Abstract:
jectives: Dental procedures are always associated with some degree of anxiety,nd children are usually more prone to it. General anesthesia may have to be used in ore complex procedures, but many dental procedures can successfully be undertaken ith therapeutic sedation. The aim of this trial was to evaluate the effectiveness of oral edation using dexmedetomidine in comparison with ketamine in the management of ncooperative pediatric patients during dental treatment.ethodology: A randomized clinical trial was carried out on 40 ASA physical status-Ihildren aged 2-6 y to investigate the effect of using dexmedetomidine and ketamineith atropine for sedation.he children were equally and randomly divided into two groups: Group K: received
oral ketamine 5 mg/kg with atropine 0.01 mg/kg, and Group D: received oral dexmedetomidine 3 µg/kg. Recovery time, vital signs, and side effects were all recorded.Behavior rating was also assessed using the Ohio State University Behavioral Rating Scale (OSUBRS).Results: The children in Group D were more sedated than in Group K, but the difference was not statistically significant (p = 0.22). The median recovery time was significantly shorter in Group D than in Group K (p = 0.003). No adverse effects, episodes of respiratory or cardiovascular instability were noted in either groups.
Conclusions: Oral dexmedetomidine is equally effective to oral ketamine for sedation
in children undergoing outpatient dental procedures, but has relatively a shorter
recovery time.
Page(s):
377-381
DOI:
DOI not available
Published:
Journal: Anaesthesia, Pain and Intensive Care, Volume: 23, Issue: 4, Year: 2019
Keywords:
Dexmedetomidine
,
Ketamine
,
Sedation
,
Behavior