Volume 26, Issue 119, January 2022

Comparison of efficacy and recovery time of sevoflurane inhalation deep sedation with propofol deep sedation in pediatric dentistry

Mhd Raslan Alzein¹, Mohamed Altinawi², Faten Rostom³, Imad Katbeh^4♦, Mamasaidova Zarina⁵, Saidova Patimat⁶

¹PhD Student, Department of Pediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus, Syria
²Professor, Department of Pediatric Dentistry, Faculty of Dental Medicine, Damascus University, Damascus, Syria
³Associate Professor, Department of Anesthesia and Reanimation, Faculty of Medicine, Damascus University, Damascus, Syria
⁴Assistant Professor, Imad Katbeh Medical Institute, Department of pediatric dentistry and orthodontics, Peoples’ Friendship University of Russia (RUDN Miklukho-Maklaya Street 10/2, Moscow, Russia
⁵Medical Institute, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia
⁶Medical Institute, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia

^♦Corresponding author
Assistant Professor, Imad Katbeh Medical Institute, Department of pediatric dentistry and orthodontics, Peoples’ Friendship University of Russia (RUDN Miklukho-Maklaya Street 10/2, Moscow, Russia

ABSTRACT

The purpose of this study was to compare the efficacy and recovery time of inhalation sedation using sevoflurane to intravenous sedation using propofol. Materials and Methods: The study included 46 uncooperative children aged (3-6) year’s who needed to undergo dental treatments under deep sedation. They were randomly assigned to two groups, the propofol group (Group P) and the sevoflurane group (Group S). All children were sedated by an anesthesiologist who was independent of dental treatment and was wholly responsible for the sedation procedure until the patient was discharged. The efficacy assessments and depth of sedation evaluation were done using the University of Michigan Sedation Scale (UMSS). After treatment, modified Vancouver Recovery Scale (MVRS) scale was used to determine the recovery time until the patient was discharged. Results: There were no significant differences in efficacy between groups. Statistically significant differences appeared in the recovery time between groups (p = .000). Conclusions: inhalation deep sedation with sevoflurane is an effective as propofol sedation in managing uncooperative children and the recovery of sevoflurane sedation was more quickly than propofol sedation.

Keywords: deep sedation, sevoflurane, propofol

Medical Science, 2022, 26, ms32e2048

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DOI: https://doi.org/10.54905/disssi/v26i119/ms32e2048

Published: 16 January 2022