Background: Conscious sedation is a drug-induced depression of
consciousness during which the patient responds to verbal commands either alone
or accompanied by light tactile stimulation.
Objectives: This study aimed to estimate the concentration of
nitrous oxide (N2O) required for effective sedation in anxious children
undergoing dental treatment and to assess behaviour, patient acceptance,
parental satisfaction, postoperative complications, and ease of mask
manipulation by the dentist during N2O–O2 sedation.
Materials and Methods: A total of 40 children aged 6–10 years
requiring dental treatment were treated using N2O sedation. Observations
included the level of N2O required for optimal sedation, patient behaviour,
acceptance, clinical recovery score, and postoperative complications. Parental
satisfaction was evaluated using a questionnaire post-treatment. The
descriptive and inferential statistical data were analyzed using the IBM
Corporation Statistical Package for the Social Sciences statistics for Windows,
version 20.0.
Results: N2O concentration ranged from 25 to 70% with a minimal
rate of complication like nausea, vomiting, headache, and mild ambulatory
difficulties. Sedation was highly effective with 25–50% N2O concentration.
Approximately 92.5% of children were fully cooperative, and the dentist was
able to comfortably place the mask in 92.5% of cases. Significant improvement
in patient behaviour with minimal complications was observed, and 100% of
parents were satisfied with the treatment.
Conclusion: Inhalational sedation with N2O using the Porter
Silhouette mask results in effective sedation, increased patient comfort, and
high parental acceptance in providing dental treatment.
Author
(s) Details
Santhosh
Priya A. K. R.
Department of Pediatric and Preventive Dentistry, Sathyabama
Dental College and Hospital, India.
Jayanthi
Mungara
Department of Pediatric and Preventive Dentistry, Ragas Dental
College and Hospital, India.
Deepak
P.
Department of Orthodontics and Dentofacial Orthopedics, Tagore
Dental College and Hospital, India.
Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v7/2051
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