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Biomedical subjects

G Manani

Publications and source records attributed to G Manani.

90 records · Page 5Linked to original sources

[Devices for the reduction of N2O pollution during conscious sedation in dentistry].

We considered data of environmental monitoring during three working days in a dentist's office who habitually employs nitrous oxide (N2O): conscious sedation is used to alleviate anxiety and to diminish or eliminate dental pain. Three different nose masks were tested to determine influence on environmental pollution by N2O. The study shows that the levels of N2O always remains low with the use of proper dental procedures, although the chose of the type of nose mask can further diminish air pollution and the exposure of dental personnel.

Air Pollution, Indoor↗

[Gow-Gates block for beginners].

The study was carried out with two groups of 49 patients to evaluate the incidence of failures and re-injections when the blockade of the mandibular nerve was carried out according to Gow-Gates by untrained young dentists. Such an incidence was compared to that of the blockade of the inferior alveolar nerve by the same dentists trained for this specific task. Both the observed failures and re-injections in the Gow-Gates blockade progressively decrease and disappear, theoretically, after 50 blockades, while they remain almost constant in the inferior alveolar nerve blockade. The induction of the blockade was more prolonged after the Gow-Gates blockade (9 minutes) compared to the inferior alveolar nerve blockade (7 minutes). The pain induced by the injection, that due to the anesthetic and that experienced during the subsequent surgery were lower after the Gow-Gates blockade.

Adult↗

[Sedation in ambulatory minor oral surgery: sublingual triazolam].

In a random trial on 40 patients undergoing extraction of the third lower molar 0.125 mg of triazolam were administered sublingually to 20 patients and placebo (lactulose solution 66.7%) to 20 patients. The sedative and amnesic effect rapidly appeared after triazolam while the anxiolytic effect was less pronounced. The recovery of psychomotor functions measured by standard psychomotor tests occurred rapidly and all patients were discharged after about 120 min from the end of the surgery. The judgment of the surgeon was positive as far as the anxiolytic and relaxing effects of triazolam was concerned. The patients treated with triazolam moreover appreciated the sedation induced by the drug. No cardiocirculatory complication was observed and the patients showed a considerable stability from the circulatory stand point. The results show that triazolam may represent a safe alternative to the use of other anxiolytic and sedative drugs in the minor surgery of the oral cavity.

Administration, Sublingual↗

[Double-blind analysis of the possibilities of the use of trazodone in sedation of ambulatory dental patients].

The sedative properties of trazodone were the object of a double blind study in dental out-patients, comparison being made with diazepam. It was observed that oral trazodone possesses considerable tranquillizing activity. It has no side-effects either after intake or during return home. The use of capsules containing 50 mg of trazodone is recommended. At this dose, sympathetic hyperactivity is also inhibited. Diazepam doses of 15 mg lead to mental sedation and inhibition of symptoms due to sympathetic hyperactivity but, unlike trazodone, diazepam possesses hypnotic acitivity and side-effects that make its use dangerous in patients who cannot be taken home by somebody else, or who have to drive a car.

Adult↗