Sedation of anxious children undergoing dental treatment

Abstract

Authors were not able to reach any definitive conclusion on which was the most effective drug or method of sedation used for anxious children. A list of proposed areas of study was described.

A comparison of inhalation sedation agents in the management of children receiving dental treatment: a randomized, controlled, cross‐over pilot trial

“…Lack of inter‐observer agreement is perhaps not surprising as all members of the sedation team had different levels of experience and the CA had less experience of dental treatment in the conscious child than the DN and PI. This highlights what others have previously found: that there are difficulties with scoring systems regarding patient behaviour and that as yet there is no perfect method of assessing patient behaviour 24,25 . This is not surprising in view of the subjective nature of such assessments and highlights the need for further work to develop a more objective assessment tool with respect to patient behaviour.…”

A comparison of inhalation sedation agents in the management of children receiving dental treatment: a randomized, controlled, cross‐over pilot trial

“…Lack of inter‐observer agreement is perhaps not surprising as all members of the sedation team had different levels of experience and the CA had less experience of dental treatment in the conscious child than the DN and PI. This highlights what others have previously found: that there are difficulties with scoring systems regarding patient behaviour and that as yet there is no perfect method of assessing patient behaviour 24,25 . This is not surprising in view of the subjective nature of such assessments and highlights the need for further work to develop a more objective assessment tool with respect to patient behaviour.…”

Paediatric conscious sedation: views and experience of specialists in paediatric dentistry

“…12 With regard to intravenous sedation, the paediatric sedation guidelines state that 'single agent sedation with midazolam is only recommended for intravenous dental sedation in patients over 16 years of age.' 21 Children as young as 11 have been successfully treated with intravenous midazolam.…”

Is intravenous conscious sedation for surgical orthodontics in children a viable alternative to general anaesthesia? – a case review

“…Whilst from a scientifi c stand point the study would have more weight had randomisation been employed as advised by various authorities including the recent Cochrane review, 18 ethically it would be diffi cult to justify placing patients in the GA group unnecessarily, or equally allocating those patients who did not seem able to cope with IVCS to the IVCS group.…”

A comparison of inhalation sedation agents in the management of children receiving dental treatment: a randomized, controlled, cross‐over pilot trial

“…Lack of inter‐observer agreement is perhaps not surprising as all members of the sedation team had different levels of experience and the CA had less experience of dental treatment in the conscious child than the DN and PI. This highlights what others have previously found: that there are difficulties with scoring systems regarding patient behaviour and that as yet there is no perfect method of assessing patient behaviour 24,25 . This is not surprising in view of the subjective nature of such assessments and highlights the need for further work to develop a more objective assessment tool with respect to patient behaviour.…”

Paediatric conscious sedation: views and experience of specialists in paediatric dentistry

“…12 With regard to intravenous sedation, the paediatric sedation guidelines state that 'single agent sedation with midazolam is only recommended for intravenous dental sedation in patients over 16 years of age.' 21 Children as young as 11 have been successfully treated with intravenous midazolam.…”

Is intravenous conscious sedation for surgical orthodontics in children a viable alternative to general anaesthesia? – a case review

“…Whilst from a scientifi c stand point the study would have more weight had randomisation been employed as advised by various authorities including the recent Cochrane review, 18 ethically it would be diffi cult to justify placing patients in the GA group unnecessarily, or equally allocating those patients who did not seem able to cope with IVCS to the IVCS group.…”

A comparison of inhalation sedation agents in the management of children receiving dental treatment: a randomized, controlled, cross‐over pilot trial

“…Lack of inter‐observer agreement is perhaps not surprising as all members of the sedation team had different levels of experience and the CA had less experience of dental treatment in the conscious child than the DN and PI. This highlights what others have previously found: that there are difficulties with scoring systems regarding patient behaviour and that as yet there is no perfect method of assessing patient behaviour 24,25 . This is not surprising in view of the subjective nature of such assessments and highlights the need for further work to develop a more objective assessment tool with respect to patient behaviour.…”

Paediatric conscious sedation: views and experience of specialists in paediatric dentistry

“…12 With regard to intravenous sedation, the paediatric sedation guidelines state that 'single agent sedation with midazolam is only recommended for intravenous dental sedation in patients over 16 years of age.' 21 Children as young as 11 have been successfully treated with intravenous midazolam.…”

Is intravenous conscious sedation for surgical orthodontics in children a viable alternative to general anaesthesia? – a case review

“…Whilst from a scientifi c stand point the study would have more weight had randomisation been employed as advised by various authorities including the recent Cochrane review, 18 ethically it would be diffi cult to justify placing patients in the GA group unnecessarily, or equally allocating those patients who did not seem able to cope with IVCS to the IVCS group.…”