midazolam has been researched along with Teeth, Impacted in 24 studies
Midazolam: A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
midazolam : An imidazobenzodiazepine that is 4H-imidazo[1,5-a][1,4]benzodiazepine which is substituted by a methyl, 2-fluorophenyl and chloro groups at positions 1, 6 and 8, respectively.
Excerpt | Relevance | Reference |
---|---|---|
"The purpose of this study was to evaluate patient safety, in terms of adverse events, alterations in blood pressure or oxygen saturation (SpO2) in two routine sedation procedures, with and without intravenous analgesia." | 2.80 | Safety of adjunct pre-emptive intravenous tramadol with midazolam sedation for third molar surgery. ( Eriksson, LB; Tegelberg, Å, 2015) |
"Tramadol has a better analgesic effect in third molar surgery than fentanyl and placebo." | 2.76 | A comparison of the effects of midazolam/fentanyl and midazolam/tramadol for conscious intravenous sedation during third molar extraction. ( Garip, H; Göker, K; Göktay, O; Gönül, O; Satilmiş, T, 2011) |
"Midazolam was associated with greater amnesia." | 2.73 | A comparison of dexmedetomidine and midazolam for sedation in third molar surgery. ( Cheung, CW; Chiu, WK; Irwin, MG; Ng, KF; Wong, GT; Ying, CL, 2007) |
"Remifentanil was administered (group MR) by patient controlled infusion (PCI) either in the first or the second operation." | 2.71 | Evaluation of patient-controlled remifentanil application in third molar surgery. ( Alparslan, ZN; Balcioğlu, YO; Esen, E; Ustün, Y, 2005) |
" Pharmacological strategies used in outpatient dental settings must be both safe and effective." | 2.70 | Comparing efficacy and safety of four intravenous sedation regimens in dental outpatients. ( Beirne, OR; Dionne, RA; Gonty, A; Moore, PA; Yagiela, JA; Zuniga, J, 2001) |
" Dosage requirements to reach the initial sedation end points of slurred speech and ptosis of eyelids vary widely from one patient to another." | 2.68 | Multidrug intravenous sedation: determinants of the sedative dose of midazolam. ( Finder, RL; Jackson, DL; Moore, PA, 1997) |
"Diflunisal was given for postoperative pain relief." | 2.67 | Does midazolam sedation in oral surgery affect the potency or duration of diflunisal analgesia? ( Rodrigo, MR; Rosenquist, JB, 1990) |
" However, it is important to find safer and more effective sedation agents, considering the adverse effects associated with current agents." | 1.91 | Efficacy and safety of remimazolam besilate for sedation in outpatients undergoing impacted third molar extraction: a prospective exploratory study. ( Aikawa, T; Doi, M; Imado, E; Imamura, S; Kamio, H; Mukai, A; Oda, A; Ono, S; Oue, K; Sakuma, M; Sasaki, U; Shimizu, Y; Takahashi, T; Yoshida, M, 2023) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 3 (12.50) | 18.7374 |
1990's | 8 (33.33) | 18.2507 |
2000's | 7 (29.17) | 29.6817 |
2010's | 3 (12.50) | 24.3611 |
2020's | 3 (12.50) | 2.80 |
Authors | Studies |
---|---|
Li, X | 1 |
Tian, M | 1 |
Deng, Y | 1 |
She, T | 1 |
Li, K | 1 |
Wang, L | 1 |
Jing, Q | 2 |
Pei, L | 1 |
Li, M | 1 |
Ruan, X | 1 |
Chen, S | 1 |
Zhang, Y | 1 |
Wan, K | 2 |
Huang, Y | 1 |
Oue, K | 1 |
Oda, A | 1 |
Shimizu, Y | 1 |
Takahashi, T | 1 |
Kamio, H | 1 |
Sasaki, U | 1 |
Imamura, S | 1 |
Imado, E | 1 |
Mukai, A | 1 |
Doi, M | 1 |
Sakuma, M | 1 |
Ono, S | 1 |
Aikawa, T | 1 |
Yoshida, M | 1 |
Eriksson, LB | 1 |
Tegelberg, Å | 1 |
McKenzie, WS | 1 |
Rosenberg, M | 1 |
Göktay, O | 1 |
Satilmiş, T | 1 |
Garip, H | 2 |
Gönül, O | 1 |
Göker, K | 2 |
Esen, E | 1 |
Ustün, Y | 2 |
Balcioğlu, YO | 1 |
Alparslan, ZN | 1 |
Gündüz, M | 1 |
Erdoğan, O | 1 |
Benlidayi, ME | 1 |
Gürkan, Y | 1 |
Toker, K | 1 |
Dorman, ML | 1 |
Wilson, K | 1 |
Stone, K | 1 |
Stassen, LF | 2 |
Cheung, CW | 1 |
Ying, CL | 1 |
Chiu, WK | 1 |
Wong, GT | 1 |
Ng, KF | 1 |
Irwin, MG | 1 |
Liu, DY | 1 |
Zhao, JZ | 1 |
Chen, X | 1 |
Dong, YL | 1 |
Rodrigo, MR | 4 |
Tong, CK | 1 |
Rodrigo, C | 1 |
Chow, KC | 1 |
Holland, IS | 1 |
Zacharias, M | 1 |
Hunter, KM | 1 |
Parkinson, R | 1 |
Moore, PA | 2 |
Finder, RL | 1 |
Jackson, DL | 1 |
Coulthard, P | 1 |
Morris, S | 1 |
Hamilton, AJ | 1 |
Dionne, RA | 1 |
Yagiela, JA | 1 |
Gonty, A | 1 |
Zuniga, J | 1 |
Beirne, OR | 1 |
Chan, L | 1 |
Hui, E | 1 |
Rosenquist, JB | 1 |
Van der Bijl, P | 1 |
Roelofse, JA | 1 |
Joubert, JJ | 1 |
Breytenbach, HS | 1 |
Cheung, LK | 1 |
O'Boyle, CA | 1 |
Harris, D | 1 |
Barry, H | 1 |
McCreary, C | 1 |
Bewley, A | 1 |
Fox, E | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
PARADOX - the Incidence of Paradoxical Reactions in Pediatric Patients Premedicated With Midazolam[NCT04190537] | 500 participants (Anticipated) | Observational | 2019-09-01 | Recruiting | |||
A Comparison of Dexmedetomidine Versus Propofol for Use in Intravenous Sedation[NCT03255824] | Phase 4 | 144 participants (Actual) | Interventional | 2018-03-20 | Completed | ||
Dexmedetomidine Compared to Midazolam for Symptom Control in Advanced Cancer Patients: A Pilot Randomized Controlled Trial (RCT)[NCT01687751] | Phase 2 | 0 participants (Actual) | Interventional | 2012-11-30 | Withdrawn (stopped due to Study design determined to be not likely feasible) | ||
A Pilot Study to Investigate the Efficacy and Safety of Dexmedetomidine and Fentanyl Versus Midazolam and Remifentanil for Sedation in Patients Undergoing Ablation Procedures for Treatment of a Tachyarrhythmia[NCT03451227] | 6 participants (Actual) | Interventional | 2017-12-01 | Terminated (stopped due to Unable to recruit eligible participants) | |||
Comparison of Dexmedetomidine and Propofol-Remifentanil Conscious Sedation for Awake Craniotomy for Tumor Surgery: a Randomized Controlled Trial[NCT01545297] | 50 participants (Actual) | Interventional | 2012-11-30 | Completed | |||
Prospective Comparison of Single vs. Staged Extractions: OHRQoL Outcomes for Wisdom Teeth Removal[NCT05820867] | 59 participants (Actual) | Interventional | 2018-03-01 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Surgeon satisfaction is measured by the Cooperation Scale. Minimum score of 0 and maximum of 9. Higher indicates a worse outcome (i.e., discomfort and movement) (NCT03255824)
Timeframe: 15 minutes following surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 2.07 |
Dexmedetomidine Group | 1.47 |
"To compare the differences in hemodynamic stability using a D/M combination compared to the MFP combination. (In this study, a deviation from baseline by 20% or greater will be considered clinically significant)~a. Change in blood pressure (NIBP) (change ≥ 20%) Blood pressure is presented as mean arterial pressure" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | mm Hg (Mean) |
---|---|
Propofol Group | 78 |
Dexmedetomidine Group | 88 |
"To compare the differences in hemodynamic stability using a D/M combination compared to the MFP combination. (In this study, a deviation from baseline of both the blood pressure and heart rate by 20% or greater will be considered clinically significant)~a. Change in heart rate (change ≥ 20 BPM)" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | beats per minute (Mean) |
---|---|
Propofol Group | 77 |
Dexmedetomidine Group | 62 |
"Visual Analog Scale was used to measure overall satisfaction with the IV sedation and memory of the procedure.~The minimum score is 0 (not satisfied at all) to a maximum score of 100 (completely satisfied).~A higher score is a better outcome." (NCT03255824)
Timeframe: 30 minutes following surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 93.5 |
Dexmedetomidine Group | 86.6 |
"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Time to ambulation (to recovery room) will be recorded" (NCT03255824)
Timeframe: After the procedure until ambulation, up to 20 minutes
Intervention | minutes (Mean) |
---|---|
Propofol Group | 10.8 |
Dexmedetomidine Group | 11.6 |
"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Duration of procedure will be recorded" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | MINUTES (Mean) |
---|---|
Propofol Group | 24.2 |
Dexmedetomidine Group | 22.1 |
"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Time to discharge or virtual discharge (comparative statistic) - Aldrete score of ≥ 9 or pre-procedure score is met The minimum score is 0 and the maximum score is 10. A higher score indicates wakefulness, hemodynamically stable, and able to ambulate.~ii. All subjects are required to stay a minimum of 30 minutes after the end of the procedure. Therefore, at least two postoperative vital sign readings will be obtained. If the subject meets discharge criteria prior to 30 minutes, this time will be the virtual discharge time" (NCT03255824)
Timeframe: After the procedure until discharge, up to 45 minutes
Intervention | minutes (Mean) |
---|---|
Propofol Group | 26.5 |
Dexmedetomidine Group | 29.9 |
"To compare the groups regarding movement of the patient during the first injection of local anesthesia during the IVS at time of injection measured using the Behavioral Pain Scale - Non-Intubated patients.~The minimum value is 3 and the maximum value is 12. Higher scores mean a worse outcome (i.e., more pain and movement on injection)" (NCT03255824)
Timeframe: During the first injection of local anesthesia during surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 3.9 |
Dexmedetomidine Group | 4.2 |
"To assess whether a D/M combination leads to a significant change in respiratory depression compared to the MFP combination.~a. Change in arterial oxygen saturation (as measured by pulse oximeter) i. number of events of ≤92%" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | Saturation percent (Mean) |
---|---|
Propofol Group | 98.7 |
Dexmedetomidine Group | 98.9 |
"To assess whether a D/M combination leads to a significant change in respiratory depression compared to the MFP combination.~a. Change in respiratory rate (change ≥ 20%)" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes
Intervention | breaths per minute (Mean) |
---|---|
Propofol Group | 18 |
Dexmedetomidine Group | 18 |
To compare the groups regarding the number of respiratory events requiring intervention, described as: Chin lift/jaw thrust, Tongue thrust, Yankauer suctioning, Positive pressure oxygen administration, Placement of an oral or nasal airway. (NCT03255824)
Timeframe: During surgery
Intervention | Participants (Count of Participants) |
---|---|
Propofol Group | 17 |
Dexmedetomidine Group | 2 |
"Surgeon satisfaction was measured by the surgeon grading the Operating Conditions scale.~The minimum value was 0 and the maximum was 3. 0=very poor, 1=poor, 2=fair, 3=good" (NCT03255824)
Timeframe: 15 minutes following surgery
Intervention | score on a scale (Mean) |
---|---|
Propofol Group | 2.8 |
Dexmedetomidine Group | 2.9 |
19 trials available for midazolam and Teeth, Impacted
Article | Year |
---|---|
Advantages of Sedation With Remimazolam Compared to Midazolam for the Removal of Impacted Tooth in Patients With Dental Anxiety.
Topics: Dental Anxiety; Double-Blind Method; Humans; Hypnotics and Sedatives; Midazolam; Prospective Studies | 2023 |
Efficacy of continuous intravenous remimazolam versus midazolam in the extraction of impacted wisdom teeth: protocol of a randomised controlled trial.
Topics: Benzodiazepines; Humans; Midazolam; Molar, Third; Multicenter Studies as Topic; Randomized Controlle | 2023 |
Safety of adjunct pre-emptive intravenous tramadol with midazolam sedation for third molar surgery.
Topics: Administration, Intravenous; Adult; Female; Humans; Hypnotics and Sedatives; Male; Midazolam; Molar, | 2015 |
A comparison of the effects of midazolam/fentanyl and midazolam/tramadol for conscious intravenous sedation during third molar extraction.
Topics: Analgesics, Opioid; Anesthesia, Dental; Anesthetics, Combined; Conscious Sedation; Double-Blind Meth | 2011 |
Evaluation of patient-controlled remifentanil application in third molar surgery.
Topics: Adolescent; Adult; Analgesia, Patient-Controlled; Anesthesia, Dental; Anesthetics, Intravenous; Epid | 2005 |
Dexmedetomidine versus midazolam in outpatient third molar surgery.
Topics: Adolescent; Adult; Ambulatory Care; Anesthetics, Intravenous; Blood Pressure; Conscious Sedation; Co | 2006 |
Dexmedetomidine versus midazolam in outpatient third molar surgery.
Topics: Adolescent; Adult; Ambulatory Care; Anesthetics, Intravenous; Blood Pressure; Conscious Sedation; Co | 2006 |
Dexmedetomidine versus midazolam in outpatient third molar surgery.
Topics: Adolescent; Adult; Ambulatory Care; Anesthetics, Intravenous; Blood Pressure; Conscious Sedation; Co | 2006 |
Dexmedetomidine versus midazolam in outpatient third molar surgery.
Topics: Adolescent; Adult; Ambulatory Care; Anesthetics, Intravenous; Blood Pressure; Conscious Sedation; Co | 2006 |
A comparison of midazolam and midazolam with remifentanil for patient-controlled sedation during operations on third molars.
Topics: Adolescent; Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Cooperative Behavior; Fema | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
A comparison of dexmedetomidine and midazolam for sedation in third molar surgery.
Topics: Adult; Anesthesia, Local; Blood Pressure; Conscious Sedation; Dexmedetomidine; Double-Blind Method; | 2007 |
[Evaluation of midazolam intravenous sedated patient's comfort degree in mandibular third molar surgery].
Topics: Adolescent; Adult; Anesthesia, Dental; Anesthetics, Intravenous; Conscious Sedation; Female; Humans; | 2007 |
A comparison of patient and anaesthetist controlled midazolam sedation for dental surgery.
Topics: Adolescent; Adult; Anesthesiology; Female; Humans; Hypnotics and Sedatives; Infusion Pumps; Male; Mi | 1994 |
Patient-controlled sedation: a comparison of sedation prior to and until the end of minor oral surgery.
Topics: Adolescent; Adult; Anesthesia, Dental; Blood Pressure; Conscious Sedation; Female; Humans; Hypnotics | 1996 |
Bilateral block: is it safe and more efficient during removal of third molars?
Topics: Absenteeism; Anesthesia, Dental; Anesthesia, Local; Anesthetics, Local; Anxiety; Conscious Sedation; | 1996 |
Multidrug intravenous sedation: determinants of the sedative dose of midazolam.
Topics: Adolescent; Adult; Analysis of Variance; Anesthesia, Dental; Anesthetics, Combined; Anesthetics, Int | 1997 |
Comparing efficacy and safety of four intravenous sedation regimens in dental outpatients.
Topics: Ambulatory Surgical Procedures; Analysis of Variance; Anesthesia, Dental; Anesthetics, Intravenous; | 2001 |
Flumazenil reversal of conscious sedation for minor oral surgery.
Topics: Adolescent; Adult; Anesthesia Recovery Period; Conscious Sedation; Double-Blind Method; Female; Flum | 1992 |
Does midazolam sedation in oral surgery affect the potency or duration of diflunisal analgesia?
Topics: Adolescent; Adult; Anesthesia, Local; Conscious Sedation; Diflunisal; Drug Interactions; Female; Hum | 1990 |
Intravenous midazolam in oral surgery.
Topics: Adolescent; Adult; Anesthesia, Dental; Anxiety; Female; Hemodynamics; Humans; Infusions, Intravenous | 1987 |
Oral midazolam sedation in third molar surgery.
Topics: Administration, Oral; Adolescent; Adult; Anesthesia, Dental; Dizziness; Double-Blind Method; Female; | 1987 |
Comparison of midazolam by mouth and diazepam i.v. in outpatient oral surgery.
Topics: Administration, Oral; Adult; Ambulatory Surgical Procedures; Anesthesia, Dental; Anxiety; Clinical T | 1987 |
5 other studies available for midazolam and Teeth, Impacted
Article | Year |
---|---|
Efficacy and safety of remimazolam besilate for sedation in outpatients undergoing impacted third molar extraction: a prospective exploratory study.
Topics: Anesthesia; Benzodiazepines; Humans; Midazolam; Molar, Third; Outpatients; Prospective Studies; Toot | 2023 |
Paradoxical reaction following administration of a benzodiazepine.
Topics: Adolescent; Anesthesia, Dental; Anesthetics, Intravenous; Antidotes; Female; Flumazenil; GABA-A Rece | 2010 |
Is intravenous conscious sedation for surgical orthodontics in children a viable alternative to general anaesthesia?--a case review.
Topics: Adolescent; Anesthesia, Dental; Anesthesia, General; Anesthesia, Local; Anesthetics, Intravenous; Ch | 2007 |
Respiratory effects of intravenous midazolam.
Topics: Adolescent; Adult; Airway Obstruction; Anesthesia, Dental; Anesthesia, Intravenous; Anesthetics, Int | 1996 |
Unexplained physical symptoms in dental patients.
Topics: Adult; Anesthesia, Dental; Anticonvulsants; Conscious Sedation; Dental Care; Diagnosis, Differential | 1998 |