Sedation of pediatric patients during dental treatment Oral Health
Conditions
Interventions
Children between 3 and 6 years old referred to the pediatric dental clinics at Dental University Hospital, King Khaled Medical City, King Saud University for dental treatment under moderate sedation w
Sponsors
King Saud University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. 3 - 6 years old 2. ASA I 3. Frankl behaviour rating scale 1 or 2 4. Mallampati score I or II 5. Brodsky tonsillar size scoring 0 or 1 or 2 6. Children within the normal range of weight 7. Children who needed two sedation visits for completion of dental treatment 8. Children who needed a comparable dental treatment (as regards restorations, pulp treatment, crowns, extraction) on both sides of the same jaw.
Exclusion criteria
Exclusion criteria: 1. Children with learning difficulties or mental disabilities 2. Children with active upper respiratory tract infection, any history of a recent cough or cold (less than 2 weeks) 3. Children with a known allergy or hypersensitive reaction to either midazolam or fentanyl 4. Children at risk of airway obstruction 5. Children with any intranasal pathology or congenital anomaly 6. Children with a previous history of moderate sedation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The sedation scores were recorded using the Modified Observer’s Alertness/ Sedation Scale (MOAA/S) after sedation at each visit 2. The behavior scores were recorded using a four-point scale (4 = combative, disoriented, or excited; 3 = moderately agitated; 2 = not calm; and 1 = calm) after sedation at each visit 3. Post-discharge adverse effects and parental satisfaction and preference were evaluated using a questionnaire 24 hours after each visit | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The onset of sedation was measured as the minimum time interval required for child to become drowsy after administering the oral midazolam at each visit 2. The time that elapses between the child becoming drowsy (sedation score = 4) and when the patient become alert and awake (sedation score = 5 or 6) was measured as the working time at each visit | — |
Countries
Saudi Arabia
Contacts
Public ContactRoaa Alhaidari
Outcome results
None listed