Short Term Effects of Inhalation Sedation on Child Dental Fear and Anxiety

Madeeha      Bangash; Laila      Mustafa; Muhammad      Irshad; Qaiser      Omer; Mohammad   Khursheed   Alam

doi:10.2174/1573396318666220816093731

Abstract

Background: Dental procedures profoundly affect a child's dental fear and anxiety, rendering dental treatment difficult. Inhalation sedation with a mixture of nitrous oxide and oxygen (NO2/02) breathed through a nosepiece is a form of light conscious sedation widely used in apprehensive children to help them relax and accept dental treatment. This, however, can have both shortand long-term effects on child dental fear and anxiety. This study aimed to assess the short-term immediate effect of inhalation sedation on child dental fear and anxiety scores.

Methods: This analytical cross-sectional study was conducted at the Department of Paediatric Dentistry at Rehman College of Dentistry, Peshawar, Pakistan, over a period of 1.9 years (January 2019- October 2020). A total of 171 children aged 6-11 years were selected with moderate to severe dental anxiety using the Child Fear Survey Schedule-Dental Subscale (CFSS-DS), requiring pulp therapy in at least one of their deciduous molars. Baseline anxiety scores were calculated using Venham Clinical Anxiety Score (VCAS) and Venham Picture test (VPT) with a dental check-up and fluoride application. VCAS and VPT scores were then assessed at the end of their scheduled second dental visit involving dental anaesthesia and inhalation sedation. VCAS and VPT scores at the end of treatment were compared with the baseline scores.

Results: Out of 171 children, 86 were male and 85 were female, with a mean age of 7.77. Females showed a higher range of VCAS and VPT scores (p ≤0.001) compared to males. The VCAS and VPT scores declined just at the end of the second dental visit following dental anaesthesia with inhalation sedation (mean difference = 1.96 and 3.39, respectively), which was statistically significant (p ≤0.001).

Conclusion: Inhalation sedation has a significant role in reducing child dental fear and anxiety in the short term.

Keywords: Dental anxiety, dental fear, paediatric dentistry, inhalation sedation, VPT, VCAS.

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[1]
Alasmari AA, Aldossari GS, Aldossary MS. Dental anxiety in children: A review of the contributing factors. J Clin Diagn Res  2018; 12: SG01-3.
 [http://dx.doi.org/10.7860/JCDR/2018/35081.11379]

[2]
Mendoza-Mendoza A, Perea MB, Yañez-Vico RM, Iglesias-Linares A. Dental fear in children: The role of previous negative dental experiences. Clin Oral Investig  2015; 19(3): 745-51.
 [http://dx.doi.org/10.1007/s00784-014-1380-5] [PMID:  25502504]

[3]
Asl AN, Shokravi M, Jamali Z, Shirazi S. Barriers and drawbacks of the assessment of dental fear, dental anxiety and dental phobia in children: A critical literature review. J Clin Pediatr Dent  2017; 41(6): 399-423.
 [http://dx.doi.org/10.17796/1053-4628-41.6.1] [PMID:  28937891]

[4]
Yon MJ, Chen KJ, Gao SS, Duangthip D, Lo EC, Chu CH. An introduction to assessing dental fear and anxiety in children. Health Care  2020; 8: 286.
 [http://dx.doi.org/10.3390/healthcare8020086]

[5]
Hennequin M, Collado V, Faulks D, Koscielny S, Onody P, Nicolas E. A clinical trial of efficacy and safety of inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox™) in general practice. Clin Oral Investig  2012; 16(2): 633-42.
 [http://dx.doi.org/10.1007/s00784-011-0550-y] [PMID:  22186944]

[6]
Yon MJ, Chen KJ, Gao SS, Duangthip D, Lo EC, Chu CH. An introduction to assessing dental fear and anxiety in children. Health Care  2020; 8: 286.
 [http://dx.doi.org/10.3390/healthcare8020086]

[7]
Klingberg G. Dental fear and behavior management problems in children. A study of measurement, prevalence, concomitant factors, and clinical effects. Swed Dent J Suppl  1995; 103: 1-78.
 [PMID:  7740439]

[8]
Rajwar AS, Goswami M. Prevalence of dental fear and its causes using three measurement scales among children in New Delhi. J Indian Soc Pedod Prev Dent  2017; 35(2): 128-33.
 [http://dx.doi.org/10.4103/JISPPD.JISPPD_135_16] [PMID:  28492191]

[9]
Kyritsi MA, Dimou G, Lygidakis NA. Parental attitudes and perceptions affecting children’s dental behaviour in Greek population. A clinical study. Eur Arch Paediatr Dent  2009; 10(1): 29-32.
 [http://dx.doi.org/10.1007/BF03262664] [PMID:  19254524]

[10]
Arch LM, Humphris GM, Lee GT. Children choosing between general anaesthesia or inhalation sedation for dental extractions: The effect on dental anxiety. Int J Paediatr Dent  2001; 11(1): 41-8.
 [http://dx.doi.org/10.1046/j.1365-263x.2001.00238.x] [PMID:  11309872]

[11]
Crawford AN. 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.
 [http://dx.doi.org/10.1038/sj.bdj.4807217] [PMID:  2346696]

[12]
Blain KM, Hill FJ. The use of inhalation sedation and local anaesthesia as an alternative to general anaesthesia for dental extractions in children. Br Dent J  1998; 184(12): 608-11.
 [http://dx.doi.org/10.1038/sj.bdj.4809708] [PMID:  9682563]

[13]
Bryan RA. The success of inhalation sedation for comprehensive dental care within the community dental service. Int J Paediatr Dent  2002; 12(6): 410-4.
 [http://dx.doi.org/10.1046/j.1365-263X.2002.00400.x] [PMID:  12452982]

[14]
Alexopoulos E, Hope A, Clark SL, McHugh S, Hosey MT. A report on dental anxiety levels in children undergoing nitrous oxide inhalation sedation and propofol target controlled infusion intravenous sedation. Eur Arch Paediatr Dent  2007; 8(2): 82-6.
 [http://dx.doi.org/10.1007/BF03262574] [PMID:  17555689]

[15]
 EAPD. EAPD guidelines on sedation in paediatric dentistry 2008. Availble: http:// www.eapd.gr/dat/5CF03741/file.pdf

[16]
Berge TI. Acceptance and side effects of nitrous oxide oxygen sedation for oral surgical procedures. Acta Odontol Scand  1999; 57(4): 201-6.
 [http://dx.doi.org/10.1080/000163599428788] [PMID:  10540930]

[17]
Al-Namankany A, Petrie A, Ashley P. Video modelling for reducing anxiety related to the use of nasal masks place it for inhalation sedation: A randomised clinical trial. Eur Arch Paediatr Dent  2015; 16(1): 13-8.
 [http://dx.doi.org/10.1007/s40368-014-0139-7] [PMID:  25377934]

[18]
Kebriaee F, Sarraf Shirazi A, Fani K, et al. Comparison of the effects of cognitive behavioural therapy and inhalation sedation on child dental anxiety. Eur Arch Paediatr Dent  2015; 16(2): 173-9.
 [http://dx.doi.org/10.1007/s40368-014-0152-x] [PMID:  25523492]

[19]
Jameson K, Averley PA, Shackley P, Steele J. A comparison of the ‘cost per child treated’ at a primary care-based sedation referral service, compared to a general anaesthetic in hospital. Br Dent J  2007; 203(6): E13.
 [http://dx.doi.org/10.1038/bdj.2007.631] [PMID:  17632457]

[20]
Primosch RE, Buzzi IM, Jerrell G. Effect of nitrous oxide-oxygen inhalation with scavenging on behavioral and physiological parameters during routine pediatric dental treatment. Pediatr Dent  1999; 21(7): 417-20.
 [PMID:  10633513]

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DOI https://dx.doi.org/10.2174/1573396318666220816093731	Print ISSN 1573-3963
Publisher Name Bentham Science Publisher	Online ISSN 1875-6336

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