Nitrous oxide: its use in dentistry
DOI:
https://doi.org/10.35954/SM2018.37.2.6Keywords:
Anesthesia, Dentistry, Nitrous Oxide, Conscius SedationAbstract
The history of anesthesia is as old as humanity itself, since, from the beginning of time, man has sought ways to alleviate pain. In dentistry, the use of local anesthetics has been widely accepted as an integral part of dental treatment to relieve the patient's pain, without concern for comfort and control of anxiety. In some cases the treatment generates anxiety and stress that would put at risk an optimal dental care. Different studies show that approximately 60% of dental patients experience anxiety in the face of dental treatment. Therefore, the technique of conscious sedation by nitrous oxide, is extremely useful in those patients who have stress, nervousness, anxiety, whether they are children, adults or special patients. Adult and pediatric patients, as well as those with special needs and / or those who will be subjected to invasive situations, should be considered for a type of minimal sedation with an additional and complementary tool for the successful achievement of treatment in ideal and safe conditions. The assessment of the patient prior to the procedure with sedation, is basic for decision making about the management offered, allowing the execution of sedation with safety and quality. Conscious sedation with nitrous oxide and oxygen consists in the adminsitration of a mixture of medicinal gas, nitrous oxide and oxygen, achieving the relaxation of the patient during the procedure. The patient is awake at all times, but more relaxed. The use of nitrous oxide and oxygen is one of themost effective techniques that benefit both the patient and the professional during surgery.
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(1) Fernández P, Andruskevicius M, Cristiani F. Utilización de óxido nitroso en Uruguay. Rev Esp Anestesiol Reanim 2010; 57(2):71-78.
(2) Moreno-Guzmán. Breve historia de la aneste-sia. Rev Sanid Milit Mex 2012; 66(4):189-194.
(3) Mezzano S, Carraco M, Ramírez C, Paz M, Srandoni G. Sedación Consciente con Óxido Nitroso, una nueva herramienta en la práctica clínica Odontológica. Rev Soc Odontopedia V Región 2016;16:29-36.
(4) Leiva A. Anestesia Fuera de Pabellón. Rev Med Clin Condes 2017; 28(5):738-746.
(5) Ibarra P, Galindo M, Molano A, Niño C, Rubiano A, Echeverry P, et al. Recomendaciones para la sedación y la analgesia por médicos no anestesiólogos y odontólogos de pacientes mayores de 12 años. Rev Colomb Anestesiol 2012; 40(1):67-74.
(6) Daher A, Pinheiro R, Rezence L, Rodrigues C. Practices and opinions on nitrous oxide/oxygen from dentists licensed to perform relative analgesia in Brazil. BMC Oral Health 2012; 12:21.
(7) Cordero N, Cadenas J, Álvarez G. Parental acceptance of pharmacologic and non- pharmacologic behavior management techniques in pediatric dentristry. Rev CES Odont 2012; 25(2):24-32.
(8) Texeira L, Fernandes G, Fernandes F. Uso del Óxido Nitroso en Pediatría. Rev Bras Anestesiol 2012; 62(3):451-467.
(9) Donaldson M, Donaldson D, Quarnstrom F. Nitrous oxide-oxygen administration. JADA 2012; 143(2):134-14.
(10) Bonafé-Monzó N, Rojo-Moreno J, Catalá-Pizarro, M. Analgesic and physiological effects en conscious sedation whit different Nitrous oxide concentrations. J Clin Exp Dent 2015; 7(1):e63-8.
(11) Gómez B, Capapé S, Benito F, Landa J, Fernández Y, Luaces C, et al. Efectividad y seguridad del uso de óxido nitroso para sedoanalgesia en urgencias. An Pediatr (Barc) 2011; 75(2):96-102.
(12) Becerra L, Sanabe M, Marega T, Goncalves J, Braga de Abreu C. Sedacao conciente: um recurso codjuvante no atendimiento odontológico de crianca nao coperativas. Arq Odontol Belo Horizonte 2011; 47(1):45-50.
(13) Rodríguez H. Tratamientos farmacológicos y no farmacológicos para la ansiedad al tratamiento estomatológico. Rev Cubana Estomatol 2016; 53(4):277-290.
(14) Rubiano A, Burbano C, Hernández A, Rincón D, Benavides C, Restrepo S. Currículo para la adminis-tración de sedación fuera del quirófano en pacientes mayores de 12 años. Rev Colomb Anestesiol 2017; 45(3):239-250.
(15) Ruiz J, Rodríguez R, Romero A. Eficacia y segu-ridad de la utilización del óxido nitroso al 50% como analgesia en el parto. Prog Obstet Ginecol 2011; 54(3):121-127.
(16) Woolley SM, Hingston EJ, Shah J, Chadwick BL. Paediactric conscious sedation: views and experience of specilists in paediatric dentistry. Br Dent J 2009; 207(6):E11; discussion 280-1.
(17) Crestanello J, Fernández C, Arismendi C. Se-dación consciente: una alternativa en el manejo del dolor y la ansiedad en odontología. Actas Odontol 2005; 2(1):15-24.
(18) Pérez P. Sedación en odontología: Sedación inhalatoria con óxido nitroso. Gaceta Dental 2017; 295:154-160.
(19) ASA physical status classification system. Last opproved by the ASA House of Delegates on October 15, 2014. Disponible en: file:///C:/Users/USUARIO/Downloads/asa-physical-status-classification-system.pdf [Consulta 04/05/2018].
(20) ASA. Standards for Basic anesthesia monitoring: commitee of origin: standars And practice parameters (approved by the ASA house of delegates on October 21, 1986, last amened on October 28, 2015). ASA; 2015. Disponible en: file:///C:/Users/USUARIO/Downloads/standards-for-basic-anesthetic-monitoring%20(1).pdf [Consulta 04/05/2018].
(21) Wilson S. Management of chid patient behavior: quality of care fear and anxiety, and the chid patient. J endond 2013; 39(3 Suppl):S73-7.
(22) Hennequin M, Collado D, Faulks D, Koscielny S, Onody P, Nicolas E. Un ensayo clínico de eficiencia y seguridad de la sedación por inhalación con una mezcla de 50% de óxido nitroso/oxígeno en la práctica general. Invest Clín Orales 2012; 16(2):633-642.
(23) Khinda VI, Bhuria P, Kallar S, Brar GS. Evaluación comparativa de la hipoxia por difusión y habilidades psicomotoras con o sin oxigenación posterior a la administración de óxido nitroso en niños sometidos a procedimientos dentales: estudio clínico. J Indian Soc Pedod Prev Dent 2016; 34:217-22
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