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

PURPOSE

This study was undertaken to evaluate conscious sedation as a means of classical conditioning for managing paediatric dental patients.

METHODS

A total of 20 healthy children (American Society of Anesthesiologists I) aged 5-9 years with positive and definitely positive Frankel behaviour rating scale were evaluated. In the first appointment (A) non-invasive treatment under nitrous oxide inhalation sedation was performed and oxygen saturation and pulse rate at 10%, 30% and 50% were recorded. In subsequent appointment (A") same treatment was executed under 100% oxygen and recordings were taken. Behaviour was assessed using comfort scale.

RESULTS

No significant difference was observed in pulse rate, oxygen saturation and visual analogue scale whereas scores of comfort scale showed significant results.

CONCLUSION

Once behaviour modification to dental treatment is achieved, subsequent visit can be undertaken even without sedation, giving oxygen as a placebo where patient is sensitized to nasal hood resulting in positive dental behaviour.