What is the evidence for paediatric dental sedation?

Matharu, Liege; Ashley, Paul

doi:10.1016/j.jdent.2006.08.002

Cited by 10 publications

(7 citation statements)

References 26 publications

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“…This is because the technique requires some co-operation from the patient. A recent systematic review included some studies carried out in different countries using midazolam as the oral sedative for children, 24 but little work has been carried out in the UK to assess the use of oral midazolam in children. For this reason it was decided to evaluate midazolam administered orally to determine its effi cacy in the delivery of dental care to unco-operative or very small children.…”

Section: Discussionmentioning

confidence: 99%

Oral sedation for dental treatment in young children in a hospital setting

Lourenço-Matharu

Roberts

2010

Br Dent J

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Section: Discussionmentioning

confidence: 99%

Oral sedation for dental treatment in young children in a hospital setting

Lourenço-Matharu

Roberts

2010

Br Dent J

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“…Restrictions to the use of inhalation sedation in dentistry remain in place in many Central, Southern, and Eastern European countries, partly due to the lack of training of dentists and opposition from anaesthetic colleagues. In order to lift the restrictions in the current evidence-based era, it is extremely important that new studies that follow contemporary research guidelines and report context-specific evidence of safety and effectiveness are undertaken [1,2].…”

Section: Introductionmentioning

confidence: 99%

A clinical trial of efficacy and safety of inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox™) in general practice

et al. 2011

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The current study aimed to verify if the safety and effectiveness of inhalation sedation with 50% nitrous oxide in oxygen (N(2)O/O(2)) is maintained when the premix is administrated by trained general practitioners in their dental surgeries compared to its use in the hospital. Success (completion of planned treatment), cooperation (modified Venham scale), and adverse events were recorded. The acceptability of the technique to the patients, the level of patient cooperation, the ease of use, and the satisfaction of the dentist were also evaluated. Thirty-three general practitioners included 549 patients and recorded 638 sessions of N(2)O/O(2) sedation for dental treatment. Of the sessions, 93.7% were successful in terms of both sedation and treatment. Patient cooperation was seen to improve under N(2)O/O(2) sedation, and for 91% of the sessions, the patients declared that they would like future treatment to be undertaken in the same way. No serious adverse events were recorded. Minor adverse events were noted for 10% of the sessions (behavioural, vagal, and digestive disorders). These results were similar to those found for sessions undertaken in hospital practice. The main difference was in the type of patient treated-more patients received N(2)O/O(2) sedation in general practice for a one-off indication or for dental phobia, and more patients with intellectual disability and more pre-cooperative children were treated in hospital practice. This study gives strong supporting evidence for the safety and effectiveness of inhalation sedation using 50% N(2)O/O(2) in general dental practice for healthy patients.

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“…This finding was not surprising as general anesthesia is used selectively for dental extractions in Malaysia [35] and RA is rarely used for paediatric dental patients in Malaysia. Furthermore, evidence had shown that the most effective drug or method of sedation used for anxious children are still debatable [36]. Additionally, Study 2 also showed that majority did not know about DGA and almost all were not aware of RA.…”

Section: Discussionmentioning

confidence: 99%

Psychometric properties of the faces version of the Malay-modified child dental anxiety scale

Hashim

Ayob

et al. 2015

BMC Oral Health

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BackgroundTo evaluate the psychometric properties of the faces version of the Modified Child Dental Anxiety Scale (MCDASf) Malay version in 5–6 and 9–12 year-old children.MethodsThe MCDASf was cross culturally adapted from English into Malay. The Malay version was tested for reliability and validity in 3 studies. In the Study 1, to determine test-retest reliability of MCDASf scale, 166 preschool children aged 5–6 years were asked to rank orders five cartoons faces depicting emotions from ‘very happy’ to ‘very sad’ faces on two separate occasions 3 weeks apart. A total of 87 other 5–6 year-old children completed the Malay-MCDASf on two separate occasions 3 weeks apart to determine test-retest reliability for Study 2. In study 3, 239 schoolchildren aged 9–12 years completed the Malay-MCDASf and the Malay-Dental Subscale of the Children Fear Survey Schedule (CFSS-DS) at the same sitting to determine the criterion and construct validity.ResultsIn study 1, Kendall W test showed a high degree of concordance in ranking the cartoon faces picture cards on each of the 2 occasions (time 1, W = 0.955 and time 2, W = 0.954). The Malay-MCDASf demonstrated moderate test-retest reliability (Intraclass correlation coefficient = 0.63, p <0.001) and acceptable internal consistency for all the 6 items (Cronbach’s alpha = 0.77) and 8 items (Cronbach’s alpha = 0.73). The highest MCDASf scores were observed for the items ‘injection in the gum’ and ‘tooth taken out’ for both age groups. The MCDASf significantly correlated with the CFSS-DS (Pearson r = 0.67, p < 0.001).ConclusionsThese psychometric findings support for the inclusion of a cartoon faces rating scale to assess child dental anxiety and the Malay-MCDASf is a reliable and valid measure of dental anxiety in 5–12 year-old children.

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What is the evidence for paediatric dental sedation?

Cited by 10 publications

References 26 publications

Oral sedation for dental treatment in young children in a hospital setting

Oral sedation for dental treatment in young children in a hospital setting

A clinical trial of efficacy and safety of inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox™) in general practice

Psychometric properties of the faces version of the Malay-modified child dental anxiety scale

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