📚 JIDAM — Open Access Dental Journal|ISSN: 2582-0559|IDA Madras
EditorReviewerAuthor
J
JIDAM
JIDAM
Journal of Indian Dental Association Madras
Open AccessPeer-ReviewedFree to Publish
Home›Archives›Vol 8, Issue 3 (Jul–Sep 2020)›Article 001
JIDAM · Vol 8, Issue 3 · July–September 2020
Original Article

Knowledge, Attitude and Practices of Dental Students and Practitioners towards Conscious Sedation - A Cross-Sectional Study

Vinita Mary A, Kesavan R, Keerthiga B, Neelofar Begum A, Sathya K, Malleswari M D
Department of Public Health Dentistry, Thai Moogambigai Dental College and Hospital, Chennai, Tamil Nadu, India
Vol 8 · Issue 3 · 2020 DOI: 10.37841/jidam.2020.v8.i3.001 🔓 Open Access 📅 2020
6
Authors
31
References
2021
Year Published
📝Abstract

Background: Dental professionals work effectively and efficiently to impart a positive behavioral attitude towards dental treatment in children with oral health care needs. The main objective of sedation in pediatric dentistry is to reduce fear, minimize physical discomfort and control behavior for dental procedures. The present study was carried out to evaluate the knowledge, attitude and practices of dental students and practitioners towards conscious sedation.

Methods: A descriptive cross-sectional survey was conducted among 384 dental professionals that included undergraduate, postgraduate dental students and dental practitioners across Tamil Nadu, India. The data was collected through self-constructed questionnaires consisting of 28 questions in English and circulated via online platform on account of COVID-19 pandemic.

Results: The mean age of the study participants was found to be 25.99 ± 12.34 years comprising of 184 (48%) males and 200 (52%) females. Majority acquired knowledge about conscious sedation through dental curriculum only. About 46.1% considered conscious sedation over general anesthesia, 40.1% preferred midazolam and 78.4% recommend Nitrous oxide sedation as effective technique.

Conclusion: This study reveals lacunae in adequate knowledge and understanding among the practitioners. The result provides insight on need for strategies like incorporating guidelines in dental curriculum, organizing continuing dental education programs and workshops.

🔖How to Cite
Vinita Mary A, Kesavan R, Keerthiga B, Neelofar Begum A, Sathya K, Malleswari MD. Knowledge, Attitude and Practices of Dental Students and Practitioners towards Conscious Sedation - A Cross-Sectional Study. J Indian Dent Assoc Madras. 2021;8(3):93-100. DOI: 10.37841/jidam_2021_V8_I3_01
Vinita Mary, A., Kesavan, R., Keerthiga, B., Neelofar Begum, A., Sathya, K., & Malleswari, M. D. (2021). Knowledge, Attitude and Practices of Dental Students and Practitioners towards Conscious Sedation - A Cross-Sectional Study. Journal of Indian Dental Association Madras, 8(3), 93-100. https://doi.org/10.37841/jidam_2021_V8_I3_01
Vinita Mary A, et al. "Knowledge, Attitude and Practices of Dental Students and Practitioners towards Conscious Sedation - A Cross-Sectional Study." Journal of Indian Dental Association Madras, vol. 8, no. 3, 2021, pp. 93-100. DOI: 10.37841/jidam_2021_V8_I3_01.
Vinita Mary A, Kesavan R, Keerthiga B, Neelofar Begum A, Sathya K, Malleswari MD. Knowledge, Attitude and Practices of Dental Students and Practitioners towards Conscious Sedation - A Cross-Sectional Study. J Indian Dent Assoc Madras. 2021;8(3):93-100. doi:10.37841/jidam_2021_V8_I3_01
Vinita Mary A, Kesavan R, Keerthiga B, Neelofar Begum A, Sathya K, Malleswari MD. "Knowledge, Attitude and Practices of Dental Students and Practitioners towards Conscious Sedation - A Cross-Sectional Study." Journal of Indian Dental Association Madras 8, no. 3 (2021): 93-100. https://doi.org/10.37841/jidam_2021_V8_I3_01.
📚References
  1. Wali A, Siddiqui TM, Khan R, Batool K. Knowledge, Attitude, and Practices of Dental Surgeons in managing Child Patients. Int J Clin Pediatr Dent. 2016 Oct-Dec; 9(4):372-378.
  2. Merdad L, El-Housseiny AA. Do children's previous dental experience and fear affect their perceived oral health-related quality of life (OHRQoL). BMC Oral Health 2017 Dec; 17(1):1-9.
  3. Bhandari R, Thakur S, Singhal P, Chauhan D, Jayam C, Jain T. Parental awareness, knowledge, and attitude toward conscious sedation in North Indian children population: A questionnaire-based study. Indian J Dent Res 2018;29:693-7.
  4. Anthonappa RP, Ashley PF, Bonetti DL, Lombardo G, Riley P. Non-pharmacological interventions for managing dental anxiety in children. Cochrane Database Syst Rev. 2017 Jun; 2017(6).
  5. Costa LR, Bendo CB, Daher A, Heidari E, Rocha RS, Moreira AP, et al. A curriculum for behaviour and oral healthcare management for dentally anxious children. Int J Paediatr Dent. 2020 Sep; 30(5):556-69.
  6. Armfield JM, Heaton LJ. Management of fear and anxiety in the dental clinic: a review. Aust Dent J. 2013 Dec; 58(4):390-407.
  7. American Academy of Pediatric Dentistry. Guideline on use of Anesthesia Personnel in the Administration of Office-based Deep Sedation/General Anesthesia to the Pediatric Dental Patient. Pediatr Dent. 2013; 34(5):170-2.
  8. Perumal K, Santhosh Kumar M.P. Knowledge and Attitude among Dental Undergraduate Students towards Sedation in Dental Practice. Int J Pharm Sci Rev Res. 2017;44(1):62-65.
  9. Silva CC, Lavado C, Areias C, Mourão J, Andrade DD. Conscious sedation vs general anesthesia in pediatric dentistry–a review. Med Express. (São Paulo, online) Feb 2015: 2(1).
  10. Dougherty N. The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist. 2009 Jan; 29(1):17-20.
  11. Baghdadi ZD, Jbara S, Muhajarine N. Children's drawing as a projective measure to understand their experiences of dental treatment under general anesthesia. Children. 2020 Jul; 7(7):73.
  12. Attri JP, Sharan R, Makkar V, Gupta KK, Khetarpal R, Kataria AP. Conscious sedation: Emerging trends in pediatric dentistry. Anesth Essays Res. 2017 Apr; 11(2):277.
  13. Hallonsten AL, Jensen B, Raadal M, Veerkamp J, Hosey MT, Poulsen S. EAPD guidelines on sedation in paediatric dentistry. Eur Acad Paediatr Dent. 2013; 7:12.
  14. Rai K, Hegde A, Goel K. Sedation in uncooperative children undergoing dental procedures: A comparative evaluation of midazolam, propofol and ketamine. J Clin Pediatr Dent. 2007 Sep 1; 32(1):1-4.
  15. Heard C, Smith J, Creighton P, Joshi P, Feldman D, Lerman J. A comparison of four sedation techniques for pediatric dental surgery. Paediatr Anaesth. 2010 Oct; 20(10):924-30.
  16. Princy Thomas, Bhavna Dave, Seema Bargale, Poonacha KS, Parth Joshi and Brijesh Tailor. Perception among dentists of gujarat state regarding the use of conscious sedation in pediatric dental practice. Int J Curr Res Life Sci. 2018;7(05):2004-2009.
  17. Adair SM, Rockman RA, Schafer TE, Waller JL. Survey of behavior management teaching in pediatric dentistry advanced education programs. Pediatr Dent. 2004 Mar-Apr; 26(2):151-158.
  18. Monisha K et al. Knowledge, Attitude And Practice On Conscious sedation In Children Among Dental Practitioners. Int J Curr Adv Res. 2017;06(04):3033-3036.
  19. Abushal MS, Adenubi JO. The use of behavior management techniques by dentists in Saudi Arabia: a survey. Saudi Dent J. 2000;12(3):129-134.
  20. McKnight-Hanes C, Myers DR, Dushku JC, Davis HC. The use of behavior management techniques by dentists across practitioner type, age, and geographic region. Pediatr Dent. 1993 Jul-Aug;15(4):267-271.
  21. Tingey BT, Clark SH, Humbert LA, et al. Use of Intravenous Sedation in Periodontal Practice: A National Survey. J Periodontol. 2012;83:830-835.
  22. Sivakumar N, Dhanraj Ganapathy, Kiran Kumar, Pandurangan and Ashok Velayudhan. Awareness on Commonly used Sedatives Hypnotic in Dental Practices among Dental Student. JPRI. 2020;32(18):188-196.
  23. Wilson S, Farrell K, Griffen A, Coury D. Conscious sedation experiences in graduate pediatric dentistry programs. Pediatr Dent. 2001 Jul 1;23(4):307-14.
  24. Veeramachaneni D, Dande D, Mohan D, Ajay T, Khan D, Muzammil M, et al. Case Preferences In Choosing Consious Sedation Versus General Anesthesia Amongst Pediatric Dentists. Eur J Mol Clin Med. 2021 Jan 18;8(1):1252-7.
  25. Eaton JJ, McTigue DJ, Fields HW, Beck FM. Attitudes of contemporary parents toward behavior management techniques used in pediatric dentistry. Pediatr Dent. 2005;27(2):107-113.
  26. Gozal D, Drenger B, Levin PD, Kadari A, Gozal Y. A pediatric sedation/anesthesia program with dedicated care by anesthesiologists and nurses for procedures outside the operating room. J Pediatr. 2004;145(1):47-52.
  27. Silay E, et al. Conscious sedation with midazolam for dental procedures be an alternative to general anesthesia? Niger J Clin Pract. 2013;16(2):211-215.
  28. Averley PA, Girdler NM, Bond S, Steen N, Steele J. A randomised controlled trial of pediatric conscious sedation for dental treatment using intravenous midazolam combined with inhaled nitrous oxide or nitrous oxide/sevoflurane. Anaesthesia. 2004;59:844-52.
  29. Jensen B, Matsson L. Oral versus rectal midazolam as a pre-anaesthetic sedative in children receiving dental treatment under general anaesthesia. Acta Paediatr. 2002;91:920-5.
  30. Arya VS, Damle SG. Comparative evaluation of midazolam and propofol as intravenous sedative agents in the management of unco-operative children. J Indian Soc Pedod Prev Dent. 2002;20:6-8.
  31. Alzahrani AM, Wyne AH. Use of Oral Midazolam Sedation in Pediatric Dentistry: A Review. Pak Oral Dent J. 2012 Dec 1;32(3).