The Practical Role of Midazolam in Pediatric Dentistry

Midazolam has a definite role in the behavior guidance armamentarium of the Pediatric Dentist. But to make its use predictable and consistent requires not only an in-depth understanding of the drug but also an understanding of its limitations. This introductory chapter deals with the need for pharmacological management in children, the roles of midazolam and inhalation sedation, and the unique properties that make midazolam an almost ideal sedative agent in Pediatric Dentistry. This chapter also helps the reader appreciate that midazolam in prescribed doses will lead to minimal/moderate sedation only. Minimal/moderate sedation won’t be able to overcome the extreme fear of a combative child. Hence, midazolam on its own will not be effective in combative children. It will work best for anxious children in conjunction with non-pharmacological behavior guidance and good local anesthetic techniques, which are ultimately the cornerstones of child management in Pediatric Dentistry.