title: Premedication intake behavior--does it predict behavior during dental treatment?
abstract: OBJECTIVE
  To investigate whether behavior during hydroxyzine administration predicts children's behavior during dental treatment and whether behavior during treatment is affected by the complexity of treatment.
  
  
  METHODS
  118 children aged 2 to 6.5 years old were treated under conscious sedation with oral premedication (3.7 mg/kg of hydroxyzine in a concentration of 50 mg/5 cc. hydroxyzine) and 50% nitrous oxide/oxygen sedation. Children were divided in two age groups: aged 2 to < or = 4 years old, and aged 4 > to 6 years old. Behavior during first examination; cooperation during premedication administration, cooperation during nitrous oxide nose-mask placement, behavior during dental treatment, treatment duration and complexity of treatment were recorded.
  
  
  RESULTS
  More children in the older group took the premedication willingly (p = 0.026). Significant correlation (p = 0.002) between behavior during examination and nitrous oxide mask acceptance was found in the older age group. No correlation was found regarding the cooperation during premedication intake and behavior during treatment within and between age groups. No statistical differences within the groups and between the groups were found between complexity of treatment and behavior during treatment.
  
  
  CONCLUSIONS
  Premedication intake is not a reliable predictive tool for behavior during treatment in children aged 2-6.5 years. Complexity of treatment does not influence behavior during treatment in children aged 2-6.5 years.
authors.affiliation: Department of Pediatric Dentistry, Hebrew University - Hadassah Faculty of Dental Medicine, Jerusalem, Israel. dr-st@012.net.il
authors.forename: E
authors.initials: E
authors.lastname: Davidovich
authors.forename: S
authors.initials: S
authors.lastname: Naser
authors.forename: J
authors.initials: J
authors.lastname: Shapira
authors.forename: D
authors.initials: D
authors.lastname: Ram
mesh_terms: D000284:Administration, Oral; D000367:Age Factors; D000766:Anesthesia, Dental / Q000379:methods; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D002648:Child; D002652:Child Behavior / Q000187:drug effects*; D002675:Child, Preschool; D016292:Procedural Sedation / Q000379:methods; D003299:Cooperative Behavior; D003442:Crowns / Q000523:psychology; D003729:Dental Care / Q000523:psychology*; D003777:Dental Prophylaxis / Q000523:psychology; D003793:Dental Restoration, Permanent / Q000523:psychology; D005544:Forecasting; D006801:Humans; D006919:Hydroxyzine / Q000008:administration & dosage*; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D008397:Masks; D009609:Nitrous Oxide / Q000008:administration & dosage; D010100:Oxygen / Q000008:administration & dosage; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D011229:Preanesthetic Medication; D011672:Pulpotomy / Q000523:psychology; D012189:Retrospective Studies; D013997:Time Factors; D014081:Tooth Extraction / Q000523:psychology
chemical_list: D018685:Anesthetics, Inhalation; D006993:Hypnotics and Sedatives; D010895:Pit and Fissure Sealants; D006919:Hydroxyzine; D009609:Nitrous Oxide; D010100:Oxygen