THE EFFECT OF THE ANESTHETIC NITROUS OXIDE USED IN PEDIATRIC DENTISTRY ON THE REDUCTION OF VITAMIN B12 AND LIVER FUNCTION

Abstract

The prudent utilization of (N2O/O2) can offer a secure and efficient method to manage dental anxiety in children, adolescents, and individuals with specific healthcare requirements. Application of nitrous oxide for pain and anxiety alleviation in pediatric dentistry patients. One of these optimal methods is to furnish dentists with guidance on the secure and efficient use of nitrous oxide/oxygen (N2O/O2). Analgesia and anxiety alleviation particularly designed for pediatric patients. The recommendations for the use of (N2O/ O2) focus on the objectives, overall factors to consider, situations where it is appropriate, and situations where it should be avoided, for the purpose of managing sedation/anxiety. Before using ( N2O/O2) to treat pediatric patients, several factors should be taken into account. These include the patient’s physical and emotional development, medical and dental history, and the specific dental treatment required. It is also important to consider alternative behavioral guidance options, as well as the credentials and training of the dentist and other dental personnel. The availability of appropriate equipment and facilities, as well as the implementation of management and use monitoring techniques, should also be considered. Additionally, potential harmful effects and consequences, as well as occupational safety, need to be carefully evaluated. The documentation about its utilization is being discussed. The investigation was done on two cohorts of children in public and private clinics. The findings revealed reduced liver function and vitamin B12 levels in children who were exposed to nitrous oxide, as compared to the group of healthy children.