NITROUS OXIDE

INHALATION
SEDATION
P R E PA R E D BY:
D R N I E K L A S U RV I A A N D I E S TA
S C H O O L O F D E N T I S T RY - I N T E R N AT I O N A L M E D I C A L U N I V E RS I T Y
Program Outcome
After the training participants should be
able to manage anxious patients with
nitrous oxide inhalation sedation.
Lesson Outcomes
At the end of the training participants
should be able to:
1. appreciate the objectives of nitrous
oxide sedation.
2. correlate the behaviour management
techniques with nitrous oxide sedation.
3. identify a good candidate for dental
treatment with nitrous oxide sedation.
Lesson Outcomes
4. demonstrate the nitrous oxide
sedation technique.
5. monitor the patient during dental
procedures with nitrous oxide sedation.
6. prepare the patient for dental
treatment with nitrous oxide sedation.
Lesson Outcomes
7. give the patient pre and post dental
treatment with N2O/O2 inhalation
sedation instructions.
8. record the dental treatment procedure
with N2O/O2 inhalation sedation.
9. demonstrate the patient discharge
procedure after dental treatment with
N2O/O2 inhalation sedation.
The Objective of Nitrous
Oxide Sedation

To decrease patients anxiety and

enhance effective communication and
patients coooperation.
Introduction
- Nitrous oxide is a colorless gas and
relatively insoluble and excreted quickly
from the lungs.
- It is always administered with oxygen to
safeguard the patients supply of oxygen.
(medicated oxygen).
Indication and Contra
Indication
The American Academy of Pediatric
Dentistry (AAPD).
Council of European Dentists (CED).
The Scottish Dental Clinical
Effectiveness Programme (SDCEP).
Ministry of Health Malaysia (MOH).
Procedures
- History taking.
- Clinical examination.
- Dental examination.
- Provisional diagnosis/Diagnosis.
- Treatment planning.
- Informed consent.
Procedures
- Preparation of the patient.
- Pre procedures advice.
- Monitoring during the procedures.
- Documentation.
- Post procedures advice.
- Patient discharge.
 References
1. The American Academy of Pediatric Dentistry
(AAPD). Guidelines on Use of Nitrous Oxide
for Pediatric Dental Patients. 2008.
2. Council of European Dentists (CED). The Use
of Nitrous Oxide Inhalation Sedation in
Dentistry. 2012.
3. The Scottish Dental Clinical Effectiveness
Programme (SDCEP). Conscious Sedation in
Dentistry. Dental Clinical Guidance. 2012.
 References
Ministry of Health Malaysia (MOH).
Recommendations for Sedation and Analgesia by
Non-Anaesthesiologists. 2012.

Dr Niekla Survia Andiesta

Email: NieklaAndiesta@imu.edu.my