Ozer Levent, Oktem Zeynep Başak, Küçükyavuz Zuhal
Department of Pedodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey.
Pediatr Dent. 2011 Mar-Apr;33(2):158-64.
The purpose of this study was to determine behavioral characteristics and side effects in children undergoing restorative dental treatment with or without dental extractions under deep sedation.
This study comprised 68 healthy 4- to 7-year-old children; 34 each were assigned to extraction and restorative groups. Children's behaviors were assessed using the following scales: (1) modified Frankl scale (preoperative period); (2) modified Houpt behavior rating scale (venipuncture period); and (3) modified Wilton behavior scale (recovery period). All complications observed during and after sedation were also recorded.
The occurrence of agitation was higher in the extraction group; however, this difference was statistically significant only at 15 minutes after completion of sedation. In both groups, the most common side effects observed were: involuntary movement (during sedation); sleepiness; agitation and dizziness (during the early recovery period); irritability; crying; and sleepiness (following hospital discharge).
Agitation may be observed during procedures involving extractions. Few side effects were observed during and after the sedation procedure in both groups.
本研究的目的是确定在深度镇静下接受牙齿修复治疗（有或无拔牙）的儿童的行为特征和副作用。
本研究纳入了68名4至7岁的健康儿童；每组各34名，分别分配到拔牙组和修复组。使用以下量表评估儿童的行为：（1）改良Frankl量表（术前阶段）；（2）改良Houpt行为评分量表（静脉穿刺阶段）；以及（3）改良Wilton行为量表（恢复期）。还记录了镇静期间和之后观察到的所有并发症。
拔牙组躁动的发生率较高；然而，这种差异仅在镇静结束后15分钟时有统计学意义。在两组中，观察到的最常见副作用是：不自主运动（镇静期间）；嗜睡；躁动和头晕（恢复早期）；易怒；哭闹；以及嗜睡（出院后）。
在涉及拔牙的操作过程中可能会观察到躁动。两组在镇静过程中和之后观察到的副作用较少。
