More dentist anesthesiologists needed to deal with public fear of dental procedures

A retrospective study appearing in Anesthesia Progress examines the relationship between dentist anesthesiologists and general practice dental residents and patients of theirs who were moderately or deeply sedated as part of their dental procedure.

Monitored anesthesia care, another term for moderate or deep sedation, was reviewed in 100 randomly selected cases, and the authors found an occurrence of only five instances of morbidity (e.g., nausea, vomiting). In addition, these morbidities were minor and either self-limiting or easy to control.

Thus, sedation was found overall to be effective and safe.

A key factor in the successful treatments was the presence of a dentist anesthesiologist, who collaborated with second-year general practice dental residents in administering sedation care.

Although 15% to 30% of the U.S. population experiences dental fear, especially special-needs and phobic patients, very few general dentists have training or experience in advanced anesthesiology techniques used to address this fear and to minimize pain. Furthermore, the American Dental Association has not recognized dental anesthesiology as an official specialty of dentistry in the United States.

The good news is that the Commission on Dental Accreditation, which is associated with the American Dental Association, has taken action to help address this gap between the lack of knowledge and experience of dentists and the increasing needs of those fearful of undergoing dental procedures.

The CODA now includes dental anesthesiology residency programs as part of its accreditation process. In addition, guidelines for using sedation methods and for teaching these methods to students and dentists have been adopted by the ADA.

Dentist anesthesiologists, as teachers and overseers, have an important role to play in the optimal treatment of patients in need of monitored anesthesia care. As dentists increase their knowledge of sedation techniques, it will be possible to help ever-greater numbers of fearful patients receive high-quality dentistry.

To learn more about the American Dental Society of Anesthesiology, visit American Dental Society of Anesthesiology.

To read more about the society, go to American Dental Society of Anesthesiology.

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