Evidence map›Paper›PMID 41488759›Full record

Trial reportDrug design, development and therapy2025

A Comparison of the Effect of Remimazolam and Midazolam on Recovery and Preserved Memory Function for Patients with Dental Extraction Anxiety.

Quan Jing, Weijia Wang, Limeng Wu, Lejunzi Wang, Boru Yuan, Yan Wang, Chengbin Wang, Lin Liu, Lei Guan, Riyue Yu and 5 more

Registry-linked trialAbstract readComparative StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05350085 (A Randomized Controlled Clinical Trial of Remimazolam Benzenesulfonate Usage in the Extraction of Impacted Wisdom Teeth), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05350085 naunknown statusnot on this map

A Randomized Controlled Clinical Trial of Remimazolam Benzenesulfonate Usage in the Extraction of Impacted Wisdom Teeth

TypeinterventionalSponsorPeking Union Medical College HospitalRan2022 to 2023Enrolled150ConditionsDental Anxiety, Sedation Complication, Anterograde AmnesiaArmsRemimazolam besylate, Midazolam
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The median effective dose (EDBMC anesthesiology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Quan Jing *Department of Stomatology, Peking Union Medical College Hospital, Beijing, People's Republic of China.
Weijia Wang *Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, People's Republic of China.ORCID 0000-0002-8129-4746
Limeng WuDepartment of Stomatology, Peking Union Medical College Hospital, Beijing, People's Republic of China.
Lejunzi WangDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, People's Republic of China.
Boru YuanDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, People's Republic of China.ORCID 0009-0000-1360-993X
Yan WangDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, People's Republic of China.
Chengbin WangDepartment of Anesthesiology, Anzhen Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0003-1947-7485
Lin LiuDepartment of Stomatology, Anzhen Hospital, Capital Medical University, Beijing, People's Republic of China.
Lei GuanDepartment of Anesthesiology, Beijing You'an Hospital, Capital Medical University, Beijing, People's Republic of China.
Riyue YuDepartment of Stomatology, Beijing Shijitan Hospital, Capital Medical University, Beijing, People's Republic of China.
Yuelun ZhangMedical Research Center, Peking Union Medical College Hospital, Beijing, People's Republic of China.ORCID 0000-0001-7990-9003
Daniel I SesslerCenter for Outcomes Research and Department of Anesthesiology, UTHealth, Houston, TX, USA.
Yuguang HuangDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, People's Republic of China.
Kuo WanDepartment of Stomatology, Peking Union Medical College Hospital, Beijing, People's Republic of China.ORCID 0000-0002-7092-1126
Lijian PeiDepartment of Anesthesiology, Peking Union Medical College Hospital, Beijing, People's Republic of China.ORCID 0000-0001-7174-9105

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Remimazolam is an ultrashort-acting benzodiazepine, which has been indicated to be effective in endoscopic surgery and general anaesthesia. Research on its use in outpatient dental procedures remains limited. This triple-blinded randomized clinical trial was designed to determine whether the quality of postoperative recovery is better with continuous intravenous remimazolam administration compared with midazolam administration for impacted wisdom tooth extraction in patients with dental anxiety. Patients and Methods: This study was a randomized, parallel triple-blinded, superiority trial conducted between 30 April 2022 and 24 June 2024. Participants aged ≥18 years who exhibited dental anxiety and who were eligible for impacted wisdom tooth extraction in an outpatient setting were included in this study. Participants were randomly assigned at a 1:1 ratio to receive either a continuous intravenous infusion of remimazolam or midazolam. The primary outcome was the time to recover full alertness. The secondary outcome was postoperative anterograde amnesia. Results: A total of 150 participants were randomized in this study, with 75 patients assigned to the remimazolam group and 75 patients assigned to the midazolam group. The time to complete alertness was significantly shorter in the remimazolam group than in the midazolam group (3.0 ± 3.6 min vs 4.7 ± 5.2 min, mean difference, -1.9 min; 95% CI, -3.3min to -0.4 min; P = 0.013). The odds of immediate and delayed anterograde amnesia were much reduced with remimazolam administration compared with midazolam administration (immediate: 0.14, 95% CI, 0.05 to 0.34, delayed: 0.07, 95% CI, 0.03 to 0.15, both P < 0.001). Conclusion: For patients with dental anxiety, remimazolam offers not only faster recovery, but also a much better restoration of memory function compared with midazolam. Trial Registration: https://clinicaltrials.gov/study/NCT05350085.

Indexed as

BenzodiazepinesDental AnxietyMemoryMidazolamTooth ExtractionAdultFemaleHumansMaleMiddle AgedYoung AdultBenzodiazepinesMidazolamremimazolamantegrade amnesiabenzodiazepinebesylateoutpatient surgeryprocedure sedationremimazolam

Identifiers

PMID41488759
PMCPMC12764204

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.