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Effect of continuous versus interrupted administration of nitrous oxide-oxygen inhalation on behavior of anxious pediatric dental patients: a pilot study.
J Clin Pediatr Dent. 2012 Fall; 37(1):77-82.JC

Abstract

OBJECTIVE

The purpose of this study was to determine the effect of interrupted administration of nitrous oxide (N2O) inhalation, after obtaining profound local anesthesia, on the behavior of mild to moderately anxious pediatric patients during routine restorative dentistry.

STUDY DESIGN

Healthy children, 5 to 8 years old, requiring nitrous oxide/oxygen inhalation sedation and bilateral mandibular restorative treatment performed in two sequential appointments under local anesthesia were recruited for this study. After profoundness of the local anesthesia was confirmed, the subject was randomly assigned to either Protocol A (50% N2O/50% O2) or Protocol B (100% O2) and restorative dental care was completed. On the second appointment, the subject was assigned to the alternate protocol.

RESULTS

Hemoglobin oxygen saturation remained constant with no episodes of oxygen desaturation recorded. There were no statistically significant differences (P > .05) in pulse rate or behavior change noted between the two protocols.

CONCLUSION

The implication of this pilot study was significant in consideration of the desire to minimize chronic exposure to ambient nitrous oxide and its potential health hazards to the dental team. These findings challenge the traditional practice of N2O maintenance throughout the dental appointment.

Authors+Show Affiliations

Department of Pediatric Dentistry, University of Florida, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

23342571

Citation

Guelmann, M, et al. "Effect of Continuous Versus Interrupted Administration of Nitrous Oxide-oxygen Inhalation On Behavior of Anxious Pediatric Dental Patients: a Pilot Study." The Journal of Clinical Pediatric Dentistry, vol. 37, no. 1, 2012, pp. 77-82.
Guelmann M, Brackett R, Beavers N, et al. Effect of continuous versus interrupted administration of nitrous oxide-oxygen inhalation on behavior of anxious pediatric dental patients: a pilot study. J Clin Pediatr Dent. 2012;37(1):77-82.
Guelmann, M., Brackett, R., Beavers, N., & Primosch, R. E. (2012). Effect of continuous versus interrupted administration of nitrous oxide-oxygen inhalation on behavior of anxious pediatric dental patients: a pilot study. The Journal of Clinical Pediatric Dentistry, 37(1), 77-82.
Guelmann M, et al. Effect of Continuous Versus Interrupted Administration of Nitrous Oxide-oxygen Inhalation On Behavior of Anxious Pediatric Dental Patients: a Pilot Study. J Clin Pediatr Dent. 2012;37(1):77-82. PubMed PMID: 23342571.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of continuous versus interrupted administration of nitrous oxide-oxygen inhalation on behavior of anxious pediatric dental patients: a pilot study. AU - Guelmann,M, AU - Brackett,R, AU - Beavers,N, AU - Primosch,R E, PY - 2013/1/25/entrez PY - 2013/1/25/pubmed PY - 2013/2/13/medline SP - 77 EP - 82 JF - The Journal of clinical pediatric dentistry JO - J Clin Pediatr Dent VL - 37 IS - 1 N2 - OBJECTIVE: The purpose of this study was to determine the effect of interrupted administration of nitrous oxide (N2O) inhalation, after obtaining profound local anesthesia, on the behavior of mild to moderately anxious pediatric patients during routine restorative dentistry. STUDY DESIGN: Healthy children, 5 to 8 years old, requiring nitrous oxide/oxygen inhalation sedation and bilateral mandibular restorative treatment performed in two sequential appointments under local anesthesia were recruited for this study. After profoundness of the local anesthesia was confirmed, the subject was randomly assigned to either Protocol A (50% N2O/50% O2) or Protocol B (100% O2) and restorative dental care was completed. On the second appointment, the subject was assigned to the alternate protocol. RESULTS: Hemoglobin oxygen saturation remained constant with no episodes of oxygen desaturation recorded. There were no statistically significant differences (P > .05) in pulse rate or behavior change noted between the two protocols. CONCLUSION: The implication of this pilot study was significant in consideration of the desire to minimize chronic exposure to ambient nitrous oxide and its potential health hazards to the dental team. These findings challenge the traditional practice of N2O maintenance throughout the dental appointment. SN - 1053-4628 UR - https://www.unboundmedicine.com/medline/citation/23342571/Effect_of_continuous_versus_interrupted_administration_of_nitrous_oxide_oxygen_inhalation_on_behavior_of_anxious_pediatric_dental_patients:_a_pilot_study_ L2 - http://jocpd.org/doi/10.17796/jcpd.37.1.e2g45201l836689n?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -