Inhalation conscious sedation with nitrous oxide/oxygen in pediatric dentistry

Sedation in Pediatric Patients: Assessment of Pediatric Knowledge

“…5 The drugs and the dosage involve therapeutic regimens that vary significantly, one can cite the use of the benzodiazepines and the nitrous oxide. [7][8][9][10][11] The administration of these drugs promotes different levels of sedation. Moderate sedation is understood as a degree of minimal depression of consciousness in which the patient responds intentionally to verbal commands with or without slight tactile stimulation.…”

Oral Health in Down Syndrome

“…[32][33][34] The literature attributes the low prevalence of caries in individuals with DS to factors such as: eruptive pattern (teeth erupt later and so they are exposed to caries' etiological factors for less time); high prevalence of bruxism (flatter occlusal surfaces facilitate self-cleaning and oral hygiene, eliminating food debris that could be adhered to the sulcus and serve as a substrate for oral bacteria) [35]; dental morphology (microdontic teeth and diastema allow an early detection of caries with a simple clinical examination and without a radiological examination); salivary composition and differences in the composition of the microbiota (saliva buffer capacity of the individuals with DS appears to be higher when compared to general population); visit the dentist early in life (these children have several health problems and their parents seem to be easily warned of the oral risk factors). [11,13,14,36,37] Saliva plays a crucial role in the defense against periopathogenic and cariogenic bacteria in the oral cavity and the equilibrium between demineralisation and remineralisation of enamel and dentin. [3,12,38] Consequently, the protective effects of salivary constituents, salivary flow rates and the salivary buffering capacity are essential.…”