Midazolam conscious sedation in a large Danish municipal dental service for children and adolescents.
OBJECTIVE
The aim of this study was to describe the introduction and the first six years use of midazolam for conscious sedation in a municipal dental service in Denmark.


METHODS
In 1998, all dentists were introduced to midazolam conscious sedation. A sedation chart was filled in for each session, and parents' assessment was obtained. In 2004, all clinical materials were collected.


RESULTS
Six hundred and eighty sessions were performed; 63.7% of the children were between 2 and 6 years of age; 88.5% belonged to American Society of Anesthesiologists grade 1; 74.8% of the sedations performed used the oral route of administration. Restorations were performed during 60.3% of the sessions, and extractions during 38.4%. Complications during the sessions were rare, the most frequent being double vision (6.1%), hiccups (2.7%), and paradoxical reaction (2.0%). Using Wilton's sedation scale, 42.9% were calm and 27.7% were agitated during treatment, whereas after treatment 61.7% were calm; 80.4% of the parents were very positive towards this sedation method.


CONCLUSIONS
Sedation with midazolam for dental treatment of children with dental fear and anxiety is a feasible and an efficient method with a low rate of complications. It can probably reduce the need for dental treatment under general anaesthesia.
Uldum
Birgitte
B
Municipal Dental Service for Children and Adolescents, Copenhagen, Denmark. bul@odont.ku.dk
Hallonsten
Anna-Lena
AL
Poulsen
Sven
S
D000284:Administration, Oral; D000285:Administration, Rectal; D000293:Adolescent; D000766:Anesthesia, Dental / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D016292:Procedural Sedation / Q000379:methods*; D003718:Denmark; D016854:Dental Anxiety / Q000517:prevention & control; D019140:Dental Care for Children / Q000379:methods*; D003752:Dental Health Services; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D008297:Male; D008874:Midazolam / Q000008:administration & dosage*; D010290:Parents / Q000523:psychology; D011795:Surveys and Questionnaires; D019037:Urban Health Services
D006993:Hypnotics and Sedatives; D008874:Midazolam