Could conscious sedation with midazolam for dental procedures be an alternative to general anesthesia?

Nigerian Journal of Clinical Practice

Volumn 16, Issue 2, 2013, Pages 211-215

  Silay, E ^a   Candirli, C ^b   Taskesen, F ^b   Coskuner, I ^a   Ceyhanli, K T ^b   Yildiz, H ^a  

^a KAHRAMANMARAS SUTCU IMAM UNIVERSITY   (Turkey)

^b KARADENIZ TECHNICAL UNIVERSITY   (Turkey)

Author keywords

Conscious sedation; General anesthesia; Pediatric dentistry

Indexed keywords

HYPNOTIC SEDATIVE AGENT; MIDAZOLAM; OXYGEN;

ARTICLE; BLOOD; CHILD; COMPARATIVE STUDY; CONSCIOUS SEDATION; FEMALE; GENERAL ANESTHESIA; HUMAN; MALE; METHODOLOGY; OPERATION DURATION; ORAL SURGERY; PRESCHOOL CHILD;

ANESTHESIA, GENERAL; CHILD; CHILD, PRESCHOOL; CONSCIOUS SEDATION; FEMALE; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MIDAZOLAM; OPERATIVE TIME; ORAL SURGICAL PROCEDURES; OXYGEN;

EID: 84879937433     PISSN: 11193077     EISSN: None     Source Type: Journal    
DOI: 10.4103/1119-3077.110160     Document Type: Article

References (19)

1. Leitsch J, Macpherson A. Current state of sedation/analgesia care in dentistry. Curr Opin Anaesthesiol 2007;20:384-7.
2. Ashley PF, Parry J, Parekh S, Al-Chiabi M, Ryan D. Sedation for dental treatment of children in the primary care sector (UK). Br Dent J 2010;208:522-3.
3. Leitsch J, Sutchliff N, Kennt G. Patient-maintained sedation for oral surgery using a target controlled infusion of propofol: A pilot study. Br Dent J 2003;11:43-5.
4. Kingon A. Intravenous sedation and patient response to minor oral surgery: Experience of 408 cases. Dent Update 1990;17:340-3.
5. Viljoen A, Byth K, Coombs M, Mahoney G, Stewart D. Analyses of oxygen saturations recorded during dental intravenous sedations: A retrospective quality assurance of 3500 cases. Anesth Prog 2011;58:113-20.
6. Garip H, Satilmiş T, Dergin G, Ugurlu F, Göker K. Effects of midazolam/low-dose ketamine conscious intravenous sedation on pain, swelling, and trismus after surgical extraction of third molars. J Oral Maxillofac Surg 2011;69:1023-30.
7. Al-Zahrani AM, Wyne AH, Sheta SA. Comparison oral midazolam with a combination of oral midazolam and nitrous oxide-oxygen inhalation in the effectiveness of dental sedation for young children. J Indian Soc Pedod Prev Dent 2009;27:9-16.
8. Isik B, Baygin O, Kapci EG, Bodur H. The effects of temperament and behaviour problems on sedation failure in anxious children after midazolam premedication. Eur J Anaesthesiol 2010;27:336-40.
9. Woolley SM, Hingston EJ, Shah J, Chadwick BL. Paediatric conscious sedation: Views and experience of specialists in paediatric dentistry. Br Dent J 2009;207:280-1.
10. Caputo DT, Ramsey MA, Rossman JA, Beach MM, Griffits GR, Meyrat B. Evaluation of SEDline to improve the safety and efficiency of conscious sedation. Proc (Bayl Univ Med Cent) 2011;24:200-4.
11. Milnes AR, Maupome G, Cannon J. Intravenous sedation in pediatric dentistry using midazolam, nalbuphine and droperidol. Pediatr Dent 2000;22:113-9.
12. Loskota WJ. Intraoperative EEG monitoring. J Crit Care 2005;24:176-85.
13. Green SM, Mason KP. Reformulation of the sedation continuum. JAMA 2010;303:876-7.
14. Boyle CA. Question: What is the effectiveness and cost-effectiveness of sedation versus general anaesthesia for the provision of dental treatment for under 18-year olds? Cochrane Database Syst Rev 2009;21 (1):CD006334.
15. Messieha Z, Ananda RC, Hoffman I, Hoffman W. Five year outcomes study of dental rehabilitation conducted under general anesthesia for special needs patients. Anesth Prog 2007;54:170-4.
16. Hosey MT, Ashbury AJ, Bowman AW, Millar K, Martin K, Musiello T, et al. The effect of transmucosal 0.2 mg/kg premedication on dental anxiety, anaesthetic induction and psychological morbidity in children undergoing general anaesthesia for tooth extraction. Br Dent J 2009;207:E2.
17. Heard C, Smith J, Creighton P, Joshi P, Feldman D, Lerman J. A comparison of sedation techniques for pediatric dental surgery. Paediatr Anaesth 2010;10:924-30.
18. Houpt MI, Weiss NJ, Koenigsberg SR, Desjardins PJ. Comparison of chloral hydrate with and without promethazine in sedation of young children. Pediatr Dent 1985;7:41-6.
19. Pisalchaiyong T, Trairatvorakul C, Jirakijja J, Yuktarnonnda W. Comparison of the effectiveness of oral diazepam and midazolam for the sedation of autistic patients during dental treatment. Pediatr Dent 2005;27:198-206.