Inhalation Sedation with Nitrous Oxide in Dental Treatment

2002 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Hyung Bae Yoon
Keyword(s):  
Nitrous Oxide ◽  
Dental Treatment ◽  
Inhalation Sedation

scholarly journals Temperament as a Predictor of Nitrous Oxide Inhalation Sedation Success

2017 ◽  
Vol 64 (1) ◽  
pp. 17-21 ◽  
Author(s):  
Travis M. Nelson ◽  
Thomas M. Griffith ◽  
Katherine J. Lane ◽  
Sarat Thikkurissy ◽  
JoAnna M. Scott
Keyword(s):  
Nitrous Oxide ◽  
Inhibitory Control ◽  
Dental Care ◽  
Effortful Control ◽  
Dental Treatment ◽  
Short Form ◽  
Child Temperament ◽  
Health Insurance Status ◽  
Inhalation Sedation ◽  
Significant Difference

Little is known about implications of temperament for children who receive nitrous oxide inhalation sedation (N2O/O2) for dental care. The aim of this study was to investigate whether child temperament is associated with success in N2O/O2. Child-caregiver dyads were enrolled from patients aged 36–95 months receiving dental care with N2O/O2 at a university-based pediatric dental clinic. To assess child temperament, 48 caregivers completed the Children's Behavior Questionnaire Short Form. Patient behavior was abstracted from Frankl scores recorded in the patient's chart. The overall behavioral failure rate was 15% (n = 7/48). There was no significant difference in sedation outcome associated with sex, health, insurance status, or complexity of treatment provided. Sedation outcome was significantly associated with the broad temperament domain of Effortful Control and its subscales Attentional Focusing and Inhibitory Control. The Negative Affectivity subscales of Frustration, Sadness, and Soothability and the Extraversion/Surgency subscales Activity and Impulsivity were also significantly associated with sedation outcome. The results of this study suggest that Effortful Control is associated with behavior during dental treatment with N2O/O2. The subscales of Attention Focusing, Inhibitory Control, Frustration, Fear, Sadness, Soothability, Activity, and Impulsivity may also be important determinants of child behavior during dental treatment.

scholarly journals Trends in Dental Sedation of Korean Children and Adolescents

2021 ◽  
Vol 48 (3) ◽  
pp. 313-323
Author(s):  
Minkyung Tak ◽  
Jaegon Kim ◽  
Yeonmi Yang ◽  
Daewoo Lee
Keyword(s):  
Nitrous Oxide ◽  
Health Insurance ◽  
Retrospective Study ◽  
Side Effects ◽  
Children And Adolescents ◽  
Dental Treatment ◽  
National Sample ◽  
Korean Children ◽  
Standard Data ◽  
Inhalation Sedation

The purpose of this study was to investigate trends in dental sedation of Korean children and adolescents. A retrospective study was conducted on patients under 20 years of age who received dental treatment under sedation using National Health Insurance Service-National Sample Cohort Database from 2002 to 2015. Based on the 1 million standard data, there were 436 cases of dental treatment under sedation in 2002, but 4002 cases in 2015, showing a trend increasing every year. The 3 - 5 year old group accounted for the largest portion (54.2%), while the 6 - 8 year old group increased recently. Nitrous oxide inhalation sedation is the most commonly used, accounting for 45.9% in 2002, but increased to 89.5% in 2015. Combination of nitrous oxide inhalation sedation, chloralhydrate and hydroxyzine was the most common, accounting for 5.7% in 2002, but decreased to 2.9% in 2015. There is a trend to use the sedation method more safely and in a way that reduces side effects.

An alternative sedation option for special care patients: combined inhalation sedation with nitrous oxide and oxygen and intravenous sedation with midazolam

Dental Update ◽  
2021 ◽  
Vol 48 (7) ◽  
pp. 533-538
Author(s):  
Stephanie Fenesan ◽  
Sadie Hughes ◽  
Neha Patel
Keyword(s):  
Nitrous Oxide ◽  
Clinical Relevance ◽  
Dental Treatment ◽  
Case Reports ◽  
Special Care ◽  
Intravenous Sedation ◽  
Advantages And Disadvantages ◽  
Inhalation Sedation ◽  
All Treatment ◽  
Additional Option

This article highlights an alternative sedation technique by providing inhalation sedation with nitrous oxide and oxygen alongside intravenous sedation with midazolam as an additional option for patients within special care dentistry. Two case reports are described, as well as a short overview of the available literature on this technique and the indications, advantages and disadvantages. This technique should be considered alongside other sedation techniques. As with all treatment for which sedation is provided, each case needs to be considered on an individual basis and the most appropriate option selected following discussion with the patient. CPD/Clinical Relevance: Although single sedation techniques provide a good level of sedation to facilitate dental treatment for the majority of patients, it is desirable to have an awareness of alternative sedation options that may be available for patients.

scholarly journals Characteristics of Intravenous Midazolam Sedation with Nitrous Oxide in Pediatric Dental Treatment

2020 ◽  
Vol 47 (1) ◽  
pp. 53-61
Author(s):  
Hyuntae Kim ◽  
Ji-Soo Song ◽  
Hong-Keun Hyun ◽  
Young-Jae Kim ◽  
Jung-Wook Kim ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Success Rate ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Dental Treatment ◽  
Initial Dosage ◽  
Clinical Effectiveness ◽  
Behavioral Management ◽  
Restorative Treatment ◽  
Inhalation Sedation

Midazolam is a short-acting benzodiazepine that is widely used in pediatric dental sedation. However, its clinical effectiveness as an intravenous sedative agent in children has not been widely documented. A retrospective study was conducted to evaluate the efficacy and safety of intravenous midazolam and nitrous oxide inhalation sedation in pediatric dental treatment.<br/>The subjects were 115 patients (118 cases) who received dental treatment under intravenous midazolam and nitrous oxide inhalation sedation. Demographic factors, general health status, sedation time, midazolam and nitrous oxide dosage, and success rate of sedation were evaluated from electronic medical records.<br/>Behavioral management was the main reason of choosing sedation. Mean duration of sedation was 56.7 minutes for surgical treatment, and 74.4 minutes for restorative treatment. The initial dosage of intravenous midazolam was 0.051 ± 0.019 mg/kg. In 34 cases (28.8%), additional midazolam of 0.036 ± 0.057 mg/kg was delivered during the treatment. The concentration of nitrous oxide was maintained between 40% and 50%. The success rate of sedation was 99% (n = 117). In 1 case, laryngospasm occurred and the patient was reversed with benzodiazepine antagonist, flumazenil.<br/>Intravenous midazolam sedation with nitrous oxide was shown to be clinically effective for the dental treatment in children, if administered by trained personnel and patients are carefully selected in accordance with guidelines.

scholarly journals Use of nitrous oxide‐oxygen inhalation sedation in the COVID‐19 era

2021 ◽  
Vol 31 (3) ◽  
pp. 433-435
Author(s):  
Kunal Gupta ◽  
Dimitrios Emmanouil ◽  
Amit Sethi
Keyword(s):  
Nitrous Oxide ◽  
Inhalation Sedation ◽  
Oxygen Inhalation ◽  
Nitrous Oxide Oxygen

A clinical trial of efficacy and safety of inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox™) in general practice

2011 ◽  
Vol 16 (2) ◽  
pp. 633-642 ◽  
Author(s):  
Martine Hennequin ◽  
Valérie Collado ◽  
Denise Faulks ◽  
Serge Koscielny ◽  
Peter Onody ◽  
...  
Keyword(s):  
Clinical Trial ◽  
General Practice ◽  
Nitrous Oxide ◽  
Efficacy And Safety ◽  
Inhalation Sedation ◽  
Nitrous Oxide Oxygen

A review of contemporary inhalation sedation guidelines and regulations related to treating children

2017 ◽  
Vol 8 (3) ◽  
pp. 112-118 ◽  
Author(s):  
S Rajan ◽  
DJ Manton ◽  
N Bhujel
Keyword(s):  
Nitrous Oxide ◽  
General Anaesthesia ◽  
Paediatric Dentistry ◽  
Safe Practice ◽  
Global Trends ◽  
Inhalation Sedation ◽  
Dental Procedures ◽  
The Us ◽  
The Uk

Inhalation sedation (IS) with nitrous oxide (N2O) is classified as minimal sedation. In paediatric dentistry, IS works well for mildly anxious but potentially cooperative children, reducing the need for general anaesthesia for simple dental procedures. We review contemporary guidelines relating to ISN2O in Australasia, the UK, Europe and the US. As this is a multispecialty area, with differences in laws, regulations, guidance and governance from country to country, this review aims to illuminate global trends and assist with the designing of local regulations for the safe practice of ISN2O.

scholarly journals Chronic pain relief after the exposure of nitrous oxide during dental treatment: longitudinal retrospective study

2015 ◽  
Vol 73 (7) ◽  
pp. 578-581 ◽  
Author(s):  
Francisco Moreira Mattos Júnior ◽  
Rafael Villanova Mattos ◽  
Manoel Jacobsen Teixeira ◽  
Silvia Regina Dowgan Tesseroli de Siqueira ◽  
Jose Tadeu Tesseroli de Siqueira
Keyword(s):  
Chronic Pain ◽  
Nitrous Oxide ◽  
Dental Treatment ◽  
Chronic Pain Patients ◽  
Before And After ◽  
Nitrous Oxide Oxygen ◽  
Oxygen Nitrous Oxide ◽  
Prevalence Of Pain ◽  
Underlying Mechanisms ◽  
Pain Patients

The objective was to investigate the effect of nitrous/oxygen in chronic pain. Seventy-seven chronic pain patients referred to dental treatment with conscious sedation with nitrous oxide/oxygen had their records included in this research. Data were collected regarding the location and intensity of pain by the visual analogue scale before and after the treatment. Statistical analysis was performed comparing pre- and post-treatment findings. It was observed a remarkable decrease in the prevalence of pain in this sample (only 18 patients still had chronic pain, p < 0.001) and in its intensity (p < 0.001). Patients that needed fewer sessions received higher proportions of nitrous oxide/oxygen. Nitrous oxide may be a tool to be used in the treatment of chronic pain, and future prospective studies are necessary to understand the underlying mechanisms and the effect of nitrous oxide/oxygen in patients according to the pain diagnosis and other characteristics.

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