Comparison of efficacy and recovery time of sevoflurane inhalation deep sedation with propofol deep sedation in pediatric dentistry

Abstract

The purpose of this study was to compare the efficacy and recovery time of inhalation sedation using sevoflurane to intravenous sedation using propofol. Materials and Methods:The study included 46 uncooperative children aged (3-6) year's who needed to undergo dental treatments under deep sedation. They were randomly assigned to two groups, the propofol group (Group P) and the sevoflurane group (Group S). All children were sedated by an anesthesiologist who was independent of dental treatment and was wholly responsible for the sedation procedure until the patient was discharged. The efficacy assessments and depth of sedation evaluation were done using the University of Michigan Sedation Scale (UMSS). After treatment, modified Vancouver Recovery Scale (MVRS) scale was used to determine the recovery time until the patient was discharged. Results: There were no significant differences in efficacy between groups. Statistically significant differences appeared in the recovery time between groups (p = .000). Conclusions: inhalation deep sedation with sevoflurane is an effective as propofol sedation in managing uncooperative children and the recovery of sevoflurane sedation was more quickly than propofol sedation.