Dr. Nelson, Clinical Associate Professor, Department of Pediatric Dentistry, University of Washington, Seattle, Wash, USA.
Dr. Wilson, Chief Dental Officer, Blue Cloud Pediatric Surgery Centers, LLC,Glen Rock, Penn, and an Adjunct Professor, Department of Pediatric Dentistry, Nationwide Children???s Hospital/The Ohio State University, Columbus, Ohio, USA.
J Dent Child (Chic). 2022 Jan 15;89(1):57-65.
Pharmacological behavior guidance has long been a mainstay of pediatric dental care. Behavioral limitations of very young children and dental fear in adolescents and children with special health care needs have made sedation and general anesthesia important to quality care delivery for these populations. The purposes of this review are to provide a broad perspective on the historical and contemporary use of sedation in pediatric dentistry, summarize available data on the safety and efficacy of opioid and multi-drug moderate sedation protocols, and consider the growing role of minimal intervention dentistry and the importance of patient and medication selection.
药理学行为指导一直是儿科牙科护理的主要内容。非常年幼的儿童的行为限制以及青少年和有特殊医疗需求的儿童的牙科恐惧，使得镇静和全身麻醉对于这些人群的优质护理服务变得至关重要。本文的目的是提供一个广泛的视角来回顾儿科牙科镇静的历史和当代应用，总结阿片类药物和多药物中度镇静方案的安全性和有效性的现有数据，并考虑最小干预牙科的作用日益增强以及患者和药物选择的重要性。
