Deferm J T, Burger M, Prudon T, van Bergen M, Vaneker M, Borstlap W A
Ned Tijdschr Tandheelkd. 2018 May;125(5):281-286. doi: 10.5177/ntvt.2018.05.17184.
Fear of treatment by an oral and maxillofacial (OMF) surgeon or the dentist is a widespread and deep-rooted phenomenon. A patient can be taught to cope with dental phobia by means of psychological, cognitive behavioural therapy, but in cases of invasive oral treatment, such therapy may be insufficiently effective. For these invasive procedures, sedation serves as an alternative treatment option. The department of Oral and Maxillofacial Surgery at the Radboud University Medical Centre in Nijmegen, the Netherlands, offers the possibility to utilise intravenous sedation with midazolam (Dormicum®) and remifentanil (Ultiva®). This results in a reduction in the experience of axiety and pain, which can lead to an anterograde amnesia for the invasive treatment. Procedural sedation and analgesia (PSA) for OMF surgery demonstrate a high level of patient satisfaction, and therefore offer a good alternative treatment to local and general anaesthesia.
对口腔颌面外科医生或牙医治疗的恐惧是一种广泛存在且根深蒂固的现象。可以通过心理、认知行为疗法教会患者应对牙科恐惧症，但在进行侵入性口腔治疗的情况下，这种疗法可能效果不够显著。对于这些侵入性操作，镇静是一种替代治疗选择。荷兰奈梅亨拉德堡德大学医学中心的口腔颌面外科提供了使用咪达唑仑（多美康®）和瑞芬太尼（ Ultiva®）进行静脉镇静的可能性。这会减少焦虑和疼痛体验，进而可能导致对侵入性治疗产生顺行性遗忘。口腔颌面外科手术的程序性镇静和镇痛（PSA）显示出患者的高度满意度，因此为局部麻醉和全身麻醉提供了一种良好的替代治疗方法。
