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Rationale for Using Nitrous Oxide in Pediatric Dentistry

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Nitrous Oxide in Pediatric Dentistry

Abstract

The thought of visiting a dentist is scary for children, which gets compounded with the sound and smell of a dental office. This thought finds its birth from casual talks of dental visit experiences by school friends, parents, grandparents, etc. When we accept and understand that the “fear of dentistry” is real, only then we will adopt means to overcome it. Recognizing a fearful child and understanding fear or anxiety, is the first step for successful administration of nitrous oxide in child patients. The main purpose of using nitrous oxide is to build a positive dental attitude and not to “heavily sedate” the child nor as a replacement for general anesthesia. Besides this, its indications and contraindications should be clear to a dentist treating children. Also, nitrous oxide has distinct advantages over other modes of sedation, which along with few disadvantages shall be discussed in this chapter.

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Author information

Authors and Affiliations

  1. Children’s Dental Center, Gurugram, India

    Kunal Gupta

  2. Department of Pediatric Dentistry, LSUHSC School of Dentistry, New Orleans, LA, USA

    Priyanshi Ritwik

Authors
  1. Kunal Gupta
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  2. Priyanshi Ritwik
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Editor information

Editors and Affiliations

  1. Children’s Dental Center, Gurugram, Haryana, India

    Kunal Gupta

  2. Department of Pediatric Dentistry, National and Kapodistrian University, Athens, Greece

    Dimitrios Emmanouil

  3. Henry Goldman School of Dental Medicine, Boston University, Boston, MA, USA

    Amit Sethi

1.1 Electronic Supplementary Material

Video 1.1

This video depicts how nitrous oxide inhalation sedation serves the purpose of building a positive dental attitude in children. A cooperative child was undergoing a simple procedure like oral prophylaxis and fluoride application. However, the child dislikes sensations in the mouth during prophylaxis and resists further procedure. On using nitrous oxide inhalation sedation, child becomes calm, relaxed, and allows the procedure to be completed without any interruptions. Also, on completion of procedure, child leaves the operatory on a positive note and thereafter, child always looks forward to visiting the dentist (MOV 171704 kb)

Video 1.2

This video clearly highlights the importance of using nitrous oxide while making impressions. Since nitrous oxide reduces gag reflex, impressions can be made easily even in a supine position as shown in this video (MOV 97872 kb)

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Gupta, K., Ritwik, P. (2020). Rationale for Using Nitrous Oxide in Pediatric Dentistry. In: Gupta, K., Emmanouil, D., Sethi, A. (eds) Nitrous Oxide in Pediatric Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-29618-6_1

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  • DOI: https://doi.org/10.1007/978-3-030-29618-6_1

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29617-9

  • Online ISBN: 978-3-030-29618-6

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