Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009:4:67-72.
Epub 2009 May 14.

Interest of 50% nitrous oxide and oxygen premix sedation in gerodontology

Emmanuel Nicolas  1 , Claire Lassauzay
Affiliations

Interest of 50% nitrous oxide and oxygen premix sedation in gerodontology

Emmanuel Nicolas et al. Clin Interv Aging. 2009.

Abstract

Elderly patients presenting cardiovascular, respiratory, or neurological disorders require a specific dental care approach, especially patients presenting Alzheimer's disease. Sedative procedures can prevent dental care-induced stress, even when there is effective pain control, but they have to be adapted to accommodate age-induced physiological modifications, age-related pathologies, and the concomitant treatments. In many situations, routine sedative prescriptions for dental care, such as benzodiazepine or antihistaminics, are not recommended for these patients. Nitrous oxide inhalation together with a specific behavioral threshold is currently the only sedative procedure adapted to cognitively-impaired elderly patients. Nitrous oxide is able to curb stress and its cardiovascular consequences, improve oxygenation, and optimize cooperation during dental care, making not only rehabilitation treatments but also routine dental care a viable option.

Keywords: dental care; gerodontology; nitrous oxide; oxygen; premix; sedation.

PubMed Disclaimer

References

    1. Cohen C, Tabarly P, Hourcade S, Kirchner-Bianchi C, Hennequin M.[Oral hygiene for the institutionalized elderly] Presse Med 200635(11 Pt 1):1639–1648. - PubMed
    1. Roberts WE, Garetto LP, Arbuckle GR, Simmons KE, DeCastro RA. What are the risk factors of osteoporosis? Assessing bone health. J Am Dent Assoc. 1991;122:59–61. - PubMed
    1. Sreebny LM, Schwartz SS. A reference guide to drugs and dry mouth. Gerodontology. 1986;5:75–99. - PubMed
    1. Gilbert GH, Branch LG, Orav EJ. Predictors of older adults’ longitudinal dental care use. Ten-year results. Med Care. 1990;28:1165–1180. - PubMed
    1. Blanco VL, Levy SM, Ettinger RL, Logan H, Buckwalter KC. Challenges in geriatric oral health research methodology concerning caregivers of cognitively impaired elderly adults. Spec Care Dentist. 1997;17:129–132. - PubMed

LinkOut - more resources