Prevent development of dental fear and anxietyįacilitate accomplishment of dental procedures Reduce fear and perception of pain during the treatment Objectives for sedation in paediatric dental care consider both the needs of the child and the dentist: The child Midazolam delivered via other methods or nitrous oxide/oxygen sedation could be considered, but the evidence for both was very low. Oral midazolam is recommended for conscious dental sedation. The wide range of drug combinations and outcome measures used greatly complicated description and analysis of the data. Twenty-four different outcome measures for behaviour were used. A wide variety of drugs or combinations of drugs ( n = 38) were used and delivered orally, intranasally, intravenously, rectally, intramuscularly, submucosally, transmucosally or by inhalation sedation. Ages ranged from 0 to 16 years with an average age of 5.6 years across all included studies. Studies were from 18 different countries and had recruited 4131 participants overall with an average of 70 participants per study. Cochrane Database Syst Rev 12:CD003877, 2018) supplemented by an updated search and data extraction up to May 2020. Evidence for this guideline was provided from a pre-existing Cochrane review (Ashley et al. These guidelines were developed using a multi-step approach adapted from that outlined by the National Institute for Clinical Excellence (NICE (2020) Developing NICE Guidelines: the manual. The aim of this guideline is to evaluate the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry and to provide guidance as to which sedative agents should be used. Sedation is required for these patients in order for dentists to be able to deliver high quality, pain-free dental care. Due to fear and/or behaviour management problems, some children are unable to cooperate for dental treatment using local anaesthesia and psychological support alone.
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