IADR Abstract Archives

Routine Care Performed Under Inhalation Sedation with a Pre-fixed 50% N2O/50% O2 Mixture (KALINOX®) in Patients with Special Needs

Objectives: Inhalation sedation has been avoided for a long time in patients with special needs due to presumed lack of cooperation or inability to breathe through the nose. The dental treatment undertaken for ‘difficult’ patients is often adapted to the patient’s capacity to cooperate, often leading to reduced access to conservative or preventive care, and a high number of extractions. It has recently been shown that a prefixed 50% N2O/50% O2 mixture may help these patients to cooperate during dental treatment. This study aims to analyse the dental treatment performed under inhalation sedation for patients with special needs.

Material and Method: A prospective multicentre study was undertaken over a 1 year-period. 348 patients with special needs (age range 3 - 81 years, mean ±SD: 21.9 ± 13.9 years) were recruited at 7 centres following failure to treat under conventional management. Patients suffered from i) congenital or acquired neurological disability, ii) autistic or psychiatric disorder, iii) Down syndrome, other disease associated with intellectual disability, or iv) undiagnosed intellectual disability. Sedation was deemed successful if the planned treatment could be completed. Patient behaviour was scored using the modified Venham scale.

Results: Of the 605 treatment sessions performed, 91.4% were successful, with a mean duration of 22.6 ±0.6 min. The treatment successfully undertaken was: 33% restorative treatment, prosthetics or endodontics, 23% extractions, 18% scaling, 15% clinical and radiographic examination, 4% impression taking and other treatment 7%. Treatment sessions could be easily repeated. The type of treatment is analysed according to the percentage of success, the behaviour score and the duration of the session.

Conclusions: This analysis demonstrates that inhalation of a 50% N2O/50% O2 premix may be used to increase regular access to routine care, thus avoiding the repercussions of neglect on general health and quality of life for persons with special needs.


IADR/PER General Session
2003 IADR/PER General Session (Goteborg, Sweden)
Goteborg, Sweden
2003
11
Behavioral Sciences/Health Services Research
  • Faulks, Denise  ( Université d'Auvergne, Clermont-Ferrand, N/A, France )
  • Onody, Peter  ( Air Liquide Santé International, , N/A, France )
  • Manière, Marie-cécile  ( Université Louis Pasteur, Strasbourg, N/A, France )
  • Albecker-grappe, Sylvie  ( Université Louis Pasteur, , N/A, France )
  • Berthet, Annie  ( Université de Champagne Ardennes, Reims, N/A, France )
  • Tardieu, Corinne  ( Université d'Aix-Marseille II, Marseille, N/A, France )
  • Droz, Dominique  ( Université de Nancy I, Nancy, N/A, France )
  • Wolikow, Maryse  ( Université Paris V, Montrouge, N/A, France )
  • Koscielny, Serge  ( Institut Gustave Roussy, , N/A, )
  • Hennequin, Martine  ( Université d'Auvergne, Clermont-Ferrand, N/A, France )
    • Oral
    Fear and Anxiety
    06/25/2003