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Mac Giolla Phadraig C, Kammer PV, Asimakopoulou K, Healy O, Fleischmann I, Buchanan H, Newton JT, Daly B, Posse JL, Hosey MT, Yarascavitch C, MacAuley Y, Stirling C, Ahmad Fisal AB, Nunn J. Labels and descriptions of dental behaviour support techniques: A scoping review of clinical practice guidelines. Community Dent Oral Epidemiol 2023; 51:1065-1077. [PMID: 37368479 DOI: 10.1111/cdoe.12890] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 05/15/2023] [Accepted: 06/11/2023] [Indexed: 06/28/2023]
Abstract
INTRODUCTION There is no agreed taxonomy of the techniques used to support patients to receive professional oral healthcare. This lack of specification leads to imprecision in describing, understanding, teaching and implementing behaviour support techniques in dentistry (DBS). METHODS This review aims to identify the labels and associated descriptors used by practitioners to describe DBS techniques, as a first step in developing a shared terminology for DBS techniques. Following registration of a protocol, a scoping review limited to Clinical Practice Guidelines only was undertaken to identify the labels and descriptors used to refer to DBS techniques. RESULTS From 5317 screened records, 30 were included, generating a list of 51 distinct DBS techniques. General anaesthesia was the most commonly reported DBS (n = 21). This review also explores what term is given to DBS techniques as a group (Behaviour management was most commonly used (n = 8)) and how these techniques were categorized (mainly distinguishing between pharmacological and non-pharmacological). CONCLUSIONS This is the first attempt to generate a list of techniques that can be selected for patients and marks an initial step in future efforts at agreeing and categorizing these techniques into an accepted taxonomy, with all the benefits this brings to research, education, practice and patients.
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Affiliation(s)
| | | | | | - Olive Healy
- School of Dental Science, Trinity College Dublin, Dublin 2, Ireland
| | | | | | | | - Blánaid Daly
- School of Dental Science, Trinity College Dublin, Dublin 2, Ireland
| | | | | | | | | | - Chris Stirling
- The Crisis Prevention Institute, Milwaukee, Wisconsin, USA
| | | | - June Nunn
- School of Dental Science, Trinity College Dublin, Dublin 2, Ireland
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Krishnan DG, Schnitzer MA, Adlesic EC, Bui TG, Trowbridge TA, Schultz JD, Weber C, Harper JL. Proceedings of the Third American Association of Oral and Maxillofacial Surgeons Anesthesia Patient Safety Conference. J Oral Maxillofac Surg 2023; 81:1330-1335. [PMID: 37640236 DOI: 10.1016/j.joms.2023.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 08/07/2023] [Accepted: 08/07/2023] [Indexed: 08/31/2023]
Abstract
The 3rd Anesthesia Patient Safety Conference of the American Association of Oral and Maxillofacial Surgeons was held at the Daniel M Laskin Institute for Oral and Maxillofacial Surgery Education and Innovation at American Association of Oral and Maxillofacial Surgeons headquarters in Rosemont, Illinois on June 6, 2022. The conference provided a platform to scrutinize collective errors, explore optimal practices, comprehend the concepts and principles of human complacency, assessing the system's capacity to handle deviations from the norm, and contemplate ideas and initiatives to enhance our practice model. These safety conferences are designed to foster collaborative, proactive conversations and understand best practices in safe delivery of anesthetic care to our patients.
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Affiliation(s)
- Deepak G Krishnan
- Consultant to the Committee on Anesthesia, AAOMS, Professor of Surgery, Section Chief, Division of Oral & Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH.
| | - Mary A Schnitzer
- Associate Executive Director, American Association of Oral and Maxillofacial Surgeons, Staff Liaison to Committee on Anesthesia, AAOMS, Rosemont, IL
| | - Edward C Adlesic
- Chair, Committee on Anesthesia, AAOMS, Assistant Professor, Department of Oral and Maxillofacial Surgery, Department of Dental Anesthesiology, University of Pittsburgh, Pittsburgh, PA
| | - Tuan G Bui
- Oral & Maxillofacial Surgeon, South Calgary Oral Surgery, Member, Committee on Anesthesia, AAOMS, Calgary, Alberta, Canada
| | - Thomas A Trowbridge
- Former Member, Committee on Anesthesia, AAOMS, Oral & Maxillofacial Surgeon, Lowell, MA
| | - Jeffrey D Schultz
- Member, Committee on Anesthesia, AAOMS, Oral & Maxillofacial Surgeon, Newnan, GA
| | - Charles Weber
- Consultant, Committee on Anesthesia, AAOMS, Retired Oral & Maxillofacial Surgeon, Olympia, WA
| | - Jimmie L Harper
- Member, Committee on Anesthesia, AAOMS, Oral & Maxillofacial Surgeon, Volunteer Assistant Professor, Division of Oral & Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH
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Office-based Plastic Surgery-Evidence-based Clinical and Administrative Guidelines. Plast Reconstr Surg Glob Open 2022; 10:e4634. [PMID: 36381487 PMCID: PMC9645793 DOI: 10.1097/gox.0000000000004634] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 09/08/2022] [Indexed: 12/15/2022]
Abstract
Outpatient procedures are extremely prevalent in plastic surgery, with an estimated 82% of cosmetic plastic surgery occurring in this setting. Given that patient safety is paramount, this practical review summarizes major contemporary, evidence-based recommendations regarding office-based plastic surgery. These recommendations not only outline clinical aspects of patient safety guidelines, but administrative, as well, which in combination will provide the reader/practice with a structure and culture that is conducive to the commitment to patient safety. Proper protocols to address potential issues and emergencies that can arise in office-based surgery, and staff familiarity with thereof, are also necessary to be best prepared for such situations.
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Velez-León EM, Vargas KL, Cuenca-León K, Acurio-Vargas C, Zumba A, Pacheco-Quito EM. Ambulatory Sedation for Dental Procedures-Case of Cuenca, Ecuador. CHILDREN (BASEL, SWITZERLAND) 2022; 9:1618. [PMID: 36360346 PMCID: PMC9688772 DOI: 10.3390/children9111618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 10/20/2022] [Accepted: 10/21/2022] [Indexed: 11/06/2022]
Abstract
In recent years, the dental treatment of children under sedation and/or general anesthesia on an outpatient basis has been developed as a behavioral management model in pediatric dentistry. The objective of this study was to establish the percentage of pediatric patients who required deep sedation on an outpatient basis in dental offices in the city of Cuenca, Ecuador. An observational study was conducted with a sample of 450 records of school- and preschool-age patients, where the variables were type and time of treatment, age, and sex. Statistical data were analyzed using the statistical program SPSS V.27 (IBM, Armonk, NY, USA). The highest percentage of children who received sedation were of preschool age. In general, there were three types of procedures per session, the most frequent being restorations (67%), followed by pulp treatment (49.8%) and, less frequently, minor surgery. The need for sedation for dental procedures is high in preschool patients, and ambulatory sedation has contributed to meeting this need. However, a regulation for its use is required at a national level.
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Affiliation(s)
- Eleonor María Velez-León
- Academic Unit of Health and Wellness, Faculty of Dentistry, Catholic University of Cuenca, Cuenca 010105, Ecuador
- Research Group: Innovation and Pharmaceutical Development in Dentistry Research Group, Faculty of Dentistry, Head of Research and Innovation, Catholic University of Cuenca, Cuenca 010105, Ecuador
| | - Karen Lozada Vargas
- Academic Unit of Health and Wellness, Faculty of Dentistry, Catholic University of Cuenca, Cuenca 010105, Ecuador
| | - Katherine Cuenca-León
- Academic Unit of Health and Wellness, Faculty of Dentistry, Catholic University of Cuenca, Cuenca 010105, Ecuador
- Research Group: Innovation and Pharmaceutical Development in Dentistry Research Group, Faculty of Dentistry, Head of Research and Innovation, Catholic University of Cuenca, Cuenca 010105, Ecuador
| | | | | | - Edisson-Mauricio Pacheco-Quito
- Academic Unit of Health and Wellness, Faculty of Dentistry, Catholic University of Cuenca, Cuenca 010105, Ecuador
- Research Group: Innovation and Pharmaceutical Development in Dentistry Research Group, Faculty of Dentistry, Head of Research and Innovation, Catholic University of Cuenca, Cuenca 010105, Ecuador
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