RESUMO
In the December issue of the Nederlands Tijdschrift voor Tandheelkunde (Dutch Journal of Dentistry) in 2014, an article was devoted to the use of light sedation with midazolam by dentists. A number of dentists who are active in the area of Special Dentistry (anxiety management, care of the disabled) and a anesthesiologist offer a response to the article and argue that the administration of intravenous sedation with midazolam by dentists is unsafe.
Assuntos
Anestésicos Intravenosos/efeitos adversos , Ansiedade ao Tratamento Odontológico/tratamento farmacológico , Midazolam/efeitos adversos , Segurança do Paciente , Anestesia Intravenosa , Anestésicos Intravenosos/administração & dosagem , Sedação Consciente , Humanos , Midazolam/administração & dosagem , Resultado do TratamentoRESUMO
Frail older people who wear complete dentures may have denture-related complaints which are more pronounced due to their somatic, psychological and/or social problems. On the other hand, it often happens that serious complaints are not or cannot be expressed. In those cases, members of the individual's social network or care providers may request treatment. According to the authors' experience, managing technical denture disorders by carrying out standard treatments or inserting oral implants is not always successful. Basic principles of providing oral healthcare to frail older people are: restraint in carrying out treatments, avoiding standard treatments, taking into consideration the limited adaptability of older people, continuous awareness of one's own functioning in the decision-making process, and paying attention to the role of family members, voluntary and professional care providers, and physicians.