FOR IMMEDIATE RELEASE
Nitrous Oxide Increases Success Rates of Pediatric Dental Procedures
Anesthesia Progress – Anesthesia is an ongoing challenge in dentistry, especially when working to correct severe disease of the tooth pulp (irreversible pulpitis which causes spontaneous tooth pain) in adult teeth. The difficulty tends to be compounded when dentists work with pediatric patients who have irreversible pulpitis from dental caries of their permanent teeth. Young, permanent teeth in children have a larger pulp, which increases the blood and nerve supply in young teeth, thereby also increasing sensitivity. Determining the correct method of anesthesia to assist dentists in fixing these young, diseased teeth is imperative.
Researchers from the Chiang Mai University in Thailand published a novel study in the current issue of Anesthesia Progress that compared the success rates of pulpal anesthesia in children pre-medicated with ibuprofen when local anesthesia was combined with inhalation of nitrous oxide with oxygen or with oxygen alone.
The researchers performed a single-blind study in which 33 children with pulpitis of a permanent molar were included. The children were evaluated preoperatively for fear and anxiety using the Facial Image Scale and pain using the Wong-Baker FACES Pain Rating Scale (WBFPS) in case this affected their intraoperative pain perception. During the procedure, pain perception was measured with the
The researchers measured the success of the procedure based on the results of the
Given these results, the researchers concluded that local anesthesia with nitrous oxide inhalation sedation combined with preoperative ibuprofen could have an increased success rate of pulpal anesthesia in cases of severe pulpitis in pediatric patients. They also believe that these results will benefit from further studies using a larger sample size.
Full text of the article, “Effect of Nitrous Oxide on Pulpal Anesthesia: A Preliminary Study,” Anesthesia Progress, Vol. 65, No. 3, 2018, is now available at here.
About Anesthesia Progress
Anesthesia Progress is the official publication of the American Dental Society of Anesthesiology (ADSA). The quarterly journal is dedicated to providing a better understanding of the advances being made in the science of pain and anxiety control in dentistry. The journal invites submissions of review articles, reports on clinical techniques, case reports, and conference summaries. To learn more about the ADSA,
Allen Press, Inc.
800/627-0326 ext. 226