STUDY REGARDING THE CHANGES OF THE PHYSIOLOGICAL PARAMETERS AND ADVERSE EVENTS DURING THE SEDATION PROCEDURES FOR PATIENTS CANDIDATE TO DENTAL IMPLANT

Rosu Manuel Florin, Forna Norin

Abstract

Aim of study: This study assessed the sedation levels, the changes of the physiological parameters and the rates of the adverse events during various procedural sedation techniques in ambulatory patients undergoing pre-implant and implant oral surgical procedures. Methods: 120 patients (aged 20-72 years), undergoing pre-implant (sinus lift, bone grafts) and implant procedures were sedated by inhalosedation, midazolam i.v. or propofol and fentanyl under full monitoring (ECG, blood pressure, SaO2). It were assessed and recorded the sedation levels (Ramsey scores) after induction, at the beginning of surgical procedures and at the end of surgical procedures, the changes of physiological parameters (heart rate, blood pressure, SaO2), as well as the adverse events (hyperexcitability, euphoria, respiratory disorders, vaso-vagal reactions). Results. During the sedation procedures desaturation was absent in inhalosedation procedure and was recorded in sedation with midazolam i.v.(20%) and sedation with propofol and fentanyl (22,5%).  Hypertension was recorded for 10% patients under sedation with propofol and fentanyl. Abnormal behaviour (hyperexcitability, euphoria) was recorded for 8,5% patients under sedation with midazolam i.v. Respiratory disorders were recorded for 3,4% patients under sedation with midazolam i.v. or propofol and fentanyl. Conclusion. All sedation procedures used in the dentist office for the patients candidate to dental implant have a moderate rate of adverse events but of minor intensity. Patients can be maintained safe by monitoring of the vital signs and by proper therapy of the physiological parameters changes and adverse events.

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