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Comparison the Effects of Two Low-Dose Intravenous Sedation Methods on Anxiety Control During Dental Implant Surgery



Kaviani N1 ; Ghoreishian SM2
Authors
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Authors Affiliations
  1. 1. Department of Oral and Maxillofacial Surgery, School of Dentistry AND Torabinejad Dental Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Oral and Maxillofacial Surgery, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2014

Abstract

Background: Control of patient anxiety during dental procedure, makes better operating conditions and reduces medical complications in patients. Intravenous conscious sedation is a good method for patient control during dental surgery. This study aimed to compare the effects of two methods of lowdose intravenous sedation regimes for patient control in dental implant surgery. Methods:, 30 patients candidate for dental implant surgery were randomly divided into two groups. Before the surgery, low intravenous doses of combinations of midazolam/fentanylin and midazolam/ketamine were administered for the two group. Sedation score and operation condition in both groups were evaluated and recorded. Data were analyzed using Mann-Whitney statistical test. Findings: In midazolam/ketamine group, 86.7% and in midazolam/fentanyl group, 80.0% of patients had appropriate sedation. Good operation condition was observed in 73.3% and 80.0% of the patients in midazolam/ketamine and midazolam/fentanyl groups, respectively. There were not any significant differences between the two groups in sedation score and operation conditions. Conclusion: Both evaluated drug regimens can provide good sedation score in over than 80% of patients and good operation condition in over than 70% of patients. So, both drug combinations are useful for patients in implant surgery. © 2014, Isfahan University of Medical Sciences(IUMS). All rights reserved.
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