Assessment of Effectiveness Acceptability Complications and Parental Satisfaction of Pediatric Dental Patients Treated under Nitrous Oxide-oxygen Inhalational Sedation Using Porter Silhouette Mask

Abstract

Objectives: To estimate the concentration of nitrous oxide (N2O) required for effective sedation to render dental treatment for an anxious child and to assess the child’s behavior, patient acceptance, parental satisfaction, postoperative complications, and ease of manipulation of Porter Silhouette mask by the dentist during N2O–O2 sedation. Study design: A total of 40 children, 6–10-year-old requiring dental treatment, were treated using N2O sedation. The level of N2O required for optimal sedation, patient behavior, level of acceptance of N2O by the patient, clinical recovery score, and postoperative complications were observed throughout the study. At the end of the treatment, a questionnaire was given to the parents to evaluate parental satisfaction. Results: The sedation was very effective, with 25–50% of N2O concentration. About 92.5% of children were fully cooperative, the dentist was able to place the mask with comfort in 92.5% of children, significant improvement was seen in the patient’s behavior with minimal complications, and 100% of the parents were satisfied with the treatment under sedation. Conclusion: Inhalational sedation with N2O using Porter Silhouette mask results in effective sedation, with increased patient comfort, and parental acceptance in providing dental treatment.