Clinical tips for safe and effective root canal treatment under intravenous sedation with midazolam

Author:

Abed Hassan1,Al-Qarni Ali2,Patel Shanon3,Bakhsh Abdulaziz4

Affiliation:

1. Assistant Professor and Consultant of Conscious Sedation and Special Care Dentistry, Department of Basic and Clinical Oral Science, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia

2. Assistant Professor of Oral Medicine, Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, Faculty of Dentistry, Taif University, Saudi Arabia

3. Professor and Consultant of Endodontics, Department of Conservative Dentistry, Guy's and St Thomas' Foundation Trust, London

4. Assistant Professor and Consultant of Endodontics, Department of Restorative Dentistry, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia

Abstract

Intravenous (IV) sedation with midazolam works as an anxiolytic and muscle relaxant agent and has proved successful in providing safe root canal treatment (RCT) for patients with dental anxiety or special care needs. However, before starting RCT under IV sedation with midazolam, clinicians should consider obtaining a thorough medical history and written, informed consent including any significant or unavoidable risks. A responsible adult escort should also accompany the patient to their appointment. The dental team should also ensure labelling the IV sedation drugs and irrigant solutions, and using a well-sealed rubber dam. CPD/Clinical Relevance: This article provides clinical recommendations to help provide safe RCT under IV sedation with midazolam.

Publisher

Mark Allen Group

Subject

General Dentistry

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