Edorium Journal of

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Original Article
 
Assessment of sedation need in a group of patients undergoing dental treatment at a tertiary facility in Lagos State
Oyapero A.1, Enone L.L.2, Osasuyi A.3
1Department of Preventive Dentistry, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
2Department of Restorative Dentistry, Lagos State University Teaching Hospital, Ikeja, Lagos. Nigeria.
3Department of Oral and Maxillofacial Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.

Article ID: 100016D01OA2016
doi:10.5348/D01-2016-16-OA-3

Address correspondence to:
Dr. Oyapero A.
Department of Preventive Dentistry
Lagos State University Teaching Hospital
Ikeja, Lagos
Nigeria

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How to cite this article
Oyapero A, Enone LL, Osasuyi A. Assessment of sedation need in a group of patients undergoing dental treatment at a tertiary facility in Lagos State. Edorium J Dent 2015;3:12–20.


Abstract
Aims: The fear of dental treatment and anxiety about dental procedures are prevalent and have an impact on the quality of life of patients and the quality of dental treatment they receive. Sedation can be useful for patients undergoing complex or unpleasant operative procedures but there is no appropriate documentation on the need for sedation for pain and anxiety control in dental clinics in Nigeria. The aim of this study was to assess the need for sedation by a group of patients undergoing dental treatment using the indicator of sedation need (IOSN) assessment tool.
Methods: This descriptive study was conducted at the restorative dentistry and oral and maxillofacial surgery clinics of the Lagos State University Teaching Hospital, Ikeja, Lagos. (LASUTH). The ISON questionnaire consisting of the modified dental anxiety scale (MDAS) and the medical and behavioral indicator rank score was used to assess sedation need.
Results: Majority of the respondents were female (52.9%); between 21–30 years old (30.5%); had Tertiary education (68.9%); had not had a previous traumatic treatment (60.9%) and required a complex dental treatment (53.0%). Those in the 21–30 years age category, females, secondary school educated and those that had previous traumatic treatment had higher anxiety scores. The female gender (0.024); educational level (0.021); Previous traumatic treatment (0.049); treatment complexity (0.000) and Medical and behavioral rank score (0.000) were significantly associated with a high ISON. Overall 8% of the sample indicated very high dental anxiety (HDA) with total scores above the 19 and above.
Conclusion: Using the ISON, 10% of the respondents had a high or very high sedation need. Easy access to conscious sedation in dental offices and knowledge of this access might encourage the fearful among the general population to seek oral care promptly.

Keywords: Index of sedation need, Modified dental anxiety scale, Dental anxiety


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Author Contributions:
Oyapero A. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Enone L.L. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Osasuyi A. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Oyapero A. et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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