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Propofol intravenous conscious sedation for anxious children in a specialist paediatric dentistry unit

M T Hosey1, A Makin, R M Jones

  • 1Glasgow Dental Hospital & School, 378 Sauchiehall Street, Glasgow, Scotland, UK. M.T.Hosey@dental.gla.ac.uk

International Journal of Paediatric Dentistry
|January 7, 2004
PubMed

Insights

Propofol, an intravenous (IV) conscious sedative, effectively aided anxious children in receiving dental treatment. This study reports on its use and dosage for pediatric dentistry patients, showing successful outcomes.

Area of Science:

  • Pediatric Dentistry
  • Anesthesiology
  • Sedation Techniques

Background:

  • Anxious children often require sedation for dental procedures.
  • Intravenous (IV) conscious sedation is a common approach.
  • Propofol is a newer agent for IV conscious sedation.

Purpose of the Study:

  • To evaluate the use and dosage of propofol for IV conscious sedation in anxious children.
  • To assess the efficacy of propofol in facilitating dental treatment in a pediatric dentistry setting.

Main Methods:

  • A cohort of 34 anxious children (mean age 12 years 10 months) received IV propofol sedation.
  • Dosage was determined by body weight.
  • Treatment completion and sedation/recovery events were recorded.

Main Results:

  • 32 children successfully underwent dental treatment on their first visit.
  • Mean propofol dose was 2.5 mg/kg (range 0.2-5.4 mg/kg).
  • Procedures included restorations, root canal therapy, and extractions; sedation and recovery were uneventful.

Conclusions:

  • Sub-anesthetic doses of propofol administered via IV infusion are effective for conscious sedation.
  • Propofol facilitates operative dental treatment in anxious pediatric patients.
  • Uneventful sedation and recovery were observed.
Abstract

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