Journal of dentistry for children
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J Dent Child (Chic) · May 2004
Randomized Controlled Trial Clinical TrialNasal versus oral midazolam sedation for pediatric dental patients.
The purpose of this study was to evaluate and compare intranasal (IN) and oral (PO) midazolam for effect on behavior, time of onset, maximum working time, efficacy, and safety for patients requiring dental care. ⋯ Mean onset time was approximately 3 times faster with IN administration compared to PO administration. Mean working time was approximately 10 minutes longer with PO administration than it was with IN administration. Overall behavior under PO and IN was similar. However, more movement and less sleep were shown in subjects under IN than those under PO toward the end of the dental session. All vital signs were stable throughout the procedures and showed no significant differences between PO and IN administration.
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J Dent Child (Chic) · Jan 2004
Parent satisfaction with emergency dental treatment at a children's hospital.
This study evaluated parental satisfaction with emergency dental treatment. ⋯ To address the expectations and concerns of parents, dental professionals need to be attentive to the quality of dentist-parent communication and parental expectations during emergency services.
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J Dent Child (Chic) · May 2003
Randomized Controlled Trial Comparative Study Clinical TrialThe assessment of pain sensation during local anesthesia using a computerized local anesthesia (Wand) and a conventional syringe.
The purpose of this study was to compare the behavior reaction of children who received local anesthesia with a conventional syringe injection and a computerized device (Wand). ⋯ The results suggested there was no difference in the pain behavior of children during the administration of local anesthesia with a conventional injection or a computerized device when the operator was an experienced pediatric dentist. This was true for maxillary infiltration and mandibular block. For other techniques, such as palatal injection and periodontal ligament injection, more studies should be conducted.
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J Dent Child (Chic) · Jan 2003
Comparative Study Clinical Trial Controlled Clinical TrialThe relationship of application time to EMLA efficacy.
This study compared the efficacy of 5% Eutectic Mixture of Local Anesthetics (EMLA) cream at application times of 3 minutes, 5 minutes, and 10 minutes to determine the most effective duration of topical anesthetic application on normal mucosa. A special instrument was used to apply pressure on the gingiva to obtain a threshold discomfort level in grams before and after the topical delivery. ⋯ Use of 5% EMLA could be especially beneficial to pediatric patients and young adults who are needle phobic. Development of an EMLA patch with the proper pediatric dosages to prevent possible overdosage and side effects should be the aim of future research.