Sedation
Bryce D. Church, DMD
Pediatric Dental Resident
University at Buffalo
University at Buffalo
Buffalo, New York, United States
Hamilton Pennywell, DDS
Second Year Pediatric Dental Resident (PGY2)
University at Buffalo/Women and Children’s Hospital of Buffalo, Buffalo, NY
University at Buffalo School of Dental Medicine
Buffalo, New York, United States
Julie Heard, Pre-Medical Student
University Pediatric Dentistry
Christopher Heard, MD
Pediatric Anesthesiologist
Oishei Children’s Hospital
Buffalo, New York, United States
Tammy Thompson, DDS
University at Buffalo
Buffalo, New York, United States
Christopher Heard, MD
Pediatric Anesthesiologist
Oishei Children’s Hospital
Buffalo, New York, United States
Purpose: The aim of this study was to assess treatment outcomes and recovery following deep inhalation sedation in patients ages 4-12 in a sedation suite setting. Patients with reported ADHD, ASD (Behavior issues) were assessed in the same manner and scored separately.
Methods: After IRB approval, following the Sevoflurane deep inhalational sedation, patients’ behavior was observed during recovery and agitation/delirium was assessed using the PAEDS score. Treatment outcomes were assessed based on treatment planned compared to actual treatment completed. Parents were contacted 48-72 hours after surgery to answer questions about the overall experience and recovery.
Results: So far, 47 patients have been recruited. All treatments plans were completed with 15 having additional treatment. The average PAEDS scores for patients with no behavior issues 15 minutes post procedure and at discharge were, respectively, 2.2 and 0.9. For those children with documented behavior issues, these scores were 4.9 and 3.0, respectively (P < .040). All 29 parents who answered our follow-up phone calls stated they would repeat the experience should the need arise. Five parents stated that their child vomited within 72 hours following surgery. No other adverse incidences during recovery were reported.
Conclusions: The treatment proved to be safe and effective for every patient in this population, and parent satisfaction was very high. At present, although the PAEDS score was higher in the behavior issue group, very few scored high enough to meet the definition for delirium. Therefore, no definitive conclusion can be made about the recovery of these patients.