Pediatric dentistry
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Pediatric dentistry · Nov 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of oral midazolam with and without hydroxyzine in the sedation of pediatric dental patients.
The purpose of this study was to compare the effectiveness of midazolam (MDZ) alone to a combination of MDZ and hydroxyzine (MDZH) when sedating young children for dental treatment. ⋯ The combination of hydroxyzine (3.7 mg/kg) with MDZ (0.3 mg/kg) administered 30 minutes before treatment resulted in safe and effective sedation for the dental treatment of young children. This combination's use might be more advantageous when compared to MDZ alone, resulting in less crying and movement during the first 30 and 20 minutes, respectively.
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Pediatric dentistry · Nov 2004
Randomized Controlled Trial Clinical TrialEvaluating the efficacy of EMLA topical anesthetic in sealant placement with rubber dam.
The purpose of this study was to investigate the efficacy of EMLA (eutectic mixture of local anesthetics, 2.5% lidocaine and 2.5% prilocaine) cream in reducing discomfort from pressure applied by rubber dam clamp. ⋯ The EMLA cream was effective in reducing discomfort caused by the dental dam clamp.
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Pediatric dentistry · Sep 2004
Nitrous oxide concentrations in the posterior nasopharynx during administration by nasal mask.
Nitrous oxide (N2O) administration with nasal mask produces variable outcomes in dental patients. This study describes a novel sampling method to measure actual inspired/expired N2O concentrations ([N2O]). ⋯ Nasopharyngeal end-expired [N2O] varied markedly from flowmeter settings. Correlation of PETCO2 with expected physiologic values validates sampling methodology. This method allows accurate, continuous, and actual measurements of inhaled/exhaled gases in awake patients as well as decision-making/analysis of effectiveness of mask type to determine average [N2O] during administration by nasal mask.
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Pediatric dentistry · Jul 2004
Comparative Study Clinical Trial Controlled Clinical TrialComparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth.
The aim of this study was to use clinical, radiographic, and histologic examinations to compare the relative success of gray mineral trioxide aggregate (MTA), white MTA, and formocresol as pulp dressings in pulpotomized primary teeth. ⋯ Gray MTA appears to be superior to white MTA and formocresol as a pulp dressing for pulpotomized primary teeth.
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Pediatric dentistry · May 2004
Randomized Controlled Trial Clinical TrialBispectral Index System (BIS) monitoring reduces time to discharge in children requiring intramuscular sedation and general anesthesia for outpatient dental rehabilitation.
Pediatric patients who receive both intramuscular (i.m.) sedation and general anesthesia (GA) for oral rehabilitation occasionally experience prolonged sedation and delayed discharge. The Bispectral Index System (BIS) is an EEG monitor that measures the level of sedation. The authors compared discharge times of patients who had BIS monitoring to those who did not to determine if the use of BIS speeded discharge. ⋯ Based on the data, the authors recommend the use of BIS to facilitate faster discharge of pediatric patients who require i.m. sedation and GA for oral rehabilitation.