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Use of Midazolam Intranasal Spray for Dental Treatment of Autism Patients  

Song, Young-Gyun (Department of advanced General Dentistry, Dental Hospital, Dankook University)
Lee, Suk Young (Department of Anesthesiology, Jukjeon Dental Hospital, Dankook University)
Kim, Seung-Oh (Department of Anesthesiology, School of Dentistry, Dankook University)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.12, no.4, 2012 , pp. 223-227 More about this Journal
Abstract
Autism patients in general have bad oral hygiene. It is hard for autism patients to get dental treatment as poor communication. Therefore, they may have to be treated by deep sedation or general anesthesia in numerous cases. However, this process requires induction with mask, so it is not easy to do for disobliging autism patient. Midazolam is a water-soluble benzodiazepine, has been used in pediatric dentistry or dentistry for the handicapped because of rapid onset. Midazolam can be administered through oral, rectal, intramuscular,intravenous, and intranasal (IN) routes. IN route of midazolam may be considered as effective way to allay for uncooperative autism patients before general anesthesia. In this case report, two autism patients required dental treatment. Intranasal spray of midazolam before general anesthesia was safe and effective procedure of behavioral management.
Keywords
Intranasal spray; Midazolam;
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