“Treat me with respect”. What happens before, during and after coercion?

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John Baker takes a look at a recent systematic review and thematic analysis, which explores psychiatric patients’ reported perceptions of the situations associated with the process of coercion.

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Sedation or general anaesthesia for dental treatment in children

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This update of a Cochrane review, first published in 2009, did not identify any RCTs comparing the efficiency of sedation versus general anaesthesia (GA) for the provision of a dental treatment.

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Intravenous midazolam sedation for dental treatment: review found no significant side effects

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This review of IV midazolam for treating children and adolescents only identified 11 studies (5 RCTs, 6 non randomised). No serious adverse events were reported but there was a generalised inconsistency in side effect reporting. Consequently the call for better side effect reporting.

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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…]

Conscious Sedation in Dentistry – guideline updated

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The Scottish Dental Clinical Effectiveness Programme (SDCEP) has recently published its updated guidance on conscious sedation in dentistry. The guideline was initially published in 2006. The aim of the guidance is to to promote good clinical practice through recommendations for the provision of conscious sedation in dentistry that is both safe and effective. It is [read the full story…]

Evidence updates from NHS Evidence

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Two recent evidence updates from NHS evidence have been published.  These updates  higlight new evidence related to these topic areas and provide a commentary on this new evidence. The topics are Improving outcomes in head and neck cancer Sedation in children and young people    –   This focuses on a summary of selected new evidence [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…]