Using nitrous oxide inhalation sedation for classical conditioning - An evaluative study

Purpose: This study was undertaken to evaluate conscious sedation as a means of classical conditioning for managing paediatric dental patients. Methods: A total of 20 healthy children (American Society of Anesthesiologists I) aged 5-9 years with positive and definitely positive Frankel behaviour rat...

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Bibliographic Details
Published in:Indian journal of dental research 2021-07, Vol.32 (3), p.288-291
Main Authors: Goyel, Vinita, Jain, Aman, Mathur, Shivani, Malik, Manvi, Sachdev, Vinod
Format: Article
Language:English
Subjects:
Anesthesia
Anesthetics
Behavior modification
Classical conditioning
Inhalation
ivon pavlov
Medical societies
Nitrous oxide
Oxygen
Oxygen saturation
Patients
Pediatrics
pulse rate
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Summary:Purpose: This study was undertaken to evaluate conscious sedation as a means of classical conditioning for managing paediatric dental patients. Methods: A total of 20 healthy children (American Society of Anesthesiologists I) aged 5-9 years with positive and definitely positive Frankel behaviour rating scale were evaluated. In the first appointment (A1) non-invasive treatment under nitrous oxide inhalation sedation was performed and oxygen saturation and pulse rate at 10%, 30% and 50% were recorded. In subsequent appointment (A2) same treatment was executed under 100% oxygen and recordings were taken. Behaviour was assessed using comfort scale. Results: No significant difference was observed in pulse rate, oxygen saturation and visual analogue scale whereas scores of comfort scale showed significant results. Conclusion: Once behaviour modification to dental treatment is achieved, subsequent visit can be undertaken even without sedation, giving oxygen as a placebo where patient is sensitized to nasal hood resulting in positive dental behaviour.
ISSN:0970-9290
1998-3603
DOI:10.4103/ijdr.ijdr_146_21