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

Vinita Goyel1, Aman Jain1, Shivani Mathur1

  • 1Department of Pediatric and Preventive Dentistry, ITS-CDSR, Ghaziabad, Uttar Pradesh, India.

Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research
|March 1, 2022
PubMed
Summary
This summary is machine-generated.

Conscious sedation using nitrous oxide can condition children for dental treatments. Subsequent visits may not require sedation, with oxygen acting as a placebo to maintain positive behavior.

Keywords:
Classical conditioningIvon Pavlovnitrous oxidepulse rate

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Area of Science:

  • Pediatric Dentistry
  • Behavioral Science

Background:

  • Managing anxiety in pediatric dental patients is crucial.
  • Classical conditioning offers a potential non-pharmacological approach.

Purpose of the Study:

  • To evaluate conscious sedation as a tool for classical conditioning in pediatric dental patients.
  • To assess the efficacy of nitrous oxide inhalation sedation in behavior modification.

Main Methods:

  • 20 healthy children (5-9 years) with positive behavior ratings underwent non-invasive treatment.
  • Session 1 (A1): Treatment under nitrous oxide sedation with physiological monitoring.
  • Session 2 (A2): Treatment with 100% oxygen, assessing behavior via comfort scale.

Main Results:

  • No significant differences in pulse rate, oxygen saturation, or visual analogue scale between sedation and placebo.
  • Significant improvements in comfort scale scores were observed, indicating positive behavior modification.

Conclusions:

  • Conscious sedation can facilitate classical conditioning for pediatric dental behavior management.
  • Subsequent treatments may be successful without sedation by using oxygen as a placebo.
  • This approach can lead to sustained positive dental behavior in children.