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Pediatric Dentistry: The Use of Nitrous Oxide Inhalation Sedation For Dental Treatment in Agitated Children
Pediatric Dentistry: The Use of Nitrous Oxide Inhalation Sedation For Dental Treatment in Agitated Children
THE USE
OF NITROUS OXIDE INHALATION SEDATION
FOR DENTAL TREATMENT IN AGITATED
CHILDREN
:Presented by
b4 محمود علي حسين
:Supervised by
Dr. Wissam Mohammed
INTRODUCTION
Young, fearful, and uncooperative pediatric dental patients
should be managed with behavioral techniques. Although
behavioral techniques could be useful
in reducing anxiety, there is a part of the pediatric
patients that are not able to tolerate dental procedures
and may require alternative approaches, such as the use of
sedative agents (Propofol , Etomidate , Midazolam , Ketamine ,
or Dexmedetomidine), or the use of analgesic agents (Opioids,
Fentanyl, or Ketamine). Howevere, the application of conscious
sedation with nitrous oxide and oxygen or general anesthesia
were more favored to be used by European dentists.
Child anxiety about dental treatment is a well recognized
problem, with several studies demonstrating that fear of invasive
procedures, such as injections and the ‘drill’, is the cause of
dental anxiety amongst children. The use of conscious sedation
as a safe alternative to general anaesthesia for dental care in
anxious patients. Nitrous oxide inhalation sedation is the standard
technique for managing pediatric patients with dental anxiety.
Dental fear, anxiety, and low pain tolerance are
associated with increased levels of caries. In fact, fear
of the dentist can result in untreated dental caries.