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Keywords Sedation of children in dental...

Sedation of children in dental treatment

https://read.qxmd.com/read/38463434/efficacy-of-music-therapy-on-stress-and-anxiety-prior-to-dental-treatment-a-systematic-review-and-meta-analysis-of-randomized-clinical-trials
#1
Nansi López-Valverde, Antonio López-Valverde, Bruno Macedo de Sousa, José Antonio Blanco Rueda
INTRODUCTION: Stress and anxiety are emotional states that often accompany patients who have to receive dental treatments, leading them to postpone or avoid treatments with the consequent deterioration of their oral health and, hence, their general condition. Music therapy has been shown to be an alternative to other treatments that are invasive and not without danger, such as anxiolytics or sedation. This systematic review and meta-analysis evaluated the effect of music therapy on anxiety and stress prior to dental treatments...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38381476/internet-based-cognitive-behavioral-therapy-for-children-and-adolescents-with-dental-or-injection-phobia-randomized-controlled-trial
#2
RANDOMIZED CONTROLLED TRIAL
Robert Schibbye, Erik Hedman-Lagerlöf, Viktor Kaldo, Göran Dahllöf, Shervin Shahnavaz
BACKGROUND: Dental phobia (DP) and injection phobia (IP) are common in children and adolescents and are considered some of the biggest obstacles to successful treatment in pediatric dentistry. Cognitive behavioral therapy (CBT) is an evidence-based treatment for anxiety and phobias. As the availability of CBT in dentistry is low, internet-based CBT (ICBT) was developed. Open trials have shown that ICBT is a promising intervention, but randomized trials are lacking. OBJECTIVE: This randomized controlled trial tests whether therapist-guided ICBT supported by a parent could reduce fear, allowing children and adolescents with DP or IP to receive dental treatment...
February 21, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38375967/evaluation-of-the-sedative-effect-of-intranasal-versus-intramuscular-ketamine-in-2-6-year-old-uncooperative-dental-patients
#3
RANDOMIZED CONTROLLED TRIAL
Ghassem Ansari, Lida Toomarian, Tahereh Masoum, Shahnaz Shayeghi, Leila Eftekhar
BACKGROUND: Conscious sedation has gained more popularity these days, with different routes of drug administration having various advantages and disadvantages. Among all, ketamine is one of the most commonly used drugs in children. OBJECTIVES: The aim of the present study was to compare 2 different routes of ketamine administration - intranasal (IN) vs. intramuscular (IM) - in 2-6-year-old uncooperative children needing dental treatment. MATERIAL AND METHODS: This single-blind, crossover clinical trial was conducted on a group of 26 uncooperative children aged 2-6 years, who required at least 2 similar dental treatment visits...
2024: Dental and Medical Problems
https://read.qxmd.com/read/38303854/dexmedetomidine-versus-midazolam-as-intranasal-premedication-for-intravenous-deep-sedation-in-pediatric-dental-treatment
#4
JOURNAL ARTICLE
Tong Cheng, Yun Liu, Bing-Hua Li, Xiao-Ran Wu, Bin Xia, Xu-Dong Yang
BACKGROUND/PURPOSE: Optimal sedation management for pediatric dental treatment demands special focus as it's tubeless and shares a same oral space. The study was to evaluate dexmedetomidine compared to midazolam for intranasal premedication in pediatric dental treatment under intravenous deep sedation. MATERIALS AND METHODS: A hundred children aged 3-7 years scheduled for elective dental treatment under intravenous deep sedation anesthesia were enrolled, of whom 50 children (Group D) were intranasally premedicated with 2...
January 2024: Journal of Dental Sciences
https://read.qxmd.com/read/38256352/dental-treatment-in-special-needs-patients-and-uncooperative-young-children-a-retrospective-study
#5
JOURNAL ARTICLE
Matteo Biasotto, Augusto Poropat, Davide Porrelli, Giulia Ottaviani, Katia Rupel, Magdalena Theodora Bogdan Preda, Roberto Di Lenarda, Margherita Gobbo
Background and Objectives: Special Needs Patients (SNPs) and young non-collaborative children are more predisposed to develop oral pathologies due to poor collaboration and scarce access to dental treatment. The aim of this retrospective study was to analyze a sample of SNPs who received dental treatments either under general anesthesia (GA) or deep sedation (DS) over a period of 6 years. The number and type of procedure were analyzed. Materials and Methods: In total, 131 patients were included and mostly (>90%) treated under GA...
January 3, 2024: Medicina
https://read.qxmd.com/read/38123932/retrospective-evaluation-of-moderate-sedation-visits-that-used-oral-meperidine-and-hydroxyzine-with-oral-or-intranasal-midazolam
#6
JOURNAL ARTICLE
Gaurav Jain, Ronald Curran, Robert S Jones
Purpose: To examine the influence of substituting intranasal (IN) midazolam (MID) for oral (PO) MID, within the three-drug combination of meperidine (MEP), hydroxyzine (H) and MID, on sedation treatment outcomes. Methods: A retrospective, cross-sectional analysis examined patient variables and sedation outcomes in 508 pediatric dental patients sedated by single- and multi-drug sedation regimens (MEP-H; MEP-H-(PO)-MID; MEP-H-(IN)-MID; single-agent MID). The outcome assessment examined sedation visit effectiveness, sedation treatment completion, treatment time and medication administration to discharge time...
November 15, 2023: Journal of Dentistry for Children
https://read.qxmd.com/read/38116578/parental-preferences-for-the-procedural-sedation-of-children-in-dentistry-a-discrete-choice-experiment
#7
JOURNAL ARTICLE
Jinru Zhuge, Dongyue Zheng, Xingwang Li, Xin Nie, Jiefan Liu, Ruohai Liu
PURPOSE: The aim of this study was to explore parental preferences for the procedural sedation of children in dentistry through a discrete choice experiment (DCE) to inform clinical decisions and oral health management. METHODS: Based on literature reviews, interviews with parents of pediatric dental patients, and expert consultation, six attributes, including fasting time, recovery time, sedative administration routes, adverse reactions, sedation depth and procedure cost, were incorporated into the DCE questionnaire...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/38110713/a-scoping-review-of-interventions-and-outcome-measures-in-trials-of-dental-behavior-support
#8
JOURNAL ARTICLE
Caoimhin Mac Giolla Phadraig, Aisyah Binti Ahmad Fisal, James Bird, Pedro Vitali Kammer, Isabel Fleischmann, Andrew Geddis-Regan
BACKGROUND: Dental behavior support (DBS) describes all techniques used by dental professionals to ensure that dental care is safe, effective, and acceptable. There is a need to standardize outcome measures across DBS techniques to reduce heterogeneity, limit selective reporting, promote consistency, and optimize outcomes across DBS research. A comprehensive review of existing measures is a prerequisite to understanding potential outcomes related to the area of interest. AIM: This review had three aims: first, to identify the outcome measures (OMs) reported in trials of dental behavior support; second, to categorize the component DBS techniques reported within interventions according to emerging agreed terminology; and, third, to map outcome measures to intervention type...
December 18, 2023: Special Care in Dentistry
https://read.qxmd.com/read/38090416/effectiveness-of-nitrous-oxide-sedation-on-child-s-anxiety-and-parent-perception-during-inferior-alveolar-nerve-block-a-randomized-controlled-trial
#9
JOURNAL ARTICLE
Divya Mukundan, Deepa Gurunathan
Introduction Dental anxiety is a common phenomenon among children and can have significant implications for their overall oral health and well-being. Among the various dental procedures that induce anxiety in pediatric patients, the Inferior Alveolar Nerve Block (IANB) stands out as one of the most feared due to its perceived pain and discomfort. Dental anxiety not only affects the child's cooperation during the procedure but can also lead to long-lasting negative perceptions of dental care, resulting in the avoidance of necessary treatments in the future...
November 2023: Curēus
https://read.qxmd.com/read/38065480/comparison-of-dexmedetomidine-and-a-dexmedetomidine-esketamine-combination-for-reducing-dental-anxiety-in-preschool-children-undergoing-dental-treatment-under-general-anesthesia-a-randomized-controlled-trial
#10
JOURNAL ARTICLE
Fei Xing, Tong-Tong Zhang, Zhihu Yang, Mingcui Qu, Xiaoshan Shi, Yanna Li, Yan Li, Wei Zhang, Zhongyu Wang, Na Xing
BACKGROUND: Dental anxiety is a widespread complication occurring in pediatric patients during dental visits and may lead to undesirable complications. Esketamine may be effective in anxiety. OBJECTIVE: The objective of this study was to investigate the effect of premedication with a dexmedetomidine-esketamine combination compared with dexmedetomidine alone on dental anxiety in preschool children undergoing dental treatment under general anesthesia. METHODS: This is a prospective, double-blinded, randomized controlled trial...
December 6, 2023: Journal of Affective Disorders
https://read.qxmd.com/read/38033463/parental-acceptance-of-silver-fluoride-as-a-treatment-option-for-carious-lesions-among-south-african-children-with-special-health-care-needs
#11
JOURNAL ARTICLE
N Potgieter, N Noordien, R Mulder, C Peck, S Groisman
UNLABELLED: Providing dental care for children with neurological special health care needs, including Down syndrome, Cerebral palsy and Autism spectrum disorders, is challenging. They often require repeat exposure to sedation or general anaesthesia for routine dental care. 51 parents of children with special needs completed a questionnaire regarding the acceptance of Silver Fluoride as a treatment option. BACKGROUND: Silver Diamine Fluoride has become popular as a minimally invasive treatment option for providing oral health care to young or uncooperative children...
2023: Front Oral Health
https://read.qxmd.com/read/37978217/the-value-of-bitewing-radiographs-in-the-management-of-carious-primary-molars-the-impact-on-treatment-planning
#12
JOURNAL ARTICLE
Aneeka Anwar, Alexander J Keightley, Elizabeth M Roebuck
Introduction Bitewing radiographs (BWs) with visual examination (VE) are critical for the early detection of caries in primary molars. However, their influence on treatment planning is not extensively studied. Given they involve exposure to ionising radiation, it is essential to understand their impact on treatment decisions.Aim To explore the impact of BWs in the management of carious primary molars.Design Cross-sectional study.Materials and methods A total of 30 children (mean age 6.2 years) referred for caries management in a dental hospital setting were recruited...
November 17, 2023: British Dental Journal
https://read.qxmd.com/read/37841516/trends-of-conscious-sedation-in-the-department-of-pediatric-dentistry-at-the-dankook-university-dental-hospital-for-11-years
#13
JOURNAL ARTICLE
Sohyun Park, Jongbin Kim, Jongsoo Kim, Joonhaeng Lee, Miran Han, Jisun Shin
BACKGROUND: Anxiety and fear in children's dental care are major impediments to successful dental care. High-quality dental treatment can be achieved using various behavioral control methods; however, conscious sedation using drugs can be used if behavioral control is difficult, owing to excessive fear and anxiety. This study aimed to examine the trends in conscious sedation implemented in pediatric dentistry at the Dankook University Dental Hospital over the past 11 years. METHODS: This study included 6,438 cases of dental treatment under conscious sedation conducted over 11 years between January 2011 and December 2021 in the Department of Pediatric Dentistry at Dankook University Dental Hospital...
October 2023: Journal of Dental Anesthesia and Pain Medicine
https://read.qxmd.com/read/37817075/oral-midazolam-vs-intranasal-dexmedetomidine-plus-oral-midazolam-for-sedation-of-pediatric-outpatients-a-double-blinded-randomized-controlled-trial
#14
RANDOMIZED CONTROLLED TRIAL
Juan Nie, Chanchan Chen, Jing Xie, Guicong Ding
BACKGROUND: Moderate to deep sedation is required for dental treatment of children with dental anxiety. Midazolam is the most commonly used sedative, whereas intranasal dexmedetomidine is increasingly used in pediatric sedation. OBJECTIVE: The aim of this trial was to compare the sedative efficacy of oral midazolam alone with that of intranasal dexmedetomidine plus oral midazolam during dental treatment of children with dental anxiety. DESIGN: In total, 83 children (aged 3-12 years) scheduled to undergo dental sedation were randomized to receive oral midazolam (0...
October 10, 2023: BMC Anesthesiology
https://read.qxmd.com/read/37676186/assessing-the-safety-of-deep-sedation-in-outpatient-pediatric-oral-health-care
#15
JOURNAL ARTICLE
Henal Alpesh Gandhi, Greg Olson, Helen Lee, Kawtar Zouaidi, Alfa Yansane, Muhammad Walji, Elsbeth Kalenderian, Bunmi Tokede
BACKGROUND: Children are the patient subgroup with the lowest error tolerance regarding deep sedation (DS)-supported care. This study assessed the safety of DS-supported pediatric dental treatment carried out in an outpatient setting through retrospective review of patient charts. METHODS: An automated script was developed to identify charts of pediatric patients who underwent DS-supported dental procedures from 2017 through 2019 at a dental clinic. Charts were assessed for the presence of sedation-related adverse events (AEs)...
September 5, 2023: Journal of the American Dental Association
https://read.qxmd.com/read/37668458/nitrous-oxide-and-hypnotherapy-in-paediatric-dentistry
#16
JOURNAL ARTICLE
M Tieri, A Cosi, L Lombardi, V De Icco, S D Ercole, R Ferdeghini, D Tripodi
AIM: Patient compliance is of paramount importance for proper dental treatment, which can be difficult to achieve in children due to anxiety and fear, hindering the therapeutic procedure. In addition to well-known sedation methods (pharmacological and nitrous oxide), further methods of approach are being tested, such as hypnotherapy. MATERIALS: The sample consisted of 150 children (90 males, 60 females). Paper questionnaires, frequency meter, nitrous oxide dispenser in association with the use of the television were exploited...
September 1, 2023: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://read.qxmd.com/read/37649959/influence-of-temperament-on-the-acceptance-of-two-conscious-sedation-techniques-in-toddlers-undergoing-dental-treatment-a-randomised-cross-over-trial
#17
RANDOMIZED CONTROLLED TRIAL
Palak Janiani, Deepa Gurunathan, Sivakumar Nuvvula
BACKGROUND: Pediatric dentists often find it challenging to handle pediatric patients due to their fear, unease, and anxiety toward dental procedures. To address this, sedation agents such as intranasal midazolam and nitrous oxide are commonly used as pharmacological behavior management methods. A child's temperament affects their behavior in unfamiliar settings. AIM: To study the effect of child temperament on the acceptance of the nasal mask and intranasal drug administration in children undergoing dental treatment...
2023: Pain Research & Management
https://read.qxmd.com/read/37575859/assessment-of-pain-during-pediatric-dental-treatment-using-different-sedative-agents-a-crossover-trial
#18
JOURNAL ARTICLE
Palak Janiani, Deepa Gurunathan, Ramsesh Manohar
Background Behavioral management techniques are employed for children who are fearful and uncooperative. Pharmacologic sedation and anesthesia are frequently utilized to manage pain and anxiety in pediatric dental patients. Aim  To evaluate the intraoperative and postoperative pain levels during dental treatment of children sedated with 1.5 μg/kg intranasal dexmedetomidine, 0.3 mg/kg intranasal midazolam, and nitrous oxide. Materials and methods In this crossover study, 24 children between the ages of five and seven years were randomly assigned to receive intranasal atomized dexmedetomidine, intranasal atomized midazolam, and inhaled nitrous oxide during three different visits...
July 2023: Curēus
https://read.qxmd.com/read/37519985/the-effect-of-anxiety-and-stress-on-acceptance-of-dental-procedure-before-and-after-inhalation-sedation-in-pediatric-patients-an-in-vivo-study
#19
JOURNAL ARTICLE
Sravanthi Kunta, Ruchi V Arora, Rashmi Jain, Parul Rawat
AIM: The study aimed to assess the anxiety and stress levels on acceptance of dental treatment in child patients approaching dental extraction procedures before and after nitrous oxide (N2 O) inhalation sedation (IHS) by measuring serum amyloid A (SAA) and salivary cortisol (SC). MATERIALS AND METHODS: A total of 32 children, ages ranging from 6 to 10 years, were randomly grouped as TI (before N2 O IHS) and TII (after N2 O IHS). Saliva samples were taken for biochemical evaluation of SAA before and after the procedure...
2023: International Journal of Clinical Pediatric Dentistry
https://read.qxmd.com/read/37482603/are-parents-of-high-caries-risk-dutch-children-motivated-to-brush-their-children-s-teeth-an-assessment-using-the-health-action-process-approach-questionnaire
#20
JOURNAL ARTICLE
K A van Nes, C C Bonifácio, M M van Hunnik, C van Loveren, I H A Aartman
PURPOSE: To assess the social cognitive constructs of the Health Action Process Approach (HAPA) of parents of high caries risk children to be treated under intravenous sedation (IVS) or with behavioural guidance techniques (BGT), and to assess the changes in these constructs for each treatment group after treatment. DESIGN: In this cohort study, 160 children aged 3-10 years were allocated by their paediatric dentist to either IVS (77.4%) or BGT. Their parents filled out a HAPA questionnaire, before (T1, n = 160), immediately (T2, n = 108) and three months (T3, n = 71) after their children's dental rehabilitation...
July 23, 2023: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
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