Key result
Over a 10-year period, Illinois dentists reported administering 115,940 sedations and general anesthetics in 2006, with 2 mortalities and 2 cases of long-term morbidity.
Cross-Sectional (n=471)
This 10-year survey of Illinois dentists indicates a high volume of dental sedation with a low reported rate of severe morbidity and mortality, though self-reporting may limit accuracy.
Answers are grounded in this paper and cite their sources.
Low reported severe events support perceived safety of dental sedation; leaves open validation due to self-report bias and limited generalizability.
This is a 10-year follow-up survey of a 1996 study of all dentists in Illinois holding a permit to administer sedation or general anesthesia. The survey describes the scope of sedation and anesthesia services provided in dental offices in Illinois. A mail survey was sent to 471 dentists who were registered with the department of professional regulation to administer sedation or general anesthesia. Classification by specialty area of practice showed: 63% (84% in 1996) are oral and maxillofacial surgeons, 20% (11% in 1996) general dentists, 6% (5% in 1996) periodontists, 9% (0% in 1996) pediatric dentists, 1% (less than 1% in 1996) dentist anesthesiologists. Advanced cardiovascular life support (ACLS) training was reported by 90% (85% in 1996) of the respondents. The total number of sedations and general anesthetics administered for the year was 115,940. Two mortalities and two cases of long-term morbidity were reported for the 10-year period. Respondents reported that 30 patients required transfer to a hospital but suffered no long-term morbidity. Other practice characteristics were detailed.
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Flick et al. (2007) conducted a cross-sectional in Dental anesthesia and sedation (n=471). Administration of sedation or general anesthesia was evaluated on Mortalities and long-term morbidity. Over a 10-year period, Illinois dentists reported administering 115,940 sedations and general anesthetics in 2006, with 2 mortalities and 2 cases of long-term morbidity.
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