European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry
-
Eur Arch Paediatr Dent · Oct 2021
Randomized Controlled TrialHypnosis and progressive muscle relaxation for anxiolysis and pain control during extraction procedure in 8-12-year-old children: a randomized control trial.
Hypnosis (H) and Progressive Muscle Relaxation (PMR) have proven to be effective in a variety of medical settings; there is a paucity of their practical application in paediatric dentistry. The study aimed to comparatively evaluate the role of H and PMR on anxiety, heart rate (HR), oxygen saturation (SPO2), blood pressure (BP), pain, and analgesic requirement during extraction in children. ⋯ Hypnosis and PMR are effective techniques for anxiolysis and pain control in paediatric dental patients.
-
Eur Arch Paediatr Dent · Oct 2015
Randomized Controlled Trial Comparative StudyA comparison of the sedative effect of oral versus nasal midazolam combined with nitrous oxide in uncooperative children.
To compare a combination of oral midazolam (0.2 mg/kg body weight) and nitrous oxide-oxygen sedation with a combination of intranasal midazolam (0.1 mg/kg body weight) and nitrous oxide-oxygen sedation for effectiveness, patient acceptability and safety profile in controlling the behaviour of uncooperative children. ⋯ The intranasal route of midazolam administration has a quick onset of action and a quick recovery of the patient from sedation as compared to the oral route of midazolam administration. Midazolam administered through the intranasal route is as effective as the oral route at a lower dosage. Therefore, it is an effective alternative to oral route for a paediatric dental situation.
-
Eur Arch Paediatr Dent · Apr 2015
Randomized Controlled Trial Comparative StudyComparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety.
To compare the effectiveness of inhalation sedation with nitrous oxide/oxygen (N2O/O2) and cognitive behavioural therapy (CBT) in reducing dental anxiety in preschool children. ⋯ Both test methods were effective in reducing dental anxiety in preschoolers. Considering the adverse effects and necessity of equipment and trained personnel when using nitrous oxide and oxygen inhalation sedation, cognitive behavioural therapy is preferable because of its better applicability.
-
Eur Arch Paediatr Dent · Feb 2015
Randomized Controlled Trial Comparative StudyEffect of audiovisual distraction with 3D video glasses on dental anxiety of children experiencing administration of local analgesia: a randomised clinical trial.
To determine the effect of three-dimensional (3D) audiovisual (AV) distraction in reducing dental anxiety of children. ⋯ LA administration with music or 3D video glasses distraction had an added advantage in a majority of children with 3D video glasses being superior to music. High levels of satisfaction from children who experienced treatment with 3D video glasses were also observed.
-
Eur Arch Paediatr Dent · Feb 2015
Randomized Controlled Trial Comparative StudyEffect of intraoperative analgesia on children's pain perception during recovery after painful dental procedures performed under general anaesthesia.
To investigate the possible effect of intraoperative analgesia, namely diclofenac sodium compared to acetaminophen on post-recovery pain perception in children undergoing painful dental procedures under general anaesthesia. ⋯ Diclophenac sodium is more potent than acetaminophen, especially for multiple pain-provoking or traumatic procedures. A timely use of NSAID analgesia just before extubation helps provide adequate coverage during recovery. Peri-operative analgesia is to be recommended as an essential treatment adjunct for child dental rehabilitation under general anaesthesia.