Tempo di lettura stimato: < 1 minuto – Data ultimo aggiornamento: 05/02/2021
Aim: The primary goal was to evaluate whether moderate sedation using Propofol (hypnotic anestethic) would result in comfortable working conditions for patients with special needs. The secondary outcome was related to patient safety, considering adverse events and side effects.
Methods: 109 children, aged ≥ 4 years, were recruited. All patients received 1,5-4 mg/kg/h of intravenous Propofol up to the desired sedation level. The patients should be sleepy, but awaken to the mild nociceptive stimulus. During dental procedures, the following data were collected: success/failure, adverse events, side effects, number of teeth treated, type of dental procedure performed. Data were statistically analyzed.
Results: The overall success rate was 96.7%. There was no correlation between success and age, gender, health state, weight, respectively. Adverse events occurred in 33.3% of cases. There was a statistically significant correlation between adverse events and age, health state, weight, respectively, but not between adverse events and gender. The side effects occurred in 6.4 % of cases. There was no statistically significant correlation between side effects and age, gender, health state, weight, respectively. The average number of teeth treated for each dental session was 3.28±2.63. There was no statistically significant correlation between adverse events/side effects and number of teeth treated. There was a statistically significant correlation between adverse events and type of dental treatments.
Conclusion: Intravenous sedation with Propofol can be used to obtain moderate sedation and to perform dental treatments in phobic and special needs patients with minimal side effects.
Papa C, Quaraniello M, Sangianantoni G, Ingenito A, Ferrazzano GF.
Dott.ssa Cristina Papa
Medico Odontoiatra, specialista in Odontoiatria Pediatrica. Iscritta all’Ordine degli Odontoiatri con N° 3785 e membro di SIOI (Società Italiana di Odontoiatria Infantile). Si occupa di odontoiatria pediatrica, igiene, terapia conservativa, endodonzia, estrattiva, patologia orale e gnatologia. Autrice di articoli scientifici e poster divulgativi in collaborazione con l’Unità interdipartimentale di Odontoiatria Pediatrica dell’AOU Federico II di Napoli.