Abstract
The challenges of sedating a child for dental procedures are multifactorial: the patient's age, health, temperament and emotional status, parental styles and concerns, clinician philosophy on patient management, extent and quality of clinician training and experiences with sedation, dental board regulation of sedation, issues of third-party coverage or parental reimbursement, knowledge of and adherence to sedation guidelines and legal requirements by clinicians, facility preparedness, and support staff experiences are but a few of many important considerations. To address these challenges, a pediatric dentist must be appropriately educated in both pharmacological and non-pharmacological techniques; well-trained in sedation procedures including patient rescue; intimately aware of local, state, and federal regulations; and compliant with the appropriate professional guidelines. The first section of this chapter will give an overview of the factors involved in the holistic and the sedative care of these child dental patients. The second section is devoted to sedation practices performed primarily in the USA. The third section of this chapter describes sedation practices associated with the UK and Europe. The fourth section will provide an overview of the state of sedation for pediatric dental procedures in South America, as an example of different solutions to sedation management in underdeveloped/developing countries. The closing section contains case summaries.
| Original language | English |
|---|---|
| Title of host publication | Pediatric Sedation Outside of the Operating Room |
| Subtitle of host publication | A Multispecialty International Collaboration |
| Publisher | Springer International Publishing |
| Pages | 497-531 |
| Number of pages | 35 |
| ISBN (Electronic) | 9783030584061 |
| ISBN (Print) | 9783030584054 |
| DOIs | |
| Publication status | Published - 13 Apr 2021 |
Keywords
- American Academy of Pediatric Dentistry (AAPD)
- American Academy of Pediatrics
- American Dental Association (ADA)
- Basic life support (BLS)
- British Society of Paediatric Dentistry (BSPD)
- Children's Fear Survey Schedule-Dental Subscale (CFSS-DS)
- Chloral hydrate
- Cochrane review
- Commission of Dental Accreditation
- Deep sedation
- Dental anxiety
- Etomidate
- Europe
- European Academy of Paediatric Dentistry (EAPD)
- European Union
- Facial Image Scale
- Fentanyl
- Frankl scale
- General Dental Council
- International Association of Paediatric Dentistry (IAPD)
- Local anesthesia
- Meperidine
- Midazolam
- Minimal sedation
- Moderate sedation
- Modified Child Dental Anxiety Scale (MCDAS)
- National Institute for Clinical Excellence (NICE)
- Nitrous oxide
- Pediatric advanced life support (PALS)
- Pediatric dentistry
- Propofol
- Sedation
- South America
- Target-controlled infusion (TCI)
- UK
- USA