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Management of Pain & Anxiety
in the Dental Office
Author Information
By Raymond A. Dionne, DDS,PhD, National
Institute of Dental Research, National Institutes of Health, Bethesda, MD;
James Phero, DMD, Professor of Clinical Anesthesia, Clinical Pediatrics, and
Clinical Surgery, University of Cincinnati, College of Medicine; Co-Director,
Head & Neck Section, University Pain Control, Greater Cincinnati Pain
Consortium, The Barret Center, University of Cincinnati Hospita,l Cincinnati,
OH; and Daniel Becker, DDS, Professor, Allied Health Sciences, Sinclair
Community College, Dayton, OH
Description
Treating acute pain requires a foundation of basic and clinical sciences, and
Management of Pain and Anxiety in the Dental Office presents all the scientific
and technical aspects of pain and anxiety control that are useful in dentistry.
In this practical resource, leading authorities explain the principles of
pharmacology and physiology required to properly assess the patient's medical
status and monitor vital physiologic functions during sedation and anesthesia.
It identifies the principles of pain and anxiety, examines the pharmacologic
considerations of working with patients who are anxious or in acute pain, and
discusses the intraoperative management of pain and anxiety, as well as
addressing the diagnosis and management of chronic orofacial pain. Separate
chapters are devoted to pediatric patients, the developmentally disabled, TMD,
and many other timely topics.
Table of Contents
PART 1: PRINCIPLES OF PAIN AND ANXIETY CONTROL
Overcoming pain and anxiety in dentistry
Raymond A. Dionne and Yuzuru Kaneko
Mechanisms of orofacial pain and analgesia
Kenneth M. Hargreaves and Stephen B. Milam
Nonpharmacologic methods for managing pain and anxiety
Peter Milgrom
Basic physiologic considerations
Daniel E. Becker and Bruce E. Bradley
Preoperative assessment
Daniel E. Becker
PART 2: PHARMACOLOGIC CONSIDERATIONS
Local anesthetics
John A. Yagiela
Therapeutic uses of non-opioid analgesics
Raymond A. Dionne, Charles Berthold, and Stephen A. Cooper
Opioid analgesics and antagonists
Daniel A. Haas
Anxiolytics and sedative-hypnotics
Daniel E. Becker and Paul A. Moore
General anesthetics
Daniel E. Becker
PART 3: INTRAOPERATIVE MANAGEMENT OF PAIN AND ANXIETY
Monitoring
John P. Lawrence and Hideo Matsuura
Airway management
Jenny Z. Mitchell and James A. Roelofse
Local anesthetic techniques and adjuncts
J. Mel Hawkins and John Gerard Meechan
Nitrous oxide sedation
Raymond S. Garrison, Stephen R. Holliday, and David P. Kretzschmar
Oral and rectal sedation
Raymond A. Dionne and Larry D. Trapp
Intravenous and intramuscular sedation
Daniel E. Becker and C. Richard Bennett
Deep sedation and general anesthesia
Morton B. Rosenberg and Leonard J. Lind
Management of complications and emergencies
Daniel E. Becker and James C. Phero
PART 4: MANAGEMENT OF PATIENTS WITH SPECIAL REQUIREMENTS
Pediatric sedation
Milton I. Houpt and Joseph A. Giovannitti, Jr.
Anesthesia for the developmentally disabled patient
Jeffrey D. Bennett and John W. Leyman
PART 5: DIAGNOSIS AND MANAGEMENT OF CHRONIC OROFACIAL PAIN
Behavioral management in patients with temporomandibular disorders
Kate M. Hathaway and George E. Parsons
Diagnosis of chronic orofacial pain
Yoshiki Imamura and Jeffrey P. Okeson
Pharmacologic treatments for temporomandibular disorders and other orofacial
pain
Lauren E. Ta, John K. Neubert, and Raymond A. Dionne
Physical medicine for masticatory pain and dysfunction
Glenn T. Clark
Treatment of stomatitis and oropharyngeal pain in the oncology patient
50. Jane M. Fall-Dickson
Author Information
By Raymond A. Dionne, DDS,PhD, National Institute of Dental Research, National
Institutes of Health, Bethesda, MD; James Phero, DMD, Professor of Clinical
Anesthesia, Clinical Pediatrics, and Clinical Surgery, University of Cincinnati,
College of Medicine; Co-Director, Head & Neck Section, University Pain Control,
Greater Cincinnati Pain Consortium, The Barret Center, University of Cincinnati
Hospita,l Cincinnati, OH; and Daniel Becker, DDS, Professor, Allied Health
Sciences, Sinclair Community College, Dayton, OH
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