title: The implications of substance misuse for intravenous conscious sedation practice.
abstract: Substance misuse is a major health concern in the United Kingdom, as the consequences for individuals are significant and may include multisystem organ damage. It is important for the dentist to know which patients are misusing substances as some pharmacological agents routinely used in dental practice may be contraindicated. The dentist should be aware of the range of clinical presentations that may arise from substance misuse and when suspected, a thorough drug history must be obtained. Patients may require special consideration and further investigations when planning elective procedures, particularly under intravenous conscious sedation. Therefore, management within a specialist centre and liaison with other health professionals may be indicated to ensure treatment is provided safely.
authors.affiliation: Dental Core Trainee Year 2 in Oral and Maxillofacial Surgery, University of Manchester.
authors.forename: J
authors.initials: J
authors.lastname: Noone
authors.affiliation: Dental Core Trainee Year 2 in Oral and Maxillofacial Surgery, University of Manchester.
authors.forename: E
authors.initials: E
authors.lastname: Critchley
authors.affiliation: Specialty Registrar Oral Surgery, University of Manchester.
authors.forename: P
authors.initials: P
authors.lastname: Cullingham
authors.affiliation: Head of School of Dentistry and Professor of Oral and Maxillofacial Surgery, University of Manchester.
authors.forename: P
authors.initials: P
authors.lastname: Coulthard
authors.affiliation: Consultant in Oral Surgery, University Dental Hospital of Manchester;
authors.forename: A
authors.initials: A
authors.lastname: Saksena
mesh_terms: D000766:Anesthesia, Dental / Q000009:adverse effects / Q000379:methods*; D000771:Anesthesia, Intravenous / Q000009:adverse effects / Q000379:methods*; D016292:Procedural Sedation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008991:Monitoring, Physiologic; D019966:Substance-Related Disorders / Q000150:complications*