NEGLECTED SOLUTION IN DENTAL ANXIETY: NITROUS/OXIDE SEDATION Dental Anksiyetede ihmal Edilen Çözüm: Azot Protoksit/Oksijen Sedasyonu

Tolga ŞİTİLCİ, Alp SARUHANOĞLU, Selin SAYGINSOY, Hakkı TANYERİ
1.025 301

Abstract


ABSTRACT
Purpose: To evaluate the efficiency of Nitrous oxide on patients with dental anxiety via Modified Dental Anxiety Scale (MDAS).
Material and Methods: 22 patients (16 female, 6 male) whom MDAS total scores were at least 19 enrolled in this study. Prior to dental treatment patients were asked to fill the MDAS form and then patients sedated with nitrous oxide/oxygen. Patients were asked to fill the MDAS form again 1 hour later after the the symptoms of sedation disappeared. Scores of MDAS that were recorded before and after the dental treatments were compared with each other.
Results: The mean of MDAS total scores were evaluated as 20.64±1.84 and 6.82±1.81 before and after the treatment respectively (p<0.001). When eachscores of questionsin MDAS form were compared with themselves that had been recorded before and after treatment, also there was a significant decrease found between the first and the second MDAS values (p<0.001).
Conclusion: Nitrous oxide is a safe and effective sedation technique to reduce dental anxiety of patients who has MDAS scores at least 19.
Keywords: Nitrous oxide, sedation, anxiety
ÖZ
Amaç: Çalışmanın amacı Modifiye Dental Anksiyete Skalası (MDAS) ile dental anksiyetesi belirlenmiş hastalarda azot protoksit/oksijen sedasyonunun etkisini belirlemek.
Gereç ve Yöntem: MDAS toplam skorları 19 ve üzeri olan 22 hasta (16 kadın, 6 erkek) dental girişim öncesinde azot protoksit/oksijen sedasyonu ile sedatize edilmiş ve dental girişimden sonra hastaların sedasyon belirtilerinin ortadan kalkmasını takiben 1 saat sonra Modifiye Dental Anksiyete Skalası (MDAS) ile tekrar anksiyete ölçümü yapılmış ve işlem öncesinde kayıt edilmiş verilerle kıyaslanmıştır.
Bulgular: Çalışmaya katılan bireylerin işlem öncesi ortalama MDAS toplam skorları 20.64±1.84 iken işlemden sonra yapılan ölçümlerde bu oran 6.82±1.81 olarak belirlenmiştir (p<0.001). İşlem öncesi bireylerin MDAS'ta bulunan tüm sorulara verdikleri cevaplar işlem sonrasında istatistiksel olarak azalmıştır (p<0.001).
Sonuç: Azot protoksit/oksijen sedasyonu MDAS toplam skorları 19 ve üzeri olan bireylerde dental anksiyeteyi baskılamakta başarılı sonuç vermektedir.
Anahtar kelimeler: Azotprotoksit, sedasyon, anksiyete


Keywords


Nitrous oxide, sedation, anxiety

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References


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