The aim of this study was to
compare the clinical success of three conscious sedation regimens
for pediatric dental patients. A clinical trial was performed
wherein dental treatment was administered to pediatric patients
ASA I and II under conscious sedation.. Fifty-four children were
divided into three groups of 18 patients each, randomly assigned.
Group A received hydroxyzine (2mg/kg 2 h before treatment and
a subsequent dose of 1 mg/kg 20 min before treatment) orally;
group B received 0.50mg/kg midazolam mixed with 1.5 mg/kg hydroxyzine
20 min before treatment orally; group C received chloral hydrate,
50 mg/kg mixed with 1.5mg/kg hydroxyzine 20 min before treatment
orally. The Ohio State Behavioral Rating Scale (OSBRS) showed
statistically significant differences between groups B and C with
respect to group A. The regimens of midazolam or chloral hydrate
mixed with hydroxyzine represent excellent choices for conscious
sedation regimens for pediatric dental patients.
Key words: conscious sedation, hydroxyzine, midazolam,
chloral hydrate. |