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Sedation of Pediatric Patients for Dental Procedures: The USA, European, and South American Experience

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Pediatric Sedation Outside of the Operating Room

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Abstract

The challenges of sedating a child for dental procedures are multifactorial: the patient’s age, health, temperament and emotional status, parental styles and concerns, clinician philosophy on patient management, extent and quality of clinician training and experiences with sedation, dental board regulation of sedation, issues of third-party coverage or parental reimbursement, knowledge of and adherence to sedation guidelines and legal requirements by clinicians, facility preparedness, and support staff experiences are but a few of many important considerations. To address these challenges, a pediatric dentist must be appropriately educated in both pharmacological and non-pharmacological techniques; well-trained in sedation procedures including patient rescue; intimately aware of local, state, and federal regulations; and compliant with the appropriate professional guidelines.

The first section of this chapter will give an overview of the factors involved in the holistic and the sedative care of these child dental patients. The second section is devoted to sedation practices performed primarily in the USA. The third section of this chapter describes sedation practices associated with the UK and Europe. The fourth section will provide an overview of the state of sedation for pediatric dental procedures in South America, as an example of different solutions to sedation management in underdeveloped/developing countries. The closing section contains case summaries.

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Notes

  1. 1.

    Sociedad Colombiana de Anestesiología y Reanimación (SCARE), Sociedade Colombiana de Pediatría, Asociación Colombiana de Gastroenterología, Asociación Colombiana de Endoscopia Digestiva, Secretaría Distrital de Salud, Colegio Colombiano de Odontólogos, and Academia Colombiana de Odontología Pediátrica

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Authors and Affiliations

  1. Department of Pediatric Dentistry, Nationwide Children’s Hospital, Columbus, OH, USA

    Stephen Wilson

  2. Blue Cloud Pediatric Surgery Centers, Glen Rock, PA, USA

    Stephen Wilson

  3. Division of Pediatric Dentistry, Universidade Federal de Goias, Goiania, Brazil

    Luciane Rezende Costa

  4. Department of Paediatric Dentistry, Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London, London, UK

    Marie Therese Hosey

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  1. Stephen Wilson
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  2. Luciane Rezende Costa
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  3. Marie Therese Hosey
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Editors and Affiliations

  1. Department of Anesthesiology, Harvard Medical School, Boston, MA, USA

    Keira P. Mason, MD

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Wilson, S., Costa, L.R., Hosey, M.T. (2021). Sedation of Pediatric Patients for Dental Procedures: The USA, European, and South American Experience. In: Mason, MD, K.P. (eds) Pediatric Sedation Outside of the Operating Room. Springer, Cham. https://doi.org/10.1007/978-3-030-58406-1_24

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