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

Indian J Dent Res. 2021 Jul-Sep;32(3):288-291. doi: 10.4103/ijdr.ijdr_146_21.

Abstract

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.

Keywords: Classical conditioning; Ivon Pavlov; nitrous oxide; pulse rate.

Publication types

  • Clinical Trial

MeSH terms

  • Anesthesia, Dental* / methods
  • Anesthetics, Inhalation*
  • Child
  • Child, Preschool
  • Conditioning, Classical
  • Conscious Sedation
  • Humans
  • Nitrous Oxide

Substances

  • Anesthetics, Inhalation
  • Nitrous Oxide