Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?

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dc.contributor.authorKhanday, Mohamad Arshiden_US
dc.contributor.authorPrabhakar, Atiguppe Ren_US
dc.contributor.authorB.M, Deepaken_US
dc.contributor.authorNaik, Saraswathi Ven_US
dc.date.accessioned2020-01-02T07:21:58Z
dc.date.available2020-01-02T07:21:58Z
dc.date.issued2018-07
dc.description.abstractBackground: Dental anxiety is a common problem, which can affect people of all ages, but appears to develop mostly in childhood. Practitioners use numerous methods to control dental anxiety in children during the dental procedures. Objective: To evaluate the effectiveness of nitrous oxide/oxygen (N2O/O2) inhalation sedation and video-eyeglass distraction (VED) in the management of anxious pediatric patients during dental extraction. Methods:The study was conducted on 40 children aged 6-12 years who required extraction of at-least one mandibular primary molar under local anesthesia. The children were randomly divided into two groups with 20 children in each – Group-A wearing video-eyeglass and Group-B using N2O/O2 inhalation sedation during dental extraction. The physiological assessment was done by recording heart rate using fingertip pulse oximeter. The psychological assessment was done by recording base line anxiety before the treatment and post treatment anxiety at the completion of extraction using Venham’s anxiety scale (VAS). Independent t-test with p value <0.05 level of significance was used to compare means of two groups. Results: Comparison of Venham’s anxiety score of participants at the completion of extraction, showed statistically no significant difference (p=0.946). The mean pulse rate recorded at different time points between the two groups was also statistically non-significant (P=0.923, 0.957, 1.00 respectively). Conclusion: Both N2O/O2 inhalation sedation and VED were equally effective in reducing anxiety during dental extraction but considering the adverse effects and requirement of expert personnel in N2O/O2 inhalation sedation, VED may be preferred because of its better applicability.en_US
dc.identifier.affiliationsPost graduate student, Bapuji Dental College and Hospital Davangere, Karnataka India.en_US
dc.identifier.affiliationsProf & Head Dept of Pedodontics & Preventive Dentistry, Bapuji Dental College and Hospital Davangere, Karnataka India.en_US
dc.identifier.affiliationsM.D.S. Lecturer, Dept of Pedodontics & Preventive Dentistry, Bapuji Dental College and Hospital Davangere, Karnataka, India.en_US
dc.identifier.affiliationsM.D.S. Reader, Dept of Pedodontics & Preventive Dentistry, Bapuji Dental College and Hospital Davangere, Karnataka, India.en_US
dc.identifier.citationKhanday Mohamad Arshid, Prabhakar Atiguppe R, B.M Deepak, Naik Saraswathi V. Management of Dental Anxiety: Is There Scope Beyond Conscious Sedation?. Annals of International medical and Dental Research. 2018 Jul; 4(4): 11-16en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/192668
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber4en_US
dc.relation.volume4en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2018.4.4.DE3en_US
dc.titleManagement of Dental Anxiety: Is There Scope Beyond Conscious Sedation?en_US
dc.typeJournal Articleen_US
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