British dental journal
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British dental journal · Nov 1999
Randomized Controlled Trial Comparative Study Clinical TrialCognitive properties of sedation agents: comparison of the effects of nitrous oxide and midazolam on memory and mood.
To compare the effects of nitrous oxide and midazolam on cognition and mood. ⋯ It is important for clinicians to be aware that peri-operative recall of information is reduced in patients who have undergone midazolam sedation. This is an advantage for patients who are anxious, and do not wish to be aware of the operative treatment being performed. However, as the cognitive impairment is enduring, an adult escort and written post-operative instructions should be mandatory for midazolam sedation patients. In contrast, the use of nitrous oxide sedation does not significantly impair higher cognitive tasks and thus patients receiving nitrous oxide sedation can resume normal activities in the post-operative period.
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British dental journal · Nov 1999
Comparative StudyProvision of dental general anaesthesia for extractions in child patients at two centres.
To two contrasting centres, to describe the provision of dental general anaesthesia (DGA) for simple non-surgical extractions in terms of the type of treatment provided, including the number of primary and permanent teeth extracted, and the characteristics of child patients attending in terms of their age group and gender. ⋯ Both services were used primarily for the extraction of primary teeth although the services differed in the ages of patients who used them and in the numbers of teeth extracted. Numbers of patients attending the service at Centre 1 had declined over time but numbers of teeth extracted per child had increased.
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British dental journal · Oct 1999
The criteria used by editors of scientific dental journals in the assessment of manuscripts submitted for publication.
To examine the factors that influence editors of scientific dental journals in deciding whether or not to publish submitted manuscripts and to determine if there is a consistent pattern for their decisions. ⋯ The application of these results can help authors to prepare manuscripts that are more attractive to editors of dental journals. Editors valued papers that were appropriate to the stated aims of their journal and regarded the significance and validity of the research work as the most important aspects of manuscripts submitted for publication.
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British dental journal · Jun 1999
Randomized Controlled Trial Clinical TrialThe effect of tranexamic acid (cyclokapron) on blood loss after third molar extraction under a day case general anaesthetic.
To evaluate the effect of pre-operative administration of tranexamic acid in preventing prolonged post-operative bleeding in day-case patients. Day-case admission is highly appropriate for dentoalveolar surgery but one of the problems is prolonged post-operative haemorrhage which at times may delay discharge or necessitate readmission to hospital. Tranexamic acid has traditionally been used to treat post-operative bleeding. ⋯ This study has shown that one intravenous pre-operative dose of tranexamic acid is effective in preventing excessive post-operative bleeding in patients undergoing third molar extraction under a day case general anaesthetic and therefore facilitates safe discharge from hospital.