Relative analgesia. An evaluation of the efficacy and safety

Roberts, GJ; Gibson, Alexander; Porter, John J.; S, de Zoysa

doi:10.1038/sj.bdj.4804223

Cited by 35 publications

(14 citation statements)

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“…This is a very encouraging result, indicating that the children responded well to this form of treatment, and that the operators were generally proficient at planning the treatment and providing the sedation. This compares favourably with other reported success rates [3,4]. The treatment was abandoned in only 7·5% of cases (16 children).…”

Section: Discussionsupporting

confidence: 86%

“…An increasing number of children with complex dental needs or behaviour management problems are therefore being referred to the Community Dental Service (CDS) for treatment. Many children respond well to the use of inhalation sedation (IS) in combination with local anaesthesia (LA) as a safe alternative to GA [3–6]. A study of children receiving IS and LA for dental extractions within the CDS in 1990 reported that 51 out of 62 children (87%) accepted this form of treatment [7].…”

Section: Introductionmentioning

confidence: 99%

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The success of inhalation sedation for comprehensive dental care within the Community Dental Service

Bryan

2002

Int J Paed Dentistry

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

The success of inhalation sedation for comprehensive dental care within the Community Dental Service

Bryan

2002

Int J Paed Dentistry

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“…The safety of nitrous oxide for dental surgery in paediatric patients was reported by Roberts and colleagures 7. Griffin et al also described a technique for safe utilisation of nitrous oxide–oxygen sedation in 3000 children undergoing minor surgical procedures 16.…”

Section: Discussionmentioning

confidence: 94%

“…These benefits were shown in paediatric dentistry,7 and more recently in relieving pain and anxiety associated with procedures in children in the emergency department 3-5…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of nitrous oxide in alleviating pain and anxiety during painful procedures

et al. 2001

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Aims-To evaluate the eYcacy and safety of nitrous oxide for children undergoing painful procedures. Methods-Ninety children requiring repeated painful procedures (lumbar puncture, bone marrow aspirate, venous cannulation, or dressing changes) were given nitrous oxide at a variable concentration of 50-70%. Procedure related distress was evaluated using the Observational Scale of Behavioral Distress-Revised (OSBD-R). OSBD-R scores were obtained for each of the following phases of the procedure: phase 1a, waiting period; phase lb, during induction with nitrous oxide; phase 2, during positioning and cleaning of the skin; phase 3, during the painful procedure; and phase 4, immediately following the procedure and withdrawal of nitrous oxide. Side eVects were monitored and recorded by a second observer. Results-OSBD scores reached a maximum during the induction phase with lower scores during subsequent phases. Children over the age of 6 showed a lower level of distress during nitrous oxide administration and the painful procedure. Eighty six per cent of patients had no side eVects. The incidence of vomiting, excitement, and dysphoria was 7.8%, 4.4%, and 2% respectively. Eight patients developed oxygen desaturation (SaO 2 < 95%), but none developed hypoxia, airway obstruction, or aspiration. Ninety three per cent of patients fulfilled the criteria for conscious sedation, and 65% had no recollection of the procedure. Mean recovery time was three minutes. Conclusions-Inhalation of nitrous oxide is eVective in alleviating distress during painful procedures, with minimal side eVects and short recovery time. (Arch Dis Child 2001;84:492-495)

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“…Yoshida et al [14] presented a study pointing out the beneficial properties of nitrous oxide-(N 2 O-) induced sedation performed during dental treatment on CP patients. The authors decided to carry out the dental procedures on the patient using N 2 O sedation considering the procedure was of short duration, the difficulties involved in local hospital admission and the safety of the technique [20]. …”

Section: Discussionmentioning

confidence: 99%

Bruxism Control in a Child with Cerebral Palsy

et al. 2011

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Cerebral palsy (CP) is one of the most severe childhood disabilities due to a lesion in the developing brain. Oral conditions often observed in this pathogenic are a tendency for the delayed eruption of permanent molars, higher percentages of malocclusion and parafunctional habits, including bruxism. The significance of oral conditions observed in CP patients demonstrates the need for intensive home and professional care for these individuals. This paper presents a 7-year-old boy, with cerebral palsy, severe mental retardation, who had high abrasion wear of the primary teeth related to bruxism. Dental care was carried out under oxide-induced sedation, and management of the bruxism was achieved after the use of a resin acrylic protective appliance fixed on both sides of the mandibula. The treatment performed offered efficiency advantages, was clinically viable, and should be a valuable option to practitioners considering appliance therapy to control parafunctional behavior.

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Relative analgesia. An evaluation of the efficacy and safety

Cited by 35 publications

References 0 publications

The success of inhalation sedation for comprehensive dental care within the Community Dental Service

The success of inhalation sedation for comprehensive dental care within the Community Dental Service

Efficacy and safety of nitrous oxide in alleviating pain and anxiety during painful procedures

Bruxism Control in a Child with Cerebral Palsy

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