Çağıran, E Ege Üniversitesi - Tıp Fakültesi - Anesteziyoloji ve Reanimasyon Anabilim Dalı, Turkey , Sezer, B Ege Üniversitesi - Diş Hekimliği Fakültesi, Ağız ve Çene Cerrahisi Kliniği, Turkey , Koyuncu, B Ege Üniversitesi - Diş Hekimliği Fakültesi, Ağız ve Çene Cerrahisi Kliniği, Turkey , Günbay, T Ege Üniversitesi - Diş Hekimliği Fakültesi, Ağız ve Çene Cerrahisi Kliniği, Turkey

Efficacy of intravenous midazolam in dental implant surgery

14835

Aim: The long-lasting procedure in dental implant surgery may impair a patient’s tolerance and make the working conditions for the surgeon difficult. The aim of this study was to explore the effect of administering conscious sedation with intravenous (IV) midazolam to patients undergoing dental implant surgery under local anesthesia on the basis of hemodynamics and patient-doctor satisfaction.Materials and Methods: The data from 20 patients of ASA I-II whose implant surgery were carried out under local anesthesia have been evaluated retrospectively. Before the operations, the patients were asked to respond to the Corah Dental Anxiety Scale (DAS) which measures dental anxiety. The peripheral oxygen saturation (SpO2) and heart rates (HR) of the patients were monitored and recorded every 5 minutes. The patients who were administered IV midazolam 0.05 mg/kg+local anesthesia were named as Group I (n=10) and those who were administered only local anesthesia as Group II (n=10). Patient-doctor satisfaction was assessed after the operation on a scale of 1=poor, 2=moderate, 3=good and 4=superior.Results: The groups were similar in terms of age, gender, weight, preoperative DAS and length of operation. No statistically significant difference was found in intra-group HR measurements (p 0.05). In intra-group SpO2 measurements, on the other hand, there was a statistically significant decrease over time in Group I (p=0.014), but there was no statistically significant difference in Group II (p 0.05). Conclusion: In conclusion, beside the fact that there was a decline of SpO2 levels in patients who were administered conscious sedation, there was no statistical difference between the two groups.

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Conscious sedation , midazolam , dental implant

Ege Journal Of Medicine

12