The use of intravenous midazolam and ketamine in paediatric dental sedation.

In the UK, Dental General Anaesthesia (DGA) was removed from primary care at the end of 2001. Since then anxious and 'difficult' paediatric dental patients have been treated using local anaesthesia with or without conscious sedation. Evidence has been lacking as to the safety and efficacy of paediatric dental sedation in primary care. Various centres have presented evidence of good clinical practice when anaesthetist-led. This study describes an audit of 500 children treated using intravenous midazolam and ketamine, by an operator-sedationist in a primary care setting.