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Article: Volume 41 Number 8 Page 737 - October 2014

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  Dent Update 2014; 41: 737-747

Pain Management:  Effective Analgesia for Patients Undergoing Dental Conscious Sedation

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Abstract: Effective pain control is a basic requirement for patients undergoing dental treatment, particularly under conscious sedation as patients are usually nervous. In order to achieve adequate pain management, clinicians must have an understanding of the physiology of pain, the various pain control modalities and be aware of the evidence base relating to analgesia in dentistry. This article focuses on how to provide effective pain control using analgesic drugs for patients undergoing dental conscious sedation, whilst also considering other available pain control modalities.

Clinical relevance: Dentists have a duty to provide, and patients have a right to expect, adequate and appropriate pain and anxiety control.

Author notes: Parminder Virdee, BDS, MFDS RCS(Eng), MSc, FDS(Rest Dent) RCS(Eng), Consultant in Restorative Dentistry, University Hospitals of Coventry and Warwickshire and James Roelofse, MB ChB M Med(Anaes), PhD(Anaes), Diplomate of the National Dental Board of Anaesthesiologists (USA), Professor of Anaesthesiology and Sedation at University of the Western Cape, and Programme Director of Postgraduate Certificate in Dental Sedation and Pain Management at University College London.

Objective: To understand the basic physiology of pain, the various pain control modalities and increase awareness of the evidence supporting them.