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Evaluating complications of local anesthesia administration and reversal with phentolamine mesylate in a portable pediatric dental clinic.
- Source :
-
General dentistry [Gen Dent] 2013 Aug; Vol. 61 (5), pp. 70-6. - Publication Year :
- 2013
-
Abstract
- This study sought to identify and quantify complications with local anesthetic administration and reversal on consecutive patients seen for comprehensive dental care in a school-based, portable dental clinic, and includes data on the patients seen by the participating portable dental providers. In 923 dental visits where local anesthetic was administered, a standardized form was used to gain further information and identify any complications; this was accompanied by a questionnaire for the student's teacher, in order to quantify the student's distraction and disruption ratings following the dental visit. After statistical analysis of the 923 consecutive cases, the overall complication rate was 5.3%. All of the complications were considered to be mild or moderate, and there were no severe event reports. The complications encountered most frequently (n = 49) were associated with self-inflicted soft tissue injury. The results of this study indicate that comprehensive care with local anesthesia delivered by a school-based portable dental clinic has a low risk of complications. Whereas safe administration of dental care is achievable with or without phentolamine mesylate as a local anesthetic reversal agent, its use was determined to improve safety outcomes. Three factors appeared to directly increase the incidence of complications: the administration of an inferior alveolar nerve block, attention deficit disorder, and obesity. Teacher evaluations demonstrated that children receiving care by a portable dental team were able to reorient back to classwork and were not disruptive to classmates.
- Subjects :
- Adolescent
Anesthesia Recovery Period
Anesthetics, Local administration & dosage
Attention drug effects
Attention Deficit Disorder with Hyperactivity complications
Bites, Human etiology
Child
Child Behavior drug effects
Child, Preschool
Comprehensive Dental Care
Female
Humans
Male
Mandibular Nerve drug effects
Mouth Mucosa injuries
Nerve Block adverse effects
Obesity complications
Safety
School Dentistry
Self-Injurious Behavior etiology
Adrenergic alpha-Antagonists therapeutic use
Anesthesia, Dental adverse effects
Anesthetics, Local adverse effects
Dental Care for Children
Mobile Health Units
Phentolamine therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 0363-6771
- Volume :
- 61
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- General dentistry
- Publication Type :
- Academic Journal
- Accession number :
- 23928444