ISSN : 0376-4672
Sedation is frequently required to relieve anxiety in the field of dentistry. Among sedation techniques, oral sedation has been widely used because it is easy for administration and has a wide acceptability for dentists. This article discuss the pharmacology of oral sedatives and therapeutic considerations of these drugs, and finally how to manage apprehensive patients using oral sedation. Also, we recommend how pertinent drugs should be used to maintain an adequate level of sedation, not deep sedation
1. Gatchel R, Ingersoll B, Bowman L, Robertson M, Walker C: The prevalence of dental fear and avoidance: a recent survey study. J Am Dent Assoc 1983; 107:609-610.
2. Gatchel R: The prevalence of dental fear and avoidance: expanded adult and recent adolescent surveys. J Am Dent Assoc 1989; 118:591-593.
3. Domoto P, Weinstein P, Kamo Y, Wohlers K, Fiset L, Tanaka A: Dental fear of Japanese residents in the United States. Anesth Prog 1991; 38:90-95.
4. Mallamed SF: Sedation - A guide to Patient Management 5 th. Elsevier 2010.
5. Study RE, Barker JL: Cellular mechanisms of benzodiazepine action. JAMA 1982; 247:2147-2151.
6. Badalaty MM, Houpt MI, Koenigsberg SR, Maxwell KC, DesJardins PJ: A comparison of chloral hydrate and diazepam sedation in young children. Pediatr Dent 1990; 12:33-37.
7. Berthold C, Schneider A, Dionne R: Using triazolam to reduce dental anxiety. J Am Dent Assoc 1993; 124:58-64.
8. Ameer B, Greenblatt DJ: Lorazepam: a review of its clinical pharmacological properties and therapeutic uses. Drugs 1981; 21:162-200.
9. Holm KJ, Goa KL: Zolpidem: an update of its pharmacology, therapeutic efficacy and tolerability in the treatment of insomnia. Drugs 2000; 59:865- 889.
10. Ambien CR for insomnia. The Medical letter on drugs and therapeutics 2005; 47:97-98.
11. Nordenberg A, Delisle G, Izukawa T: Cardiac arrhythmia in a child due to chloral hydrate ingestion. Pediatrics 1971; 47:134-135.
12. Magni G, Cadamuro M, Borgherini G, Mastropaolo G, Di Mario F: Psychological stress and gastric emptying in normal subjects. Psychol Rep 1991; 68:739-46.
13. Strollo PJ, Rogers RM: Obstructive Sleep Apnea. N Engl J Med 1996; 334:99-104.
14. American Hospital Formulary Service Drug Information: 2005. Betheda, MD: American Hospital Formulary Service Drug Information 2005:2252-60.
