Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation

CONTEXT: Periodontal surgical procedures produce varying degree of stress in all patients. Nitrous oxide-oxygen inhalation sedation is very effective for adult patients with mild-to-moderate anxiety due to dental procedures and needle phobia. AIM: The present study was designed to perform periodonta...

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Autores principales: Sandhu, Gurkirat, Khinda, Paramjit Kaur, Gill, Amarjit Singh, Singh Khinda, Vineet Inder, Baghi, Kamal, Chahal, Gurparkash Singh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767984/
https://www.ncbi.nlm.nih.gov/pubmed/29386796
http://dx.doi.org/10.4103/jisp.jisp_226_16
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author Sandhu, Gurkirat
Khinda, Paramjit Kaur
Gill, Amarjit Singh
Singh Khinda, Vineet Inder
Baghi, Kamal
Chahal, Gurparkash Singh
author_facet Sandhu, Gurkirat
Khinda, Paramjit Kaur
Gill, Amarjit Singh
Singh Khinda, Vineet Inder
Baghi, Kamal
Chahal, Gurparkash Singh
author_sort Sandhu, Gurkirat
collection PubMed
description CONTEXT: Periodontal surgical procedures produce varying degree of stress in all patients. Nitrous oxide-oxygen inhalation sedation is very effective for adult patients with mild-to-moderate anxiety due to dental procedures and needle phobia. AIM: The present study was designed to perform periodontal surgical procedures under nitrous oxide-oxygen inhalation sedation and assess whether this technique actually reduces stress physiologically, in comparison to local anesthesia alone (LA) during lengthy periodontal surgical procedures. SETTINGS AND DESIGN: This was a randomized, split-mouth, cross-over study. MATERIALS AND METHODS: A total of 16 patients were selected for this randomized, split-mouth, cross-over study. One surgical session (SS) was performed under local anesthesia aided by nitrous oxide-oxygen inhalation sedation, and the other SS was performed on the contralateral quadrant under LA. For each session, blood samples to measure and evaluate serum cortisol levels were obtained, and vital parameters including blood pressure, heart rate, respiratory rate, and arterial blood oxygen saturation were monitored before, during, and after periodontal surgical procedures. STATISTICAL ANALYSIS USED: Paired t-test and repeated measure ANOVA. RESULTS: The findings of the present study revealed a statistically significant decrease in serum cortisol levels, blood pressure and pulse rate and a statistically significant increase in respiratory rate and arterial blood oxygen saturation during periodontal surgical procedures under nitrous oxide inhalation sedation. CONCLUSION: Nitrous oxide-oxygen inhalation sedation for periodontal surgical procedures is capable of reducing stress physiologically, in comparison to LA during lengthy periodontal surgical procedures.
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spelling pubmed-57679842018-01-31 Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation Sandhu, Gurkirat Khinda, Paramjit Kaur Gill, Amarjit Singh Singh Khinda, Vineet Inder Baghi, Kamal Chahal, Gurparkash Singh J Indian Soc Periodontol Original Article CONTEXT: Periodontal surgical procedures produce varying degree of stress in all patients. Nitrous oxide-oxygen inhalation sedation is very effective for adult patients with mild-to-moderate anxiety due to dental procedures and needle phobia. AIM: The present study was designed to perform periodontal surgical procedures under nitrous oxide-oxygen inhalation sedation and assess whether this technique actually reduces stress physiologically, in comparison to local anesthesia alone (LA) during lengthy periodontal surgical procedures. SETTINGS AND DESIGN: This was a randomized, split-mouth, cross-over study. MATERIALS AND METHODS: A total of 16 patients were selected for this randomized, split-mouth, cross-over study. One surgical session (SS) was performed under local anesthesia aided by nitrous oxide-oxygen inhalation sedation, and the other SS was performed on the contralateral quadrant under LA. For each session, blood samples to measure and evaluate serum cortisol levels were obtained, and vital parameters including blood pressure, heart rate, respiratory rate, and arterial blood oxygen saturation were monitored before, during, and after periodontal surgical procedures. STATISTICAL ANALYSIS USED: Paired t-test and repeated measure ANOVA. RESULTS: The findings of the present study revealed a statistically significant decrease in serum cortisol levels, blood pressure and pulse rate and a statistically significant increase in respiratory rate and arterial blood oxygen saturation during periodontal surgical procedures under nitrous oxide inhalation sedation. CONCLUSION: Nitrous oxide-oxygen inhalation sedation for periodontal surgical procedures is capable of reducing stress physiologically, in comparison to LA during lengthy periodontal surgical procedures. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5767984/ /pubmed/29386796 http://dx.doi.org/10.4103/jisp.jisp_226_16 Text en Copyright: © 2017 Journal of Indian Society of Periodontology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sandhu, Gurkirat
Khinda, Paramjit Kaur
Gill, Amarjit Singh
Singh Khinda, Vineet Inder
Baghi, Kamal
Chahal, Gurparkash Singh
Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation
title Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation
title_full Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation
title_fullStr Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation
title_full_unstemmed Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation
title_short Comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation
title_sort comparative evaluation of stress levels before, during, and after periodontal surgical procedures with and without nitrous oxide-oxygen inhalation sedation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767984/
https://www.ncbi.nlm.nih.gov/pubmed/29386796
http://dx.doi.org/10.4103/jisp.jisp_226_16
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