The document discusses sedation and pain control in dentistry. It provides information on various pre-operative, intra-operative, and post-operative pain management strategies. For the case of Sarah, who is experiencing severe pain from irreversible pulpitis and will undergo a root canal procedure, the document states she may experience some post-procedure pain due to continued periapical inflammation but can be treated with analgesics. The document emphasizes using the right analgesic for the right type of pain and accurate diagnosis in developing a pain management schema.

2. Page § 2 Welcome Bienvenue Willkommen Benvenuto Bienvenida yôkoso tervetuloa welkom

3. Page § 3 Please mute Your cell!

4. Page § 4 Are we doing our best to help our patients to get red of their pain? Can we do more?

5. Page § 5 DATE Duration Slides 49 1 hour Let us try to answer this 16/11/2010

6. Page § 6 Sarah has presented at your office reporting severe pain that kept her awake all night. She denies any contraindications to NSAIDs. After examination, you find the patient is suffering from irreversible pulpitis with acute apical periodontitis, and a root canal procedure is initiated. This patient may will experience some post-appointment pain due to continued inflammation of the periapical tissues.

7. Page § 7 Yes or No The Dentist is the best judge of pain. A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating. Addiction is common when opioid medications are prescribed. Morphine and other strong pain relievers should be reserved for the late stages of dying. Morphine and other opioids can easily cause lethal respiratory depression. Pain medication should be given only after the resident develops pain.

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20. Page § 20 Yes or No The Dentist is the best judge of pain. A person with pain will always have obvious signs such as moaning, abnormal vital signs, or not eating. Addiction is common when opioid medications are prescribed. Morphine and other strong pain relievers should be reserved for the late stages of dying. Morphine and other opioids can easily cause lethal respiratory depression. Pain medication should be given only after the resident develops pain. No No No No No No

22. Pain Control Strategy During Intervention Preoperative Pain Post-Operative

23. Pain Control Strategy Preoperative During Intervention Post-Operative Pain

27. Pre-operative procedures

31. During Surgical or Dental Intervention

37. Local Anesthesia Page § 37

39. Failure of Anesthesia Page § 39 Pathological causes Psychological causes Anatomical causes Operator dependent

42. Accessory nerve supplies Page § 42

45. Failure Management : Mandible Page § 45

47. Failure management : Maxilla Page § 47

49. Post-operative procedures

52. Types of Analgesics Page § 52

53. Types of Analgesics Page § 53

54. Non-odontogenic Pain

58. Conclusion Page § 58 1 2 3 Long acting local anesthetics Precise estimation of the pain Use the right analgesic 6 5 4 Profound local Anesthesia Removal of the cause Accurate Diagnostic

59. Page § 59 Pain management schema

60. Page § 60 What about Sarah ?

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62. Page § 62 Thank you for your attention! Any Questions?

63. Page § 63 Contact Details Dr. Iyad Abou Rabii +33612198442 +966532758000 www.facebook.com/iarabii www.Twitter.com/iarabii www.Scribd.com/iyad abou rabii Email iyad @wanadoo.fr [email_address]