Effects of Oral Midazolam in Comparison Promethazine With Nitrous Oxide for Uncooperative Children

Sedative Effects of Oral Midazolam in Comparison Promethazine With Nitrous Oxide/Oxygen on Behavior Management of Uncooperative Children Receiving Dental Treatment

The purpose of this study is to compare the safety and efficacy of sedation using orally administered midazolam and promethazine with nitrous oxide/oxygen in uncooperative children receiving dental treatments.

The effectiveness of oral midazolam in pediatric dentistry is controversial. Usefulness of midazolam alone is limited to short-duration procedures, and we are needed to identify safe oral conscious regiments which permit longer duration procedures in dental treatments especially in Pediatric dentistry.

Promethazine is a long-acting (4-12 hr) anti-histaminic, H1 antagonist drug which acts as a central nervous system depressant and showing itself to be a weak anxiolytic drug.

The hypothesis to be tested is whether promethazine would improve the patients behavior during dental procedures without affecting vital signs, thus enabling longer periods of moderate or conscious sedation.

Inclusion Criteria:

• Healthy patients who are in ASA class 1 group
• Age of the patients must be between 36-96 months
• Uncooperative children who are in groups 1 or 2 according to Frankel's classification

Exclusion Criteria:

• Tonsil hypertrophy
• History of allergies
• Drooling or nocturnal snoring