Clouet Roselyne, Dajean-Trutaud Sylvie, Grall-Bronnec Marie, Bray Estelle, Victorri-Vigneau Caroline, Prud'homme Tony
Department of Periodontology, Nantes Université, CHU Nantes, Service d'Odontologie, Nantes, France.
Department of Periodontology, Nantes Université, CHU Nantes, INSERM, MethodS in Patients-centered outcomes and HEalth Research, SPHERE, Nantes, France.
Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):270-275. doi: 10.5005/jp-journals-10005-2540.
EMONO is an equimolar mixture of oxygen and nitrous oxide. Studies investigating its anxiolytic effect mostly used behavioral scales for assessing anxiolysis in children during dental care. Observing this effect objectively in a pediatric population could be very interesting.
We conducted a prospective uncontrolled monocentric pilot study to assess the equimolar mixture of oxygen and nitrous oxide (EMONO) anxiolytic effect in children during dental care by monitoring heart rate (HR) variation.
A statistically significant difference could be highlighted between the HR before the dental care and after 5 minutes of EMONO inhalation, illustrating the anxiolytic effect of EMONO in an objective way. HR variation also suggests that the effect of EMONO seems to prevent a return to the initial level of stress, even during anesthesia.
All of the data in the literature confirm the essential role of nitrous oxide in pediatric dental care. Demonstrating the effectiveness of EMONO by objective criteria is necessary.
Clinical Trials Unique Protocol ID: RC17_0275.
Clouet R, Dajean-Trutaud S, Grall-Bronnec M, Objectivation of the Equimolar Mixture of Oxygen and Nitrous Oxide Anxiolytic Effect in Pediatric Dentistry: A Pilot Study. Int J Clin Pediatr Dent 2023;16(2):270-275.
EMONO是氧气和一氧化二氮的等摩尔混合物。研究其抗焦虑作用的实验大多使用行为量表来评估儿童在牙科护理期间的抗焦虑效果。在儿科人群中客观观察这种效果可能会非常有趣。
我们进行了一项前瞻性非对照单中心试点研究,通过监测心率(HR)变化来评估氧气和一氧化二氮等摩尔混合物(EMONO)在儿童牙科护理期间的抗焦虑作用。
牙科护理前与吸入EMONO 5分钟后的心率之间存在统计学上的显著差异,以客观的方式说明了EMONO的抗焦虑作用。心率变化还表明,即使在麻醉期间,EMONO的作用似乎也能防止压力恢复到初始水平。
文献中的所有数据都证实了一氧化二氮在儿童牙科护理中的重要作用。有必要通过客观标准证明EMONO的有效性。
临床试验唯一方案识别号:RC17_0275。
Clouet R, Dajean-Trutaud S, Grall-Bronnec M, 儿童牙科中氧气和一氧化二氮等摩尔混合物抗焦虑作用的客观化:一项试点研究。《国际临床儿科牙科学杂志》2023;16(2):270 - 275。