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Article: Volume 48 Number 7 Page 533 - July/August 2021

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  Dental Update 491: 533-538

Sedation:  An alternative sedation option for special care patients: combined inhalation sedation with nitrous oxide and oxygen and intravenous sedation with midazolam

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Abstract: This article highlights an alternative sedation technique by providing inhalation sedation with nitrous oxide and oxygen alongside intravenous sedation with midazolam as an additional option for patients within special care dentistry. Two case reports are described, as well as a short overview of the available literature on this technique and the indications, advantages and disadvantages. This technique should be considered alongside other sedation techniques. As with all treatment for which sedation is provided, each case needs to be considered on an individual basis and the most appropriate option selected following discussion with the patient.

Clinical relevance: Although single sedation techniques provide a good level of sedation to facilitate dental treatment for the majority of patients, it is desirable to have an awareness of alternative sedation options that may be available for patients.

Author notes: Stephanie Fenesan, BDS Dip SCD RCS(Ed) MJDF RCS(Eng) BSc (Hons) AKC, Specialty Trainee in Special Care Dentistry, Department of Sedation and Special Care Dentistry, Guy’s Dental Institute, Guys and St Thomas’ NHS Foundation Trust. Sadie Hughes, BDS MFDSRCPS MSc, Specialist in Special Care Dentistry, Hertfordshire Special Care Dental Service, Hertfordshire NHS Community Trust, Hoddesdon Health Centre, Hoddesdon, Hertfordshire. Neha Patel, BDS MFDS RCS(Ed) Dip DSed BSc (Hons), Senior Dental Officer Hertfordshire Special Care Dental Service, Hertfordshire NHS Community Trust, Marlowes Health and Well Being Centre, Hemel Hempstead, Hertfordshire. email: stephaniefenesan@nhs.net

Objective: To highlight an alternative sedation technique as an additional option for patients within special care dentistry.

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