Literature DB >> 30324927

A comparative assessment of intranasal and oral dexmedetomidine for procedural sedation in pediatric dental patients.

Vinod Patel1, Neerja Singh2, Anil Kumar Saksena3, Subash Singh2, S K Sonkar4, S Mandeep Jolly5.   

Abstract

OBJECTIVES: The objective of this study was to assess the safety and efficacy of intranasal and oral dexmedetomidine for procedural sedation in pediatric dental patients.
MATERIALS AND METHODS: Forty-four uncooperative American Society of Anesthesiologists Grade-I children, requiring dental treatment were randomly divided into four groups who received different doses of dexmedetomidine through intranasal and oral routes. The vital signs were monitored continuously during each visit.
RESULTS: In this study, significant (P < 0.05) differences were found in the onset of sedation, duration, and recovery time between intranasal and oral groups. All vital signs were within normal physiological limits with no significant adverse effects in either of the groups.
CONCLUSION: Dexmedetomidine is a safe and effective agent for procedural sedation in pediatric dental patients with intranasal route having distinct advantages over oral route.

Entities:  

Keywords:  Dexmedetomidine; intranasal; oral; procedural sedation

Mesh:

Substances:

Year:  2018        PMID: 30324927     DOI: 10.4103/JISPPD.JISPPD_40_18

Source DB:  PubMed          Journal:  J Indian Soc Pedod Prev Dent        ISSN: 0970-4388


  5 in total

1.  A double-blind randomized controlled trial to compare the safety and efficacy of dexmedetomidine alone and in combination with ketamine in uncooperative and anxious paediatric dental patients requiring pulpectomy.

Authors:  K Haider; N Mittal; B Srivastava; N Gupta
Journal:  Eur Arch Paediatr Dent       Date:  2022-04-05

2.  Intranasal Midazolam Premedication for Anxiolysis in Children Reluctant to Receive Nitrous Oxide Sedation via Nasal Hood: An In Vivo Randomized Control Trial.

Authors:  Iqbal Musani; Sabina Bhure; Shikha Choubey; Smita Iqbal Musani; Safa Surve
Journal:  Int J Clin Pediatr Dent       Date:  2021

Review 3.  Role of dexmedetomidine in pediatric dental sedation.

Authors:  Vedangi Mohite; Sudhindra Baliga; Nilima Thosar; Nilesh Rathi
Journal:  J Dent Anesth Pain Med       Date:  2019-04-30

Review 4.  Best clinical practice guidance for conscious sedation of children undergoing dental treatment: an EAPD policy document.

Authors:  P Ashley; P Anand; K Andersson
Journal:  Eur Arch Paediatr Dent       Date:  2021-08-28

Review 5.  Comparing the Sedative Effect of Oral and Intranasal Midazolam and their Effect on Behavior in Pediatric Dental Patients.

Authors:  Niharika Kotian; Erulappan Muthu Ganapathi Subramanian; Ganesh Jeevanandan
Journal:  Int J Clin Pediatr Dent       Date:  2022 Jan-Feb
  5 in total

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