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Midazolam use for dental conscious sedation: how safe are we?

Key Points

  • Suggests the use of midazolam for conscious sedation has an excellent safety profile in dentistry comparatively, with a low number of reported incidents.

  • Suggests that use of high strength midazolam is still prevalent.

  • Highlights that education and training of dentists regarding relevant safety reports and reporting systems is necessary to improve the safety culture of drug administration in conscious sedation.

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Figure 1
Figure 2: Bar chart showing the clinical situations in which flumazenil is used.
Figure 3: Flumazenil and midazolam drug ampoules (5 ml) manufactured by Hameln Pharmaceuticals, Gloucester, UK.


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The authors would like to thank the Society for the Advancement of Anaesthesia in Dentistry for allowing distribution of the survey.

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Correspondence to Z. Shehabi.

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Competing interests

The main author, Zahra Shehabi, was elected to the SAAD board of trustees in September 2016, after data was collected, analysed and submitted as an MSc thesis to City, University of London

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Shehabi, Z., Flood, C. & Matthew, L. Midazolam use for dental conscious sedation: how safe are we?. Br Dent J 224, 98–104 (2018).

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