• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.4
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• pp.213-220
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• 2015

Background: Pediatric dentists face challenges when young patients require a mesiodens extraction. General anesthesia may be a burden to the child as well as the parent due to dental fears and costs. The aim of this study was to evaluate oral and intravenous sedation in the outpatient setting as a safe and effective means of managing patients who require a mesiodens extraction. Methods: Records were reviewed retrospectively to find patients who underwent a mesiodens removal procedure from January 2013 to September 2014 in the Department of Pediatric Dentistry at Ajou University Hospital (Suwon, Gyeonggi-do, Republic of Korea). A total of 81 patients (62 male and 19 female) between 4 and 11 years of age (mean [${\pm}SD$] $81.6{\pm}14.1$ months) were studied, with a mean weight of $22.9{\pm}3.3kg$ (16 kg to 30 kg). Vital signs, sedation drug dosage, and sedation time were studied. Results: Mean doses of $63.7{\pm}2.5mg/kg$ chloral hydrate and $1.36{\pm}0.22mg/kg$ hydroxyzine were used for oral sedation. Nitrous oxide/oxygen was administrated for $40.0{\pm}2.1$ min. The mean dose of midazolam administered intravenously was $0.14{\pm}0.06mg/kg$ ($2.38{\pm}0.97$ times). In all cases, the mesiodens was removed successfully. Conclusions: Intravenous sedation combined with oral sedation and nitrous oxide/oxygen inhalation can be an alternative to general anesthesia when administrated and monitored properly.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.1
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• pp.71-77
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• 2009

The objective of this study is to find the improvement in the dental health care of the children through oral hygiene education and TBI. In Taebaek public health care center, an oral hygiene education, TBI and fluoride gel application was conducted 2 times for about 631 preschool children living in Taebaek City. The ages of preschool children were from 4 to 7. To examine the changes, a questionnaire was written and distributed for the collecting the results after the education of the second half for children, parents and teachers. As a result, the children showed better understanding of the caries through oral hygiene education and reduction of fright and fears for dental treatment. Many children learned how to brush and there was a significant increase in the number of brushing. Children learned to be able to classify good food and bad food for teeth and showed the change in eating habits although in small part through the oral hygiene education. Through this study, it is judged that the oral hygiene education of the preschool children has effectiveness and it is in need for the expansion of oral hygiene education in homes, kindergartens and dental offices.