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Clinical Sedation in Dentistry

ISBN: 978-1-4443-1220-1
182 pages
May 2009, Wiley-Blackwell
Clinical Sedation in Dentistry (1444312200) cover image


Clinical Sedation in Dentistry is a comprehensive textbook on the principles and practice of clinical sedation in dentistry, written by experienced educators and internationally renowned researchers in the field.

Chapters cover the following key topics: the aetiology of dental anxiety, patient management techniques, anatomy and physiology, pharmacology, patient assessment and selection, inhalation and intravenous sedation, pre-medication and oral sedation, sedation and special care dentistry, complications and emergencies, medico-legal aspects and recent advances.

This textbook is aimed primarily at undergraduate dental students, dental care professionals and postgraduate dentists.

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Table of Contents



1. Aetiology of Dental Anxiety.

2. Scope of Patient Management Techniques

  • Behaviour management
  • Acclimatisation
  • Hypnosis
  • Acupuncture
  • Sedation
  • General anaesthesia

3. Relevant Anatomy and Physiology

  • Central Nervous System ( drug action)
  • Cardiovascular System
  • Respiratory System

4. Pharmacology of Sedation Drugs

  • Nitrous oxide
  • Benzodiazepines

    • Diazepam
    • Midazolam
    • Temazepam
    • Flumazenil

  • Other intravenous and inhalational agents

  • Propofol

  • Sevoflurane


5. Patient Assessment and Selection

  • Dental History
  • Medical history
  • Social history
  • Treatment planning
  • Pre and post operative instructions

6. Inhalation Sedation

  • Equipment
  • Indications and Contraindications
  • Technique
  • Monitoring

7. Intravenous sedation

  • Equipment
  • Indications and Contraindications
  • Technique
  • Monitoring

8. Pre-medication and Oral Sedation

  • Pre-medication

    • Principles of pre-medication
    • Indications and contraindication
    • Drugs used for pre-medication

  • Oral sedation

    • Principles of oral sedation
    • Indications and contraindications
    • Oral sedative agents

9. Sedation and Special Care Dentistry

  • Defining Special Care Dentistry
  • Patient groups
  • Principles of sedation for special care patients

10. Sedation Complications and Emergencies

  • Complications of sedation
  • Sedation related emergencies
  • Medical emergencies

11. Medico-Legal Aspects of Sedation

  • Sedation guidelines
  • Consent
  • Clinical governance

12. Advances in Conscious Sedation

  • Oral sedation

  • IV sedation in children
  • Propofol sedation
  • Inhalation sedation techniques

Appendices & Index

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Author Information

Professor N M Girdler PhD BDS BSc FDSRCS FFDRCS Professor of Sedation Dentistry at the School of Dental Sciences, Newcastle University, Newcastle upon Tyne.

Mr C M Hill MDSc FDSRCS LDSRCS BDS MSc Consultant in Oral and Maxillofacial Surgery at the University of Wales College of Medicine, Dental Hospital, Cardiff.

Dr K E Wilson PhD BDS MSc DDPHRCS MFDSRCS Associate Specialist in Sedation Dentistry at Newcastle Dental Hospital, Newcastle upon Tyne.

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"All the chapters conclude with a short section of references and further reading and there is a six-page index at the end of the book. Throughout the book there are colour photographs, diagrams, tables, graphs, flow charts, specimen letters, leaflets and checklists." (BDA News, July 2010)

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