Question · asked by 1 review

Oral midazolam vs placebo or no intervention: Behaviour

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

Oral midazolam probably leads to higher behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (moderate certainty).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 3 · 75%Very low 0 · 0%Low 0 · 0%Moderate 1 · 25%High 0 · 0%
FindingEffectStudiesGRADE certainty
Oral midazolam vs Placebo (including no intervention)
Behaviour (Houpt/behavioural score) · Children and adolescents (0 to 16 years) needing dental treatment
Oral midazolam probably leads to higher behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (moderate certainty).
Sedation of children undergoing dental treatment (2018) · Cochrane All outcomes
SMD 1.96 [1.59, 2.33]6 studies · 202 participantsModerate
Oral midazolam vs Placebo (including no intervention)
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Oral midazolam led to higher behaviour compared with placebo (including no intervention); GRADE not reported.
Sedation of children undergoing dental treatment (2012) · Cochrane All outcomesearlier version CD003877.PUB4, superseded
SMD 2.98 [1.58, 4.37]5 studies · 182 participantsGRADE not reported
Oral midazolam 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Sedation of children undergoing dental treatment (2006) · Cochrane All outcomesearlier version CD003877.PUB3, superseded
Two studies (Gallardo 1994; Lima 2003) reported oral midazolam significantly improved all parameters vs placebo; a further study (Kapur 2004) of oral transmucosal midazolam also found significant differences favouring…2 studiesGRADE not reported
Oral midazolam 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Sedation of children undergoing dental treatment (2005) · Cochrane All outcomesearlier version CD003877.PUB2, superseded
Gallardo 1994 (oral midazolam 7.5 mg): significantly improved all parameters evaluated vs placebo. Narrative; not pooled.1 studyGRADE 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

The same intervention and outcome, asked in another population or against another comparator.

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.