Sedation of the Pediatric Dental Patient

소아의 치과치료를 위한 진정법

  • Kim, Jiyeon (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 김지연 (부산대학교 치의학전문대학원 소아치과)
  • Received : 2015.01.05
  • Accepted : 2015.01.05
  • Published : 2014.12.31

Abstract

Children's fear and anxiety may interfere with dental treatment. If a child is very young, pharmacologic management may need to be provided during a dental procedure. Although sedation is an everyday practice in pediatric dentistry, it is not easy to achieve successful outcomes with sedation. Moreover, sedation of children can be associated with respiratory risks. Providers of pediatric sedation should be very cautious about adhering to the principles. This article reviews nicely the guidelines and references for pediatric sedation and supports a safe sedation with favorable treatment results.

Keywords

References

  1. Korean Academy of Pediatric Dentistry: Textbook of Pediatric Dentistry. 5thed. Korea, Yenang INC. 2014, pp 217-270.
  2. American Academy of Pediatrics and the American Academy of Pediatric Dentistry: Guideline for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures (2006). AAPD Reference Manual 2012; 34: 194-210.
  3. Daud YN, Carlson DW; Pediatric Sedation. Pediatr Clin North Am, 2014; 61: 703-17. https://doi.org/10.1016/j.pcl.2014.05.003
  4. Doyle L, Colletti JE: Pediatric procedural sedation and analgesia. Pediatr Clin North Am. 2006; 53: 279-92. https://doi.org/10.1016/j.pcl.2005.09.008
  5. Rothman DL: Sedation of the pediatric patient. CDA Journal 2013; 41: 603-611.
  6. Coté CJ, Karl HW, Notterman DA, Weinberg JA, McCloskey C: Adverse sedation events in pediatrics: analysis of medications used for sedation. Pediatrics, 2000;106: 633-44. https://doi.org/10.1542/peds.106.4.633
  7. Yang Y, Shin T, Yoo S, Choi S, Kim J, Jeong T: Survey of Sedation Practices by Pediatric Dentists. J Korean Acad Pediatr Dent, 2014; 41: 257-65. https://doi.org/10.5933/JKAPD.2014.41.3.257
  8. Mason KP: The pediatric sedation service: who is appropriate to sedate, which medications should I use, who should prescribe the drugs, how do I bill?. Pediatr Radiol, 2008; 38: S218-24. https://doi.org/10.1007/s00247-008-0769-1
  9. Wilson S: Pharmacologic behavior management for pediatric dental treatment. Pediatr Clin North Am, 2000; 47: 1159-75. https://doi.org/10.1016/S0031-3955(05)70262-5
  10. Wilson S: Review of monitors and monitoring during sedation with emphasis on clinical applications. Pediatr Dent, 1995; 17: 413-18
  11. Green SM, Mason KP; Stratification of sedation risk - a challenge to the sedation continuum. Paediatr Anaesth, 2011; 21: 924-31. https://doi.org/10.1111/j.1460-9592.2011.03609.x
  12. Coté CJ, Notterman DA, Karl HW, Weinberg JA, McCloskey C: Adverse sedation events in pediatrics: a critical incident analysis of contributing factors. Pediatrics. 2000; 105: 805-14. https://doi.org/10.1542/peds.105.4.805
  13. Wilson S, Alcaino EA. Survey on sedation in paediatric dentistry: a global perspective. Int J Paediatr Dent, 2011;21: 321-32. https://doi.org/10.1111/j.1365-263X.2011.01127.x