Dental anxiety in paediatric patients: Is cognitive behavioural therapy effective?

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This review of cognitive behavioural therapy(CBT) for dental anxiety and dental phobia in children identified 6 RCTs suggesting it therapy produces better anxiety reduction than diverse behavioural management techniques. However the available evidence is of low quality.

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New Cochrane Protocol – May 2014

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The aim of this review is to assess the effects of behavioural techniques, pharmacological and non-pharmacological interventions for management of gagging in patients undergoing dental procedures. As the authors note gaging-related problems contributed to about 20% of dental avoidance cases and a wide range of methods have been describe for management of the gaging patients. [read the full story…]

Significant side effects appear rare when using oral midazolam for behaviour management in children and adolescents requiring dental treatment

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Unfortunately dental caries remains a significant problem in children with some young children requiring multiple procedures. Traditionally this was managed with general anesthesia, increasingly sedation and behaviour management are seen as potential alternative approaches and a 2010 guideline from the National Institute for Health and Clinical Excellence (NICE) suggested that midazolam could be used for [read the full story…]

Weak evidence that oral midazolam is an effective sedative for children undergoing dental treatment

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Sadly,  despite the fact that dental caries is preventable and industrial nations have seen substantial falls in recent years there are still significance numbers of children with dental caries that remains untreated.   While many of these can be managed with routine care other need additional behavioural management support, sedation or for a small (but significant) [read the full story…]

Interventions for drooling in children with cerebral palsy

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Drooling is a common problem for children with cerebral palsy (CP). Drooling varies in severity and can be distressing for the children, families and caregivers. It can cause chapped or sore skin around the mouth and chin, skin and mouth infections, dehydration, difficulties chewing and a range of other social issues.  The main aim of [read the full story…]

Optimal oral dose of midazolam for the anxious child requiring dental treatment is 0.75 mg/kg

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Behavioural management is an essential approach for the dental treatment of the anxious child.  It is sometimes  necessary to supplement this with sedation.  The main aim of this study was to compare the effect of three doses of oral midazolam (0.5, 0.75, and 1 mg ⁄ kg) on the sedative state and cooperative behaviour of  [read the full story…]