IADR Abstract Archives
Factors Affecting the Outcomes of Sedation in Pediatric Patients
Objectives: Pediatric dental care may often be challenging for parents and practitioners since children can be uncooperative and fearful. The use of conscious sedation in dental offices may ease the burden of dental disease and increase access to care. We examined the effects of different factors on the overall success rate of conscious sedation.
Methods: IRB Consent was sought and obtained for this study. Records from three hundred and eighty one patients, ages 2-11 years old who received sedation between the years 2015-2018, at four pediatric dental offices, were examined. Subject age, weight, ASA status, past medical history (PMH), drug allergy, sedation route, and drug regimen were recorded. The overall sedation score was evaluated with excellent (5), good (4), fair (3), poor (2), and aborted (1). Patients under 2 or above 11 years or classified as ASA III or above were removed from the study. Data were compared using Dunn’s test (a=0.05) and p-values were adjusted by the Benjamini-Hochberg method.
Results: Table 1 lists patient demographics. Over 92% of sedation procedures were completed with only 8% of procedures aborted. Chart 1 shows a statistically significant difference in the ages of patients on overall sedation score with a nonparametric Kruskal-Wallis test p-value=0.0447. PMH, drug allergy, and route of pharmacologic administration did not have statistically significant differences on overall sedation score nor did the addition of diazepam to meperidine and hydroxyzine regimen.
Conclusions: Children over 6 years undergoing conscious sedation have a better overall sedation score compared to younger children; however, the route of administration and drug regimen does not have a difference on sedation score outcome. Conscious sedation is a safe and effective option for uncooperative children during dental treatment. By understanding these relationships, practitioners may make informed decisions regarding sedation methods and patient selection.
Methods: IRB Consent was sought and obtained for this study. Records from three hundred and eighty one patients, ages 2-11 years old who received sedation between the years 2015-2018, at four pediatric dental offices, were examined. Subject age, weight, ASA status, past medical history (PMH), drug allergy, sedation route, and drug regimen were recorded. The overall sedation score was evaluated with excellent (5), good (4), fair (3), poor (2), and aborted (1). Patients under 2 or above 11 years or classified as ASA III or above were removed from the study. Data were compared using Dunn’s test (a=0.05) and p-values were adjusted by the Benjamini-Hochberg method.
Results: Table 1 lists patient demographics. Over 92% of sedation procedures were completed with only 8% of procedures aborted. Chart 1 shows a statistically significant difference in the ages of patients on overall sedation score with a nonparametric Kruskal-Wallis test p-value=0.0447. PMH, drug allergy, and route of pharmacologic administration did not have statistically significant differences on overall sedation score nor did the addition of diazepam to meperidine and hydroxyzine regimen.
Conclusions: Children over 6 years undergoing conscious sedation have a better overall sedation score compared to younger children; however, the route of administration and drug regimen does not have a difference on sedation score outcome. Conscious sedation is a safe and effective option for uncooperative children during dental treatment. By understanding these relationships, practitioners may make informed decisions regarding sedation methods and patient selection.
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