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SPS Newsletter

An official publication of the Society for Pediatric Sedation

An official publication of the
Society for Pediatric Sedation®

    • President’s Message
      • Culture of Diversity in SPS
    • 2018 Annual Conference Reviews
      • Reviews of Monday Sessions
      • Reviews of Tuesday Sessions
      • Reviews of Wednesday Sessions
    • Literature Review
      • Neuropsychological and Behavioral Outcomes after Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study

Meeting Reviews

Dental Sedation: Who, what, where and when?
By John Unkel, MD, MPA, DDS

Pediatric dental sedation has a unique set of challenges:  child demeanor, delivery of surgical intervention in a highly innervated area and oropharyngeal and environmental considerations.  Children are initially evaluated by the pediatric dentist and those determined to have anxiety or fears are often scheduled for sedation.

Procedures in the orofacial area may include dental restorations and extractions, biopsies, or trauma care and are highly stimulating to anxious patients. Retraction devices occluding the oral airway and manipulating oral soft tissues are often not accepted by fearful children.  Noise from suction devices, monitors and drills lead to further undesirable stimulation.

Delivery of nitrous oxide by way of a nasal hood is routine medication to provide analgesia and augment dental sedation but requires the child to wear the hood in the optimal position. The nasal hood is an open airway device that will allow leakage of gas if not positioned correctly.

The dental office is usually not physically or organizationally connected to a medical facility or institution. In this setting moderate sedation is usually undertaken when dentists are delivering the sedation and performing the procedures without an additional sedationist.

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About SPS News

SPS News is an official publication of the Society for Pediatric Sedation®

SPS News Editor
Carmen D. Sulton, MD

Contributing Authors
Nancy Crego, PhD, RN, CCRN
Benjamin F. Jackson, MD
Sue Kost, MD
Ali Ozcan, MD
Amber Rogers, MD
Anne Stormorken, MD

Share Your News!

Have an interesting story about your sedation team to share? Has your institution recently been recognized for something? We are looking for content for the next issue of SPS News, due out this summer.

Being a contributor is a great way to get involved in the Society. Contact Joye Stewart at the SPS headquarters office.

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