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Overview of paediatric dental sedation: 2. nitrous oxide/oxygen inhalation sedation

From Volume 40, Issue 10, December 2013 | Pages 822-829

Authors

Katherine E Wilson

BDS, PhD, MSc, MFDS DDPH

Associate Specialist, Dental Sedation, Newcastle upon Tyne School of Dental Sciences and Dental Hospital, Richardson Road, Newcastle upon Tyne NE2 4AZ, UK

Articles by Katherine E Wilson

Abstract

The use of conscious sedation for the management of anxious paediatric dental patients is extremely beneficial. Inhalation sedation with nitrous oxide and oxygen remains the mainstay for paediatric sedation in the UK.

Clinical Relevance: Dentists carrying out inhalation sedation for dental treatment must be fully conversant with the technique and the principles of patient management.

Article

Inhalation sedation with nitrous oxide and oxygen is the mainstay of conscious sedation for paediatric dental patients in the UK. It has a high success rate and is well tolerated.1,2,3,4,5,6,7,8,9,10

This paper will review the principles of inhalation sedation with nitrous oxide and oxygen, including indications and contra-indications, equipment requirements, patient assessment, the technique itself and management of complications.

Inhalation sedation can be defined as: ‘A semi-hypnotic technique of conscious sedation in which nitrous oxide and oxygen are employed to produce physiological changes which enhance the patient's suggestibility. The patient should remain conscious and co-operative throughout with all vital reflexes intact.’

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