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Original Research

Open Access

Effectiveness and Safety of Elevated Dosages of Nitrous Oxide on Behavior Management in Pediatric Dentistry

  • Unkel John H1
  • Alexander C Ian1
  • Berry Elizabeth1,*,
  • Reinhartz Judy1
  • Reinhartz Dennis1

1Bon Secours St Mary’s Hospital Program for Advanced Pediatric Dental Education, 6900 Forest Ave Richmond VA 23230, USA

DOI: 10.17796/1053-4625-46.1.10 Vol.46,Issue 1,January 2022 pp.58-61

Published: 01 January 2022

*Corresponding Author(s): Berry Elizabeth E-mail: ELIZABETH_BERRY@bshsi.org

Abstract

Objective: To determine if administering a higher dosage of nitrous oxide (>50%), with a nasal hood in pediatric dental restorative procedures, can allow for a safe and more cooperative experience for the pediatric patient as measured by observable adverse reactions and the Frankl Behavior Rating Scale. Study Design: A retrospective chart review was completed of 200 patients total, 100 for each nitrous oxide (N2O) dosage group (≤50% vs >50%). Adverse reactions and The Frankl Behavior Rating Scale during pediatric restorative procedures with N2O were compared between the two dosage groups. Results: There were few adverse reactions for both nitrous oxide groups (≤50% vs >50%) and there was no statistical difference in the Frankl Behavior Rating Scale for each group. Conclusions: Patients given more than 50% of nitrous oxide were not found to have an increase in adverse events. Higher concentrations of nitrous oxide (>50%) were not found to be associated with a better behavior score when completing pediatric restorative procedures.


Keywords

Behavior; Anxiolysis; Nitrous oxide; Children

Cite and Share

Unkel John H,Alexander C Ian,Berry Elizabeth,Reinhartz Judy,Reinhartz Dennis. Effectiveness and Safety of Elevated Dosages of Nitrous Oxide on Behavior Management in Pediatric Dentistry. Journal of Clinical Pediatric Dentistry. 2022. 46(1);58-61.

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