This multi-centre RCTs of a single dental nurse delivered ‘talking’ intervention informed by motivational interviewing approaches was successful in reducing new caries experience in a group of high risk children at 2 years.
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Our most popular Dental Elf blogs for January, February and March 2019 featuring Sedation, General anaesthesia and fluoride toothpastes.
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This update of a Cochrane review of pharmacological and non-pharmacological interventions for the management of gagging in people undergoing dental treatment found very low-certainty evidence from four trials that was insufficient to conclude if there is any benefit of acupuncture, acupressure or laser at P6 point in reducing gagging and allowing successful completion of dental procedures.
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This Cochrane review update of the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry includes 50RCTs providing some moderate-certainty evidence that oral midazolam is an effective sedative agent for children undergoing dental treatment.
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This review of cognitive behavioural therapy(CBT) for dental anxiety and dental phobia in children identified 6 RCTs suggesting it therapy produces better anxiety reduction than diverse behavioural management techniques. However the available evidence is of low quality.
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John Baker takes a look at a recent systematic review and thematic analysis, which explores psychiatric patients’ reported perceptions of the situations associated with the process of coercion.
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This update of a Cochrane review, first published in 2009, did not identify any RCTs comparing the efficiency of sedation versus general anaesthesia (GA) for the provision of a dental treatment.
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This review of IV midazolam for treating children and adolescents only identified 11 studies (5 RCTs, 6 non randomised). No serious adverse events were reported but there was a generalised inconsistency in side effect reporting. Consequently the call for better side effect reporting.
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Unfortunately dental caries remains a significant problem in children with some young children requiring multiple procedures. Traditionally this was managed with general anesthesia, increasingly sedation and behaviour management are seen as potential alternative approaches and a 2010 guideline from the National Institute for Health and Clinical Excellence (NICE) suggested that midazolam could be used for [read the full story…]
The Scottish Dental Clinical Effectiveness Programme (SDCEP) has recently published its updated guidance on conscious sedation in dentistry. The guideline was initially published in 2006. The aim of the guidance is to to promote good clinical practice through recommendations for the provision of conscious sedation in dentistry that is both safe and effective. It is [read the full story…]
