Premedication Intake Behavior - Does It Predict Behavior During Dental Treatment?

2012 ◽  
Vol 36 (4) ◽  
pp. 389-392
Author(s):  
E Davidovich ◽  
S Naser ◽  
J Shapira ◽  
D Ram
Keyword(s):  
Nitrous Oxide ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Age Groups ◽  
Predictive Tool ◽  
Nitrous Oxide Oxygen ◽  
Oral Premedication ◽  
And Behavior ◽  
Influence Behavior ◽  
Two Age Groups

Objectives: to investigate whether behavior during hydroxyzine administration predicts children's behavior during dental treatment and whether behavior during treatment is affected by the complexity of treatment. Materials and method: 118 children aged 2 to 6.5 years old were treated under conscious sedation with oral premedication (3.7 mg/kg of hydroxyzine in a concentration of 50mg/5 cc. hydroxyzine) and 50% nitrous oxide/oxygen sedation. Children were divided in two age groups: aged 2 to ≤ 4 years old, and aged 4 ≯ to 6 years old. Behavior during first examination; cooperation during premedication administration, cooperation during nitrous oxide nose-mask placement, behavior during dental treatment, treatment duration and complexity of treatment were recorded. Results: More children in the older group took the premedication willingly (p=0.026). Significant correlation (p=0.002) between behavior during examination and nitrous oxide mask acceptance was found in the older age group. No correlation was found regarding the cooperation during premedication intake and behavior during treatment within and between age groups. No statistical differences within the groups and between the groups were found between complexity of treatment and behavior during treatment. Conclusions: Premedication intake is not a reliable predictive tool for behavior during treatment in children aged 2-6.5 years. Complexity of treatment does not influence behavior during treatment in children aged 2-6.5 years.

Modification of Behavior With 50% Nitrous Oxide/Oxygen Conscious Sedation Over Repeated Visits for Dental Treatment A 3-Year Prospective Study

2006 ◽  
Vol 26 (5) ◽  
pp. 474-481 ◽  
Author(s):  
Val??rie Collado ◽  
Martine Hennequin ◽  
Denise Faulks ◽  
Marie-No??lle Mazille ◽  
Emmanuel Nicolas ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Prospective Study ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Nitrous Oxide Oxygen

Internet Sex discourse and porn viewing by Arab adolescents: The overt and the covert and its impact on their sexual education and behavior (Preprint)

2018 ◽  
Author(s):  
Anat Gesser-Edelsburg ◽  
Munawar Abed Elhadi
Keyword(s):  
Age Groups ◽  
Sexual Education ◽  
The Internet ◽  
Traditional Values ◽  
Sexual Discourse ◽  
Cultural Taboos ◽  
Internet Sex ◽  
And Behavior ◽  
Depth Interviews ◽  
Two Age Groups

BACKGROUND Due to the religious proscription, it was found that Arab youths acquire information and view pornography secretly. The internet exposes them to contents that contradict religious and cultural taboos. There are few studies about viewing habits of sexual contents among Arab adolescents and about the way they discuss sexuality. OBJECTIVE to characterize the barriers and difficulties that prevent sexual discourse in Arab society and enable pornography viewing, according to the perceptions of adolescents and mothers. METHODS phenomological qualitative research methods, in-depth interviews with 40 participants. 20 Arab adolescents, sampled by two age groups: 14-16 and 16-18. In addition, 20 mothers of adolescents from both sexes were interviewed. RESULTS The findings indicate that mothers “turn a blind eye” to porn viewing and sexual activity by boys, versus a sweeping prohibition and denial of such behavior by girls. The boys reported viewing porn routinely, whereas girls denied doing so, but admitted that their girlfriends watched porn. The study also found that the boys have guilt feelings during and after the viewing as a result of the clash between modernity and traditional values. CONCLUSIONS It is necessary to find a way to encourage a significant sexual discourse to prevent the violent consequences of its absence in Arab society. A controlled, transparent and critical sexual discourse could help youth make more informed decisions concerning the search for sexual contents, porn viewing and sexual behavior.

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.

scholarly journals Sedation with 50% nitrous oxide/oxygen for outpatient dental treatment in individuals with intellectual disability

2007 ◽  
Vol 49 (8) ◽  
pp. 621-625 ◽  
Author(s):  
Denise Faulks ◽  
Martine Hennequin ◽  
Sylvie Albecker-Grappe ◽  
Marie-Cécile Manière ◽  
Corinne Tardieu ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Intellectual Disability ◽  
Dental Treatment ◽  
Nitrous Oxide Oxygen

Mandibular Block or Maxillary Infiltration

2012 ◽  
Vol 36 (3) ◽  
pp. 245-250 ◽  
Author(s):  
D Ram ◽  
E Amir ◽  
R Keren ◽  
J Shapira ◽  
E Davidovich
Keyword(s):  
Local Anesthesia ◽  
Adverse Reactions ◽  
Dental Treatment ◽  
Age Groups ◽  
Parent Report ◽  
Lower Lip ◽  
Dental Appointment ◽  
Previous Visit ◽  
Two Age Groups ◽  
Dental Appointments

Purpose: Local anesthesia by mandibular block or maxillary infiltration is commonly administered to children receiving dental treatment of primary molars. Discomfort, when presenting, most often involves the lower lip. The purpose of this study was to investigate whether children would be more opposed to attending a dental treatment following anesthesia by mandibular block than by maxillary infiltration. Methods: Each of 102 children in two age groups: 3 to 5 years, and 6 to 9 years, received the two types of local anesthesia at dental appointments one week apart. Their opposition to attending a subsequent appointment was assessed by parent report. Results: More adverse reactions were observed during and following anesthesia with mandibular block than with maxillary infiltration. Few of the children in either age group expressed opposition to attend a dental visit after receiving mandibular block or maxillary infiltration in the previous visit. Conclusions: Though more adverse reactions were observed in children following mandibular block than maxillary infiltration, this did not result in increased opposition to attend a subsequent dental appointment.

Conscious sedation in the 21st century

2003 ◽  
Vol 26 (2) ◽  
pp. 179-180 ◽  
Author(s):  
Hani Eid
Keyword(s):  
Nitrous Oxide ◽  
21St Century ◽  
Conscious Sedation ◽  
Behavioral Management ◽  
Management Skills ◽  
Nitrous Oxide Oxygen ◽  
Oral Sedation

Most (99%) patients treated at this university clinic do not need any form of sedation as rapport and behavioral management skills are more than sufficient and are safe. Those aged 1 to 5 years, who needed the use of oral sedation (Midazolam), showed 70% success. Those who needed nitrous oxide / oxygen ranged in age from 8 to 18 years and were later treated without any sort of conscious sedation after one or two sessions of nitrous oxide / oxygen sedation.

scholarly journals Conscious Sedation with Nitrous Oxide to control Stress during Dental Treatment in Patients with Cerebral Palsy: An Experimental Clinical Trial

2017 ◽  
Vol 10 (4) ◽  
pp. 384-390 ◽  
Author(s):  
Fernando M Baeder ◽  
Daniel F Silva ◽  
Ana CL de Albuquerque ◽  
Maria TBR Santos
Keyword(s):  
Clinical Trial ◽  
Nitrous Oxide ◽  
Cerebral Palsy ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Test Analysis ◽  
Significance Level ◽  
Dental Procedures ◽  
Chi Squared ◽  
Student’S T

ABSTRACT Introduction Individuals with cerebral palsy (CP) often present with oral alterations that impact oral health and require dental treatment. Aim This study aimed to evaluate the use of conscious sedation with nitrous oxide (N2O) to control stress during dental treatment in individuals with CP using as parameters: Venham score (VS), heart rate (HR), and respiratory rate (RR). Materials and methods A total of 77 CP patients >3 years of age with a mean age of 11.8 (± 6.4) years were evaluated in a rehabilitation center. Stress control was measured at the following time points: T1 (presedation), T2 (induction), T3 (sedated patient), and T4 (end). Student's t-test, the Chi-squared test, analysis of variance (ANOVA), and the McNemar test were used. The significance level was 5%. Results Sedation ranged between 10 and 60% N2O, with an average of 35.6% (± 10.4). The RR did not vary among the times (p = 0.12). The HR and VS varied significantly between times (p < 0.001), as significantly higher values of HR were observed at T1. Conclusion Conscious sedation with N2O during dental care controls stress in CP patients, as verified by a decrease in HR, and does not promote respiratory depression. Higher concentrations of N2O are recommended for CP patients with tachycardia. Clinical significance Sedation modifies behavior during dental procedures, facilitating patient collaboration. How to cite this article Baeder FM, Silva DF, de Albuquerque ACL, Santos MTBR. Conscious Sedation with Nitrous Oxide to control Stress during Dental Treatment in Patients with Cerebral Palsy: An Experimental Clinical Trial. Int J Clin Pediatr Dent 2017;10(4):384-390.

A review of the safety of 50% nitrous oxide/oxygen in conscious sedation

2007 ◽  
Vol 6 (5) ◽  
pp. 559-571 ◽  
Author(s):  
Valérie Collado ◽  
Emmanuel Nicolas ◽  
Denise Faulks ◽  
Martine Hennequin
Keyword(s):  
Nitrous Oxide ◽  
Conscious Sedation ◽  
Nitrous Oxide Oxygen

Oxygen Saturation and Pulse Rate Change in Children during Sedation with Oral Midazolam and Nitrous Oxide

2018 ◽  
Vol 42 (6) ◽  
pp. 461-464
Author(s):  
Sigalit Blumer ◽  
Rabea Iraqi ◽  
Roly Bercovich ◽  
Benjamin Peretz
Keyword(s):  
Nitrous Oxide ◽  
Oxygen Saturation ◽  
Pulse Rate ◽  
Pediatric Patients ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Retrospective Chart Review ◽  
Pediatric Dentistry ◽  
Oral Midazolam ◽  
Clinically Significant

Objective: We aimed to examine if changes in oxygen saturation and pulse rate of pediatric patients during conscious sedation with midazolam and nitrous oxide are associated with child's behavior, midazolam dose, the type and duration of the treatment and demographic parameters. Study Design: This study was a retrospective chart review of consecutive pediatric patients, aged 2.5–12.5 years, who had undergone conscious sedation for dental treatment with oral midazolam (with or without nitrous oxide) between January 2011 and September 2015 at the Department of Pediatric Dentistry of Tel Aviv University. Oral midazolam was administered according to the patients' weight, either at 0.4 mg/kg, 0.5 mg/kg or at a maximum dose of 10 mg. In all cases pulse rate and oxygen saturation were monitored every 15 minutes during treatment, Results: 147 sedation sessions (82 of females and 65 of males) were included in the study. Sedation was successful in 80% of cases. Children with poor behavior scores had statistically significant different mean saturation levels, albeit within normal range, during the treatment (p&lt;0.012) as well as a clinically significant higher mean pulse rate (p=0.0001), compared to children with good or excellent behavior scores. Treatment duration, the type of dental procedure or the patients' weight were not correlated with the change in oxygen saturation or pulse rate during the treatment. Conclusions: Poor behavior of pediatric patients does not affect oxygen saturation, but it increases the pulse rate of children under sedation with midazolam and nitrous oxide.

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