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. 2018 Dec 17;2018(12):CD003877. doi: 10.1002/14651858.CD003877.pub5

Summary of findings 3. Sedative compared with a different sedative for children needing dental care.

Sedative compared with a different sedative for children needing dental care
Patient or population: children needing dental care
 Setting: hospital
 Intervention: sedative
 Comparison: different sedative
Outcomes Number of participants
 (studies) Certainty of the evidence
 (GRADE) Comments
Any behavioural score ‐
Chloral hydrate/hydroxyzine versus
235 (6) ⊕⊝⊝⊝
 VERY LOW1 No two studies evaluating the same intervention and comparison found the same effect. There is insufficient evidence to draw any conclusions
Any behavioural score ‐
Chloral hydrate/promethazine versus
24 (1) ⊕⊝⊝⊝
 VERY LOW1
Any behavioural score ‐
Dexmedetomidine versus
120 (2) ⊕⊝⊝⊝
 VERY LOW1
Any behavioural score ‐
Ketamine versus
494 (8) ⊕⊝⊝⊝
 VERY LOW1
Any behavioural score ‐
Ketamine/midazolam versus
27 (1) ⊕⊝⊝⊝
 VERY LOW1
Any behavioural score ‐
Midazolam (oral) versus
654 (7) ⊕⊝⊝⊝
 VERY LOW1
Any behavioural score ‐
Midazolam (intravenous) versus
70 (2) ⊕⊝⊝⊝
 VERY LOW1
Any behavioural score ‐ Midazolam (rectal) versus 90 (1) ⊕⊝⊝⊝
 VERY LOW1
Any behavioural score ‐
Sevoflurane versus
1140 (3) ⊕⊝⊝⊝
 VERY LOW1
GRADE Working Group grades of evidenceHigh certainty: we are very confident that the true effect lies close to that of the estimate of the effect.
 Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
 Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect.
 Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.

1Downgraded for risk of bias, inconsistency and/or imprecision.