The specialties panel in the National Center for Complementary and Integrative Health (NCCIH) has proposed a new recommendation for dentists to use nitrous oxide in their practice. The recommendation is meant to reduce the risk of chronic and acute adverse effects associated with the use of general anesthetics. It is one of the first recommendations by the NCCIH to be based on current scientific evidence.
In an anesthetic gas mixture used for dentistry, nitrous oxide plays a role in producing the soothing effects. However, it is not the only component. Dentists need to balance the need for more than just a masking agent with the risk of putting patients at greater risk for adverse effects. Dentists can use a combination of anesthetic gases that produces sedation without the risk of chronic adverse effects. Sedation is most successful when dentists first use nitrous oxide as a masking agent for the other anesthetic gases to sedate patients. This results in more patient comfort, fewer missed teeth, and fewer patients complaining of dry mouth. It also gives dentists more time to treat patients appropriately.
Dentists can use a variety of sedation agents such as nitrous oxide, anesthetic drugs, or anesthesia gases with dentists to control pain and anxiety. Dentists can use one of these options to help reduce their patients’ stress in dentistry.
Dentists may recommend that patients use some or all of the anesthetic gas options in their practice.
Understanding anesthetic gas combinations can help dentists make more appropriate treatment decisions and improve the patient care they provide.
When dentists select an anesthetic gas mixture to control pain and anxiety in their patients, they need to understand the options available to them. Their understanding of the component parts of anesthetic gas mixtures can help them provide dental treatments that are safe, and their patients’ care is more successful.
«For the first time, this comprehensive recommendation for dentists to use a combination of nitrous oxide and anesthetic gases will help reduce the risk of adverse effects of anesthetics, improve dental treatment, and help reduce patient discomfort during dental treatments,» said Bernard Raison, Ph.D., M.P.H., director of the Office of Dietary Supplements and senior adviser to the NCCIH. «With this recommendation, dentists who use gas mixtures containing nitrous oxide for sedation are now prepared to use it safely in their practices. Using nitrous oxide as the
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