Comparison of Effect of Nitrous Oxide-Oxygen Conscious Sedation and Cognitive-behavioral Therapy on Children's Anxiety in Dentistry

Mashhad University of Medical Sciences

Status: Completed

Conditions: Clinical Cooperation; Clinical Anxiety

Treatments: Drug: Nitrous Oxide-Oxygen conscious sedation; Behavioral: cognitive-behavioral therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02024594

88311

Details and patient eligibility

About

Visiting anxious and fearful children is an inevitable prospect of the daily work of every dentist who treats pediatric patients. Dentists have been using a wide variety of non-pharmacological and some pharmacologic techniques to assist them in the management of children with anxiety. One strategy which seems promising for pain control in stressful medical situations is teaching the child to use behavioral and cognitive coping skills or a combination of both techniques. An alternative technique to non-pharmacologic approaches in children being anxious and lacking in cooperative ability is sedative technique such as nitrous oxide conscious sedation. As there is lack of studies comparing conscious sedation and combinations of cognitive-behavioral strategies in eliminating children's uncooperative behaviors and dental anxiety, the aim of this study was to compare the effectiveness of inhalation sedation with Nitrous Oxide-Oxygen conscious sedation and cognitive-behavioral therapy to reduce dental anxiety in preschool children.

Enrollment: 45 patients

Sex: All

Ages: 36 to 78 months old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age between3 to 6.5 year of old
• Presence of moderate to severe dental anxiety
• Parents' acceptance to cooperate in sampling process and 2 sessions of dental treatment
• Presence of at least one mandibular primary molar needed pulp treatment
• positive dental history

Exclusion criteria

• current episodes of medications or drug therapy
• systemic or congenital disorders
• mental retardation

Trial design

45 participants in 3 patient groups

Nitrous Oxide-Oxygen

Experimental group

Description:

Children in this group were sedated by rapid induction method by means of Nitrous Oxide-Oxygen gas.

Treatment:

Drug: Nitrous Oxide-Oxygen conscious sedation

cognitive-behavioral therapy

Experimental group

Description:

Children in this group were asked to come to playroom before entering operation room. Modeling , Benson relaxation and positive self-talking were instructed to them.

Treatment:

Behavioral: cognitive-behavioral therapy

control

No Intervention group

Description:

No intervention