A STUDY ON THE EFFECTS OF SEDATION AND RELATED VARIABLES FOR PEDIATRIC DENTAL PATIENTS

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Journal of the Korean Academy of Pediatric Dentistry 2007;34(2):234-246.
Published online May 31, 2007.

A STUDY ON THE EFFECTS OF SEDATION AND RELATED VARIABLES FOR PEDIATRIC DENTAL PATIENTS

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²

소아환자의 진정요법 효과와 그와 연관된 변수에 대한 연구

김경희¹, 김승오¹, 김종수²

¹단국대학교 치과대학 소아치과학교실
²단국대학교 치과대학 치과마취학교실

Correspondence: ,

Abstract

The combination of chloral hydrate and hydroxyzine is one of the safest and most commonly used drug regimens for sedating young, uncooperative pediatric dental patients. Midazolam IM or IN and N₂O/O₂ inhalation is sometimes administered with chloral hydrate and hydroxyzinecombination when deeper and longer sedation is needed. The purpose of this study was to assess the outcome and safety of chloral hydrate, hydroxyzine and N₂O/O₂ in the sedation of a large number of uncooperative pediatric dental patients and to identify variables associated with their effectiveness. In a nine-month retrospective study, 171 records of sedation performed in 94 healthy children(male 46, female 48) with mean age of 30±8 months were reviewed. The authors analyzed several variables such as age, sex, weight, methods of drug delivery, waiting time after drug delivery, treatment rendered, treatment time, adverse events, sedation outcome. Eighty five percent of sedation had success behavioral outcome. Sedation sessions rated success used more N₂O/O₂ administration and had longer treatment duration than sedation sessions rated failure. A children patient under 36 months of age had enough sleep by only oral administration and the mean waiting time of this case was significantly shorter than that of a children patient over 36 months of age. There was a clear correlation between age and N₂O/O₂ using tine, but no correlation between weight and N₂O/O₂ using time. There was no statistically significant difference among variables of treatment duration, N₂O/O₂ administration and adverse event.

Key Words: Sedation, Chloral hydrate, Hydroxyzine