The Use of Equimolar Mixtures of Nitrous Oxide and Oxygen in Oral Surgery—A Retrospective Study of Patients in a Swiss University Hospital Setting

Author:

Perez Alexandre1ORCID,Gernandt Steven2,Scolozzi Paolo2ORCID

Affiliation:

1. Unit of Oral Surgery and Implantology, Division of Oral and Maxillofacial Surgery, Department of Surgery, Faculty of Medicine, Hôpitaux Universitaires de Genève, 1211 Genève, Switzerland

2. Division of Oral and Maxillofacial Surgery, Department of Surgery, Faculty of Medicine, Hôpitaux Universitaires de Genève, 1211 Genève, Switzerland

Abstract

Purpose: The purpose of the study was to evaluate the success of procedural conscious sedation using inhaled equimolar nitrous oxide–oxygen (NOIS—EMONO) in patients undergoing routine dental and oral surgery procedures in a Swiss university hospital setting. Materials and methods: The authors conducted a retrospective cohort study of patients that underwent NOIS-supported procedures between 2018 and 2022 at the oral surgery department of the University Hospital of Geneva (HUG), Switzerland. The primary outcome was the measurement of the procedure’s success and efficacy as defined by the European Society of Anesthesiology. Secondary objectives included the analysis of the types of treatments performed, their indications, patient behavior, and the patient–clinician satisfaction score. Results: 55 patients were included in the study; 85% underwent surgical procedures, and the remaining 15% underwent restorative and preventive procedures. The overall treatment success rate was 98.2% and 97.9% for surgically treated patients. Out of the patients, 62% appeared relaxed, calm, and serene, while 16% expressed pain or fear during the procedure. Infiltrative administration of local anesthesia caused stress in 22% of patients. This portion was significantly lower in sub-cohorts who received local topical anesthetics (0%) or a combination of systemic and local topical analgesics (7%). Patients (75%) and clinicians (91%) were satisfied with the procedure. Conclusion: Inhaled equimolar nitrous oxide–oxygen procedural sedation used during dental procedures and oral surgery results in high treatment success and satisfaction rates. The administration of additional topical anesthetics helps to reduce the anxiety and stress related to infiltrative anesthesia. Further dedicated studies and prospective trials are needed to confirm these findings.

Publisher

MDPI AG

Subject

General Medicine

Reference22 articles.

1. The Prevalence of Dental Anxiety in Dental Practice Settings;White;J. Dent. Hyg.,2017

2. Armfield, J.M., Stewart, J.F., and Spencer, A.J. (2007). The Vicious Cycle of Dental Fear: Exploring the Interplay between Oral Health, Service Utilization and Dental Fear. BMC. Oral. Health, 7.

3. Fear and Anxiety Managing Methods during Dental Treatments: A Systematic Review of Recent Data;Bruno;Minerva Dent. Oral Sci.,2019

4. Response to Nitrous-Oxide and Oxygen among Dental Phobic Patients;Peretz;Int. Dent. J.,1998

5. Success Rate of Nitrous Oxide-Oxygen Procedural Sedation in Dental Patients: Systematic Review and Meta-Analysis;Rossit;J. Dent. Anesth. Pain Med.,2021

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