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Comparison of the effectiveness of oral diazepam and midazolam for the sedation of autistic patients during dental treatment.
Pediatr Dent. 2005 May-Jun; 27(3):198-206.PD

Abstract

PURPOSE

This study was undertaken to compare the effectiveness of oral diazepam and midazolam in sedating autistic patients during dental treatment.

METHODS

The treatment regimen consisted of nitrous oxide/oxygen inhalation in conjunction with oral administration of either diazepam 0.3 mg/kg or midazolam 0.5 mg/kg in a cross-over design study of 13 subjects aged 5.8 to 14.7 years. A drug was classified as being effective when over 70% of the patients taking the drug were judged as "success" in all 3 behavioral criteria: (1) sleeping; (2) body movement; and (3) crying behaviors. The study was observed by an independent clinician with an intraexaminer reliability of 88%.

RESULTS

For sleeping behavior, midazolam was found to be significantly more effective than diazepam as the duration of stimulation increased (P<.05). For the movement and crying behaviors, midazolam also proved to be significantly more effective from the start of treatment through the 35- and 40-min markers, respectively (P<.05). For the remainder of treatment, however, there was no statistically significant difference in these behaviors between the trials (P>.05). Diazepam and midazolam were rated as 77% and 100% successful, according to the overall behavior evaluation criteria (P=.02).

CONCLUSIONS

Both diazepam and midazolam were shown to be effective sedative agents, successfully and safely used to sedate autistic patients for dental treatment. Midazolam was significantly more effective than diazepam in those portions of the procedure with increased stimulation.

Authors+Show Affiliations

Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bankok, Thailand. tanaporn18@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16173223

Citation

Pisalchaiyong, Tanaporn, et al. "Comparison of the Effectiveness of Oral Diazepam and Midazolam for the Sedation of Autistic Patients During Dental Treatment." Pediatric Dentistry, vol. 27, no. 3, 2005, pp. 198-206.
Pisalchaiyong T, Trairatvorakul C, Jirakijja J, et al. Comparison of the effectiveness of oral diazepam and midazolam for the sedation of autistic patients during dental treatment. Pediatr Dent. 2005;27(3):198-206.
Pisalchaiyong, T., Trairatvorakul, C., Jirakijja, J., & Yuktarnonda, W. (2005). Comparison of the effectiveness of oral diazepam and midazolam for the sedation of autistic patients during dental treatment. Pediatric Dentistry, 27(3), 198-206.
Pisalchaiyong T, et al. Comparison of the Effectiveness of Oral Diazepam and Midazolam for the Sedation of Autistic Patients During Dental Treatment. Pediatr Dent. 2005 May-Jun;27(3):198-206. PubMed PMID: 16173223.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of the effectiveness of oral diazepam and midazolam for the sedation of autistic patients during dental treatment. AU - Pisalchaiyong,Tanaporn, AU - Trairatvorakul,Chutima, AU - Jirakijja,Jeerawan, AU - Yuktarnonda,Worachon, PY - 2005/9/22/pubmed PY - 2005/10/13/medline PY - 2005/9/22/entrez SP - 198 EP - 206 JF - Pediatric dentistry JO - Pediatr Dent VL - 27 IS - 3 N2 - PURPOSE: This study was undertaken to compare the effectiveness of oral diazepam and midazolam in sedating autistic patients during dental treatment. METHODS: The treatment regimen consisted of nitrous oxide/oxygen inhalation in conjunction with oral administration of either diazepam 0.3 mg/kg or midazolam 0.5 mg/kg in a cross-over design study of 13 subjects aged 5.8 to 14.7 years. A drug was classified as being effective when over 70% of the patients taking the drug were judged as "success" in all 3 behavioral criteria: (1) sleeping; (2) body movement; and (3) crying behaviors. The study was observed by an independent clinician with an intraexaminer reliability of 88%. RESULTS: For sleeping behavior, midazolam was found to be significantly more effective than diazepam as the duration of stimulation increased (P<.05). For the movement and crying behaviors, midazolam also proved to be significantly more effective from the start of treatment through the 35- and 40-min markers, respectively (P<.05). For the remainder of treatment, however, there was no statistically significant difference in these behaviors between the trials (P>.05). Diazepam and midazolam were rated as 77% and 100% successful, according to the overall behavior evaluation criteria (P=.02). CONCLUSIONS: Both diazepam and midazolam were shown to be effective sedative agents, successfully and safely used to sedate autistic patients for dental treatment. Midazolam was significantly more effective than diazepam in those portions of the procedure with increased stimulation. SN - 0164-1263 UR - https://www.unboundmedicine.com/medline/citation/16173223/Comparison_of_the_effectiveness_of_oral_diazepam_and_midazolam_for_the_sedation_of_autistic_patients_during_dental_treatment_ L2 - https://www.ingentaconnect.com/openurl?genre=article&amp;issn=0164-1263&amp;volume=27&amp;issue=3&amp;spage=198&amp;aulast=Pisalchaiyong DB - PRIME DP - Unbound Medicine ER -