Effects of Deep Sedation on Behaviors and Side Effects in Children Undergoing Different Dental Procedures

ÖZER L., Oktem Z. B., Kucukyavuz Z.

PEDIATRIC DENTISTRY, cilt.33, sa.2, ss.158-164, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 2
  • Basım Tarihi: 2011
  • Dergi Adı: PEDIATRIC DENTISTRY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.158-164
  • Anahtar Kelimeler: DEEP SEDATION, DENTAL TREATMENT, BEHAVIORAL CHANGES, SIDE EFFECTS, PREOPERATIVE ANXIETY, EMERGENCE AGITATION, GENERAL-ANESTHESIA, PROPOFOL, CARE, SEVOFLURANE, HALOTHANE, INDUCTION, MIDAZOLAM, RECOVERY
  • Ankara Üniversitesi Adresli: Evet

Özet

Purpose: The purpose of this study was to determine behavioral characteristics and side effects in children undergoing restorative dental treatment with or without dental extractions under deep sedation. Methods: This study comprised 68 healthy 4- to 7-year-old children; 34 each were assigned to extraction and restorative groups. Children's behaviors were assessed using the following scales: (1) modified Frankl scale (preoperative period); (2) modified Houpt behavior rating scale (venipuncture period); and (3) modified Wilton behavior scale (recovery period). All complications observed during and after sedation were also recorded. Results: The occurrence of agitation was higher in the extraction group; however, this difference was statistically significant only at 15 minutes after completion of sedation. In both groups, the most common side effects observed were: involuntary movement (during sedation); sleepiness; agitation and dizziness (during the early recovery period); irritability; crying; and sleepiness (following hospital discharge). Conclusions: Agitation may be observed during procedures involving extractions. Few side effects were observed during and after the sedation procedure in both groups. (Pediatr Dent 2011;33:158-64) Received September 16, 2009 / Last Revision March 11, 2010 / Accepted May 17, 2010