Even as the trend toward natural and holistic dentistry continues to gain in popularity, more people than ever are also seeking out alternate ways to manage their dental anxiety. Even with all the advances in technology and a greater understanding of what it is that so many of our patients find so unappealing about dental visits, there are still those who struggle with the prospect of sitting in a chair for 45-60 minutes every six months.
To that end, dentists everywhere have begun to employ alternative methods for managing patients who are afraid of the dentist, or who might not be able to maintain regular hygiene routines due to special circumstances such as being an adolescent, pregnant, or elderly person. For example, nitrous oxide dental sedation (commonly known as laughing gas) has become increasingly popular for use in dental offices around the world. Read on to learn about some of its advantages and why you might want to consider using it for your next patient.
What is Nitrous Oxide Dental Sedation?
Nitrous oxide dental sedation is a gas that is breathed in through a mask or nosepiece. It's most often used before any type of surgical procedure to produce a relaxed feeling, which can make the experience more comfortable and less anxious for patients. But it can also be used for dental sedation purposes. One concern people have about nitrous oxide is the potential for addiction. Nitrous oxide does not cause physical dependence and withdrawal symptoms, making it safer than other types of sedatives, like benzodiazepines (Valium). It doesn't have any negative effects on either the heart or lungs and its impact on pregnant women or children is minimal at best. Another advantage that nitrous oxide has over other types of sedatives is how quickly it takes effect.
When administered by qualified dentists with proper training and certification, nitrous oxide takes effect within 30 seconds. This means that your patient will experience a sense of calmness long before you've even finished preparing them for their appointment! Nitrous oxide also wears off rather quickly because it's not stored in the body like other drugs are--therefore, your patient won't be lethargic or groggy after their appointment. Finally, when used properly and under the supervision of an experienced dentist, nitrous oxide poses no risk to your patient--even if they have the chronic obstructive pulmonary disease (COPD), asthma, or other respiratory problems as long as they don't have another medical condition like pneumonia or congestive heart failure.
How Does Nitrous Oxide Dental Sedation Work?
Nitrous oxide provides a sedative effect to the patient, allowing them to relax and remain calm throughout the procedure. It's delivered through a mask that covers the nose and mouth, and it has been used by dentists for over 150 years. Nitrous effects typically last around three minutes, but some patients can experience its effects for as long as 20 minutes or so.
Advantages of NS for Dental Visits
Nitrous oxide doesn't just provide a temporary calming effect. It also has many long-term benefits for those who are undergoing dental procedures. For example, nitrous oxide is often used for the treatment of people with special needs or developmental disorders, as well as for children and other patients who have difficulty maintaining good oral hygiene practices. On top of all that, nitrous oxide is one of the safest anesthesia options available. Of course, there are some potential side effects to be aware of. For example, patients may experience nausea after the use of nitrous, but this is generally not an issue if they lie down on the couch before breathing in the gas.
Similarly, they may feel drowsy or lightheaded after using it, which can be distracting during a procedure but will subside within an hour or two. Overall though, nitrous oxide is a very safe and effective option for patients who need to undergo lengthy dental work. It's also worth noting that its effects can be controlled more easily than those experienced with IV sedation methods by simply adjusting how much gas you're administering to your patient.
Disadvantages of NS for Dental Visiting
Nitrous oxide is certainly an advantageous option for many people, but it does come with a few disadvantages. For one thing, the gas can be unpleasant to smell, which may cause some patients to experience dizziness or nausea. Additionally, since the gas is so potent and fast-acting, some people could lose consciousness. While nitrous is a popular choice for many dentists because it reduces dental anxiety and allows the patient to maintain better oral hygiene routines, it can also lead to some side effects that aren't ideal. As such, it should be used only in situations where there's no other practical alternative.
Final Words
Nitrous oxide is a valuable tool in managing dental anxiety. It has been shown to be very effective at reducing anxiety levels in patients prior to their dental visit, and it can also be used as an adjunct to more traditional sedation methods. This gas can also be used outside of the dentist's office, such as if you're trying to manage your own teeth. In short, there are many advantages to using nitrous oxide for dental sedation - and few disadvantages (if any).
References:
1-Pediatric dental sedation: challenges and opportunities
Published online 2015 Aug 26
https://doi.org/10.2147/CCIDE.S64250
2-Risk factors for pneumonia in the elderly
Received 1 December 1992, Accepted 8 June 1993, Available online 17 June 2004.
https://doi.org/10.1016/0002-9343(94)90060-4