EFFICACY OF DEXMEDETOMIDINE AS CONSCIOUS SEDATIVE AGENT FOR ANXIOUS PATIENTS UNDERGOING MINOR ORAL SURGICAL PROCEDURES
Abstract
Anxiety is the most common stigma experienced by the patients undergoing minor oral surgical procedures. The role of the surgeon depends solely on the methods employed in decreasing the level of anxiety in these patients. The most commonly followed procedure on an outpatient basis is the conscious sedation technique. Conscious sedation can be induced by various routes of administration such as inhalation, intravenous, oral and intramuscular routes. Amongst them intravenous sedation is one of the most effective methods for the management of anxiety and associated pain in an outpatient basis. “DEXMEDETOMIDINE HYDROCHLORIDE” is one of the ideal conscious sedative agent. In our study we selected dexmedetomidine hydrochloride for conscious sedation in 10 healthy anxious patients undergoing minor oral surgical procedures such as extractions, operculectomy, frenectomy and mucocele excision with a mean age of 31.9 years (25-40 years).
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References
Renton T, Hankins M, Sproate C, McGurk M - A randomised controlled clinical trial to compare the
incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular
third molars. British Journal of Oral and Maxillofacial Surgery 2005; 43: 7-12
Xu GZ, Yang C, Fan XD, Yu CQ, Cai XY, Wang Y, He DM - Anatomic relationship between
impacted third mandibular molar and the mandibular canal as the risk factor of inferior alveolar nerve
injury. British Journal of Oral and Maxillofacial Surgery 2013; 51:215-219
Ayad CE, Elhag ZA, Abdulla EA, Elfadil M, Kajoak S- Characterization of inferior alveolar canal in
Sudanese population using orthopantomography. International journal of Medical imaging 2013; 1(3):39-
Santos CO & Souza PH, Couto SA, Stinkens L, Moyaert K, Bullen IR & Jacobs R - Assessment of
variations of the mandibular canal through cone beam computed tomography. Clin Oral Invest 2012;
:387–393
Carter RB, Keen EN – The intra mandibular course of the inferior alveolar nerve. J Anat. 1971; 108:
-440
Heasman PA – Variation in the position of inferior dental canal and its significance to restorative
dentistry. J Dent 1988; 16(1): 36-39
Juodzbalys G, Wang HL, Sabalys G – Anatomy of mandibular vital structures. Part I: Mandibular canal
and inferior alveolar neurovascular bundle in relation with dental implantology. J Oral Maxillofac Res
; 1: e2 1-8.
Schwarz MS, Rothman SL, Chefetz N, Rhodes M – Computed tomography in dental implantation
surgery. Dental Clinics of North America 1989; 33(4): 555-597
Denio D, Torabinejad M, Bakland LK. Anatomical relationship of the mandibular canal to its
surrounding structures in mature mandibles. J Endod 1992; 18:161-5.
Tamas F. Position of the mandibular canal. Int J Oral MaxillofacSurg1987; 16: 65-69.
Levine MH, Goddard AL, Dodson TB. Inferior alveolar nerve canal position: A clinical and
radiographic study. J Oral MaxillofacSurg 2007; 65: 470-4.
Narayana K. & Vasudha S. Intraosseous course of the inferior alveolar (dental) nerve and its relative
position in the mandible. Indian J Dent Res2004; 15: 99-102.
Kieser J., Kieser D. & Hauman T. The course and distribution of the inferior alveolar nerve in the
edentulous mandible. J CraniofacSurg, 2005; 16: 6-9.
Watanabe H, Mohammad Abdul M, Kurabayashi T, Aoki H. Mandible size and morphology
determined with CT on a premise of dental implant operation. SurgRadiolAnat 2010; 32: 343-9.
Obradovic O, Todorovic L, Pesic V, Pejkovic B, Vitanovic V. Morphometric analysis of mandibular
canal: Clinical aspects. Bull Group IntRechSciStomatolOdontol 1993; 36:109-13.
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