Advertisement

European Archives of Paediatric Dentistry

, Volume 17, Issue 4, pp 265–270 | Cite as

Utilising a paediatric version of the indicator of sedation need for children’s dental care: a pilot study

  • M. Madouh
  • J. F. TahmassebiEmail author
Original Scientific Article

Abstract

Aim

To assess the treatment outcomes of using inhalation sedation for comprehensive dental care in children by utilising a modified version of the indicator of sedation need tool.

Methods

Investigating the outcomes of dental treatment of patients referred to the sedation unit at the Leeds Dental Institute when the paediatric version of the indicator of sedation need (p-IOSN) was utilised.

Results

Forty patients of mean age 9.99 (SD = 3.14) years were followed up to ascertain treatment outcomes when the p-IOSN was used. Of the total of 40 children included, 20 scored 6 on p-IOSN. Treatment completion rate was 72.5 %. Although major differences existed between age and treatment outcomes, they failed to achieve statistical significance. No significant association was found between gender and p-IOSN of any score with any treatment outcome.

Conclusions

p-IOSN may be a useful tool that can be used to predict those child patients who would benefit from sedation for their dental treatment. However, the p-IOSN is still in a developmental stage and further research is required prior to its use on clinical grounds.

Keywords

Sedation Children Dental care 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest. The authors alone are responsible for the content and writing of the manuscript.

Ethical approval

The present study received ethical approval from the Dental Research Ethics Committee (DREC) at the Leeds Dental Institute (LDI), the National Research Ethics Service (NRES) and the Leeds Research and Development Directorate (R&D) in order for it to be performed at the Leeds Teaching Hospital Trust (LTHT) (REC reference: 12/NW/0770, IRAS reference:103361).

References

  1. Alexopoulos E, Hope A, Clark S, McHugh S, Hosey M. A report on dental anxiety levels in children undergoing nitrous oxide inhalation sedation and propofol target controlled infusion intravenous sedation. Eur J Paediatr Dent. 2007;8(2):81–6.CrossRefGoogle Scholar
  2. Ashley P, Parry J, Parekh S, Al-Chihabi M, Ryan D. Sedation for dental treatment of children in the primary care sector (UK). Br Dent J. 2010;208(11):E21.CrossRefPubMedGoogle Scholar
  3. Bryan R. The success of inhalation sedation for comprehensive dental care within the Community Dental Service. Int J Pediatr Dent. 2002;12(6):410–4.CrossRefGoogle Scholar
  4. Buchanan H, Niven N. Validation of a Facial Image Scale to assess child dental anxiety. Int J Pediatr Dent. 2002;12(1):47–52.Google Scholar
  5. Crawford A. The use of nitrous oxide-oxygen inhalation sedation with local anaesthesia as an alternative to general anaesthesia for dental extractions in children. Br Dent J. 1990;168(10):395–8.CrossRefPubMedGoogle Scholar
  6. Coulthard P, Bridgman C, Gough L, et al. Estimating the need for dental sedation. 1. The indicator of sedation need (IOSN)–a novel assessment tool. Br Dent J. 2011;211(5):E10.CrossRefPubMedGoogle Scholar
  7. Foley J. Nitrous oxide inhalation sedation: what do patients, carers and dentists think about it? Eur J Paediatric Dent. 2005;6(1):23.Google Scholar
  8. Girdler N, Hill C. Sedation in dentistry. Wright; 1998.Google Scholar
  9. Goodwin M, Coulthard P, Pretty I, et al. Estimating the need for dental sedation. 4. Using IOSN as a referral tool. Br Dent J. 2012;212(5):E9.CrossRefPubMedGoogle Scholar
  10. Guinot JF, Yuste BS, Cuadros FNC, Lorente RA, Mercadé BM. Objective and subjective measures for assessing anxiety in paediatric dental patients. Eur J Paediatr Dent. 2011;12:239–42.Google Scholar
  11. Hallonsten A, Jensen B, Raadal M, et al. EAPD guidelines on sedation in paediatric dentistry. European Academy of Paediatric Dentistry Guidelines; 2003. pp. 8–9.Google Scholar
  12. Hosey M. Managing anxious children: the use of conscious sedation in paediatric dentistry. Int J Pediatr Dent. 2002;12(5):359–72.CrossRefGoogle Scholar
  13. Howard KE, Freeman R. Reliability and validity of a faces version of the Modified Child Dental Anxiety Scale. Int J Pediatr Dent. 2007;17(4):281–8.CrossRefGoogle Scholar
  14. Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. Int J Pediatr Dent. 2007;17(6):391–406.CrossRefGoogle Scholar
  15. Locker D, Poulton R, Thomson W. Psychological disorders and dental anxiety in a young adult population. Community Dent Oral. 2001;29:456–63.CrossRefGoogle Scholar
  16. Majstorovic M, Veerkamp JSJ. Relationship between needle phobia and dental anxiety. J Dent Child (Chic). 2004;71(3):201–5.Google Scholar
  17. Majstorovic M, Veerkamp JSJ, Skrinjaric I. Reliability and validity of measures used in assessing dental anxiety in 5- to 15-year-old Croatian children. Eur J Paediatr Dent. 2003;4(4):197–202.PubMedGoogle Scholar
  18. Muris P, Meesters C, Knoops M. The relation between gender role orientation and fear and anxiety in nonclinic-referred children. J Clin Child Adolesc Psychol. 2005;34(2):326–32.CrossRefPubMedGoogle Scholar
  19. Paterson S, Tahmassebi J. Paediatric dentistry in the new millennium: 3. Use of inhalation sedation in paediatric dentistry. Dent Update. 2003;30(7):350.PubMedGoogle Scholar
  20. Pretty I, Goodwin M, Coulthard P, et al. Estimating the need for dental sedation. 2. Using IOSN as a health needs assessment tool. Br Dent J. 2011;211(5):E11.CrossRefPubMedGoogle Scholar
  21. Shaw AJ, Meechan JG, Kilpatrick NM, Welbury RR. The use of inhalation sedation and local anesthesia instead of general anaesthesia for extractions and minor oral surgery in children: a prospective study. Int J Pediatr Dent. 1996;6:7–11.CrossRefGoogle Scholar
  22. Soldani F, Manton S, Stirrups DR, Cumming C, Foley J. A comparison of inhalation sedation agents in the management of children receiving dental treatment: a randomized, controlled, cross-over pilot trial. Int J Pediatr Dent. 2010;20(1):65–75.CrossRefGoogle Scholar
  23. Wilson K, Welbury R, Girdler N. Comparison of transmucosal midazolam with inhalation sedation for dental extractions in children. A randomized, cross-over, clinical trial. Acta Anaesthesiol Scand. 2007;51(8):1062–7.CrossRefPubMedGoogle Scholar
  24. Yuan S, Carson SJ, Rooksby M, et al. Assessing sedation need and managing referred dentally anxious patients: is there a role for the index of sedation need? Br Dent J. 2015;219:571–6.CrossRefPubMedGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2016

Authors and Affiliations

  1. 1.Al-Adan Dental CentreKuwait CityKuwait
  2. 2.Department of Paediatric DentistryLeeds Dental Institute, University of LeedsLeedsUK

Personalised recommendations