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The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments
STATEMENT OF THE PROBLEM: Some children do not show an appropriate cooperation with their dentist. A number of them cannot be managed by local anesthesia and the usual techniques used to control behaviors, so further steps are required to control their pain and anxiety. Pharmaceutical control is rec...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Shiraz University of Medical Sciences
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4476121/ https://www.ncbi.nlm.nih.gov/pubmed/26106632 |
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author | Kaviani, Nasser Ashrafi, Sanaz Jabbarifar, Seyed Ebrahim Ghaffari, Elham |
author_facet | Kaviani, Nasser Ashrafi, Sanaz Jabbarifar, Seyed Ebrahim Ghaffari, Elham |
author_sort | Kaviani, Nasser |
collection | PubMed |
description | STATEMENT OF THE PROBLEM: Some children do not show an appropriate cooperation with their dentist. A number of them cannot be managed by local anesthesia and the usual techniques used to control behaviors, so further steps are required to control their pain and anxiety. Pharmaceutical control is recommended through sedation or general anesthesia. PURPOSE: This study was aimed to evaluate two groups of drugs in intravenous sedation method. MATERIALS AND METHOD: In this clinical trial intervention study, patients were randomly divided into two groups of 18 and 20 and each group received either intravenous midazolam-ketamine or midazolam-fentanyl. During the procedure, 0.25mg midazolam was administered to both groups if needed. The scores of intraoperative sedation and operation conditions were evaluated and recorded by dental sedation teacher groups (DSTG) system in the 10(th), 20(th), 30(th) and 40(th) minutes of the operation. The results were analyzed by SPSS (version 16) using independent T-test, Wilcoxon, Mann-Whitney and Pearson Chi-Square tests as appropriated. RESULTS: There was no significant difference between the two groups in sedation period (p= 0.55), recovery time (p= 0.18), Frankl score (p= 0.83(, score of intraoperative sedation and operating conditions (p> 0.05), and sedation complications (p= 0.612). In addition, no complication occurred in recovery. CONCLUSION: There was no significant difference between the two drug groups; both were appropriate in controlling children’s behavior. |
format | Online Article Text |
id | pubmed-4476121 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Shiraz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-44761212015-06-23 The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments Kaviani, Nasser Ashrafi, Sanaz Jabbarifar, Seyed Ebrahim Ghaffari, Elham J Dent (Shiraz) Original Article STATEMENT OF THE PROBLEM: Some children do not show an appropriate cooperation with their dentist. A number of them cannot be managed by local anesthesia and the usual techniques used to control behaviors, so further steps are required to control their pain and anxiety. Pharmaceutical control is recommended through sedation or general anesthesia. PURPOSE: This study was aimed to evaluate two groups of drugs in intravenous sedation method. MATERIALS AND METHOD: In this clinical trial intervention study, patients were randomly divided into two groups of 18 and 20 and each group received either intravenous midazolam-ketamine or midazolam-fentanyl. During the procedure, 0.25mg midazolam was administered to both groups if needed. The scores of intraoperative sedation and operation conditions were evaluated and recorded by dental sedation teacher groups (DSTG) system in the 10(th), 20(th), 30(th) and 40(th) minutes of the operation. The results were analyzed by SPSS (version 16) using independent T-test, Wilcoxon, Mann-Whitney and Pearson Chi-Square tests as appropriated. RESULTS: There was no significant difference between the two groups in sedation period (p= 0.55), recovery time (p= 0.18), Frankl score (p= 0.83(, score of intraoperative sedation and operating conditions (p> 0.05), and sedation complications (p= 0.612). In addition, no complication occurred in recovery. CONCLUSION: There was no significant difference between the two drug groups; both were appropriate in controlling children’s behavior. Shiraz University of Medical Sciences 2015-03 /pmc/articles/PMC4476121/ /pubmed/26106632 Text en © 2015: Journal of dentistry (Shiraz) This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kaviani, Nasser Ashrafi, Sanaz Jabbarifar, Seyed Ebrahim Ghaffari, Elham The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments |
title | The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments |
title_full | The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments |
title_fullStr | The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments |
title_full_unstemmed | The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments |
title_short | The Efficacy of Two Intravenous Sedative Drugs in Management of Uncooperative Children for Dental Treatments |
title_sort | efficacy of two intravenous sedative drugs in management of uncooperative children for dental treatments |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4476121/ https://www.ncbi.nlm.nih.gov/pubmed/26106632 |
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