Kunta Sravanthi, Arora Ruchi V, Jain Rashmi, Rawat Parul
Department of Pediatric Dentistry, Darshan Dental College and Hospital, Udaipur, Rajasthan, India.
Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):302-307. doi: 10.5005/jp-journals-10005-2534.
The study aimed to assess the anxiety and stress levels on acceptance of dental treatment in child patients approaching dental extraction procedures before and after nitrous oxide (NO) inhalation sedation (IHS) by measuring serum amyloid A (SAA) and salivary cortisol (SC).
A total of 32 children, ages ranging from 6 to 10 years, were randomly grouped as TI (before NO IHS) and TII (after NO IHS). Saliva samples were taken for biochemical evaluation of SAA before and after the procedure. Subjectively anxiety and stress levels were evaluated using modified child dental anxiety scale (MCDAS). Wilcoxon rank-sum test was used to compare the means of dental anxiety, SAA, and SC before and after NO IHS. The Karl Pearson correlation coefficient was employed to determine the correlation between dental anxiety and SAA and SC before and after NO IHS.
There were significant differences in the dental anxiety level in child patients after administration of NO IHS, and it also showed an increased rate of acceptance of dental treatment.
This study showed that NO is a safe and effective method in reducing dental anxiety and increasing acceptance of dental treatment in child patients with improved behavior and with no adverse effects.
Anxiety and stress will always hinder the acceptance of dental treatment in child patients, especially during extraction procedures. NO IHS is a safe and effective technique to overcome anxiety and stress in child patients and as well as allows them to undergo dental treatment with improved behavior.
Kunta S, Arora RV, Jain R, The Effect of Anxiety and Stress on Acceptance of Dental Procedure before and after Inhalation Sedation in Pediatric Patients: An Study. Int J Clin Pediatr Dent 2023;16(2):302-307.
本研究旨在通过测量血清淀粉样蛋白A（SAA）和唾液皮质醇（SC），评估一氧化二氮（NO）吸入镇静（IHS）前后即将接受拔牙手术的儿童患者在接受牙科治疗时的焦虑和压力水平。
总共32名年龄在6至10岁之间的儿童被随机分为TI组（NO IHS前）和TII组（NO IHS后）。在手术前后采集唾液样本用于SAA的生化评估。使用改良的儿童牙科焦虑量表（MCDAS）主观评估焦虑和压力水平。采用Wilcoxon秩和检验比较NO IHS前后牙科焦虑、SAA和SC的均值。采用Karl Pearson相关系数确定NO IHS前后牙科焦虑与SAA和SC之间的相关性。
给予NO IHS后儿童患者的牙科焦虑水平存在显著差异，并且牙科治疗的接受率也有所提高。
本研究表明，NO是一种安全有效的方法，可降低儿童患者的牙科焦虑，提高牙科治疗的接受率，改善行为且无不良反应。
焦虑和压力总是会阻碍儿童患者接受牙科治疗，尤其是在拔牙手术期间。NO IHS是一种安全有效的技术，可克服儿童患者的焦虑和压力，并使他们能够以更好的行为接受牙科治疗。
昆塔S，阿罗拉RV，贾恩R，《儿科患者吸入镇静前后焦虑和压力对牙科手术接受度的影响：一项研究》。《国际临床儿科牙科学杂志》2023；16（2）：302 - 307。
