Background & Objective: IV sedation has become established as an alternative to general anesthesia in dental treatment of patients with intellectual disability.
AIM: This study was designed to evaluate analgesic efficacy and clinical safety of intra
venous propofol sedation for handicapped, and determine the effect of gender, age, time of treatment on the recovery time for the patient.
Methods & Materials: Twenty eight handicapped patients with cerebral palsy, intellectual disability, Down syndrome, classified as ASA 1(15 males, 13 females) in the age-group of 3-34 years, and in the weight group of 10-60 kg were selected, Who had undergone deep intravenous sedation using a mean dose
of 2.5 mg/kg as only one dose before treatment. The handicapped were treated at maxillio-facial hospital
at Faculty of dentistry - Damascus University in the hospital setting then in the recovery room were observed for vital signs.
Results: IV sedation with propofol was effective for dental treatment in all cases. The dental proucedures were: extraction, ART, and scaling. The mean treatment time was 21 minutes. There was no significant effect for recovery time (p<0.05) with gender, age, weight of the patient and the time of treatment.
Conclusions: The results of this study showed that intravenous propofol sedation appears to be a safe and effective method for dental treatment of handicapped patients, when administered and monitored by a qualified anesthetist, offering the practitioner an alternative to general anesthesia.
Curing shrinkage with its resulting stresses inside the restoration, and
microleakage with its resulting marginal discoloration are the most important problems that face
composite restorations. The new studies try to use a lot of ways to reduce it.
One of these ways is using
soft-start light curing.
Investigate the clinicale influence of using soft start light curing method on marginal discoloration of
composite restoration of primary molars.
The purpose of this study was to evaluate the success of Formocresol
pulpotomy compared with Ferric sulfate and Electro coagulation and Laser
pulpotomy in primary teeth. Fourty seven primary second molars of
children aged 5-8 years, were divided r
andomly into four groups: 10
Formocresol , 13 Ferric sulfate , 13 Electro coagulation, 10 Laser.
All teeth were filled with ZOE and sealed with Compomer, and S.S.Crown
as final restoration.
The success rate was 90 % - 84.6 % - 84.6 % - 83.3 % respectively.
These differences were not statistically significant p=0.05), but there were a
relation between the pretreatment physiologic resorption of roots and the
type of hemorrhage during the amputation procedure.
This study revealed that Ferric sulfate, and Electro coagulation, and Laser
pulpotomy are good alternative to Formocresol pulpotomy.
The purposes of the present study were to determine the
effectiveness of infiltration anesthesia in the mandibular
primary molars compared with inferior alveolar nerve block,
and how tooth location, and the type of treatment performed,
and the vo
lume of anesthetic solution relate to the quality of
anesthesia.
The study population consisted of ١١٦ cooperative
children, ٣-٦ years old, requiring the same type of treatment
on contralateral mandibular molars.
The use of Nitros Oxide in the Conscious Sedation is the most frequently
used method in the Pediatric Dental Clinic to control the child behavior or
modify it.
For all of this we used Nitros Oxide in a clinical biological study to verify the
fact
s available about it and to know its side effects on the central nervous
system and to investigate the vital signs such as pulse, blood pressure, and
breathing ratio.
This research is a clinical survey of trauma cases that have presented to
Damascus University, Pediatric dental clinic, postgraduate studies. The research
studies have following objectives: A survey was preformed of the trauma cases
that presented
to our clinic, tables of the different classifications of fractures
were prepared, total number of cases presented, distribution according to several
factors, treatments offered to the patients and their success rates.
