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The bad effects of nitrous oxide in the pediatric dental clinic

الآثار الضارة لأآسيد النايتروس على مرضى عيادات طب أسنان الأطفال

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 Publication date 2001
and research's language is العربية
 Created by Shamra Editor




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The use of Nitros Oxide in the Conscious Sedation is the most frequently used method in the Pediatric Dental Clinic to control the child behavior or modify it. For all of this we used Nitros Oxide in a clinical biological study to verify the facts available about it and to know its side effects on the central nervous system and to investigate the vital signs such as pulse, blood pressure, and breathing ratio.

References used
Chancellor JW:Dr.Wells impact on dentistry and medicine.JADA 125:1585- 89,1994
Duncan GH,Moore P:Nitrous oxide and the dental patient:a review of adverse reaction.JADA 108:213-19,1984
Jacobsohn PH :Dentistry s answer to the humhliating spectacte Dr:Wells and his discovery.JADA 125:1576-81,1994
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This study aims to assess the feelings of children toward dental treatment in the department of pediatric dentistry in order to point the reason of dental fear. The sample includes 385 children (191 males, 194 females, aged 4-12 years) come to facu lty of dentistry between 1/10/2015 – 1/6/2016. The questionnaire form was adapted. Data were analyzed using statistical program SPSS. SMA was: fear = 2.96 , anxiety = 2.82 , trouble = 2.74 , like (desire, preference) = 3.56 , feelingsafter treatment = 3.37 , discomfort of the transaction = 1.82 , desire to repeat the visit = 3.97. The result showed most of the children were not afraid, not worried, not upset, and they like to repeat. While 9.9% trouble and 6.5% don't like to repeat it. We concluded that the dental services in p.d department are effective and acceptable.
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Aim of study: Comparing the efficacy of combination (Midazolam – Hydroxyzine) with and without nitrous oxide and oxygen in sedating uncooperating school children undergoing dental treatment. Materials and Methods: This was a prospective, triple bl ind, randomized, cross over, clinical study of uncooperative school children in need of two sessions of Bilateral mandibular dental treatment. 30 children ages (6-9) years, were randomly selected to receive one of two regimens: Regimen (A) contain oral midazolam (M) 7.5 mg and hydroxyzine (H) 10 mg with oxygen (O2) 100%, while Regimen (B) contain oral midazolam (M) 7.5 mg and hydroxyzine (H) 10 mg with nitrous oxide\oxygen (N2O\O2) 50% . And in the second session, the other regimen was administered. the behavior was assessed using modified Houpt rating scale by reviewing the records of patients in pretreatment stage ( injection, rapper dam, operating dental drill without touching the tooth then with touching it) and during treatment stages ( drilling, restoration ). Beside recording the vital signs. Results: Comparing the overall assessment of the two regimens the success rate was (86.67%) in regimen (A) and (93.34%) in regimen (B). No significant statistical difference existed between the two regimes. The vital signs remained within normal limits in all cases and no series side effects appeared.
Emergency cases can occur anytime, anywhere and to anyone. Such situations are somewhat more likely to occur within the confines of the dental office due to the increased level of stress which is so often present. This study aims to determine the readiness and the interest of dental clinic for the management of such cases.
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