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J Dent Anesth Pain Med. 2016 Sep;16(3):217-222. doi: 10.17245/jdapm.2016.16.3.217. Epub 2016 Sep 30.

Use of ADMS™ during sedation for dental treatment of an intellectually disabled patient: a case report.

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Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea.
Research Institute, Unimedics CO., LTD., Seoul, Korea.
Special Care Clinic, Seoul National University Dental Hospital, Seoul, Korea.


Dental treatment is often performed under general anesthesia or sedation when an intellectually disabled patient has a heightened fear of treatment or has difficulty cooperating. When it is impossible to control the patient due to the severity of intellectual disability, conscious sedation is not a viable option, and only deep sedation should be performed. Deep sedation is usually achieved by propofol infusion using the target controlled infusion (TCI) system, with deep sedation being achieved at a slightly lower concentration of propofol in disabled patients. In such cases, anesthesia depth monitoring using EEG, as with a Bispectral Index (BIS) monitor, can enable dental treatment under appropriate sedation depth. In the present case, we performed deep sedation for dental treatment on a 27-year-old female patient with mental retardation and severe dental phobia. During sedation, we used BIS and a newly developed Anesthetic Depth Monitor for Sedation (ADMS™), in addition to electrocardiography, pulse oximetry, blood pressure monitoring, and capnometry for patient safety. Oxygen was administered via nasal prong to prevent hypoxemia during sedation. The BIS and ADMS™ values were maintained at approximately 70, and dental treatment was successfully performed in approximately 30 min..


ADMS; Anesthesia depth monitoring; Disabilities; Propofol; Sedation

Conflict of interest statement

Declaration of Conflicts of Interest: The authors have no conflicts of interest to report. But The ADMSTM machine and sensors are supported by Research Institute, Unimedics CO., LTD., Seoul, Korea

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