title: Comparison of the effects of sedation and general anesthesia in surgically assisted rapid palatal expansion.
abstract: OBJECTIVE
  To compare the effects of sedation and general anesthesia for surgically assisted rapid palatal expansion (SARPE).
  
  
  METHODS
  This randomized prospective study included 30 patients who were scheduled for SARPE, and was performed between January 2008 to February 2010 in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul, Turkey. Patients were allocated into Group S - midazolam + fentanyl sedation (n=15), and Group G - general anesthesia (n=15). Hemodynamic parameters, duration of anesthesia, surgery, recovery time, time to discharge, visual analogue scale (VAS) pain scores at 30 minutes (min), one hour (hr), 4 hours, 12 hours, and 24 hours, first consumption of analgesic time, total amount of consumption of analgesics, patient and surgeon satisfaction, nausea, and vomiting were recorded.
  
  
  RESULTS
  Analgesic time was significantly longer in Group S (p=0.008), and total analgesic consumption was significantly lower in Group S than in Group G (p=0.031). Patient satisfaction was statistically higher in Group S (p=0.035). At 30 min, one hr, and 12 hrs, VAS satisfaction scores in Group S were statistically lower than those in Group G, and at 4 hrs and 24 hrs there was no statistical difference in VAS scores for both groups.
  
  
  CONCLUSIONS
  The use of sedation for outpatient SARPE resulted in lower pain scores at discharge, lower analgesic consumption, and greater patient satisfaction.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Guzelbahce Buyuk Ciftlik Sk. No: 6, Nisantasi, Istanbul, Turkey.
authors.forename: Tulin
authors.initials: T
authors.lastname: Satilmis
authors.forename: Faysal
authors.initials: F
authors.lastname: Ugurlu
authors.forename: Hasan
authors.initials: H
authors.lastname: Garip
authors.forename: Bedrettin C
authors.initials: BC
authors.lastname: Sener
authors.forename: Kamil
authors.initials: K
authors.lastname: Goker
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D008297:Male; D010155:Palatal Expansion Technique; D010159:Palate / Q000601:surgery*
chemical_list: D006993:Hypnotics and Sedatives