Our experience in tooth extraction under sedation [Di̇ş çeki̇mi̇ uygulamalarinda sedasyon deneyi̇mleri̇mi̇z]

Aim: the aim of this study is to report our method of anesthesia retrospectively in patients who were scheduled for tooth extraction under sedation. methods: medical records of patients who received dental treatments under sedation between 2005-2009 were evaluated. the patients were divided into four groups: 0.75 mg kg-1 midazolam + 5 mg kg-1 peroral (po) ketamine administered group (application 1); additional 2 mg kg -1 ketamine + 10 μg kg-1 atropine intramuscular (im) administered group where,despite achieving satisfactory sedation with po,patients had shown reaction to local anesthesia (application 2); the group which did not receive any po agents were administered 1 % sevoflurane within a mixture of 60 % o2 + 40 % n2o with a facial mask (application 3); group scheduled for general anesthesia for whom dental treatment could not be performed under sedation (application 4). in addition,the patients were divided into two groups,namely group h: healthy and group mr: mentally retarded that were compared. post-operative complications were recorded on patients' notes. results: a total of 334 patients (group h: 305,group mr: 29) were evaluated. number of applications 1-4 (%) were determined as 249 (74.6 %),55 (16.5 %),24 (7.2 %) and 6 (1.8 %),respectively. ages of the patients in group h were significantly lower than patients in group mr (p<0.0001). rate of successful tooth extraction under sedation was significantly higher in group h (p<0.0001). thirty patients experienced nausea and vomiting (9 %) post-operatively. conclusion: we believe that reliable dental treatments can be provided through a multidisciplinary collaboration involving the anesthetist and the dentist,providing appropriate sedation methods and appropriate patients are chosen.