Evaluating The Knowledge, Awareness and Exposure of Dentists in Conscious Sedation In Relation to Their Current Practice and Future Expectations
Abstract
Introduction: Conscious sedation in dentistry becoming more popular in Malaysia nowadays. However, the knowledge ,exposure and practice of conscious sedation in dental setting has rarely been explored. Therefore, this study aimed to evaluate the knowledge awareness and exposure of Malaysian dentists about conscious sedation for dentistry and their association with sociodemographic profile. Materials and Methods: A cross-sectional study using an online questionnaire (Qualtrics@ Software) was conducted among Malaysian registered dentists. Questions on sociodemographic profile, knowledge, awareness, exposure and practice on conscious sedation were collected. Chi square test was used to analyse the associated factors for knowledge, exposure and practice. Result: A total of 166 respondents completed the survey, resulting in response rate of 43.1%. Majority agreed that conscious sedation is beneficial in allaying dental anxiety and knows at least 3 types of CS. More than half had been exposed in inhalation sedation (IS) with less than half had CS exposure during undergraduate (UG). However, only a quarter practicing CS in their dental practice. Discussion: Malaysian dentists were familiar with the indications of CS in dentistry which corroborates with other studies. Meanwhile, the exposure to CS during undergraduate study were dependant on the availability and the program structure. Conclusion: Majority of respondents know, but only some are practicing oral and inhalation sedation. Only a few of respondents know about other types of CS. Thus, there is a need for more exposure and training of CS during undergraduate to cater the need of patients with dental anxiety.
Keywords
References
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- 11. Crowe, H.L. and Woolley, S.M., Dental students’ experience of conscious sedation: A qualitative review of student reflections. Eur J Dent Educ. 2021.
- 12. Malaysian Dental Council. 2021. Minimal Clinical Experience and Expected Clinical Experience Minimum Clinical Experience / Expected Clinical Experience COVID-19 (version 4) January 2021 - Year 3, Year 4 & Year 5 academic session 2020/2021.
- 13. Malaysia Quality Assurance (MQA). Programme Standards: Dental Specialties. Doctor in Special Care Dentistry.2020.
- 14. S. M. Woolley, E. J. Hingston, J. Shah and B. L. Chadwick, Paediatric conscious sedation: views and experience of specialists in paediatric dentistry, British Dental Journal 2009; 207: E11
- 15. Girdler, N. M. Competency in sedation, British Dental Journal. 2001;191 :1.
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- 17. Sedation for dental treatment in Malaysia Online. WhatClinic. Available: https://www.whatclinic.com/dentists/malaysia/sedation-dental Accessed 13/10/2021 2021.
- 18. Dionne, R. A., Yagiela, J. A., Coté, C. J., Donaldson, M., Edwards, M., Greenblatt, D. J., Haas, D., Malviya, S., Milgrom, P., Moore, P. A., Shampaine, G., Silverman, M., Williams, R. L. & Wilson, S. Balancing efficacy and safety in the use of oral sedation in dental outpatients. Journal of American Dental Association (JADA), 2006;Vol. 137.
- 19. Seok U, Ji S, Yoo S, Kim J, Kim S, Kim J. A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea. J Dent Anesth Pain Med. 2016 Jun;16(2):123-129.
- 20. Lawler, H., Walker, P. Evaluation of maximum dose intravenous midazolam used in dental intravenous sedation: a West of Scotland regional audit. Br Dent J . 2022; 233: 135–138.
- 21. Mohd F.N, Said, A.H, Ismail M.N. Two Case Reports of Intravenous Midazolam Sedation in Patients with Down Syndrome Receiving Dental Treatment. Journal of International Dental and Medical Research. 2022; April; 15(2): 829-833 , ISSN 1309-100X
Abstract
Keywords
References
- 1. Ibbetson R, Blayney M, Brookes V, Cowpe J, Craig D & D, F. Standards for Conscious Sedation in the Provision of Dental Care.2015
- 2. Corcuera-Flores, J. R., Silvestre-Rangil, J., Cutando-Soriano, A. & López-Jiménez, J. Current methods of sedation in dental patients - a systematic review of the literature. Medicina oral, patologia oral y cirugia buccal. 2016; 21; e579-e586.
- 3. Kapur, A. & Kapur, V. Conscious Sedation in Dentistry. Annals of maxillofacial surgery.2018; 8: 320-323.
- 4. Hamzah S.Z, Koburunga S & Dickinson C. Care Settings in Conscious Sedation for Dentistry: What is Required? - A Literature Review. Malaysian Dental Journal.2016; 2:37.
- 5. Academy of Medicine Malaysia. Recommendations for Sedation and Analgesia by Non-Anaesthesiologists.2012
- 6. Guideline: Conscious Sedation in Dentistry for Adult Patients, Oral Health Programme, Ministry of Health Malaysia.2021
- 7. Mohd, F. N., Said, A. H., Ali, A., Lestari, W., Draman, S. & Aris, M. A. M. Oral Health Related Quality of Life Among Transgender Women In Malaysia. Journal of Critical Reviews. 2020;7: 4679-4684.
- 8. Luciane Ribeiro de Rezende Sucasas da Costa; Andréia Diniz Dias; Luciana Silva Pinheiro; Maria Edwiges Pinheiro de Souza Chaves; Raíssa de Aquino Rodrigues Ferreira; Roberta Barros de Almeida; Alessandra Rodrigues de Almeida Lima, Perceptions of dentists, dentistry undergraduate students, and the lay public about dental sedation. J Appl Oral Sci ;2004: 12(3): 182-8
- 9. Daher A, Hanna R.P, Costa L.R., and Leles C.R, Practices and opinions on nitrous oxide/oxygen sedation from dentists licensed to perform relative analgesia in Brazil, Daher et al. BMC Oral Health. 2012; 12:21
- 10. Boyle CA, Newton T, Milgrom P: Who is referred for sedation for dentistry and why? Br Dent J.2009; 206:322–323.
- 11. Crowe, H.L. and Woolley, S.M., Dental students’ experience of conscious sedation: A qualitative review of student reflections. Eur J Dent Educ. 2021.
- 12. Malaysian Dental Council. 2021. Minimal Clinical Experience and Expected Clinical Experience Minimum Clinical Experience / Expected Clinical Experience COVID-19 (version 4) January 2021 - Year 3, Year 4 & Year 5 academic session 2020/2021.
- 13. Malaysia Quality Assurance (MQA). Programme Standards: Dental Specialties. Doctor in Special Care Dentistry.2020.
- 14. S. M. Woolley, E. J. Hingston, J. Shah and B. L. Chadwick, Paediatric conscious sedation: views and experience of specialists in paediatric dentistry, British Dental Journal 2009; 207: E11
- 15. Girdler, N. M. Competency in sedation, British Dental Journal. 2001;191 :1.
- 16. Becker, D. E. & Rosenberg, M. Nitrous oxide and the inhalation anesthetics. Anesthesia progress, 2008; 55: 124-132.
- 17. Sedation for dental treatment in Malaysia Online. WhatClinic. Available: https://www.whatclinic.com/dentists/malaysia/sedation-dental Accessed 13/10/2021 2021.
- 18. Dionne, R. A., Yagiela, J. A., Coté, C. J., Donaldson, M., Edwards, M., Greenblatt, D. J., Haas, D., Malviya, S., Milgrom, P., Moore, P. A., Shampaine, G., Silverman, M., Williams, R. L. & Wilson, S. Balancing efficacy and safety in the use of oral sedation in dental outpatients. Journal of American Dental Association (JADA), 2006;Vol. 137.
- 19. Seok U, Ji S, Yoo S, Kim J, Kim S, Kim J. A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea. J Dent Anesth Pain Med. 2016 Jun;16(2):123-129.
- 20. Lawler, H., Walker, P. Evaluation of maximum dose intravenous midazolam used in dental intravenous sedation: a West of Scotland regional audit. Br Dent J . 2022; 233: 135–138.
- 21. Mohd F.N, Said, A.H, Ismail M.N. Two Case Reports of Intravenous Midazolam Sedation in Patients with Down Syndrome Receiving Dental Treatment. Journal of International Dental and Medical Research. 2022; April; 15(2): 829-833 , ISSN 1309-100X
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | June 23, 2023 |
| Submission Date | January 10, 2023 |
| Published in Issue | Year 2023Volume: 26 Issue: 2 |
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