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Sedation and Pain Control in Dentistry ,[object Object],[object Object]
Page  §  2 Welcome Bienvenue Willkommen Benvenuto Bienvenida yôkoso   tervetuloa  welkom
Page  §  3 Please mute  Your cell!
Page  §  4 Are we doing our best to help  our patients to  get red of their pain? Can we do more?
Page  §  5 DATE Duration Slides 49 1 hour Let us try to answer this 16/11/2010
Page  §  6 Sarah has presented at your office reporting severe pain that kept her awake all night. She denies any contraindications to NSAIDs. After examination, you find the patient is suffering from irreversible pulpitis with acute apical periodontitis, and a root canal procedure is initiated. This patient may will experience some post-appointment pain due to continued inflammation of the periapical tissues.
Page  §  7 Yes or No The Dentist is the best judge of pain. A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating. Addiction is common when opioid medications are prescribed. Morphine and other strong pain relievers should be reserved for the late stages of dying. Morphine and other opioids can easily cause lethal respiratory depression. Pain medication should be given only after the resident develops pain.
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Page  §  20 Yes or No The Dentist is the best judge of pain.  A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating. Addiction is common when opioid medications are prescribed. Morphine and other strong pain relievers should be reserved for the late stages of dying. Morphine and other opioids can easily cause lethal respiratory depression. Pain medication should be given only after the resident develops pain. No No No No No No
Pain in dental clinic Page  §  21 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Non-odontogenic   Odontogenic
Pain Control Strategy During Intervention Preoperative Pain Post-Operative
Pain Control Strategy Preoperative During Intervention Post-Operative Pain
SCENE Pain Control Strategy Pre-operative ,[object Object],[object Object]
SCENE Pain Control Strategy During the Intervention ,[object Object],[object Object],[object Object]
SCENE Post-opertaive ,[object Object],[object Object],[object Object]
Pre-operative procedures
Oral Sedation ,[object Object],[object Object],[object Object],Page  §  28
Oral Sedation : Drugs Used ,[object Object],[object Object],[object Object],Page  §  29
Preoperative Analgesics ,[object Object],[object Object],[object Object],Page  §  30
During Surgical or Dental Intervention
IV Sedation ,[object Object],[object Object],[object Object],Page  §  32
IV Sedation : Drugs Used ,[object Object],[object Object],[object Object],[object Object],Page  §  33
IV Sedation : Caution and Contraindication ,[object Object],[object Object],Page  §  34
Nitrous Oxide ,[object Object],[object Object],[object Object],Page  §  35
Nitrous Oxide: Contraindications ,[object Object],[object Object],[object Object],[object Object],Page  §  36
Local Anesthesia Page  §  37
Local Anesthesia : Choice of Drug and Technique ,[object Object],[object Object],Page  §  38
Failure of Anesthesia Page  §  39 Pathological causes Psychological causes Anatomical causes Operator dependent
Failure of anesthesia ,[object Object],[object Object],[object Object],[object Object],Page  §  40
Failure of anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page  §  41
Accessory nerve supplies Page  §  42
Failure of anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page  §  43
Management of failure of Anesthesia ,[object Object],Page  §  44
Failure Management : Mandible Page  §  45
Management of failure of Anesthesia ,[object Object],Page  §  46
Failure management : Maxilla Page  §  47
Important general points ,[object Object],[object Object],[object Object],Page  §  48
Post-operative procedures
Analgesic Prescription ,[object Object],[object Object],[object Object],Page  §  50
Types of Analgesics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page  §  51
Types of Analgesics Page  §  52
Types of Analgesics Page  §  53
Non-odontogenic Pain
Trigeminal Neuralgia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Page  §  55
TMJ Pain ,[object Object],[object Object],Page  §  56
atypical facial pain ,[object Object],[object Object],Page  §  57
Conclusion Page  §  58 1 2 3 Long acting local anesthetics Precise estimation of the pain Use the right analgesic 6 5 4 Profound local Anesthesia Removal of the cause Accurate Diagnostic
Page  §  59 Pain management schema
Page  §  60 What about Sarah ?
Page  §  61
Page  §  62 Thank you for  your attention! Any Questions?
Page  §  63 Contact Details Dr. Iyad Abou Rabii +33612198442 +966532758000 www.facebook.com/iarabii www.Twitter.com/iarabii www.Scribd.com/iyad abou rabii Email iyad @wanadoo.fr [email_address]

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Seadtion and pain control warwick 18 nov-11-1

  • 1.
  • 2. Page § 2 Welcome Bienvenue Willkommen Benvenuto Bienvenida yôkoso tervetuloa welkom
  • 3. Page § 3 Please mute Your cell!
  • 4. Page § 4 Are we doing our best to help our patients to get red of their pain? Can we do more?
  • 5. Page § 5 DATE Duration Slides 49 1 hour Let us try to answer this 16/11/2010
  • 6. Page § 6 Sarah has presented at your office reporting severe pain that kept her awake all night. She denies any contraindications to NSAIDs. After examination, you find the patient is suffering from irreversible pulpitis with acute apical periodontitis, and a root canal procedure is initiated. This patient may will experience some post-appointment pain due to continued inflammation of the periapical tissues.
  • 7. Page § 7 Yes or No The Dentist is the best judge of pain. A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating. Addiction is common when opioid medications are prescribed. Morphine and other strong pain relievers should be reserved for the late stages of dying. Morphine and other opioids can easily cause lethal respiratory depression. Pain medication should be given only after the resident develops pain.
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  • 19. Page § 19 sec min
  • 20. Page § 20 Yes or No The Dentist is the best judge of pain. A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating. Addiction is common when opioid medications are prescribed. Morphine and other strong pain relievers should be reserved for the late stages of dying. Morphine and other opioids can easily cause lethal respiratory depression. Pain medication should be given only after the resident develops pain. No No No No No No
  • 21.
  • 22. Pain Control Strategy During Intervention Preoperative Pain Post-Operative
  • 23. Pain Control Strategy Preoperative During Intervention Post-Operative Pain
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  • 26.
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  • 29.
  • 30.
  • 31. During Surgical or Dental Intervention
  • 32.
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  • 39. Failure of Anesthesia Page § 39 Pathological causes Psychological causes Anatomical causes Operator dependent
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  • 43.
  • 44.
  • 45. Failure Management : Mandible Page § 45
  • 46.
  • 47. Failure management : Maxilla Page § 47
  • 48.
  • 50.
  • 51.
  • 52. Types of Analgesics Page § 52
  • 53. Types of Analgesics Page § 53
  • 55.
  • 56.
  • 57.
  • 58. Conclusion Page § 58 1 2 3 Long acting local anesthetics Precise estimation of the pain Use the right analgesic 6 5 4 Profound local Anesthesia Removal of the cause Accurate Diagnostic
  • 59. Page § 59 Pain management schema
  • 60. Page § 60 What about Sarah ?
  • 61. Page § 61
  • 62. Page § 62 Thank you for your attention! Any Questions?
  • 63. Page § 63 Contact Details Dr. Iyad Abou Rabii +33612198442 +966532758000 www.facebook.com/iarabii www.Twitter.com/iarabii www.Scribd.com/iyad abou rabii Email iyad @wanadoo.fr [email_address]