ISSN 2976-9531 (Online) 

SAAD DIGEST VOLUME 41(1) 2025

STORY BEHIND THE COVER

This image was generated by Adobe Firefly and shows a vial of drug in the style of an oil painting. The bright colour palette reflects the exciting new opportunities brought by remimazolam, which is a focus of this issue.

3  Challenges and considerations in dental treatment of patients with psychogenic non-epileptic seizures: a review and case study

8 The impact of preoperative anxiety on postoperative outcomes in patients undergoing third molar surgery 

13 Pilot video consultations to assess high BMI paediatric patients’ suitability for the provision of dental treatment under general anaesthesia at a Day Surgery Unit

17 A retrospective analysis of the number of episodes of single tooth extractions carried out under general anaesthetic on adult patients at University Hospital Wales (OMFS department) over a 12-month period

22 A service evaluation of the use of IV sedation with remimazolam for adults with an acquired brain injury

28 Remimazolam as a sedative for dental procedures: a case series 

32 Dentist-led conscious sedation with remimazolam in a frail older adult

36 Dental management under general anaesthesia of an adult patient with complex mental health considerations and learning disability

50 Improving the awareness of carbon emissions from nitrous oxide use for patients receiving inhalation sedation

62 Clinical audit on the quality of written consent for inhalation sedation

SAAD Trustees

Officers

President: Yi Kwan Loo BDS MFDS RCS (Edin) DipConSed AFHEA MPaed Dent RCPS (Glasg)
Immediate Past President: Sadie Hughes BDS MFDS RCPS (Glas) MSc
Hon. Secretary: Manni Deol BDS MJDF PGCMedEd DipDSed
Hon. Treasurer & Communications Secretary: Paul Howlett BDS MFDS DipConSed
Course Director: Carole Boyle BDS FDS RCSEng MMedSci MSND RCSEd FDS RCSEd FDTFEd DipWSET
Editor: Nigel Robb TD PhD BDS FDS RCS(Ed) FDS(Rest Dent) FDS RCPS FDTF FHEA

Members

Christopher Holden BDS LDSRCS (Eng) DGDP(UK) FCGDent
Thomas Lees BDS MFDS RCPS (Glas) DipConSed
Imran Suida BChD (Hons) MOralSurg MFDS RCPS (Glasg) PgCert healthcare ed PgCert healthcare leadership FHEA
Laleh Sharifian BDS (Lond) MFDS RCS (Eng.) Dip D.Sed
Zahra Shehabi BDS MFDS MSc(Sed Spec Care) MSCD MSc (Management)
Ashleigh Stamp BDS MFDS RCPS(Glasg) DipConSed FHEA MDTFEd PGCertAP
Simon Chaplin-Rogers LDS RCS (Eng) BDS (Hons) Cert Dent Ed. FRSPH
Stephanie Fenesan BDS BSc (Hons) AKC MJDF PG Dip SCD MSc MSCD RCSEd
Rick Kerr BDS FDSRCS(Eng) PG Dip Con Sed
Ronan Lee BDS BSc (Hons) AKC MFDS RCS (Eng)

The SAAD Digest is published by the Society for the Advancement of Anaesthesia in Dentistry. The SAAD Newsletter is published electronically by the Society in Spring and Autumn.

Editorial Board

Fareed Ahmad BDS LDSRCS (Eng)
Stacey Clough BChD MFGDP (UK) MFDS RCS (Eng) MJDF MSpec Care Dent MSc CILT
Greg Gerrard BDS MFDS MSurgDent MSc
Jennifer Hare DHealthPsy CPsychol AFBPS
Thomas Lees BDS MFDS RCPS (Glas) DipConSed
Yi Kwan Loo (Assistant Editor) BDS MFDS RCS (Edin) DipConSed AFHEA MPaed Dent RCPS (Glasg)
Christopher Mercer BDS FDS RCS (Eng) PhD FHEA
Akhila Muthukrishnan BDS MPhil FDSRCS FFDRCSI PGCME FHEA
Munir Ravalia BDS MFDS REC (Eng)
Nigel Robb (Editor) TD PhD BDS FDS RCS(Ed) FDS(Rest Dent) FDS RCPS FDTF FHEA
Ben Smith BDS DipConSed
Fiona Trimingham BSc(Hons) MA MRSC CT(ABRSM)
Rosemary Whatling BSc BDS FDS RCS(Eng)(Paed Dent) MPaed Dent RCS (Eng) MClin Dent (Paed Dent) MFDS RCS (Eng)

Original articles and correspondence should be addressed to:

 Email: Digest@saad.org.uk

Membership: £60 (UK) and £70 (international) per annum and includes the SAAD Digest and SAAD Newsletters, which are published on behalf of SAAD, 21 Portland Place, London W1B 1PY.

The opinions expressed in this and previous SAAD Digests and Newsletters are those of the authors and are not necessarily those of the Editorial Board nor of the SAAD Board of Trustees.

ISSN 0049-1160 (Print)