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Keywords:

  • buccal midazolam;
  • conscious sedation;
  • pediatric dentistry

Abstract

Aim

To assess the acceptance and efficacy of aerosolized midazolam through buccal mucosa for conscious sedation.

Methods

Thirty-five children aged 2–6 years with Grade I and II Frankl behavior rating scale were selected for various dental procedures under local anesthesia. Initially behavior-shaping procedures were used and Houpt behavior scoring was recorded. Thereafter, midazolam was administered using a spray through buccal mucosa and scores for acceptance of drug and behavior after sedation were recorded. The data were compiled and a Wilcoxon signed ranks test was used to assess the difference in behavior before and after the sedation.

Results

Eighty-three percent of the patients accepted the drug without any complaint. A statistically significant improvement was seen in the Houpt scores before and after drug administration (P < 0.001).

Conclusions

Buccal aerosolized midazolam can be used successfully for pediatric conscious sedation.