Abstract
Aims and objectivesTo describe a study protocol of a randomised control trial (RCT) assessing the effectiveness, in reducing dental anxiety, of an acclimatising nitrous oxide sedation (N2O) session prior to actual dental treatment with N2O.Materials and methodsA single-centre investigator-blinded parallel-group RCT conducted in a postgraduate dental hospital in Dubai, United Arab Emirates (UAE). Anxious children requiring N2O (aged 5–15 years) will be randomly assigned to; a study group: children who will have a preparatory N2O trial experience or; a control group: children who will only have N2O explained to them. Treatment with N2O for both groups will start at the second visit. The following outcomes will be recorded: completion of dental treatment, anxiety scores at baseline and after treatment (using the Modified Child Dental Anxiety Scale faces), behaviour of the child (using Frankl Rating Behaviour Scale) and the acquisition of real-time physiological anxiety-related parameters (using E4® electronic wrist devices).ResultsThe data will be analysed statistically.DiscussionThere is a paucity of research regarding dental N2O acclimatising appointments. This RCT will supplement existing literature.ConclusionsThis RCT will report whether prior acclimatising of a child to N2O sedation is effective, or not, in improving dental treatment behaviour.
Highlights
Nitrous oxide inhalation sedation is a mild method of anxiolytic sedation
There is a paucity of research regarding dental N2O acclimatising appointments
This randomised control trial (RCT) will supplement existing literature. This RCT will report whether prior acclimatising of a child to N2O sedation is effective, or not, in improving dental treatment behaviour
Summary
The purpose of this study/protocol is to provide an evidence nitrous oxide/oxygen as the preferred method for conscious supported answer regarding the clinical value of the use of an sedation.[2] These endorsements echo the guidelines of other additional acclimatising visit for N2O prior to the actual planned entities such as the UK dental faculties of the Royal Colleges of dental treatment. Nitrous oxide inhalation sedation has been Surgeons and the Royal College of Anaesthetists The latter, in employed in dentistry for over 170 years. An additional resource that recommended the use of accustoming visit was the SDCEP in 2017.2 They issued the following statement without specific supportive evidence: “A brief trial of nitrous oxide/oxygen at the assessment appointment may be helpful for the psychological preparation of some children”. The data will be stored for 5 years after the final publication to be shared upon request
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