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Article: Volume 41 Number 10 Page 907 - December 2014

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  Dent Update 2014; 41: 907-910

Special Care Dentistry:  The Multidisciplinary Use of Intranasal/Intravenous Conscious Sedation: Four Case Reports

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Abstract: Conscious sedation provides the dentist with the opportunity to provide dental treatment for patients unable to accept care in the usual way. Often these challenging patients are in need of other medical interventions which they are also unable to accept. The use of conscious sedation utilizing intranasal midazolam improves access to dental care for those with profound needle phobia, movement disorders or a learning disability. The following four case reports describe the use of conscious sedation to provide dental treatment in conjunction with other necessary medical treatment. All four cases were treated in primary care by experienced dental sedationists who were familiar with treating this patient group.

Clinical relevance: Experienced dental sedation teams may wish to consider combining dental treatment with other necessary medical interventions during the treatment window which sedation provides.

Author notes: Lucy Wray, BDS, Specialist in Special Care Dentistry, DipDSed, Senior Dental Officer, Solent NHS Trust, New Milton Dental Clinic, New Milton Health Centre, Spencer Road, New Milton, Hants and Graham Manley, BDS, DDPH, MSc, PhD, Consultant in Special Care Dentistry, The Royal Hospital for Neuro-disability, West Hill, Putney, London, SW15 3SW, UK.

Objective: To describe the multidisciplinary use of intranasal/intravenous conscious sedation.