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Hypnosis and Sedation for Anxious Children Undergoing Dental Treatment

A Retrospective Practice-Based Longitudinal Study

Bibliographic Data

ID15718067
AuthorsSabine Rienhoff (Pediatric Dental Practice, D-30177 Hannover, Germany), Christian H Splieth (0000-0003-3623-0222, Universität Greifswald), J S J Veerkamp (0000-0002-4528-9675, Kindertand, Pediatric Dental Practice, NL-1076 Amsterdam, The Netherlands), Jan Rienhoff (Pediatric Dental Practice, D-30177 Hannover, Germany), Janneke B Krikken (GGD Amsterdam), Guglielmo Campus (0000-0002-8573-485X, University of Bern, corresponding author), Thomas Gerhard Wolf (0000-0002-4044-1893, University of Bern)
Year2022
Volume9
Issue5
Pages611-611
Publication date2022-04-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9050611
PMID35626788
OpenAlexW4224694764
LanguageEN
Citations received1
References cited38

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

Alternative medicine · Anesthesia · Hypnosis · Hypnotic · Midazolam · Observational study · Physical therapy · Retrospective cohort study · Sedation · Anesthesia and Sedative Agents · Dental Anxiety and Anesthesia Techniques · Medicine · Pediatric Pain Management Techniques · Internal Medicine · Surgery

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Unique citing works1
Citations per year0.25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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