What is Nitrous Oxide?
Nitrous oxide is a colourless and virtually odourless gas
with a faint, sweet smell. It is an effective analgesic/anxiolytic agent
causing central nervous system depression and euphoria with little effect on
the respiratory system.
How is Nitrous Oxide used in Dentistry?
Nitrous oxide (N2O), more commonly referred to as
laughing gas, is a mild sedative agent that safely and effectively manages pain
and anxiety during dental treatment. The colourless and odourless nitrous oxide
is mixed with oxygen and inhaled through a small mask that fits over your nose.
Patients are asked to breathe normally and should feel the effects of the
laughing gas within minutes.
Contrary to its name, laughing gas does not necessarily
make you laugh. The nitrous oxide slows down your nervous system to make you
feel less inhibited. You may feel light-headed, tingly, or even heaviness in
your arms or legs. Ultimately, you should be calm and comfortable throughout
the procedure.
The objectives of nitrous oxide/oxygen inhalation include:
-
· Decreases
or reduces anxiety
· Decreases
unnecessary movements and reactions towards dental treatment
· Patient
cooperation and communications becomes better
· Threshold
reaction of pain becomes better
· Increases
tolerance for longer appointments
· Assist
in the care of patients who are medically compromised or mentally or physically
disabled
· Gagging
is reduced
· Increases
the sedative's potency.
Indications
· A
patient who is very fearful, anxious, or obstreperous
· Certain
patients with special health care needs
· A
patient whose has severe gag reflex which interferes with dental care
· A
cooperative child who becomes attention deficient due to the lengthy dental
procedure.
Contraindications
· Chronic
obstructive pulmonary diseases
· Severe
emotional disturbances or drug-related dependencies.
· First
trimester of pregnancy.
· Treatment
with bleomycin sulphate.
· Deficiency
of Methylenetetrahydrofolate reductase
· Before
giving analgesic/anxiolytic medications to patients with serious underlying
medical conditions (such as acute otitis media, recent tympanic membrane graft,
sickle cell disease, severe obstructive pulmonary disease, congestive heart
failure, or acute severe head injury), the appropriate medical specialists
should be consulted whenever possible.
Advantages
· Administered
easily
· Rapid
onset of action
· N2O has
bland, pleasant, non-irritating order
· Rapid
uptake and elimination of N2O
· Faster
recovery
· Titration
is possible
· There
is a wide margin of safety
· There
is cardio-respiratory stability
· Nausea
and vomiting are not commonly seen
· Reflex
integrity is sustained
· Patient
preparation is usually not required
· No need
for any escort.
Disadvantage
· Expensive
equipment
· The
patient needs to be able to breathe via their nose.
· Interference between the anterior maxillary injection site and the nasal hood.
At Teeth
Care Centre, we provide the most safest and convenient form of dental
sedation, the world’s no.1 Matrx brand of nitrous oxide as conscious sedation
in Ahmedabad. Sedation through nitrous oxide has no side effects and it’s safe
for both children and adults. This form of conscious sedation relieves them of
all the fear and apprehension. Our dentist in satellite, Dr Pankti Patel is
highly trained and certified to perform conscious sedation; so that you can be
assured that you are in safe hands.
With conscious sedation in Ahmedabad, we strive to render
a painless and anxiety free treatment experience for you.


