Attention-deficit/hyperactivity disorder symptoms in children with traumatic dental injuries.

AIM: The aim of this study was to compare the symptoms of attention-deficit/hyperactivity disorder (ADHD) in children with TDIs with to non-injured children. MATERIAL AND METHODS: Children between 7 and 16 years old who were admitted to the Selcuk University, Faculty of Dentistry, for treatment of dental trauma were included in the study group (SG). As a control group (CG), children with no reported history of dental trauma were recruited. The Conners' Parent Rating Scale-Revised: Short Form (CPRS-R: S) was used to assess ADHD symptoms. RESULTS: Both groups, SG and CG, composed of 55 children. There were no significant differences in age, gender, and duration of education between SG and CG. Children with TDIs had significantly higher CPRS-R: S Hyperactivity scores. Hyperactivity level was positively correlated with the history of previous dental trauma. There were no associations between number of injured teeth, type of injury, and ADHD symptoms. CONCLUSIONS: These findings suggest that children with TDIs have more hyperactive symptoms than children without dental trauma. Clinicians should screen ADHD symptoms in children with TDIs and refer them for treatment when necessary.

Intranasal midazolam may prevent gagging reflex: a case report.

BACKGROUND: Gagging can become a conditioned response that makes dental treatment difficult or impossible for both the individual and the dentist. The aim of this study is to report a 50 year old female and two children (15 and 11 years old) with exaggerated gag reflex referred to Faculty of Dentistry of Selçuk University. METHODS: During obtaining records, taking impression procedure was elicited the patients' hypersensitive gagging reflex. Therefore, it was decided to administer intranasal midazolam to facilitate the taking of accurate dental impressions. After given verbal information about the procedure, 2.5 mg intranasal midazolam (Demizolam, Dem Medikal, Istanbul) were applied incrementally in both nostrils. RESULTS: Five minutes later; patients had no gagging reflex and allowed the clinician to take satisfying impressions. No serious adverse effects were observed and the patients remained cooperative during the entire procedure which was completed to the full satisfaction of all involved. The short absorption time and the fast relief process of anaesthetics transferred to the systemic circulatory system are important advantages of nasal application. CONCLUSIONS: Intranasal midazolam may be very useful for the treatment of gag reflex probably effecting on the depression of upper airway reflex sensitivity.