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Conscious sedation with propofol in dentistry.
L B Oei-Lim1, D M Vermeulen-Cranch, E C Bouvy-Berends
1Department of Anaesthesiology, Academic Medical Centre, Amsterdam.
British Dental Journal
|May 11, 1991
Summary
Propofol infusion offers a safe and effective alternative for conscious sedation in dental patients, particularly those with anxiety or special needs. This method demonstrated satisfactory sedation and rapid recovery without adverse effects.
Area of Science:
- Anesthesiology
- Dental Surgery
- Pharmacology
Background:
- Conscious sedation is crucial for anxious or special needs dental patients.
- Nitrous oxide/oxygen is a common sedation method.
- Alternative agents are sought for improved efficacy and safety.
Purpose of the Study:
- To evaluate propofol as an alternative to nitrous oxide/oxygen for conscious sedation.
- To assess the efficacy and safety of propofol in dental out-patients.
- To determine optimal propofol infusion rates for dental procedures.
Main Methods:
- Continuous intravenous propofol infusion was administered to 19 out-patient dental patients.
- Infusion rates were adjusted to achieve and maintain conscious sedation.
- Sedation levels, procedure duration, and recovery times were monitored.
Main Results:
- Propofol infusion achieved satisfactory conscious sedation in 17 out of 19 patients.
- Mean time to sedation was 11.5 minutes; mean infusion rate was 3.6 mg/kg/hour.
- Rapid recovery was observed post-infusion with no reported side-effects.
Conclusions:
- Propofol is an acceptable and effective alternative to nitrous oxide/oxygen for conscious sedation in dental surgery.
- It is particularly suitable for anxious or medically/mentally handicapped patients.
- Further research may explore broader applications in dentistry.