Office-based Anaesthesia for Dentistry in the Disabled: Rotterdam Approach*

Authors: J. Rupeht 1;  Bouvy-Berends E. C. M. 2
Authors‘ workplace: Universities of Rotterdam and Ljubljana 2 Center for special dentistry „Bijter“, Rotterdam, Netherlands 1
Published in: Anest. intenziv. Med., , 2002, č. 3, s. 103-105


Dentistry for profoundly disabled patients has been hampered in the Netherlands by the chronic shortage of available anaesthetic care within thefew hospitals which provide it. In the Rotterdam region, two fully equipped office-based dental anaesthesia centres have been established. Profoundlyhandicapped patients are assessed preoperatively by four experienced and dedicated anaesthetists. The anaesthetic assistants are also always the samein order to accumulate experience. Dentists and their assistants are taught essentials of co-operation with the anaesthetist in a special course aboutanaesthesia for dentists. It has been shown that dental care performed in office-based-anaesthesia setting is of superior quality. Preanaestheticassessment ensures safe fast-tracking for the day-case dentistry. Patients and their care-providers prefer office-based anaesthesia for dentistry, accordingto the Rotterdam approach.

Key words:
dentistry – disabled patients – anaesthetists – dental care

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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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