title: Interdisciplinary approach to endodontic therapy for uncooperative children in a dental school environment.
abstract: The aim of this study was to describe an interdisciplinary approach for endodontic therapy of behavior-challenging children and to report the efficacy of sedation techniques for these procedures. Sedation records of thirty-two patients who received root canal treatment were reviewed. Age at treatment in months, gender, year of treatment, tooth type, status of root maturation (open or closed apex), etiological factor(s), sedation protocol, and outcome were the variables analyzed. The collected information was entered into a computerized flowchart and the data analyzed using descriptive statistics. Midazolam in combination with meperidine or hydroxyzine were the most common protocols used (46 percent and 40 percent of the cases, respectively). Only two (6 percent) treatments were aborted due to uncontrolled behavior during sedation. We conclude that cooperation between pediatric dentists and endodontists is fundamental to achieving success when providing root canal treatment for uncooperative child patients.
authors.affiliation: Department of Pediatric Dentistry, University of Florida College of Dentistry, P.O. Box 100426, Gainesville, FL 32610-0426, USA. fsoares@dental.ufl.edu
authors.forename: Flavio
authors.initials: F
authors.lastname: Soares
authors.forename: Leandro R
authors.initials: LR
authors.lastname: Britto
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Vertucci
authors.forename: Marcio
authors.initials: M
authors.lastname: Guelmann
mesh_terms: D000766:Anesthesia, Dental / Q000379:methods*; D019162:Anesthetics, Combined / Q000008:administration & dosage*; D002648:Child; D002652:Child Behavior / Q000187:drug effects*; D002697:Chloral Hydrate / Q000008:administration & dosage; D016292:Procedural Sedation / Q000379:methods*; D019140:Dental Care for Children / Q000379:methods*; D004708:Endodontics; D005260:Female; D006801:Humans; D006919:Hydroxyzine / Q000008:administration & dosage; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007052:Ibuprofen / Q000008:administration & dosage; D008297:Male; D008614:Meperidine / Q000008:administration & dosage; D008874:Midazolam / Q000008:administration & dosage; D010348:Patient Care Team; D010377:Pediatric Dentistry; D012189:Retrospective Studies; D012390:Root Canal Therapy / Q000379:methods*; D012575:Schools, Dental
chemical_list: D019162:Anesthetics, Combined; D006993:Hypnotics and Sedatives; D006919:Hydroxyzine; D002697:Chloral Hydrate; D008614:Meperidine; D008874:Midazolam; D007052:Ibuprofen