Obwohl moderne Verfahren der Lokalanästhesie heute eine schmerzfreie Behandlung ermöglichen,
bleiben viele Patienten gegenüber zahnärztlichen und insbesondere oralchirurgischen
Prozeduren ängstlich eingestellt. Die Angst dieser Patienten kann eine unzureichende
Kooperation und somit eine Erschwerung oder einen Abbruch der Behandlung zur Folge
habe. In ausgeprägten Fällen kann die Angst sogar zur Ablehnung oder Vermeidung der
notwendigen Therapie führen. Dies gilt umso mehr für umfangreichere Eingriffe, wie
die operative Entfernung von Weisheitszähnen oder die Behandlung von ängstlichen Kindern.
Im folgenden 1. Teil des Beitrags werden pharmakologische und klinische Aspekte moderner
Sedativa dargestellt und klinisch evaluiert. Insbesondere wird auf die praktische
Vorgehensweise bei der intravenösen Sedierung oralchirurgischer Patienten eingegangen
und verschiedene intravenöse Sedativa miteinander verglichen.
Despite modern local anaesthesia procedures allowing a painless treatment, many patients
remain fearful towards dental procedures. This is in particular true for treatments
in the field of oral surgery, as the removal of wisdom teeth as well as for the treatment
of children. For these patients, intravenous sedation may present an alternative treatment
option to local or general anaesthesia. The aim of this article is an evidence–based
evaluation of sedation procedures with regard to their application in dentistry and
oral surgery. The first part of the article considers clinical, pharmacological and
practical aspects of intravenous sedatives.
Schlüsselwörter:
Oralchirurgie - Analgosedierung - Conscious Sedation - Midazolam
Key Words
Oral surgery - Sedation - Conscious Sedation - Midazolam
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Korrespondenzadresse:
PD Dr. Matthias Kreisler
Dr. Arda Yazici
Praxisklinik für Oralchirurgie und Implantologie Praxis für Anästhesie
Sendlinger Str. 19
80331 München
Email: info@dr-kreisler
