ORIGINAL ARTICLE

 

Intravenous procedural sedation: an alternative in the treatment of patients with intellectual disability

 

 

Cíntia Megid Barbieri^I; Alessandra Cristina Gomes^II; Taís Elisabete Crivellaro de Menezes^II; Sandra Maria Herondina Coelho Ávila de Aguiar^III

^IDentist, Special Care Clinic of the Araçatuba Dental School, Unesp – Univ Estadual Paulista, Brazil
^IIPostgraduate Student, Department of Pediatric Dentistry, Araçatuba Dental School, Unesp – Univ Estadual Paulista, Brazil
^IIIProfessor, Department of Pediatric Dentistry, Araçatuba Dental School, Unesp – Univ Estadual Paulista, Brazil

Correspondence

 

 

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ABSTRACT

Conscious sedation has become established as an important alternative to general anesthesia (GA) in dental treatment of patients with intellectual disability (ID).
AIM: to investigate dental patients undergoing sedation using a mean dose of 0.6 mg/kg intravenous midazolam and the adverse events of sedation in patients with ID.
METHODS: This study analyzed the records of 163 dental patients with ID aged between 2 and 76 years who had undergone conscious intravenous sedation (CIV) using a mean dose of 0.61 mg/kg of midazolam at Araçatuba Dental School, São Paulo State University, Brazil. The efficacy and complications induced by CIV were evaluated in each subject.
RESULTS: CIV was effective for dental treatment in 80% of the cases. A total of 626 dental procedures were performed. The mean treatment time was 33.9 minutes. There was statistically significant difference (p<0.05) between absence and presence of adverse reactions.
Adverse reactions were observed in 21.47% of the cases.
CONCLUSIONS: The results of this study showed that CIV is a useful method for dental treatment of patients with ID and these patients can need higher doses of sedative to reach an adequate level of sedation.

Keywords: dental anesthesia, dental care, intellectual disability, sedation.

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Correspondence to:
Sandra M. H. C. Ávila de Aguiar
Faculdade de Odontologia de Araçatuba - UNESP
Rua José Bonifácio, 1193 CEP: 16.015-050
Araçatuba - SP - Brasil
E-mail: saguiar@foa.unesp.br

Received for publication: June 24, 2009
Accepted: March 03, 2010