Evidence map›Paper›PMID 42794173›Full record

ReviewChildren (Basel, Switzerland)2026

Intranasal and Oral Pharmacological Sedation in Pediatric Dentistry: A Thematic Scoping Review of Efficacy, Recovery, and Safety Outcomes.

Ayman M Sulimany, Hebah M Hamdan, Mannaa K Aldowsari, Saad Bin Saleh

Abstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ayman M SulimanyDepartment of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.ORCID 0000-0003-3861-1707
Hebah M HamdanDepartment of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
Mannaa K AldowsariDepartment of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.ORCID 0000-0002-6265-729X
Saad Bin SalehDepartment of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConscious sedation (CS) is commonly recommended in pediatric dental clinics to manage uncooperative and anxious patients. Various routes of drug administration have been introduced to achieve effective CS. Among these, the intranasal (IN) route has gained popularity in dentistry due to its non-invasive nature. However, there is currently no comprehensive thematic review analyzing the efficacy and safety of drug regimens delivered via the intranasal route alone or in combination with other administration routes. Therefore, the aim of the present review is to thematically analyze the efficacy and safety of different drug regimens used for conscious sedation delivered through the intranasal route and/or in combination with other routes. MATERIAL AND

methodThis scoping review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. The protocol was prospectively registered on the Open Science Framework (OSF) prior to data extraction. Predefined inclusion criteria were developed, and five electronic databases were searched. The search identified a total of 239 articles from different databases. After evaluation and removal of duplicates, a total of 54 articles were assessed for full-text eligibility. Finally, 18 articles were included, and data extraction was performed. To develop themes the included articles were imported to the N-vivo software package.

resultsSix themes and sixteen subthemes were developed. The major themes were route efficacy and behavioral outcomes, onset of action, patients' acceptance and tolerance, special needs population, recovery and duration, safety profile and adverse events.

conclusionCombined intranasal and oral conscious sedation is a generally safe and well-accepted approach in pediatric dentistry, but variations in recovery time, patient acceptance, and adverse events necessitate individualized sedation strategies.

Indexed as

combination drugsconscious sedationintranasal sedationoral routespecial healthcare needs childrenthematic analysis

Identifiers

PMID42794173
PMCPMC13605337

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.