The Experts below are selected from a list of 27 Experts worldwide ranked by ideXlab platform
Gastone Zanette - One of the best experts on this subject based on the ideXlab platform.
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The Odyssey of Dental Anxiety: From Prehistory to the Present. A Narrative Review.
Frontiers in psychology, 2017Co-Authors: Enrico Facco, Gastone ZanetteAbstract:Dental anxiety (DA) can be considered as a universal phenomenon with a high prevalence worldwide; DA and pain are also the main causes for medical emergencies in the dental office, so their prevention is an essential part of patient safety and overall quality of care. Being DA and its consequences closely related to the fight-or-flight reaction, it seems reasonable to argue that the odyssey of DA began way back in the distant past, and has since probably evolved in parallel with the development of fight-or-flight reactions, implicit memory and knowledge, and ultimately consciousness. Basic emotions are related to survival functions in an inseparable psychosomatic unity that enable an immediate response to critical situations rather than generating knowledge, which is why many anxious patients are unaware of the cause of their anxiety. Archeological findings suggest that humans have been surprisingly skillful and knowledgeable since prehistory. Neanderthals used medicinal plants; and relics of dental tools bear witness to a kind of Neolithic proto-dentistry. In the two millennia BC, Egyptian and Greek physicians used both plants (such as papaver somniferum) and incubation (a forerunner of modern hypnosis, in the sleep temples dedicated to Asclepius) in the attempt to provide some form of therapy and painless surgery, whereas modern scientific medicine strongly understated the role of subjectivity and mind-body approaches until recently. DA has a wide range of causes and its management is far from being a matter of identifying the ideal sedative drug. A patient’s proper management must include assessing his/her dental anxiety, ensuring good communications, and providing information (Iatrosedation), effective local anesthesia, hypnosis, and/or a wise use of sedative drugs where necessary. Any weak link in this chain can cause avoidable suffering, mistrust, and emergencies, as well as having lifelong psychological consequences. Iatrosedation and hypnosis are no less relevant than drugs and should be considered as primary tools for the management of DA. Unlike pharmacological sedation, they allow to help patients cope with the dental procedure and also overcome their anxiety: achieving the latter may enable them to face future dental care autonomously, whereas pharmacological sedation can only afford a transient respite.
Enrico Facco - One of the best experts on this subject based on the ideXlab platform.
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The Odyssey of Dental Anxiety: From Prehistory to the Present. A Narrative Review.
Frontiers in psychology, 2017Co-Authors: Enrico Facco, Gastone ZanetteAbstract:Dental anxiety (DA) can be considered as a universal phenomenon with a high prevalence worldwide; DA and pain are also the main causes for medical emergencies in the dental office, so their prevention is an essential part of patient safety and overall quality of care. Being DA and its consequences closely related to the fight-or-flight reaction, it seems reasonable to argue that the odyssey of DA began way back in the distant past, and has since probably evolved in parallel with the development of fight-or-flight reactions, implicit memory and knowledge, and ultimately consciousness. Basic emotions are related to survival functions in an inseparable psychosomatic unity that enable an immediate response to critical situations rather than generating knowledge, which is why many anxious patients are unaware of the cause of their anxiety. Archeological findings suggest that humans have been surprisingly skillful and knowledgeable since prehistory. Neanderthals used medicinal plants; and relics of dental tools bear witness to a kind of Neolithic proto-dentistry. In the two millennia BC, Egyptian and Greek physicians used both plants (such as papaver somniferum) and incubation (a forerunner of modern hypnosis, in the sleep temples dedicated to Asclepius) in the attempt to provide some form of therapy and painless surgery, whereas modern scientific medicine strongly understated the role of subjectivity and mind-body approaches until recently. DA has a wide range of causes and its management is far from being a matter of identifying the ideal sedative drug. A patient’s proper management must include assessing his/her dental anxiety, ensuring good communications, and providing information (Iatrosedation), effective local anesthesia, hypnosis, and/or a wise use of sedative drugs where necessary. Any weak link in this chain can cause avoidable suffering, mistrust, and emergencies, as well as having lifelong psychological consequences. Iatrosedation and hypnosis are no less relevant than drugs and should be considered as primary tools for the management of DA. Unlike pharmacological sedation, they allow to help patients cope with the dental procedure and also overcome their anxiety: achieving the latter may enable them to face future dental care autonomously, whereas pharmacological sedation can only afford a transient respite.
Giménez Prats, Mª José - One of the best experts on this subject based on the ideXlab platform.
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Sedación en el paciente geriátrico
2004Co-Authors: López Jiménez Julián, Giménez Prats, Mª JoséAbstract:Se exponen la utilidad de la yatrosedación y de la sedación farmacológica para el tratamiento odontológico en el paciente anciano, su aplicación es necesaria debido a la mayor prevalencia de patología oral, peor tolerancia al estrés y a la asociación frecuente con patología sistémica. Se describen las vías de administración de psicofármacos más indicada según la patología asociada y a la interrelación farmacológica más frecuente con su patología de base. La fármaco-sedación siempre debe ir acompañada de un manejo psicológico para así minimizar las dosis y de una anestesia loco-regional correcta.A review is made of the utility of Iatrosedation and pharmacological sedation in the dental treatment of elderly patients. The adoption of such measures is required due to the increased prevalence of oral pathology, poorer stress tolerance and frequent association of systemic disease in such patients. A description is made of the recommended psychoactive drug administration routes according to the associated pathology and of the most frequent pharmacological interactions with the background disease. Drug sedation should always be accompanied by psychological measures to minimize the required drug dose, and by correct locoregional anesthesia
Zanette Gastone - One of the best experts on this subject based on the ideXlab platform.
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The Odyssey of Dental Anxiety: From Prehistory to the Present. A Narrative Review
'Frontiers Media SA', 2017Co-Authors: Facco Enrico, Zanette GastoneAbstract:Dental anxiety (DA) can be considered as a universal phenomenon with a high prevalence worldwide; DA and pain are also the main causes for medical emergencies in the dental office, so their prevention is an essential part of patient safety and overall quality of care. Being DA and its consequences closely related to the fight-or-flight reaction, it seems reasonable to argue that the odyssey of DA began way back in the distant past, and has since probably evolved in parallel with the development of fight-or-flight reactions, implicit memory and knowledge, and ultimately consciousness. Basic emotions are related to survival functions in an inseparable psychosomatic unity that enable an immediate response to critical situations rather than generating knowledge, which is why many anxious patients are unaware of the cause of their anxiety. Archeological findings suggest that humans have been surprisingly skillful and knowledgeable since prehistory. Neanderthals used medicinal plants; and relics of dental tools bear witness to a kind of Neolithic proto-dentistry. In the two millennia BC, Egyptian and Greek physicians used both plants (such as papaver somniferum) and incubation (a forerunner of modern hypnosis, e.g., in the sleep temples dedicated to Asclepius) in the attempt to provide some form of therapy and painless surgery, whereas modern scientific medicine strongly understated the role of subjectivity and mind-body approaches until recently. DA has a wide range of causes and its management is far from being a matter of identifying the ideal sedative drug. A patient's proper management must include assessing his/her dental anxiety, ensuring good communications, and providing information (Iatrosedation), effective local anesthesia, hypnosis, and/or a wise use of sedative drugs where necessary. Any weak link in this chain can cause avoidable suffering, mistrust, and emergencies, as well as having lifelong psychological consequences. Iatrosedation and hypnosis are no less relevant than drugs and should be considered as primary tools for the management of DA. Unlike pharmacological sedation, they allow to help patients cope with the dental procedure and also overcome their anxiety: achieving the latter may enable them to face future dental care autonomously, whereas pharmacological sedation can only afford a transient respite
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The Relevance of Hypnosis and Behavioural Techniques in Dentistry
2013Co-Authors: Facco Enrico, Manani Giovanni, Zanette GastoneAbstract:Dental fear is an universal phenomenon justifying the increasing relevance of psychology and the behavioral sciences to dental training and clinical practice. It has a wide-ranging and dynamic impact in patients\u2019 lives and shows some links with other anxiety disorders, as described in psychiatry, such as post-traumatic stress disorder (PTSD) and phobia. Pharmacological sedation has been introduced and used more and more over the past two decades, in order to relieve dental anxiety and phobia and let the patient face oral surgery safely. However, its use is only a step in a much more complex approach, the aim of which is helping the patient to overcome their anxiety and get rid of it. The appropriate approach includes several steps: (1) assessing dental anxiety; (2) proper communication and ensuring patients are thoroughly informed; (3) Iatrosedation to make patients comfortable and earn their trust; (4) a properly performed local anaesthesia, able to ensure a full analgesia; and (5) hypnosis and/or a wise use of drugs to ensure full anxiety control as needed. Iatrosedation combines the principles of verbal and non-verbal communication and the emphatic approach pertaining to neurolinguistic programming. Given its effectiveness in relieving dental anxiety, it should be regarded as the essential strategy of communication with the patient. Hypnosis is a powerful tool in dentistry. A relevant advantage, unique to hypnosis, is its twofold role: (1) achieving an effective and even deep sedation and amnesia while maintaining the patient\u2019s collaboration; and (2) treating dental anxiety and phobia, helping the patient to overcome it, as well as other associated anxiety disorders (e.g., claustrophobia).As far as eye movement desensitizaion and reprocessing (EMDR) is concerned, there is still a shortage of information on EMDR in dentistry, but it might be potentially useful when dental phobia is related to previous bad experiences involving PTSD components. The superiority of hypnosis and other behavioural techniques in comparison with pharmacological sedation lies in their ability to help patients rid themselves of their dental anxiety. While pharmacological sedation only affords a temporary respite and helps the patient to cope with a single procedure, hypnosis and Iatrosedation can effectively allow for both an excellent sedation in a physiological way and the treatment of patient\u2019s anxiety, helping them to get rid of their fear and other anxiety components
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Anaesthesia techniques for dental patients with uncommon diseases. A series of case report
2011Co-Authors: Zanette Gastone, Facco Enrico, Favero Lorenzo, Favero, Gian Antonio, Manani GiovanniAbstract:Anaesthesia techniques for dental procedures are rarely debated among dentists and anaesthesiologists. Recommendations, indications and contraindications for sedation and/or general anaesthesia in dentistry are not so clearly established. Published scientific evidence are lacking and all the recommendations are therefore based on strong agreement among professionals. Indications for dental treatment under general anaesthesia may be related to patient\u2019s condition, to intervention or to local anaesthesia problems. Known contraindications to this treatment are the refusal by patient and/or patient\u2019s relatives or legal representative and conditions of major risks (ASA III-IV patients). It is wide accepted, among dentists, that LA, along with Iatrosedation should be routinely employed as the first treatment step. The next step should be the addition of conscious sedation, if needed, while GA should be considered as the last resort. First and second steps should be performed by the dentist also defined \u201csedationist\u201d, in this setting. Benefits and risks of general anaesthesia should be considered before taking a decision, and minimal requirements are a pre-anaesthesia consultation providing information to patients and obtaining informed consent. In this paper we report our experience regarding the management of dental patients affected by uncommon systemic diseases and our opinion regarding this issue
María José Giménez Prats - One of the best experts on this subject based on the ideXlab platform.
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Sedación en el paciente geriátrico
Medicina oral : organo oficial de la Sociedad Espanola de Medicina Oral y de la Academia Iberoamericana de Patologia y Medicina Bucal, 2004Co-Authors: Julián López Jiménez, María José Giménez PratsAbstract:A review is made of the utility of Iatrosedation and pharmacological sedation in the dental treatment of elderly patients. The adoption of such measures is required due to the increased prevalence of oral pathology, poorer stress tolerance and frequent association of systemic disease in such patients. A description is made of the recommended psychoactive drug administration routes according to the associated pathology and of the most frequent pharmacological interactions with the background disease. Drug sedation should always be accompanied by psychological measures to minimize the required drug dose, and by correct locoregional anesthesia.
