Published: 2021-12-27

Types of sedation used in pediatric dentistry

Hanan Raja Aljohani, Rinad Abdulmonam Albalawi, Fajr Adel Orri, Khalid Mubarak Alshammari, Narmeen Abdulmannan Shikdar, Bader Hussain Al Sayhab, Hifa Mohammed Alkahtani, Alanoud Ali Alwably, Alanoud Mohammed Algazlan, Ali Abdullah Alghamdi, Albandari Menahi Alqahtani


Childhood dental anxiety usually results from painful and frightening dental traumas. Accordingly, children might want to avoid dental treatment if not adequate precautions were not taken during these settings. Thus, sedation is being widely used in different dental settings with favorable outcomes. In the present literature review, we have discussed sedation's different types and approaches in pediatric dentistry settings. We also reviewed the main medications that can be administered in these settings, together with the potential routes of administration, safety and contraindications. As a result, the pediatric dentist should identify patients suitable for sedation, choose the right type of sedation, prepare the media for successful procedures, and select the proper medication. Careful monitoring and adequate preparation are also critical to enhance the prognosis and manage the potential complications. Eventually, sedation might improve the compliance of pediatric patients and reduce the dilemma of fear from painful dental procedures. This has been associated with favorable outcomes for the dentist, as well. Therefore, further research is needed for additional validation and innovation in this field.


Sedation, Pediatrics, Dentistry, Anesthesia, Conscious sedation

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Edelstein B, Vargas CM, Candelaria D, Vemuri M. Experience and policy implications of children presenting with dental emergencies to US pediatric dentistry training programs. Pediatric Dentist. 2006;28(5):431-7.

Berg JH, Slayton RL. Early childhood oral health. John Wiley and Sons; 2015.

Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Brit Dent J. 2006;201(10):625-6.

Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res. 1999;78(3):790-6.

Milgrom P, Fiset L, Melnick S, Weinstein P. The prevalence and practice management consequences of dental fear in a major US city. J Am Dent Assoc. 1988;116(6):641-7.

Milgrom P, Newton JT, Boyle C, Heaton LJ, Donaldson N. The effects of dental anxiety and irregular attendance on referral for dental treatment under sedation within the national health service in London. Commun Dent Oral Epidemiol. 2010;38(5):453-9.

Casamassimo PS, Wilson S, Gross L. Effects of changing U.S. parenting styles on dental practice: perceptions of diplomates of the American board of pediatric dentistry presented to the college of diplomates of the American board of pediatric dentistry 16th annual session, Atlanta, Ga. Pediatric Dentist. 2002;24(1):18-22.

Edelstein BL, Douglass CW. Dispelling the myth that 50 percent of U.S. schoolchildren have never had a cavity. Pub Health Rep. 1995;110(5):522-30.

Nelson TM, Xu Z. Pediatric dental sedation: challenges and opportunities. Clinic Cosmetic Investigat Dent. 2015;7:97-106.

Eslaamizaad S, Toopchi S. Sedation in Pediatric Dentistry. Acta Scientif Dent Sci. 2019;3(2).

Huelke DF. An overview of anatomical considerations of infants and children in the adult world of automobile safety design. Advancement Automot Med. 1998;42:93-113.

Appelgarth O. Understanding anesthesia: a learner’s guide. Canad J Anesthes. 2013;60(9):952-3.

McAuliffe G, Bissonnette B, Cavallé-Garrido T, Boutin C. HR and cardiac output after atropine in anaesthetised infants and children. Canadian J Anaesthes. 1997;44:154-9.

Bansal T, Hooda S. Anesthetic considerations in paediatric patients. J Int Med Sci Acad. 2013;26:127-31.

Lourenço-Matharu L, Ashley PF, Furness S. Sedation of children undergoing dental treatment. Cochrane Database Systemat Rev. 2012;3:003877.

Kapur A, Kapur V. Conscious sedation in dentistry. Ann Maxillofac Surg. 2018;8(2):320-3.

Goodchild J, Donaldson M. The American dental association's updated sedation and general anesthesia guidelines-is minimal sedation all about triazolam? J Acad Gen Dentist. 2017;65:6.

Attri JP, Sharan R, Makkar V, Gupta KK, Khetarpal R, Kataria AP. Conscious sedation: emerging trends in pediatric dentistry. Anesthesia Essay Res. 2017;11(2):277-81.

Mennerick S, Jevtovic-Todorovic V, Todorovic SM, Shen W, Olney JW, Zorumski CF. Effect of nitrous oxide on excitatory and inhibitory synaptic transmission in hippocampal cultures. J Neurosci. 1998;18(23):9716-26.

Kim J, Kim S, Lee DW, Ryu DS. The alternative of oral sedation for pediatric dental care. J Dent Anesthesia Pain Med. 2015;15(1):1-4.

Haselkorn T, Whittemore A, Udaltsova N, Friedman G. Short-term chloral hydrate administration and cancer in humans. drug safety. Int J Med Toxicol Drug Exp. 2006;29:67-77.

Practice guidelines for intravenous conscious sedation in dentistry (Second Edition, 2017). Anesthesia Progress. 2018;65(4):1-18.

Kugler J, Doenicke A. Ketamine--anticonvulsive and proconvulsive actions. Der Anaesthesist. 1994;43(2):2-7.

Duperon DF, Jedrychowski JR. Preliminary report on the use of ketamine in pediatric dentistry. Pediatric Dent. 1983;5(1):75-8.