Dentists' and Parents' Attitude Toward Nitrous Oxide Use in Kuwait

Alkandari, Sarah A; Almousa, Fatemah; Abdulwahab, Mohammad; Boynes, Sean G.

doi:10.2344/14-00008.1

Cited by 13 publications

(7 citation statements)

References 7 publications

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“…Nitrous oxide sedation, which frequently reduces stress and anxiety in children undergoing dental treatment, is also commonly accepted by parents. 5 Hence, this systematic review and meta-analysis of randomized controlled trials aims to identify the level of sedation produced by a combination of nitrous oxide and parenteral midazolam in both adults and children.…”

mentioning

confidence: 99%

Nitrous Oxide and Midazolam Sedation: A Systematic Review and Meta-Analysis

Sivaramakrishnan

Sridharan

2017

Anesthesia Progress

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Nitrous oxide and midazolam have been used as sedative agents to decrease fear and anxiety associated with dental procedures. Although these agents have been widely used individually, the combination of the two is also commonly used. Four clinical trials were identified that compared the combination technique with the individual use of the drugs. The standardized mean difference (SMD) for each outcome measure was considered for final analysis. Three studies with 534 participants were included in the final meta-analysis, and the SMD [95% CI] was obtained as -0.15 [-0.32, 0.03] and was not statistically significant for cooperation scores. Two studies reported the dose of midazolam required for inducing sedation in 450 participants, and the pooled estimate of SMD [95% CI] was obtained as -0.29 [-0.48, -0.10] and was significant. Two studies with 450 participants reported the time taken to recover from sedation, and the pooled estimate of SMD [95% CI] was obtained as -0.20 [-0.39, -0.01] and favored the combination technique. To conclude, the combination technique combines the pros and cons of both drugs in causing fewer adverse effects due to midazolam by reducing the total dose and also helps to provide better acceptance of nitrous oxide inhalation.

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confidence: 99%

Nitrous Oxide and Midazolam Sedation: A Systematic Review and Meta-Analysis

Sivaramakrishnan

Sridharan

2017

Anesthesia Progress

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“…Some previously reported surveys have also reported a high acceptance of NIOS. According to a survey in 2016, investigated the attitude of parents towards NIOS, and it was concluded that most parents in Kuwait are unaware of nitrous oxide sedation as a Behaviour Management Technique, but more than half of them accepted its usage for their children upon their dentist's advice and recommendation [16] . In 2018, an epidemiological questionare study was conducted on north Indian children of age group 2-5 years, parents or guardian (Himachal Pradesh) to find out the awareness, knowledge and attitude towards conscious sedation.…”

Section: Discussionmentioning

confidence: 99%

Comparison of patient and parental preference between nitrous oxide sedation and conventional behavior management technique for dental treatment: A randomized crossover study

Kashyap¹,

Suneja²,

Kaur³

et al. 2021

Int. J. Appl. Dent. Sci.

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Aim: To Compare patient and parental preference between nitrous oxide sedation and conventional behaviour management technique for dental treatment. Material and Methods: This cross-over split mouth study design was performed on 30 children (6-12 years old) who require a bilateral treatment involving inferior alveolar nerve block. 15 children were enrolled in a group A & 15 children in a group B. Thereafter, the outcome of preference of technique was assessed by parent and child after both techniques were performed. Results: The collected data was statistically analysed. The majority of children and parents preferred nitrous oxide inhalation sedation to conventional behaviour management techniques. Conclusion: Study concludes that nitrous oxide was preferred by both children and their parents over conventional behavior management techniques.

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“…Monisha et al [ 9 ] found that as few as 10% of dentists in Chennai, India provided sedation. The low level of use of sedation in dentistry has been largely attributed to a lack of proper training and proper sedation facilities and equipment, and the additional cost of purchasing equipment [ 8 10 11 ].…”

Section: Introductionmentioning

confidence: 99%

Conscious sedation in dentistry: knowledge and practice among dental professionals in Tanzania

Sales

Sohal

Moshy

et al. 2021

J Dent Anesth Pain Med

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Background Conscious sedation is a useful adjunct in the treatment of patients in dentistry; however, a lack of knowledge among the dental profession regarding sedation is a restricting factor in the practice of dental sedation. Therefore, this study was conducted to assess the knowledge and practice of sedation in dentistry among dental professionals in Tanzania. Methods This was a cross-sectional study conducted for five months targeting all practicing dental professionals in Tanzania. A modified questionnaire contained 14 questions regarding knowledge about sedative agents and a section on the practice of sedation. The data obtained from this study were coded and entered into a computer program and analyzed using SPSS software version 23.0. The data are presented as frequencies and percentages in tables and charts. Statistical significance was set at P < 0.05. Results The age range of participants was between 24 and 63 years (mean 36.6 ± 7.7 years). There were 107 men (78.1%), and the male-to-female ratio was 3.6:1. The majority (76.6%) of participants only had an undergraduate dental degree. Thirty-one percent of participants only worked in publicly owned health facilities. Slightly more than half (59.9%) of participants had satisfactory knowledge regarding sedation in dentistry. There was no statistically significant association between the level of sedation-related knowledge and the demographic characteristics of the participants. Only 21.9% reported using sedation in their practice, and the most commonly used sedative drug was diazepam. The reasons for not using dental sedation in clinical practice included a perceived lack of knowledge on sedation, lack of equipment, and cost. Conclusion Most dental professionals in Tanzania have basic knowledge of sedation in dentistry, although knowledge regarding sedative agents is generally low. The practice of sedation in dentistry in Tanzania is very low compared to that in middle- and high-income countries. Inadequate knowledge, lack of equipment, and the cost of practicing sedation are the main reasons for not practicing sedation.

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Dentists' and Parents' Attitude Toward Nitrous Oxide Use in Kuwait

Cited by 13 publications

References 7 publications

Nitrous Oxide and Midazolam Sedation: A Systematic Review and Meta-Analysis

Nitrous Oxide and Midazolam Sedation: A Systematic Review and Meta-Analysis

Comparison of patient and parental preference between nitrous oxide sedation and conventional behavior management technique for dental treatment: A randomized crossover study

Conscious sedation in dentistry: knowledge and practice among dental professionals in Tanzania

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