Deep Sedation for Pediatric Dental Procedures

Is this a Safe and Effective Option?

Sheikh S ohail Ahmed, Shawn R. Hicks, James E. Slaven, Mara Nitu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVE: Sedation may be needed for safe, effective completion of pediatric dental procedures. Procedural sedation is performed in a children's hospital based dental office. The three sedation approaches: a propofol-only (P-O) approach (2-3 mg/kg titrated to the needed level of sedation), an approach that includes either i.v. ketamine (K+P) (0.25 or 0.5 mg/kg) or i.v. fentanyl (F+P) (0.5-1 mcg/kg) prior to propofol administration. We sought to determine safety and efficacy of various propofol based sedation protocols.

STUDY DESIGN: Retrospective review of 222 patients receiving a propofol-only (P-O), ketamine+propofol (K+P) or fentanyl+propofol (F+P) approach.

RESULTS: There were 44 patients in P-O group, 154 in K+P group and 24 in F+P group with mean age (4.8±3.4 y) and mean weight (19.7±6.7 kg). All the patients completed procedures successfully. Mild hypoxemia occurred in 24% of cases and resolved with nasal cannula. Mean total dose of propofol was similar in all groups (P-O 8.2 mg/kg, K+P 9.5 mg/kg, F+P 9.6 mg/kg, p=0.15). Although procedure and recovery times were similar in all groups, discharge times in K+P group were significantly shorter than P-O group and F+P group respectively (K+P 9.35±8.93.min, P-O 13.57±10.42 min, F+P 10.42±4.40 p= 0.002).

CONCLUSION: Sedation can be accomplished safely and effectively in a children's hospital based dental office using propofol-based sedation.

Original languageEnglish (US)
Pages (from-to)156-160
Number of pages5
JournalJournal of Clinical Pediatric Dentistry
Volume40
Issue number2
DOIs
StatePublished - 2016

Fingerprint

Deep Sedation
Propofol
Tooth
Pediatrics
Ketamine
Fentanyl
Dental Offices

Keywords

  • Financial Implications
  • Pediatric dental sedation
  • Propofol

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Deep Sedation for Pediatric Dental Procedures : Is this a Safe and Effective Option? / Ahmed, Sheikh S ohail; Hicks, Shawn R.; Slaven, James E.; Nitu, Mara.

In: Journal of Clinical Pediatric Dentistry, Vol. 40, No. 2, 2016, p. 156-160.

Research output: Contribution to journalArticle

Ahmed, Sheikh S ohail ; Hicks, Shawn R. ; Slaven, James E. ; Nitu, Mara. / Deep Sedation for Pediatric Dental Procedures : Is this a Safe and Effective Option?. In: Journal of Clinical Pediatric Dentistry. 2016 ; Vol. 40, No. 2. pp. 156-160.
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