Coulthard Paul
School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester M15 6FH.
Dent Update. 2013 Jul-Aug;40(6):466-8, 470-1. doi: 10.12968/denu.2013.40.6.466.
Conscious sedation in dentistry is usually indicated because a patient's anxiety can prohibit the necessary dental treatment being undertaken. It may also be indicated because of unpleasant or lengthy treatment or to prevent exacerbation of a patient's medical or behavioural condition by anxiety. The indicator of sedation need (IOSN) tool has been developed to help support dentists in their clinical decision-making and uses information about a patient's anxiety, medical and behavioural status and treatment complexity. The IOSN has been used to measure sedation need and has shown that 5.1% of patients attending general dental practices have a high need of conscious sedation. IOSN has also been used to investigate the need for conscious sedation in the general population among dental practice attenders and those who don't attend. The proportion was found to be 6.7%.
Some patients require conscious sedation in order to access dental care. The indicator of sedation need (IOSN) tool helps in the decision-making process.
牙科中的清醒镇静通常是必要的，因为患者的焦虑可能会妨碍进行必要的牙科治疗。也可能是因为治疗不愉快或时间长，或者是为了防止患者的焦虑加剧其医疗或行为状况。镇静需求指标（IOSN）工具已被开发出来，以帮助牙医进行临床决策，并利用有关患者焦虑、医疗和行为状况以及治疗复杂性的信息。IOSN已被用于衡量镇静需求，结果显示，在普通牙科诊所就诊的患者中有5.1%对清醒镇静有较高需求。IOSN还被用于调查牙科诊所就诊者和未就诊者中普通人群对清醒镇静的需求。发现这一比例为6.7%。
一些患者需要清醒镇静才能获得牙科护理。镇静需求指标（IOSN）工具有助于决策过程。
