Annals of Stomatology 2023 July-September; 1(2): 96-101
CLINICAL TRIAL
CONSCIOUS SEDATION AND PAIN CONTROL IN DENTAL SURGERY WITH NITROUS OXIDE: CLINICAL PROTOCOL
S.R. Tari1, S.A. Gehrke2, A. Scarano1, A. Frisone1, D. Tripodi1, P. Lorusso3 and P. Scarano1
1Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, Italy;
2Department of Research, Bioface/PgO/UCAM, Montevideo, Uruguay, Department of Biotechnology, Univer-sidad Católica de Murcia (UCAM), 30107 Murcia, Spain;
3University of Bari, Italy
*Corresponding author:
Antonio Scarano
University of Chieti-Pescara
Via Dei Vestini 31
66100 Chieti Italy
e-mail: pscarano849@gmail.com
ABSTRACT
Usually, dental implant and oral surgical procedures are performed outside of the operating room. Conscious sedation is a method in which the use of one or more drugs produces a state of depression of the central system (CNS) and euphoria with little effect on the respiratory system; verbal contact with the patient is maintained throughout sedation. Conscious sedation does not require intubation of the patient to maintain airway patency independently. It is a drug-induced depression of consciousness induced by drugs, during which the patient intentionally responds to light tactile stimulation and verbal commands. The level of sedation must be such that the patient remains conscious, maintains protective reflexes, and can understand and respond to tactile or verbal commands. Anxiolytics in dentistry are very important to achieve absolute patient cooperation. Nitrous oxide/oxygen (N2O/O2) inhalation is used for analgesia/anxiolysis as a safe and effective technique to manage pain and anxiety in dentistry. Nitrous oxide (N2O) is a colorless, soluble gas with a sweet odor. So, anxiolytics with nitrous oxide can be used for the management of the patient undergoing oral surgery.
Keywords: conscious sedation, analgesics, nitrous oxide, oral surgery