Child behaviour during dental care under nitrous oxide sedation: a cohort study using two different gas distribution systems

Vanhee, Tania; Lachiri, F.; Steen, Elke Van Den; Bottenberg, Peter; Abbeele, Astrid Vanden

doi:10.1007/s40368-020-00569-z

Cited by 3 publications

(2 citation statements)

References 19 publications

(17 reference statements)

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“…In present times, the COVID-19 virus poses a concern presenting with mild to persistent respiratory tract symptoms post recovery (Carfi et al 2020 ). Respiratory distress or congestion may limit the use of conscious sedation which is a pharmacological modality advocated managing anxious or uncooperative paediatric patients (Myles et al 2004 ; Vanhee et al 2020 ). Moreover, there may be an increased risk of cross-contamination through the circuit which would lead to increased investment for sterilization (Vanhee et al 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…Respiratory distress or congestion may limit the use of conscious sedation which is a pharmacological modality advocated managing anxious or uncooperative paediatric patients (Myles et al 2004 ; Vanhee et al 2020 ). Moreover, there may be an increased risk of cross-contamination through the circuit which would lead to increased investment for sterilization (Vanhee et al 2020 ). Therefore, Hypnosis and Progressive Muscle Relaxation may serve as promising alternatives for the management of anxious children in the years to follow.…”

Section: Discussionmentioning

confidence: 99%

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Hypnosis and progressive muscle relaxation for anxiolysis and pain control during extraction procedure in 8–12-year-old children: a randomized control trial

Sabherwal

Tyagi

Khatri

et al. 2021

Eur Arch Paediatr Dent

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Introduction Hypnosis (H) and Progressive Muscle Relaxation (PMR) have proven to be effective in a variety of medical settings; there is a paucity of their practical application in paediatric dentistry. The study aimed to comparatively evaluate the role of H and PMR on anxiety, heart rate (HR), oxygen saturation (SPO 2 ), blood pressure (BP), pain, and analgesic requirement during extraction in children. Materials and methods Sixty children aged 8–12 years undergoing primary molar extractions were randomly allocated to three groups—H, PMR, and control (C). The anxiety (proposed Visual Facial Anxiety scale), HR, and SPO 2 were measured pre/post-operatively with/without interventions (H, PMR, C) at 4 intervals. The BP and pain (Wong-Baker faces pain scale) were recorded pre- and post-operatively. Need for analgesic post-operatively was assessed. Results Statistically significant reduction in anxiety was noted post-extraction in H (0.30 ± 0.80), PMR (0.50 ± 0.69) ( p < 0.001*). HR showed a statistically significant drop after H, PMR application. ( p < 0.001*) No significant difference in SPO 2 was noted in the three groups ( p > 0.05). Pain control was well achieved using H (85%), PMR (70%); BP was well-regulated in the H, PMR compared to C group ( p < 0.001*). Need for analgesics was reduced in H (45%), PMR (50%) versus C (100%). Both techniques H, PMR were comparable in all measures. Conclusion Hypnosis and PMR are effective techniques for anxiolysis and pain control in paediatric dental patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hypnosis and progressive muscle relaxation for anxiolysis and pain control during extraction procedure in 8–12-year-old children: a randomized control trial

Sabherwal

Tyagi

Khatri

et al. 2021

Eur Arch Paediatr Dent

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Behavioral Modifications in Children after Repeated Sedation with Nitrous Oxide for Dental Treatment: A Retrospective Study

Garret-Bernardin

Festa

Matarazzo

et al. 2023

IJERPH

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Sedation with nitrous oxide (N2O) has been widely used as a viable alternative to general anesthesia to perform dental treatments in uncooperative or anxious children. The purpose of this retrospective study is to assess if repeated sedations with N2O can improve collaboration of uncooperative children. The medical records of 650 children, aged between 3 and 14 years, who underwent at least two sedations, were consulted. Differences in the Venham score during the first sedation and subsequent sedations were collected. After removal incomplete records, 577 children’s records (309 males and 268 females) were analyzed. The Venham score decreased both during each sedation and with repeated sedations (p < 0.01 for both comparisons). In particular, a significant reduction of the Venham score was observed at the first contact with the dentist, with a mean score ranging from 1.56 ± 1.46 to 1.16 ± 1.37, comparing the first and the second sedation, and from 1.65 ± 1.43 to 1.06 ± 1.30, comparing the first with the third sedation (p < 0.01). The reduction in the Venham score was recorded in both healthy and physically impaired patients, and it was significantly greater in older children than in younger children (p < 0.01). In conclusion, uncooperative children with or without physical impairments can be successfully treated with N2O sedation in order to increase their confidence in dental procedures.

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Quality of obturation and the behavior of children treated under nitrous oxide conscious sedation: A double-blinded split-mouth randomized clinical trial

Madiajagane,

Govindaraju

2024

JIOH

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Aim: Our aim is to assess the quality of obturation and behavior of the children treated with and without nitrous oxide sedation and also to investigate the association between the quality of obturation and the behavior of children. Materials and Methods: A double-blinded split-mouth randomized clinical trial was conducted in 60 teeth. A total of 30 children aged 4–8 years in need of pulpectomy in bilateral mandibular molars were selected. On the first appointment, the children were assigned to protocol A, where the pulpectomy was performed without nitrous oxide inhalation sedation (NOIS). In the second visit, the children were allocated to protocol B, where pulpectomy was done in the contralateral molar under NOIS. The obturation quality and behavior of the children were graded according Coll and Sadrian criteria and Ohio State University Behavior Rating Scale, respectively. The data were assessed with descriptive statistics, Chi-square test, and Wilcoxin signed-rank test. Results: The quality of obturation and the behavior of the children were significantly better under conscious sedation (P = 0.000). Also, there was a significant association noted between the behavior of the children and quality of obturation (P = 0.0.012). Children exhibiting quiet behavior favored optimal fill, while in children showing cry alone or struggle , it was more of under-fill. In children showing both struggle and cry, more of over-fill pattern of obturation was noticed. Conclusion: Nitrous oxide sedation enhances the obturation quality and children’s behavior. Furthermore, there is a clear association between children’s behavior and obturation quality, regardless of whether nitrous oxide sedation is used or not.

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Child behaviour during dental care under nitrous oxide sedation: a cohort study using two different gas distribution systems

Cited by 3 publications

References 19 publications

Hypnosis and progressive muscle relaxation for anxiolysis and pain control during extraction procedure in 8–12-year-old children: a randomized control trial

Hypnosis and progressive muscle relaxation for anxiolysis and pain control during extraction procedure in 8–12-year-old children: a randomized control trial

Behavioral Modifications in Children after Repeated Sedation with Nitrous Oxide for Dental Treatment: A Retrospective Study

Quality of obturation and the behavior of children treated under nitrous oxide conscious sedation: A double-blinded split-mouth randomized clinical trial

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