CONSED
Patient anxiety has always been a major issue in dental offices Anxiety and fear during dental procedures is very common in Children and Adult. To overcome this fear, PRATHAM DENTAL CARE has a Solution.
Conscious sedation using nitrous oxide or commonly called as Laughing gas.
PRATHAM DENTAL CARE IS THE ONLY CLINIC IN ODISHA TO USE LAUGHING
GAS OR NITROUS OXIDE SEDATION FOR ITS PATIENTS. Dentists have expertise in providing anxiety and pain control for their patients. Although anxiety and
pain can be modified by psychological techniques, in many instances pharmacological approaches
are required. Analgesia/anxiolysis is defined as diminution or elimination of pain and anxiety in a
conscious patient. The patient responds normally to verbal commands. All vital signs are stable,
there is no significant risk of losing protective reflexes, and the patient is able to return to
preprocedural mobility. In children, analgesia/anxiolysis may expedite the delivery of procedures
that are not particularly uncomfortable, but require that the patient not move. It also may allow
the patient to tolerate unpleasant procedures by reducing or relieving anxiety, discomfort, or pain.
The outcome of pharmacological approaches is variable and depends upon each patient’s response
to various drugs. The clinical effect of nitrous oxide/oxygen inhalation, however, is more predictable
among the majority of the population.
The objectives of nitrous oxide/oxygen inhalation include
- Reduce or eliminate anxiety
- Reduce untoward movement and reaction to dental treatment
- Enhance communication and patient cooperation
- Raise the pain reaction threshold
- Increase tolerance for longer appointments
- Reduce gagging
- Potentiate the effect of sedatives.
- Aid in treatment of the mentally/physically disabled or medically compromised patient
Indications
- A fearful, anxious, or obstreperous patient
- Certain patients with special health care needs
- A patient whose gag reflex interferes with dental care
- A patient for whom profound local anesthesia cannot be obtained
- A cooperative child is undergoing a lengthy dental procedure.
Contraindications
- Chronic obstructive pulmonary diseases
- Severe emotional disturbances or drug-related dependencies.
- First trimester of pregnancy.
- Treatment with bleomycin sulfate.
- Methylenetetrahydrofolate reductase deficiency.
Advantages
- Easy to administer
- Onset of action is rapid
- N 2 O has bland, pleasant, nonirritating order
- Recovery is fast
- Titration is possible
- Rapid uptake and elimination of N 2 O ensures that no hangover effect is experienced
- There is a wide margin of safety
- There is cardio-respiratory stability
- Nausea and vomiting are uncommon
- Reflex integrity is maintained
- No preparation of patient is required
- No need for any escort.
DisAdvantages
- Equipment is expensive
- Patient must be able to breathe through the nose
- Interference of the nasal hood with injection to anterior maxillary region.