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Correlation Between Body Movements and Salivary Secretion During Sedation
Yoko Sasaki1,2, Seiichi Kato1, Masaaki Miura1
1Department of Dentistry, Saitama Prefectural General Rehabilitation Center, Saitama, Japan.
Anesthesia Progress
|December 16, 2016
Summary
During dental sedation, immobility significantly reduces salivary secretion and coughing risk. This finding highlights the importance of patient stillness for safer dental procedures under deep sedation.
Area of Science:
- Dental Medicine
- Anesthesiology
- Physiology
Background:
- Cough reflex control is vital for safe dental sedation.
- Saliva accumulation is a key factor triggering cough during procedures.
- Patient body movements may increase salivation during sedation.
Purpose of the Study:
- To compare salivary secretion in patients with and without body movements during dental sedation.
- To investigate the impact of immobility on salivation under deep sedation.
Main Methods:
- Salivary weight was measured in 27 patients with intellectual disability undergoing deep sedation.
- Measurements were taken during dental treatment using midazolam and propofol.
- Data on body movements, Bispectral Index (BIS), and propofol concentration were collected.
Main Results:
- Salivary weight was significantly lower in the without-movements state (0.03 g) compared to the with-movements state (0.11 g).
- Bispectral Index (BIS) was significantly lower during immobility.
- No significant difference in propofol concentration was found between the two states.
Conclusions:
- Deep sedation decreases salivary secretion.
- Immobility further reduces salivation during dental treatment.
- Reduced salivary secretion due to immobility is a beneficial factor for safe dental sedation.
