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Effect of Rubber Dam on Arterial Oxygen Saturation in Children
Asha Nara1, Rashmi Chour2, Jamini Narasimman3
1Reader, Department of Pediatric and Preventive Dentistry, PMNM Dental College & Hospital, Bagalkot, Karnataka, India.
Insights
Rubber dam use in pediatric dental procedures does not significantly affect children's blood oxygen saturation (SpO2). This finding is crucial for ensuring patient safety during dental treatments requiring rubber dam isolation.
Area of Science:
- Pediatric Dentistry
- Anesthesia and Analgesia
Background:
- Rubber dam placement can potentially alter airflow in nasal and oral cavities.
- Pediatric dentists must understand the impact of rubber dams on patient oxygenation.
Purpose of the Study:
- To assess the effect of rubber dam use on arterial blood oxygen saturation (SpO2) in children aged 6-12 years.
Main Methods:
- Sixty children (ASA Class I, 6-12 years) were divided into two groups: maxillary or mandibular isolation.
- Pulse oximetry monitored SpO2 before and during rubber dam placement (nose covered/uncovered).
- Two-way ANOVA was used for statistical analysis.
Main Results:
- No significant difference in SpO2 was observed after rubber dam placement, regardless of whether the nose was covered or uncovered (P > 0.05).
Conclusions:
- Rubber dam isolation does not cause significant changes in SpO2 in children aged 6-12 years.
- The findings support the safe use of rubber dams in pediatric dentistry without compromising oxygenation.
Background:
The placement of rubber dam has the potential to alter the airflow through nasal and oral cavities. Pediatric dentist should be aware whether the use of a rubber dam affects the oxygen saturation (SpO2) in children. To assess the effect of rubber dam on arterial blood SpO2 in children of 6-12 years age.
Materials And Methods:
Totally, 60 ASA Class I patients of 6-12 years age, randomly allocated in two groups: Group A: Rubber dam isolation of maxilla and Group B: Isolation of the mandible. A pulse oximeter was used to detect SpO2. To establish a baseline, each patient's SpO2 was recorded every 30 s for 2 min. A rubber dam was then placed which extended over the nose. Class I cavity and glass ionomer cements restoration were performed. The rubber dam was cut to expose the nasal cavities SpO2 were recorded every 30 s for 5 min throughout the procedure. A two-way ANOVA test was applied.
Results:
In both groups there was no significant difference in SpO2 after rubber dam placement with nose covered or uncovered (P > 0.05).
Conclusion:
There was no significant change in SpO2 after rubber dam isolation with nose covered or uncovered in children of 6-12 years age.
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