Diş Hekimliğinde Bilinçli Sedasyon

Günümüzde diş hekimliği pratiğinde bazı uygulamalar, hastanın ya da işlemin özelliklerinden kaynaklanan nedenlerle bilinçli sedasyon altında gerçekleştirilmektedir.Bilinçli sedasyon; hastanın kaygısının azaltılması/giderilmesi, tedaviyi önleyen ya da güçleştiren hareketlerin önlenmesi, tedaviye uyumun arttırılması, ağrı reaksiyon eşiğinin yükseltilmesi, uzun tedavi prosedürlerinin kabul edilebilirliğinin arttırılması, bulantı refleksinin azaltılması, mental ve fiziksel yetersizliğe sahip hastalarda veya sistemik açıdan sıkıntılı bireylerde tedaviye yardımcı olunması ve verilen diğer sedatiflerin etkisinin arttırılması amacıyla uygulanmaktadır. Oksijenle birlikte nitröz oksit uygulanarak sağlanan bilinçli sedasyon; beklenen etkilerin kısa sürede oluştuğu, hafif seviyeli, kısa sürede geriye dönüşümlü etkilere sahip ve diğer sedatif ilaçlarla karşılaştırıldığında sistemik etkileri daha az olarak bilinen bir tekniktir. Bu derlemenin amacı; literatür bilgileri ışığında bilinçli sedasyon uygulamalarının tanımı, uygulama alanları, avantajları, uygulama tekniği ve dikkat edilmesi gereken noktalar konusunda okuyucuya güncel bilgileri vermektir

Anahtar Kelimeler:

Bilinçli sedasyon, Nitröz oksit

Conscious Sedation In Dentistry

Today, due to various reasons which result from the features of the patient or dental operation some of the dental treatment protocols can be achieved by the application of conscious sedation. The objectives of conscious sedation include reducing/elimination of anxiety, reducing unwanted movements and reactions to dental treatment, increasing patient cooperation, increasing the pain reaction threshold, increasing acceptability of the longer therapeutic procedures, reducing the gag reflex, facilitating treatment procedures in patients with mental or physical impairments or compulsive medical status and increasing effects of the sedatives. The conscious sedation process via oxygen and nitrous oxide utilization can generally be described as follows: the intended effects occur rapidly, have light level, short term, temporary and less systemic effects when compared to other sedative drugs.The purpose of this review is to give contemporary information to the reader about the definition, application fields, advantages, application techniques and points that should be taken into consideration relating to the conscious sedation technique, based on literature data

Keywords:

Conscious sedation, Nitrous oxide,

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