Improved sedation for dental extraction by using video eyewear in conjunction with nitrous oxide: a randomized, controlled, cross-over clinical trial

Zhang, Guoliang; Hou, Rui; Zhou, Hongzhi; Kong, Liang; Ding, Yue; Qin, Ruifeng; Hu, Kaijin; Xu, Jie; He, Jie

doi:10.1016/j.tripleo.2011.02.001

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…Sample size: The size of the sample necessary to detect a statistically significant difference was determined with a power calculation based on the results from previous studies using formula given by Chow et-al. [16,18] To achieve an 80% power to detect a statistical difference of 5% between the two groups a sample size of 40 was required. Subjects: The children were selected from the outpatient department of the Pedodontic and Preventive Dentistry of the college who reported for the routine dental check-up during May 2017 to February 2018.The children aged 6-12 years who came to the dental clinic for the first time with Frankel behavior rating 2 or 3 were selected.…”

Section: Methodsmentioning

confidence: 99%

“…[13][14][15] It provides a rapid onset and early recovery. [16] Treatment with nitrous oxide and oxygen is a well-established method for pain alleviation and has been used with good results particularly in children who fear the dentist. [17] The limited reported studies in literature regarding the comparison between these techniques prompted us to evaluate and compare the effectiveness of N2O/O2 inhalation sedation and video-eyeglass distraction in managing anxious children during dental extraction.…”

Section: Introductionmentioning

confidence: 99%

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Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?

Khanday¹,

Prabhakar²,

B.M³

et al. 2018

AIMDR

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Background: Dental anxiety is a common problem, which can affect people of all ages, but appears to develop mostly in childhood. Practitioners use numerous methods to control dental anxiety in children during the dental procedures. Objective: To evaluate the effectiveness of nitrous oxide/oxygen (N2O/O2) inhalation sedation and video-eyeglass distraction (VED) in the management of anxious pediatric patients during dental extraction. Methods: The study was conducted on 40 children aged 6-12 years who required extraction of at-least one mandibular primary molar under local anesthesia. The children were randomly divided into two groups with 20 children in each -Group-A wearing videoeyeglass and Group-B using N2O/O2 inhalation sedation during dental extraction. The physiological assessment was done by recording heart rate using fingertip pulse oximeter. The psychological assessment was done by recording base line anxiety before the treatment and post treatment anxiety at the completion of extraction using Venham's anxiety scale (VAS). Independent t-test with p value <0.05 level of significance was used to compare means of two groups. Results: Comparison of Venham's anxiety score of participants at the completion of extraction, showed statistically no significant difference (p=0.946). The mean pulse rate recorded at different time points between the two groups was also statistically non-significant (P=0.923, 0.957, 1.00 respectively). Conclusion: Both N2O/O2 inhalation sedation and VED were equally effective in reducing anxiety during dental extraction but considering the adverse effects and requirement of expert personnel in N2O/O2 inhalation sedation, VED may be preferred because of its better applicability.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?

Khanday¹,

Prabhakar²,

B.M³

et al. 2018

AIMDR

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“…As a result, anxiety became eased significantly more in the group to which screen glasses and midazolam were used together than in the group to which the screen glasses and midazolam were used separately. In a diversional therapy using screen glasses targeting molar tooth extracted patients under local anesthesia [20], anxiety was more significantly eased in the group where nitrous oxide absorption and the screen glasses were used together than in the group where nitrous oxide absorption and the screen glasses were used separately. However, there was no study on checking the effects after implementing a diversional therapy using screen glasses under local anesthesia, and an intervention using pharmacological therapy using midazolam.…”

Section: Need For Studymentioning

confidence: 99%

Anxiety Relief Effects of Non-Pharmacological Intervention on Patients under Local Anesthesia

Hur¹,

Woo²,

Ahn

2016

IJBSBT

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The objective of this study is to verify the effects of diversional therapy targeting the patients who underwent orthopedic operations on the patients' anxiety and vital signs. The experimental group watched the video that a patient selected wearing screen glasses during an operation under local anesthesia. The control group received midazolam 0.5mg/kg (usual handling) through operation surgeon's prescription, and intravenous infusion was conducted during an operation. The State Trait Anxiety Inventory, visual analog scale of anxiety, and vital signs were measured before and after the operation. The state anxiety score of the experimental group decreased, and there was no significant difference. And the anxiety (VAS) score, the experimental group's score decreased. The control group's score decreased, and there was no significant difference. No significant difference in vital signs was found between two groups. This means that the non-pharmacological therapy wearing screen glasses is not inferior to the pharmacological therapy using midazolam in terms of the effects of intervening in anxiety. The diversional therapy using screen glasses is safe, costeffective, and is a pleasant alternative therapy for patients, and is expected to be an independent nursing intervention.

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“…Birçok diş hekimliği işlemi öncesi hastalar çeşitli düzeylerde kaygı hissetmekle birlikte, cerrahi sonrası ağrı, kanama, şişlik, ağız açıklığında azalma ve normal günlük aktivitelerde kısıtlanma ile bağlantılı bulunan ağız cerrahisi işlemleri en yüksek kaygı seviyesi ile ilişkilendirilmektedir. 22,23 SONUÇ Araştırmada kullanılan üç farklı kaygı ölçeği (DKE, SKE ve MDKÖ) arasında pozitif yönde ve orta düzeyde anlamlı bir ilişki olması bireylerin genel kaygı düzeyleri ile dental alandaki uygulamalara (implant tedavisi türü) ilişkin kaygı düzeyi arasında tutarlı bir ilişki olduğunu göstermiş, bu yönüyle literatürdeki benzer çalışmalarla uyumlu bulunmuştur.4,7…”

Section: Korelasyon Analizi Sonuçlarıunclassified

Hacettepe Üniversitesi Diş Hekimliği Fakültesi'ne Dental implant Tedavisi İçin Başvuran Hastaların Cerrahi Öncesi Kaygı Düzeyinin Belirlenmesi

Özateş

Özbek

Gündüz

et al. 2021

Selcuk Dental Journal

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Öz Amaç Diş hekimi ve tedavisine duyulan kaygı insanların sahip olduğu psikolojik durumlardan birisi olarak kabul edilmektedir. Kaygılı hastalarda diş hekimliği işlemlerinin gerçekleştirilmesi hem hasta konforu hem de hekimin işlevselliği ve verimi açısından güçlük yaratmaktadır. Bu çalışmada dental implant cerrahisi planlanan hastalarda kaygı düzeyinin belirlenmesi ve hastaların kaygı puanları ile sosyodemografik özellikleri ve implant sayısı arasındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler Çalışmaya dental implant yaptırmak amacıyla başvuran, 30-50 yaş arası, sistemik hastalığı olmayan, nörolojik ya da psikiatrik ilaç kullanmayan toplam 60 gönüllü kadın ve erkek yetişkin katılmıştır. Anket araştırması kapsamında katılımcılara; Demografik Bilgi Toplama Formu, Spilberger Durumluk ve Sürekli Kaygı Envanteri ve Modifiye Dental Kaygı Ölçeği uygulanmıştır. Bulgular Üç farklı bağımlı değişken arasındaki ilişkinin belirlenmesi için yürütülen Pearson Korelasyon Analizi sonuçlarına göre tüm gruplar bir arada düşünüldüğünde Durumluk Kaygı Envanteri’nden (DKE) alınan puanlar ile Sürekli Kaygı Envanteri’inden (SKE) alınan puanlar (r =.60, p < .000) ve Modifiye Dental Kaygı Ölçeği’nden (MDKÖ) alınan puanlar arasında (r =.60, p < .000) anlamlı ilişki olduğu raporlanmıştır. Ek olarak cinsiyetin yukarıda adı geçen ölçek puanları üzerinde etkili (F(3, 52) = 6.27, p < .001, η2p = .27) bir değişken olduğu sonucuna varılmıştır. Sonuç Araştırmada kullanılan üç farklı kaygı ölçeği (DKE, SKE ve MDKÖ) arasında pozitif yönde ve orta düzeyde anlamlı bir ilişki olması, hiç implant uygulanmayan gruptan, tek implant uygulmasına ve 2+ implant uygulamasına doğru gidildikçe hastaların kaygı düzeyinde bir artış olduğunu göstermiştir. Cinsiyet değişkeninin etkili olduğu ve kadınların erkeklere göre implant tedavisinde daha fazla kaygı duydukları sonucuna varılmıştır.

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Improved sedation for dental extraction by using video eyewear in conjunction with nitrous oxide: a randomized, controlled, cross-over clinical trial

Cited by 9 publications

References 10 publications

Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?

Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?

Anxiety Relief Effects of Non-Pharmacological Intervention on Patients under Local Anesthesia

Hacettepe Üniversitesi Diş Hekimliği Fakültesi'ne Dental implant Tedavisi İçin Başvuran Hastaların Cerrahi Öncesi Kaygı Düzeyinin Belirlenmesi

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