Dental and Periodontal Research Center, Tabriz University of Medical Sciences, Iran.
Postgraduate student of pediatric dentistry, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Iran.
Dent Med Probl. 2022 Jan-Mar;59(1):143-149. doi: 10.17219/dmp/141868.
Demand for dental implants has increased in recent years and the use of conscious sedation for this type of surgery can be of great benefit. Therefore, the aim of this systematic review was to evaluate the scientific literature related to the effect of conscious sedation on the reduction of anxiety, and patient and surgeon satisfaction. The Embase, PubMed, ProQuest, Scopus, Ovid, and Cochrane databases were searched without limitations. According to the inclusion and exclusion criteria determined for the study, 10 articles were selected for the final review during several screening stages. These studies were reviewed in their full-text form by the research team and the intended data was extracted. The risk of bias was assessed for each of the selected articles. Five studies were ultimately included. Two of the them compared local anesthesia and conscious sedation, while another 2 compared the consequences of different types of conscious sedation. The anxiety reduction and patient and surgeon satisfaction data was collated. Midazolam was the most frequently used agent. After a thorough review of the final articles extracted based on the study protocol, it was concluded that the use of conscious sedation during implant surgery reduces patient anxiety, and also increases the satisfaction of the patient and surgeon.
近年来，人们对牙种植体的需求有所增加，而在这种手术中使用清醒镇静可以带来很大的好处。因此，本系统评价的目的是评估与清醒镇静对减轻焦虑、患者和医生满意度的影响相关的科学文献。本研究在多个筛选阶段，对 Embase、PubMed、ProQuest、Scopus、Ovid 和 Cochrane 数据库进行了无限制搜索。根据研究确定的纳入和排除标准，最终有 10 篇文章被选入最终的综述。研究小组对这些文章进行了全文审查，并提取了预期的数据。对所选文章的偏倚风险进行了评估。最终有 5 篇文章被纳入。其中 2 篇比较了局部麻醉和清醒镇静，另外 2 篇比较了不同类型的清醒镇静的后果。整理了焦虑减轻和患者及医生满意度的数据。咪达唑仑是最常使用的药物。在根据研究方案对最终提取的文章进行彻底审查后，得出的结论是，在种植手术中使用清醒镇静可以减轻患者的焦虑，同时也提高了患者和医生的满意度。
