Question · asked by 1 review

Oral diazepam vs placebo or no intervention: Behaviour

Population
Children and adolescents (0 to 16 years) needing dental treatment
Intervention
Oral diazepam
Comparison
placebo or no intervention
Outcome
Behaviour

It is very uncertain whether oral diazepam changes behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (very low certainty).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 2 · 66.7%Very low 1 · 33.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Oral diazepam vs Placebo (including no intervention)
Behaviour (Houpt/behavioural score) · Children and adolescents (0 to 16 years) needing dental treatment
It is very uncertain whether oral diazepam changes behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (very low certainty).
Sedation of children undergoing dental treatment (2018) · Cochrane All outcomes
SMD 0.62 [-0.28, 1.53]1 study · 20 participantsVery low
Oral diazepam vs Placebo (including no intervention)
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Sedation of children undergoing dental treatment (2006) · Cochrane All outcomesearlier version CD003877.PUB3, superseded
Five diazepam placebo studies (oral x4; rectal x1): Gallardo 1984 and Yanase 1996 significant; Flaitz 1985a (rectal) significant; Lindsay 1985a/1985b no difference. Narrative; not pooled.5 studiesGRADE not reported
Oral diazepam vs Placebo (including no intervention)
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Sedation of children undergoing dental treatment (2005) · Cochrane All outcomesearlier version CD003877.PUB2, superseded
Five diazepam placebo studies (oral x4; rectal x1): Gallardo 1984 (0.5 mg/kg) and Yanase 1996 (0.3 mg/kg) significant behaviour improvement; Flaitz 1985a (rectal 0.6 mg/kg) significantly reduced interfering movements;…5 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Sedation of children undergoing dental treatment
2018 · Cochrane All outcomes
22 February 2018Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.