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Comparative Study
. 2007 Summer;54(2):52-8.
doi: 10.2344/0003-3006(2007)54[52:IDAASS]2.0.CO;2.

Illinois dental anesthesia and sedation survey for 2006

William G Flick  1 , Alexander Katsnelson, Howard Alstrom
Affiliations
Comparative Study

Illinois dental anesthesia and sedation survey for 2006

William G Flick et al. Anesth Prog. 2007 Summer.

Abstract

This is a 10-year follow-up survey of a 1996 study of all dentists in Illinois holding a permit to administer sedation or general anesthesia. The survey describes the scope of sedation and anesthesia services provided in dental offices in Illinois. A mail survey was sent to 471 dentists who were registered with the department of professional regulation to administer sedation or general anesthesia. Classification by specialty area of practice showed: 63% (84% in 1996) are oral and maxillofacial surgeons, 20% (11% in 1996) general dentists, 6% (5% in 1996) periodontists, 9% (0% in 1996) pediatric dentists, 1% (less than 1% in 1996) dentist anesthesiologists. Advanced cardiovascular life support (ACLS) training was reported by 90% (85% in 1996) of the respondents. The total number of sedations and general anesthetics administered for the year was 115,940. Two mortalities and two cases of long-term morbidity were reported for the 10-year period. Respondents reported that 30 patients required transfer to a hospital but suffered no long-term morbidity. Other practice characteristics were detailed.

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Figures

Figure 1
Figure 1
Increase in proportion of practitioners with Type A sedation permit.
Figure 2
Figure 2
Comparison in percentage of practitioners by practice type (specialty).
Figure 3
Figure 3
Increase in percentage of practitioners reporting initial advanced cardiovascular life support (ACLS) training and current recertification.
Figure 4
Figure 4
Number of respondents reporting participation in peer review or office accreditation. Abbreviations: ISOMS, Illinois Society of Oral and Maxillofacial Surgeons; AAOMS, American Association of Oral and Maxillofacial Surgeons; JCAHO, Joint Commission on Accreditation of Healthcare Organizations; AAAHC, Accreditation Association for Ambulatory Health Care.
Figure 5
Figure 5
Most commonly utilized anesthesia team configuration as a percentage of respondents reporting.
Figure 6
Figure 6
Percentage of practitioners intubating in office remains low.
Figure 7
Figure 7
Comparison of practitioners' preference for intravenous agents.
Figure 8
Figure 8
Comparison of practitioners' preference for inhalation agents.
Figure 9
Figure 9
Comparison of practitioners' preference for oral sedative agents.
Figure 10
Figure 10
The number of reported anesthesia related morbidities and mortalities requiring hospital transfer for the 10-year period.
Figure 11
Figure 11
Reported anesthesia emergencies categorized by type.
See this image and copyright information in PMC

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References

    1. Flick WG, Green J, Perkins D. Illinois Dental Anesthesia and Sedation Survey for 1996. Anesth Prog. 1998;45:51–56. - PMC - PubMed
    1. Lytle JJ. The 1988 anesthesia survey of the Southern California Society of Oral and Maxillofacial Surgeons. J Oral Surg. 1980;38:814–819. - PubMed
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    1. Springfield; Illinois: Illinois Dental Practice Acts and Administrative Codes (Part 1220, Section 1220.510 and 1220.520. Last amended December 13, 2002), Illinois Department of Professional Regulation.

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