Journal: Pediatric Dentistry, V29, No3, May/June 2007
Reviewed by: Fotini M. Dionisopoulos
Purpose: To recognize factors that may influence the current AAPD members' definitions of a successful oral sedation.
- A letter was electronically mailed to all AAPD members in 2004
- Surveys were anonymous
- Questions included: 1) location of practice/institution, 2) type of population served, 3) sedation methods, 4)drug regimens, 5) frequency of sedation, 6) years experience, 7) use of restraint, 8) management style and 9) hypothetical clinical scenarios
- The majority of members (55%) characterized their patient management style as authoritarian
- A large percentage (67%) of dentists answered that employing restraints during sedation does not mean that sedation is inadequate or unacceptable
- When asked if using restraint during sedation was optimal, there was a smaller percentage (36%)
- When considering if using restraint during sedation meant that the procedure was successful, the percentage was 47%.
- Twenty-nine (29%) percent of the practitioners always used restraint with sedation.
- US dentists were ore likely to always use restraint when using oral sedation.
- US dentists were more likely to define themselves as authoritarian
- Respondents who worked in full time private practice were more likely not to prefer to use restraint
Overall, the "take home message"/conclusion of the article was that the practitioner's management style and use of restraint significantly influence how a dentist defines a successful sedation.
Assessment: This is a good article to see the differences in how certain pratitioners may use restraint, or which practioners are more likely use this method during treatment.