Montagnese explained that endodontic training follows rules and regulations set by the Ohio State Dental Board, and the American Dental Association Guidelines for the
Use of General Anesthesia and
Sedation by Dentist Guidelines to meet the requirements necessary to qualify for certification to administer moderate s
Sedation by Dentist Guidelines to meet the requirements necessary to qualify for certification to administer
moderate sedationsedation.
Researchers found
moderate sedation was primarily
used to calm anxiety in more than half of the patients (54 percent), followed by fear of needles (15 percent), local anesthesia failures (15 percent) and severe gag reflex and claustrophobia from the rubber dam (both 8 percent).
If
moderate sedation is
used, the facility should have equipment to monitor oxygen saturation, heart rate, and blood pressure as well as have emergency resuscitation equipment and an emergency transfer plan.
Crown height reduction can often be curative in the beginning stages of dental disease when accompanied by diet correction and other preventive measures.1 — 3 However, in cases of
moderate to severe dental disease, crown height reduction procedures will need to be performed repeatedly.1 - 3 Overgrown incisors or cheek teeth should be trimmed
using a dental bur or trimming forceps (FIGURE 6A) designed specifically for crown reduction.1 - 3 Nail trimmers, rongeurs, and other manual cutting tools should never be
used to perform crown height reduction.2, 3 Root damage, tooth fractures or splinters, and abnormal regrowth are likely to occur when
using improper equipment.2, 3 Crown reduction performed without
sedation or anesthesia is difficult and often done blindly, resulting in missed sharp points or spurs and injury to the gums, cheeks, or tongue.1 - 3 Rabbits with
moderate to severe dental disease should be anesthetized, allowing crown reduction and reshaping to be performed with a low - speed dental bur while protecting soft tissues with bur guards and dental spatulas.1 — 3 (FIGURE 6B)