Evaluation of dental treatments under nitrous oxide-oxygen inhalation sedation in pediatric patients with dental anxiety: a 10-Year retrospective study.

Abstract

Background: This study assessed the use of nitrous oxide-oxygen (N₂O-O₂) inhalation sedation in pediatric dental treatments, focusing on patient demographics, general health status, and the types of procedures performed.

Methods: This retrospective study analyzed clinical records of 96 pediatric patients (aged 4-12 years) treated at the Pediatric Dentistry Clinic, Ege University, School of Dentistry, under N₂O-O₂ inhalation sedation between 2010 and 2020. The study statistically examined archival data to analyze patient demographics, health status, adverse effects. success rates, and dental procedures performed.

Results: In 96 pediatric patients (33 girls, 63 boys) with dental anxiety, 128 sedation applications were performed to conduct 162 dental treatments. The participants were categorized as ASA I and ASA II based on their overall health condition, and their ages spanned from 4 to 12 years. The patients treated under N₂O-O₂ inhalation sedation underwent 52 restorative fillings, 1 vital pulp treatment, 4 endodontic treatments, 103 tooth extractions, 1 impression for space maintainer, and 1 gingival surgery. None of the 128 sedation procedures resulted in reported adverse effects.

Conclusion: Dental treatments under N₂O-O₂ inhalation sedation in pediatric dentistry are a safe method used for patients with dental anxiety. These procedures can facilitate the provision of appropriate treatments for uncooperative patients, ultimately leading to improved quality of life.