Propofol intravenous conscious sedation for anxious children in a specialist paediatric dentistry unit

Int J Paediatr Dent. 2004 Jan;14(1):2-8. doi: 10.1111/j.1365-263x.2004.00521.x.

Abstract

Objectives: To report on both the use and dosage of propofol, as a new intravenous (IV) conscious sedative agent, for anxious children referred to a specialist paediatric dentistry service.

Setting: Paediatric Dentistry Unit, Glasgow Dental Hospital and School.

Sample: Thirty-four children, 25 females and 9 males, mean age 12 years 10 months, with a mean weight of 54.6 kg (range 30-110 kg).

Methods: Report from 34 patients receiving intravenous sedation for the first time in respect of weight dose and amount of treatment completed.

Results: Thirty-two children successfully accepted operative dental care on their first visit, they received a mean total dose of 146.25 mg of propofol (range 10 mg to 356 mg); in relation to body weight, the mean was 2.5 mg/kg (range 0.2-5.4 mg/kg). The treatment that they received included fissure sealants, amalgam and adhesive restorations, root canal therapy and single and multiple extractions. Their sedation and recovery were uneventful.

Conclusions: Sub-anaesthetic doses of propofol used for IV conscious sedation infusion facilitated operative dental treatment in anxious children.

MeSH terms

  • Adolescent
  • Anesthesia Recovery Period
  • Anesthesia, Dental*
  • Anesthetics, Intravenous / administration & dosage*
  • Body Weight
  • Child
  • Conscious Sedation*
  • Dental Anxiety / prevention & control
  • Dental Restoration, Permanent
  • Female
  • Hospital Units
  • Humans
  • Hypnotics and Sedatives / administration & dosage*
  • Male
  • Pediatric Dentistry
  • Pit and Fissure Sealants / therapeutic use
  • Propofol / administration & dosage*
  • Root Canal Therapy
  • Tooth Extraction
  • Treatment Outcome

Substances

  • Anesthetics, Intravenous
  • Hypnotics and Sedatives
  • Pit and Fissure Sealants
  • Propofol