Dixon RA, Day CD, Eccersley PS, Thornton JA.Morris DM, Nathan RG, Goebel RA, Blass NH.The use of hypnosis for smooth sedation induction and reduction of postoperative violent emergencies from anesthesia in pediatric dental patients. Hypnosis as an adjunct to the administration of local anesthetic in pediatric patients. Gokli MA, Wood AJ, Mourino AP, Farrington FH, Best AM.USE OF HYPNOSIS IN CERTAIN SURGICAL PROBLEMS. Early uses of hypnosis as surgical anesthesia. Hypnotherapy for treatment of dental phobia in children. When pharmacologic anesthesia is precluded: the value of hypnosis as a sole anesthetic agent in dentistry. Hypnotic induction in dentistry-coping with the fear of losing control (autonomy): a brief communication. Surgical and non-surgical dental treatments for a multi-allergic patient with meditation-hypnosis as the sole anesthetic: case report. Hypnosis in a dental patient with allergies.
Links to PubMed are also available for Selected References. Get a printable copy (PDF file) of the complete article (849K), or click on a page image below to browse page by page. Full textįull text is available as a scanned copy of the original print version. However, it is also important to choose a sedative regimen where tolerance is unlikely to exist. We conclude that hypnosis can augment the effects of sedation in this patient population. In contrast, this possibility existed in only 1 of 11 patients with good or excellent treatment outcomes. Interestingly, in five of seven patients for whom the treatment outcome was rated poor or fair, the possibility of tolerance or cross-tolerance existed between a drug being abused and the sedative regimen.
With the combined hypno-sedative approach, treatment outcomes were judged to be good or excellent in 11 of 18 patients. If an intramuscular sedative regimen was employed (meperidine plus promethazine), the hypnotic induction took place after drug administration. If an intravenous sedative regimen (midazolam or diazepam plus methohexital) was employed, hypnotic induction preceded the administration of the sedative drugs. All patients exhibited highly fearful or phobic behavior toward dental treatment as assessed by the Corah Dental Anxiety Scale.
Attempts to complete various dental procedures while employing sedation alone on these patients had previously failed. The following report summarizes our experience with 18 drug-dependent patients in whom hypnosis was employed in conjunction with a standard sedation regimen. Dosage requirements necessary to adequately sedate these patients are often higher than recommended and carry an increased risk of drug overdose. The successful use of conscious sedation in patients physically dependent on centrally acting drugs is problematic for the dental anesthesiologist because of the concomitant development of tolerance to standard sedative agents.
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