Vilanova-Saingery C, Bailleul-Forestier I, Vaysse F, Vergnes J-N, Marty M
Perpignan Saint Jean Hospital, Paul Sabatier University, Toulouse, France.
Paul Sabatier University, Toulouse, France.
Eur Arch Paediatr Dent. 2017 Dec;18(6):385-391. doi: 10.1007/s40368-017-0307-7. Epub 2017 Oct 31.
The aim of this national survey was to record the use of nitrous oxide and the perceptions of French dental practitioners to this form of sedation. The use of nitrous oxide sedation (NOS) has been authorised in private dental practice in France since December 2009 but, to date, no study implementing both quantitative and qualitative methods has explored such use.
The data were collected using a Google Forms questionnaire. A mixed methodology was used for data analysis: a quantitative approach to explore the use of conscious sedation and a qualitative thematic approach (using Nvivo software) to determine the practitioner's perception of it.
Responses were collected from 225 practitioners (19% of the target population of 1185). Most of the responders were trained in NOS use in private dental clinics. Seventy-three percent of those who trained privately actually used NOS, compared to 53% of those trained at university (p-value = 0.0052). Above all, NOS was used for children requiring restorative dentistry. The average price of the sedation was 50 Euros and it lasted, on average, for 37 min. The qualitative and thematic analysis revealed the financial and technical difficulties of implementing NOS in private practice. However, it also showed the benefits and pleasure associated with NOS use.
This statistical survey of French dental practitioners offers an insight of the current state of the use of conscious sedation with nitrous oxide in private general dental practice in France. It also includes the first report of dental practitioners' perceptions of NOS use and may lead to a better understanding of the reasons why sedation is sometimes not used in private practice.
这项全国性调查旨在记录一氧化二氮的使用情况以及法国牙科从业者对这种镇静方式的看法。自2009年12月起，一氧化二氮镇静（NOS）在法国的私人牙科诊所中已获批准使用，但迄今为止，尚无一项同时采用定量和定性方法的研究探讨过此类使用情况。
通过谷歌表单问卷收集数据。数据分析采用混合方法：定量方法用于探究清醒镇静的使用情况，定性主题方法（使用NVivo软件）用于确定从业者对其的看法。
共收集到225名从业者的回复（占1185名目标人群的19%）。大多数回复者在私人牙科诊所接受过一氧化二氮使用培训。其中，73%在私人机构接受培训的人实际使用过一氧化二氮，而在大学接受培训的人中这一比例为53%（p值 = 0.0052）。最重要的是，一氧化二氮用于需要进行修复性牙科治疗的儿童。镇静的平均价格为50欧元，平均持续37分钟。定性和主题分析揭示了在私人诊所实施一氧化二氮镇静在财务和技术方面的困难。然而，这也显示了与使用一氧化二氮相关的益处和乐趣。
这项针对法国牙科从业者的统计调查揭示了法国私人普通牙科诊所中使用一氧化二氮进行清醒镇静的现状。它还首次报告了牙科从业者对一氧化二氮使用的看法，并可能有助于更好地理解私人诊所中有时不使用镇静的原因。
