A survey to assess the provision of conscious sedation by general dental practitioners in the Republic of Ireland.

Department of Oral and Maxillofacial Surgery, Dublin Dental School and Hospital, Lincoln Place, Dublin 2.
Journal of the Irish Dental Association 01/2011; 57(2):99-106.
Source: PubMed


To quantify and qualify how conscious sedation was used in general dental practice before the introduction of formal sedation teaching in the Republic of Ireland.
1. To determine the extent of use of oral, inhalational and intravenous sedation; 2. to determine the training and experience of general dental practitioners providing conscious sedation; 3. to determine the perceived barriers to the practice of conscious sedation; and, 4. to gauge the level of interest in a postgraduate course in conscious sedation.
Postal questionnaire sent to one general practitioner in seven, selected randomly from the General Dental Council register, in 2007.
Seventy six percent of respondents agreed that the provision of conscious sedation in general dental practice is important. However, the current provision of inhalation and intravenous sedation by respondents is low in comparison to provision in the UK. The main barrier to the use of conscious sedation in general dental practice appears to be lack of availability of training.
The data from this study indicated the need for postgraduate training in conscious sedation in Ireland and a need for increased awareness of the Dental Council Code of Practice on sedation.

Download full-text


Available from: Leo F A Stassen, Jun 15, 2014
23 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To assess and compare, for the first time, the quantity and quality of dental undergraduate teaching in conscious sedation in the dental schools of the UK and Ireland. This was achieved using a prospective, questionnaire-based survey. Questionnaires were designed to collect information about undergraduate sedation education from teaching staff and final year dental undergraduates at the 16 dental schools in the UK and Ireland. Staff questionnaires were distributed to a nominated sedation teacher at each dental school and sought details of didactic and clinical sedation teaching methods, plus the quantity and perceived quality of sedation teaching. Student questionnaires were distributed to 5th year dental students and enquired about the quantity and quality of clinical sedation teaching received. The survey was undertaken during May-June 1998. Thirteen dental schools returned staff questionnaires (81%). Seven also provided a student response (44%). The proportion of final year students within the 7 schools who returned completed questionnaires was 38%. Sedation teaching was undertaken primarily by oral surgery and paediatric dental departments. Three schools also utilised anaesthetic departments and 2 schools had dedicated dental sedation departments. All but 2 schools provided didactic teaching on sedation (mean: 4.2 lectures, 1.8 seminars). Of the 7 schools which returned staff and student questionnaires, all provided some clinical training using inhalational and intravenous demonstration cases (mean 5.1 and 4.4 cases, per student, respectively). All but one school provided hands-on inhalational sedation experience (mean 2.6 cases per student) but only two schools provided any hands-on intravenous sedation experience. The quantity of hands-on experience was greater at the two dental schools with dedicated dental sedation departments. Across the schools students rated the overall quality of sedation teaching at average or above, but most staff graded the overall quality of teaching at below average. Dental undergraduate sedation teaching shows considerable variation across the dental schools surveyed. At most schools students gained little or no hands-on experience in sedation, especially in intravenous techniques. The undergraduate foundation for sedation education must improve if conscious sedation is to become the principal alternative to general anaesthesia in dental practice.
    British dental journal 03/2000; 188(4):211-6. DOI:10.1038/sj.bdj.4800433 · 1.08 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Pain and anxiety in the dental setting prevent many patients from seeking needed treatment. As a result, various techniques of anesthesia or sedation have been developed over the last 150 years to overcome this problem. Both the historic evolution of sedation and the use of several currently popular techniques are described in this article. Also discussed is the balance between individual patient responses to drugs, dosages, and rate of administration. Currently used definitions of pharmacologic depression of consciousness are detailed, as are contemporaneous training requirements. Finally, unexpected, rare, and catastrophic events that can occur with sedation are briefly discussed.
    Compendium of continuing education in dentistry (Jamesburg, N.J.: 1995) 06/1995; 16(5):462, 464, 466 passim; quiz 480.
  • [Show abstract] [Hide abstract]
    ABSTRACT: A study of deaths associated with dentistry and dental disease in England and Wales between 1980 and 1989 has been undertaken. There were fewer deaths associated with dentistry than in the previous decade. Whilst most of the deaths are still associated with general anaesthesia, the total number has decreased, as has the percentage of deaths in which general anaesthesia was thought to play a significant part. There were only four deaths involving an operator/anaesthetist compared with 13 in the previous decade and all four took place between 1980 and 1983. However, there were two deaths associated with sedation techniques, both of which occurred after 1984, whereas there had been none in the previous decade. On the information available, it is still not possible to establish the rôle of the patient's posture in these deaths.
    Anaesthesia 06/1993; 48(5):435-8. · 3.38 Impact Factor
Show more