Dental Caries
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (i) Treatment: Adult patients who have been judged to require dental treatment (generally within 2 hours) under sedation and have visited the Department of Anesthesiology and Dental Anesthesiology at a university hospital (patients with dental treatment phobia, abnormal strangulation reflex, panic disorder, cerebral palsy, or other patients whose attending physician has judged that treatment under sedation is necessary). ii) Age: Adult patients who are at least 18 years old and less than 85 years old at the time of obtaining consent. (iii) Gender: Any gender (iv) Inpatient/Outpatient: Outpatient only (v) Patients who have been fully informed about their participation in this study, and who have given written consent of their own free will based on sufficient understanding.
Exclusion criteria
Exclusion criteria: (i) Patients with acute angle closure glaucoma (ii) Patients with myasthenia gravis (iii) Patients with a history of hypersensitivity to remimazolam and propofol (iv) Patients who are judged by the investigator to be inappropriate as research subjects.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Incidence of hypoxemia (SpO2 less than 90%) Definition of hypoxemia: SpO2 below 90% at least once during a procedure. Rationale: Because the evaluation of the incidence of hypoxemia (SpO2 less than 90%) is the best indicator of acid maintenance during dental procedures under sedation. 2) Incidence of hypotension (mean blood pressure of 65 mmHg or a 20% decrease from the baseline mean blood pressure (pre-sedation value)) | — |
Secondary
| Measure | Time frame |
|---|---|
| Elevated respiratory rate at optimal sedation level (>20% increase compared to baseline values before sedation) | — |
Contacts
Nagasaki University Hospital