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J Korean Acad Pediatr Dent. 2010;37(3): 338-344.
EFFECTS OF CHILDREN'S TONSIL SIZE ON THE BEHAVIOR DURING PEDIATRIC DENTAL SEDATION
Hyeonji Kim Hyeonji Kim1, Kwangwoo Baek Kwangwoo Baek2, Yon-Joo Mah Yon-Joo Mah3, Young-Jung Jung Young-Jung Jung3
1Department of Pediatric Dentistry, The Graduate School of Clinical Dentistry, Ewha Womans University, Logos Dental Clinic,
2Department of Dentistry, School of Medicine, Ajou University,
3Department of Dentistry, School of Medicine, Ewha Womans University
Received: March 26, 2010;  Accepted: July 22, 2010.
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ABSTRACT
The purpose of this study was to evaluate the effect of children's tonsil size on the behavior during pediatric dental sedation. The sedation records of thirty five children were examined in this study. All the sedations had been performed using chloral hydrate/hydroxyzine, nitrous oxide/oxygen or/and submucosal midazolam, and the subjects were divided into 4 groups according to their tonsil size using Brodsky's tonsil classification. The results were as follows: 1. The patients with enlarged tonsils showed negative behaviors in all behavior rating aspects(sleep, movement, crying, overall behavior) during sedation than those with normal tonsils(p<0.05). 2. Enlarged tonsils were correlated with mouth breathing(p<0.05) but not with snoring and coughing(p>0.05) during sedation. 3. For the patients with enlarged tonsils, significantly higher doses of midazolam were administered during sedation than for those with normal tonsils(p<0.05).
Keywords: Tonsil | Sedation | Behavior | Mouth breathing | Midazolam
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