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Bitte verwenden Sie diesen Link, wenn Sie dieses Dokument zitieren oder verlinken wollen: https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-61924

Hypnosis and Sedation for Anxious Children Undergoing Dental Treatment: A Retrospective Practice-Based Longitudinal Study

  • To assess whether the treatment of children with oral midazolam and pediatric hypnosis techniques can improve the compliance in consecutive sessions, a retrospective longitudinal practice-based observational study was designed and carried out. A total of 311 children between 3 and 12 years of age were treated under hypnosis and sedation with midazolam (0.40 mg/kg body weight). Treatments were performed in one to a maximum of three sessions. A total of 183 children received one, 103 received two and 25 children received three treatment sessions. The behavior of the children during the sessions was examined by means of the Venham score. The self-evaluation of the children was based on the Wong–Baker Scale. Child behavior using midazolam and hypnosis techniques showed little difference and good compliance between the sessions. Venham scores did not increase significantly regarding total treatment from the first (0.99 ± 1.41) to the second (1.17 ± 1.39) and to the third session (1.27 ± 1.20) (p > 0.05). However, considering the highest Venham scores that occurred in each case, the behavior of the children worsened significantly (p < 0.01) during the three treatment sessions, from 1.37 ± 1.31 (first) to 1.87 ± 1.74 (second) to 2.32 ± 1.33 (third). In 6.11% of the children, treatment was discontinued in the first session (n = 19), 0.96% in the second (n = 3) and 0% in the third. Treatment with low-dose midazolam, combined with hypnosis techniques, showed to be an effective option for dental treatment in children. Within the limitations of the current study, and with consideration of highest possible compliance, no more than two treatment sessions for pediatric dental treatment should be performed.

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Metadaten
Author: Sabine Rienhoff, Christian H. Splieth, Jacobus S. J. Veerkamp, Jan Rienhoff, Janneke B. Krikken, Guglielmo Campus, Thomas Gerhard Wolf
URN:urn:nbn:de:gbv:9-opus-61924
DOI:https://doi.org/10.3390/children9050611
ISSN:2227-9067
Parent Title (English):Children
Publisher:MDPI
Place of publication:Basel
Editor: Diana Ram
Document Type:Article
Language:English
Date of first Publication:2022/04/25
Release Date:2022/11/15
Tag:compliance; hypnosis; midazolam; pediatric dental treatment; sedation
GND Keyword:-
Volume:9
Article Number:611
Page Number:15
Faculties:Universitätsmedizin / Poliklinik für Zahnerhaltung, Parodontologie und Endodontologie
Licence (German):License LogoCreative Commons - Namensnennung