IADR Abstract Archives
Is hypnosis helpful during nitrous oxide/oxygen inhalation sedation?
Objectives: Introduction: Dental anxiety and fear are the known obstacles to the completion of dental treatment both in adults and children. One of the ways to deal with these is treatment under inhalation sedation and hypnosis. Hypnosis is one of the non-pharmacological behaviour management techniques that has been around for years, yet it is still underutilised. It can be used alone or as an adjunct to nitrous oxide (NO2/O2) sedation to reduce dental anxiety and improve pain tolerance, thus helping to complete dental treatment.
Objectives: This study aimed to evaluate the use of NO2/O2 inhalation sedation alone and in combination with hypnosis in terms of duration and percentage use of NO2/O2 gas.
Methods: Records of paediatric dental patients receiving treatments under NO2/O2 sedation and combined with hypnosis in Universiti Teknologi MARA Sungai Buloh 2017 until 2022 were reviewed. Treatment includes extraction, pulp therapy or minor oral surgery under local anaesthesia.
Results: Out of 136 procedures carried out under NO2/O2 sedation where 14 of them were combined with hypnosis. The main reason for treatment under sedation is anxiety. The titration duration for NO2/O2 sedation was 14 minutes, and for NO2/O2 sedation and hypnosis was 15 minutes. The therapeutic nitrous oxide level for both techniques is 30%. The duration and therapeutic level of the two behaviour management techniques showed no significant difference (p < 0.05).
Conclusions: Both are equally effective in reducing dental anxiety, as demonstrated in the percentage of nitrous oxide required to achieve therapeutic levels for the commencement of treatment. A comprehensive, well-controlled clinical research is recommended to evaluate the effectiveness of hypnosis as an adjunct to NO2/O2 sedation.
Objectives: This study aimed to evaluate the use of NO2/O2 inhalation sedation alone and in combination with hypnosis in terms of duration and percentage use of NO2/O2 gas.
Methods: Records of paediatric dental patients receiving treatments under NO2/O2 sedation and combined with hypnosis in Universiti Teknologi MARA Sungai Buloh 2017 until 2022 were reviewed. Treatment includes extraction, pulp therapy or minor oral surgery under local anaesthesia.
Results: Out of 136 procedures carried out under NO2/O2 sedation where 14 of them were combined with hypnosis. The main reason for treatment under sedation is anxiety. The titration duration for NO2/O2 sedation was 14 minutes, and for NO2/O2 sedation and hypnosis was 15 minutes. The therapeutic nitrous oxide level for both techniques is 30%. The duration and therapeutic level of the two behaviour management techniques showed no significant difference (p < 0.05).
Conclusions: Both are equally effective in reducing dental anxiety, as demonstrated in the percentage of nitrous oxide required to achieve therapeutic levels for the commencement of treatment. A comprehensive, well-controlled clinical research is recommended to evaluate the effectiveness of hypnosis as an adjunct to NO2/O2 sedation.