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Brazilian Journal of Oral Sciences
Piracicaba Dental School - UNICAMP
EISSN: 1677-3225
Vol. 9, No. 1, 2010, pp. 7-10
Bioline Code: os10002
Full paper language: English
Document type: Research Article
Document available free of charge

Brazilian Journal of Oral Sciences, Vol. 9, No. 1, 2010, pp. 7-10

 en Intravenous procedural sedation: An alternative in the treatment of patients with intellectual disability
Barbieri, Cíntia Megid; Gomes, Alessandra Cristina; Crivellaro de Menezes, Taís Elisabete & Ávila de Aguiar, Sandra Maria Herondina Coelho

Abstract

Conscious sedation has become established as an important alternative to general anesthesia (GA) in dental treatment of patients with intellectual disability (ID).
Aim : to investigate dental patients undergoing sedation using a mean dose of 0.6 mg/kg intravenous midazolam and the adverse events of sedation in patients with ID.
Methods: This study analyzed the records of 163 dental patients with ID aged between 2 and 76 years who had undergone conscious intravenous sedation (CIV) using a mean dose of 0.61 mg/kg of midazolam at Aragatuba Dental School, Sao Paulo State University, Brazil. The efficacy and complications induced by CIV were evaluated in each subject.
Results: CIV was effective for dental treatment in 80% of the cases. A total of 626 dental procedures were performed. The mean treatment time was 33.9 minutes. There was statistically significant difference (p<0.05) between absence and presence of adverse reactions. Adverse reactions were observed in 21.47% of the cases.
Conclusions : The results of this study showed that CIV is a useful method for dental treatment of patients with ID and these patients can need higher doses of sedative to reach an adequate level of sedation.

Keywords
dental anesthesia, dental care, intellectual disability, sedation

 
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