Hallucinations and Delirium in the Dental Office Following Triazolam Administration

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Hallucinations and Delirium in the Dental Office Following Triazolam Administration
Anesthesia Progress
Volume 52, Issue 1 (Spring 2005)

Jason H. Goodchild, DMD* and Mark Donaldson, PharmD‹
* Department of Diagnostic Sciences, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, and Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania
‹ Kalispell Regional Medical Center, Kalispell, Montana, and Department of Pharmaceutical Sciences, University of Montana, Missoula, Montana

A rare and unusual case of hallucinations following triazolam administration is reported. A review of the literature suggests that hallucinations following triazolam are rare; this is the first report of such a reaction when triazolam was used for oral conscious sedation in dentistry. A discussion of dental implications follows with emphasis on complete medical history evaluation before administering oral sedatives. We conclude that the proper selection of oral sedation candidates, coupled with recognition and management of adverse events, is essential.

Keywords: Triazolam, Hallucinations, Oral sedation

Received: January 9, 2004; Accepted: September 29, 2004

DOI: 10.2344/0003-3006(2005)52[17:HADITD]2.0.CO;2

Address correspondence to Jason H. Goodchild, DMD, 110 Bergen Street, Room D-860, Newark, NJ 07103; goodchjh@umdnj.edu.

© 2007 The American Dental Society of Anesthesiology