Comparison of two intravenous sedation techniques for use in pediatric dentistry: A randomized controlled trial

Abstract

Background. Psychological methods are the preferred behavior management techniques (BMTs) for children in the dental clinical set. However, sometimes they are not successful. On such occasions, pharmacological methods can be good alternatives. Intravenous sedation is one of these methods, which are very useful in behavior management. It is highly effective when applied appropriately.Objectives. The aim of this study was to evaluate the efficacy of intravenous sedation using dexmedetomidine in comparison with ketamine and atropine in uncooperative children during dental treatment.Material and methods. The study was performed on 40 healthy uncooperative children aged 2-6 years. They were equally and randomly divided into 2 groups: group D -intravenous dexmedetomidine with a loading dose of 1 µg/kg body weight (b.w.), which was followed by 0.2 µg/kg b.w./h via continuous infusion; and group K -intravenous ketamine 2 mg/kg b.w. with atropine 0.01 mg/kg b.w. Vital signs, recovery time and adverse effects were all recorded. Behavior was also evaluated using the Ohio State University Behavioral Rating Scale (OSUBRS).Results. Statistically significant differences appeared in the degree of behavior between the 2 groups (p = 0.03). Group D did better than group K. The mean recovery time was shorter in group D than in group K, but there were no statistically significant differences (p = 0.12). No side effects, episodes of cardiovascular or respiratory instability were reported in either group.Conclusions. The use of intravenous sedation in managing uncooperative children is more effective with dexmedetomidine than with ketamine. The addition of atropine as an adjunct to intravenous ketamine sedation helps in preventing complications. Cite asHammadyeh AR, Altinawi MK, Rostom F. Comparison of two intravenous sedation techniques for use in pediatric dentistry: A randomized controlled trial. Dent Med Probl.

Comparison of Three Intravenous Sedation Techniques Used for Extracting Mandibular Third Molars in Dental Patients

“…In recent years, the intravenous sedation technique has rapidly developed, and it is currently a commonly applied anesthesia technique in oral surgery 17) . However, compared to several studies on surgery with traditional local anesthesia and nitric oxide anesthesia, few studies have investigated the effects and advantages of intravenous sedation 18,19) . The present study compared the application effects of three intravenous sedation techniques during the extraction of mandibular third molars in dental patients.…”

Influence of Temperament on the Acceptance of Two Conscious Sedation Techniques in Toddlers Undergoing Dental Treatment: A Randomised Cross Over Trial

“…After administering the sedative, local anesthesia was administered, and pulp therapy was carried out. During the administration of local anesthesia, the child's behavior was recorded using the Ohio State University Behavioral Rating Scale (OSUBRS) [ 15 ]. A one-week washout period was considered, after which the participant was recalled for the next visit.…”