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 Risk of respiratory depression at use of nitrous oxide on individuals with cerebral palsy: a clinical trial

2021 ◽  
Vol 10 (13) ◽  
pp. e198101320774
Author(s):  
Fernando Martins Baeder ◽  
Daniel Furtado Silva ◽  
Ana Carolina Lyra de Albuquerque ◽  
Dênis Clay Lopes dos Santos ◽  
Andrea Pavanello ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Cerebral Palsy ◽  
Respiratory Depression ◽  
Dental Care ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Outpatient Setting ◽  
Significance Level ◽  
Significant Difference ◽  
N2o Titration

The dental care for individuals with cerebral palsy (CP) often result in the referral of patients for general anesthesia. Conscious sedation with nitrous oxide (N2O) could be an alternative resource, from a behavioral and physiological point of view, and could favor dental care in an outpatient setting. This study aimed to evaluate the influence of conscious sedation with N2O on respiratory rate (RR) and oxygen saturation (SpO2) in the dental treatment of individuals with CP. Seventy-seven patients with CP, over 3 years old, regardless of gender and ethnicity, were evaluated with the measurement of N2O titration, RR and SpO2 in four moments: initial, 5 minutes after sedation, 10 minutes after anesthesia and 5 minutes after removal of the N2O. Student's t test and ANOVA F were used, with a significance level of 5%. The variation in N2O titration did not generate significant variation in RR (p = 0.122). There was a significant difference in SpO2 between T1 and other times. It can be said that conscious sedation is not influenced by N2O titration, does not cause respiratory depression or any clinically significant change in SpO2, confirming the safety of use in an outpatient setting.

scholarly journals Penggunaan sedasi inhalasi N 2 O-O 2 pada penatalaksanaan marsupialisasi ranula rongga mulut anak anxiety patient

2008 ◽  
Vol 7 (2) ◽  
pp. 78
Author(s):  
Harun Achmad ◽  
Dini Safitri ◽  
Kirana Lina Gunawan
Keyword(s):  
Dental Care ◽  
Side Effect ◽  
Dental Treatment ◽  
Minimal Side Effect ◽  
Inhalation Sedation ◽  
Anxiety Patient ◽  
Frog Stomach ◽  
Short Time ◽  
Anxiety And Fear ◽  
Selection Of

Inhalation sedation becomes the main choice in the dental treatment of children whoovercome have any kind of the fearness, concerned with pain in the treatment of theirteeth. Inhalation sedation with N2O-Ocauses sedation situation that accompanies byanalgesia to the conscious patients by inhaling the mixture of oxide nitrogen (N2O)with oxygen (O), that was known as psychosedation or concious sedation technique.Ranula is a mucocel that developed at the base of the mouth, unilateral, bluish, andthe shape like frog stomach. On this paper, will be esplained about N2O-O2inhalationsedation technique that concider the condition for the patient, using short time andcan be recovered immediately. A 9 year old girl diagnosed by ranula sublingualis onthe cavity of the mouth was very anxiety and fear in this treatment. The ranula treatedwith marsupialitation and was supervised by inhalation sedation of N2O-O2 in theSpecial Dental Care Hasan Sadikin Hospital Bandung. The result showed thatinhalation sedation with N2O-O2 was very very useful to reduce anxiety and fear tocertain patients with minimal side-effect. So it was very important to a dentist to knowthe selection of the patient, equipment and the technique of inhalation sedationadequately

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.

scholarly journals The impact of Covid-19 pandemic over the dental patients

2021 ◽  
Vol 10 (11) ◽  
pp. e252101119502
Author(s):  
Lara Steffany de Carvalho ◽  
Caroline Trefiglio Rocha ◽  
Rafael de Aguiar Vilela Júnior ◽  
Ivan Balducci ◽  
Amjad Abu Hasna
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Cross Contamination ◽  
Dental Patients ◽  
Significant Difference ◽  
Dental Offices ◽  
Group 2 ◽  
Respiratory Droplets ◽  
The Impact ◽  
Group 1

Objective: Covid-19 is a highly infectious disease; it is transmitted by patients’ secretions and respiratory droplets SARS-CoV-2 was detected in patients saliva making dental care professionals more susceptible for contamination and the patient less safe while seeking the dental treatment. Methodology: This quantitative study was elaborated through a questionnaire for patients who frequently seek dental care in private and publica dental care units. A total of 205 over-18 patients were included, those who left one or more questions without answer were excluded. Participants were able to refuse to answer any question or to participate in the questionnaire at all. The questionnaire was composed of five questions. Participants were divided into two groups: Group 1: private dental offices patients (n=98); Group 2: public dental clinic patients (n=107). Results: there was a significant difference between groups 1 and 2, in which 50% of group 1 feel safe while seeking dental care during the Covid-19 pandemic in comparison with 72.89% of group 2. There was no significant difference between groups 1 and 2, in which 93.87 and 94.39% of groups 1 and 2 respectively feel safe with the professionals' PPE and consider it sufficient. About 59.81% of the participants of group 2 do not feel insecure with the cross contamination caused by SARS-CoV-2 in collective health care units. Finally, there was a significant difference between groups 1 and 2, in which 74.48% of group 1 prefer to be attended by vaccinated professionals, instead of only 56.07% of group 2. Conclusion: it was concluded that not all dental patients feel safe while seeking dental treatment during the Covid-19 pandemic, however, they consider the professional PPE sufficient. Patients feel safe to be attended by vaccinated professionals.

scholarly journals Exploring the Effect on 5 Senses in Children under Nitrous Oxide Sedation

2021 ◽  
Vol 10 (38) ◽  
pp. 3365-3369
Author(s):  
Vinita Goyel ◽  
Aman Jain ◽  
Shivani Mathur ◽  
Vinod Sachdev ◽  
Shambhavi Singh
Keyword(s):  
Nitrous Oxide ◽  
Dental Treatment ◽  
Rating Score ◽  
Sound Perception ◽  
Key Words Vision ◽  
Significant Difference ◽  
Behaviour Rating ◽  
Baseline Values ◽  
The Brain ◽  
Normal Perception

BACKGROUND Sensation and perception are two separate processes that are very closely related. Sensation is the input about the outside world obtained by our sensory receptors while perception is the difficult system by which the brain selects, organizes and interprets these sensations. Effects of nitrous oxide on the sensation and perception has not been unturned although role in physiological, anxiolytic, behavioural, psychomotor and analgesic parameters have been examined in both children and adults. The human senses have long been unnoticed, despite their responsiveness being of great importance. The purpose of this study was to evaluate the effectiveness of nitrous oxide inhalation sedation on 5 senses i.e. sight, hearing, touch, smell and taste at different titrations of nitrous oxide and oxygen. METHODS 7 to 12 years old children with Frankl’s behaviour rating score of 2, 3 and 4 with no prior dental experience and requiring dental treatment under nitrous oxide sedation who were systemically healthy were included in the study. The 5 senses (i.e. hearing, touch, smell, taste and vision) were evaluated with different materials at 4 different titration levels to evaluate the effect of nitrous oxide on the 5 senses T0: 100 % oxygen, T1: 30 % nitrous oxide, T2: 50 % nitrous oxide, T3: 100 % oxygen. RESULTS The results of the present study depicted that there is significant difference in the perception of various senses at different concentrations of nitrous oxide and also when compared to baseline values. It was observed that the patient regained the normal perception in 5 minutes after 100 % oxygen post-operatively. CONCLUSIONS Nitrous oxide is found to depress/relax one’s senses too. KEY WORDS Vision, Smell, Taste, Touch, Sound, Perception, Consciousness, Nitrous Oxide Sedation, Oxygen, Behaviour

scholarly journals Associations among prenatal stress, maternal antioxidant intakes in pregnancy, and child temperament at age 30 months

2017 ◽  
Vol 8 (6) ◽  
pp. 638-648 ◽  
Author(s):  
L. R. Lipton ◽  
K. J. Brunst ◽  
S. Kannan ◽  
Y.-M. Ni ◽  
H. B. Ganguri ◽  
...  
Keyword(s):  
Life Events ◽  
Prenatal Stress ◽  
Effortful Control ◽  
Short Form ◽  
Negative Life Events ◽  
Negative Affectivity ◽  
Child Temperament ◽  
Interactive Effects ◽  
Child Neurodevelopment ◽  
In Pregnancy

Prenatal stress and prenatal nutrition each have demonstrable impact on fetal development, with implications for child neurodevelopment and behavior. However, few studies have examined their joint influences despite evidence of potential interactive effects. We examined associations among prenatal stress, prenatal antioxidant intakes, and child temperament in a sociodemographically diverse pregnancy cohort (N=137 mother–child dyads). In mid-pregnancy, mothers completed an assessment of recent negative life events as a measure of prenatal stress and an assessment of prenatal diet. When the children were 30 months of age, mothers completed the Early Childhood Behavior Questionnaire-Very Short form, which provides scores on child Negative Affectivity, Effortful Control, and Surgency/Extraversion. Linear regressions tested associations between maternal prenatal negative life events and child temperament, and effect modification by maternal prenatal antioxidant intakes (vitamins A, C, and E, magnesium, zinc, selenium, β-carotene). Analyses revealed that increased maternal prenatal negative life events were associated with higher child Negative Affectivity (β=0.08, P=0.009) but not with child Effortful Control (β=−0.03, P=0.39) or Surgency/Extraversion (β=0.04, P=0.14). Prenatal intakes of zinc and selenium modified this effect: Maternal exposure to prenatal negative life events was associated with higher child Negative Affectivity in the presence of lower intakes of zinc and selenium. Modification effects approached significance for vitamins A and C. The results suggest that the combination of elevated stress exposures and lower antioxidant intakes in pregnancy increases the likelihood of heightened child temperamental negative affectivity. Increased antioxidant intakes during pregnancy may protect against influences of prenatal stress on child temperament.

scholarly journals Inhalation Conscious Sedation with Nitrous Oxide and Oxygen as Alternative to General Anesthesia in Precooperative, Fearful, and Disabled Pediatric Dental Patients: A Large Survey on 688 Working Sessions

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Angela Galeotti ◽  
Annelyse Garret Bernardin ◽  
Vincenzo D’Antò ◽  
Gianmaria Fabrizio Ferrazzano ◽  
Tina Gentile ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Adverse Effects ◽  
General Anesthesia ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Young Patients ◽  
Dental Patients ◽  
Dental Procedures ◽  
Significant Difference ◽  
Disabled Patients

Aim. To evaluate the effectiveness and the tolerability of the nitrous oxide sedation for dental treatment on a large pediatric sample constituting precooperative, fearful, and disabled patients.Methods. 472 noncooperating patients (aged 4 to 17) were treated under conscious sedation. The following data were calculated: average age; gender distribution; success/failure; adverse effects; number of treatments; kind of dental procedure undertaken; number of dental procedures for each working session; number of working sessions for each patient; differences between males and females and between healthy and disabled patients in relation to success; success in relation to age; and level of cooperation using Venham score.Results. 688 conscious sedations were carried out. The success was 86.3%. Adverse effects occurred in 2.5%. 1317 dental procedures were performed. In relation to the success, there was a statistically significant difference between healthy and disabled patients. Sex and age were not significant factors for the success. Venham score was higher at the first contact with the dentist than during the treatment.Conclusions. Inhalation conscious sedation represented an effective and safe method to obtain cooperation, even in very young patients, and it could reduce the number of pediatric patients referred to hospitals for general anesthesia.

A Care Pathway for Children Unable to Accept Dental Care within the General Dental Services Involving the Use of Inhalation Sedation and General Anaesthesia

2015 ◽  
Vol 4 (2) ◽  
pp. 29-34 ◽  
Author(s):  
Allyson R Shepherd ◽  
Halimah Ali
Keyword(s):  
General Anaesthesia ◽  
Dental Care ◽  
Dental Treatment ◽  
Care Pathway ◽  
Treatment Modalities ◽  
General Anaesthetic ◽  
Dental Services ◽  
Inhalation Sedation ◽  
Dental Practitioners ◽  
The Right

Dental treatment is the commonest reason for a child to be in hospital in the UK. This is a shocking statistic for a preventable disease. How can we reduce the high numbers of dental general anaesthetics? It is essential that dental treatment under general anaesthesia (GA) is fully justifiable, ensuring that the right patients receive the right treatment. Guidance for general dental practitioners on when to refer a child for a dental GA is discussed. Treatment planning for this dentally high-risk group of children requires a holistic approach. It is complex and requires an experienced and competent clinical team, including dental care professionals with additional postgraduate qualifications. Often, alternative treatments are successful and a GA can be avoided. An audit of 85 patients referred for GA with Oldham Community Dental Service demonstrated 35% of patients accepted treatment with local anaesthesia only, 25% required inhalation sedation and only 25% were actually referred on for GA. Treatment for this group of patients must include the availability and provision of appropriate alternative treatment modalities, with the right staff and facilities, including those for dental general anaesthetic sessions. Ongoing follow-up within the general dental services is essential for this group of patients.

scholarly journals Interaction between effortful control and parenting as factors of child mental health

2019 ◽  
pp. 61-68
Author(s):  
E. N. Petrenko ◽  
E. A. Kozlova ◽  
S. V. Loginova ◽  
H. R. Slobodskaya
Keyword(s):  
Problem Behavior ◽  
Inhibitory Control ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Effortful Control ◽  
Risk Model ◽  
Short Form ◽  
Perceptual Sensitivity ◽  
Externalizing And Internalizing Problems ◽  
Child Effortful Control

The study examined interactions between parenting and child effortful control in the prediction of problem behavior in Russian preschoolers in parent reports of 28-year-old children (N = 652). Effortful Control and its components, inhibitory control, attentional control, low-intensity pleasure, and perceptual sensitivity, were measured by the Very Short Form of the Children’s Behavior Questionnaire (CBQ-VS). Positive parenting, punishment, and inconsistent discipline were measured by the Alabama Parenting QuestionnairePreschool Revision (APQ-R). Externalizing problems, internalizing problems, total difficulties, and impact of problems on the child’s life were measured by the Strengths and Difficulties Questionnaire (SDQ). The results indicated that effortful control and perceptual sensitivity interacted with parental punishment to predict externalizing problems and total difficulties such that temperament was more strongly related to problem behavior when parents used more punishment. In a similar way, inhibitory control was more strongly related to externalizing problems and their impact on the child’s life when parents used more punishment. The majority of moderating effects were consistent with the diathesis-stress or dual risk model. That is, temperament was more strongly related to externalizing and internalizing problems and their impact on the child’s life when parents used more punishment and were inconsistent in their use of discipline.

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