Comparison of practitioners' preference for intravenous agents.

Figure 8.
Figure 8.

Comparison of practitioners' preference for inhalation agents.

Figure 9.
Figure 9.

Comparison of practitioners' preference for oral sedative agents.

Figure 10.
Figure 10.

The number of reported anesthesia related morbidities and mortalities requiring hospital transfer for the 10-year period.

Figure 11.
Figure 11.

Reported anesthesia emergencies categorized by type.

Contributor Notes

Address correspondence to Dr William G. Flick, Department of Oral Maxillofacial Surgery, College of Dentistry (MC 835), 801 S Paulina Street, Chicago, IL 60612; gflick@uic.edu.
Received: Jan 27, 2006
Accepted: Mar 07, 2007