Sedation ABOUT THE AUTHOR


Dr Michael Carey, BSc, MB, BCh, DipMan (RCSI), MD, FFARCSI, has been a consultant anaesthetist in the Coombe Women & Infants University Hospital and in St James’ Hospital since 1995. He is also director of perioperative medicine in the Coombe Hospital and has been carrying out sedation for dentistry in the Northumberland Institute of Dental Medicine since 2000.


operating theatre or indeed an alternative to sedation should sometimes be sought. These are elective procedures after all. Some dentists give sedation themselves


– I suggest these steps if undertaking sedation: (a) You are able to manage respiratory depression.


(b) You are able to manage a compro- mised airway including intubation and ventilation.


(c) You have the extra equipment available to manage these conditions.


(d) You have the knowledge and skills to be able to assess the suitability of a patient for sedation


(e) You do it frequently enough to be proficient.


(f) It is also more difficult and dangerous to do two tasks (sedation and dentistry), therefore a second practitioner should be present. The sedationist must be competent; i.e.


be able to assess the patients suitability for sedation, give the correct drug at the right dose for the patient, be able to get the patient out of trouble in respiratory arrest or airway obstruction and be experienced in the technique. I believe he/she should be an anaesthetist as it is what they do every day. The alternative is no sedation. Some


practices prescribe oral diazepam before a procedure, but the response is variable depending on the dose, the time of surgery, and the absorption of the drug. Hypnosis


A new Angle on interdental cleaning


TePe Angle is the latest addition to the popular family of TePe interdental brushes, which includes Original and X-Soft Interdentals


T


ePe Angle was developed to improve access to all inter- dental spaces particularly in difficult-to-reach areas. The angled head gives perfect


access to posterior teeth without the need to bend the wire thus enhancing their dura- bility. The long and flat handle provides a stable, ergonomic grip and allows access both palatally and buccally. TePe Angle is available in six colour


coded sizes – pink through to green. All TePe interdental brushes have plastic- coated wires for safety and come with a hygienic cover.


Flexibility for you and how you work A new surgery pack is available containing a mix of 30 brushes and patient leaflets, and complements the 25-brush economical packs. A surgery container has been specially designed to accommodate Angle brushes in a convenient, hygienic and portable box.


Special offers on Angle for October: Free stylish practice box. Purchase two surgery packs of Angle brushes and get a free practice box, worth £9. Buy any 50 packs (five boxes) of Angle and get ı0 mixed colour packs (one box)


free. The mixed colour trial pack is ideal for patients new to interdental cleaning to try out. Don’t forget that all TePe Patient leaflets,


such as ‘Healthy Smiles’ on interdental cleaning, ‘Looking After Your Implant’ and ‘Looking After Your Teeth’, are available on request from your wholesaler and are ideal for motivating patients.


® For more information on TePe Angle or any of TePe’s other products, phone +44 (0) 1934 710022, email info@tepe.co.uk or visit www.tepe.co.uk


Ireland’s Dental magazine 29


also works for some patients, but takes quite some time and training. With my patients, I also give paracetamol


and a steroid during the procedure which significantly reduces pain and swelling after the procedure. There are some patients who request


sedation for simple things like impressions, so great is their fear of dentistry. There is no doubt it has improved attendance and the experience for many as well as proven to be life changing for some.


® To find out more about the Northumberland Institute of Dental Medicine, including details of courses, seminars and networking events, visit www.nidm.ie


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52