Little is known about implications of temperament for children who receive nitrous oxide inhalation sedation (N2O/O2) for dental care. The aim of this study was to investigate whether child temperament is associated with success in N2O/O2. Child-caregiver dyads were enrolled from patients aged 36–95 months receiving dental care with N2O/O2 at a university-based pediatric dental clinic. To assess child temperament, 48 caregivers completed the Children's Behavior Questionnaire Short Form. Patient behavior was abstracted from Frankl scores recorded in the patient's chart. The overall behavioral failure rate was 15% (n = 7/48). There was no significant difference in sedation outcome associated with sex, health, insurance status, or complexity of treatment provided. Sedation outcome was significantly associated with the broad temperament domain of Effortful Control and its subscales Attentional Focusing and Inhibitory Control. The Negative Affectivity subscales of Frustration, Sadness, and Soothability and the Extraversion/Surgency subscales Activity and Impulsivity were also significantly associated with sedation outcome. The results of this study suggest that Effortful Control is associated with behavior during dental treatment with N2O/O2. The subscales of Attention Focusing, Inhibitory Control, Frustration, Fear, Sadness, Soothability, Activity, and Impulsivity may also be important determinants of child behavior during dental treatment.
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Spring 2017
Research Article|
March 01 2017
Temperament as a Predictor of Nitrous Oxide Inhalation Sedation Success
Travis M. Nelson, DDS, MSD, MPH;
Travis M. Nelson, DDS, MSD, MPH
*Clinical Associate Professor, Department of Pediatric Dentistry, University of Washington, Seattle
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Thomas M. Griffith, DDS, MSD;
Thomas M. Griffith, DDS, MSD
†Pediatric Dentist, private practice, Kona, Hawaii
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Katherine J. Lane, DDS, MSD;
Katherine J. Lane, DDS, MSD
‡Pediatric Dentist, private practice, Salem, Oregon
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Sarat Thikkurissy, DDS;
Sarat Thikkurissy, DDS
§Professor and Director, Residency Program, Division of Pediatric Dentistry and Orthodontics, Cincinnati Children's Hospital, Cincinnati, Ohio
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JoAnna M. Scott, PhD
JoAnna M. Scott, PhD
||Acting Assistant Professor, Department of Pediatric Dentistry, University of Washington, Seattle
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Anesth Prog (2017) 64 (1): 17–21.
Article history
Received:
December 02 2015
Accepted:
March 22 2016
Citation
Travis M. Nelson, Thomas M. Griffith, Katherine J. Lane, Sarat Thikkurissy, JoAnna M. Scott; Temperament as a Predictor of Nitrous Oxide Inhalation Sedation Success. Anesth Prog 1 March 2017; 64 (1): 17–21. doi: https://doi.org/10.2344/anpr-63-03-01
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