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Article: Volume 47 Number 1 Page 22 - January 2020

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  Dental Update 474: 22-36

Conscious Sedation:  The Establishment of an Intravenous Conscious Sedation Service for Adult Patients in a Primary Dental Care Setting

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Abstract: Dental anxiety is common within the population and can detrimentally affect the delivery of dental care for those patients affected. Non-pharmacological-based behaviour management techniques are available to the clinician but may not be sufficient or applicable for every patient. In such cases, intravenous conscious sedation with midazolam has been demonstrated to be safe, effective and well tolerated. The present article reviews the criteria and guidance which must be addressed by the dental team when establishing an intravenous conscious sedation service in a primary dental care setting.

Clinical relevance: General dental practitioners may wish to consider establishing a conscious sedation service in their practices to facilitate the care of nervous patients or those undergoing prolonged, unpleasant treatments such as surgical procedures. The present paper aims to highlight the considerations which require to be addressed in order to establish such a service for adult patients using intravenous midazolam.

Author notes: Rebecca SL Binnie, BDS, DPDS, GDP, The Dental Practice, 21 Rubislaw Terrace, Aberdeen; Clinical Lecturer (Scholarship), Institute of Dentistry, University of Aberdeen (email: rebecca.binnie@thedentalpracticeaberdeen.co.uk), Nigel D Robb, TD, PhD, BDS, FD RCSEd, FDS(Rest Dent), FDS RPS(Glasg), FDTF(Ed), FHEA, Professor of Restorative Dentistry, School of Dentistry and Oral Health, Griffith University, Queensland, Australia, Sarah L Manton, BDS, PhD, RDS RCSEd, FHEA, FDFT(Ed), Director, Dental Faculty of Trainers, Royal College of Surgeons of Edinburgh and Stephen J Bonsor, BDS(Hons), MSc, FHEA, FDS RCPS(Glasg), MDTFEd, GDP, The Dental Practice, 21 Rubislaw Terrace, Aberdeen; Hon Senior Clinical Lecturer, Institute of Dentistry, University of Aberdeen; Online Tutor/Clinical Lecturer, University of Edinburgh, UK.

Objective: To provide insight into the establishment and safe delivery of a conscious sedation service using intravenous midazolam for adult patients in the primary care setting.