Calming contest - a battle between nitrous oxide and oral sedation - who wins in paediatric minds

Sonal Gupta; Charu Aggarwal; Akil Prawin; Rohan Shrivastava; Anuska Bhattacharjee; Aishwarya Pawar

doi:10.18203/2349-3291.ijcp20260087

Authors

Sonal Gupta Department of Paediatric and Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
Charu Aggarwal Department of Paediatric and Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
Akil Prawin Department of Paediatric and Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
Rohan Shrivastava Department of Paediatric and Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
Anuska Bhattacharjee Department of Paediatric and Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
Aishwarya Pawar Department of Paediatric and Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20260087

Keywords:

Anxiolysis, Oral melatonin, Nitrous oxide-oxygen inhalation, Sedative effects

Abstract

Background: The aim of the study was to compare the pre and post use of oral melatonin as oral sedative drug with nitrous oxide-oxygen sedation in young uncooperative children.

Methods: Twenty children aged 5 to 10 years were chosen to participate in the study and were equally divided into two groups: group 1 oral melatonin and group 2 nitrous oxide sedation. Parameters evaluated included Ramsay sedation scale, Houpt behaviour rating scale and Chota Bheem scale for anxiety, heart rate and oxygen saturation. The student t-test was used to compare the groups, and proportions were analysed using the Chi-square test.

Results: The treatment carried out was successful in 80% and 73% of the children in the melatonin and nitrous oxide groups respectively with no statistically significant differences between the two groups.

Conclusion: The study found that children aged 5 to 10 years can be sedated well with either of the sedative regimens. However, administering nitrous oxide oxygen sedation requires clinically higher patient compliance.

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