Survey of American Academy of Pediatric Dentistry on Nitrous Oxide and Sedation: 20 Years Later

Pediatr Dent. 2016 Oct 15;38(5):385-392.

Abstract

Purpose: The purpose of this study was to survey the membership of the American Academy of Pediatric Dentistry (AAPD) and determine the current status of nitrous oxide (N2O) utilization in their dental practices while also comparing the findings to a similar survey completed 20 years ago.

Methods: A 55-item questionnaire on the use of N2O was sent to the AAPD membership.

Results: The total number of respondents was 1,632 (26 percent). Sixty-two percent are board-certified, 97 percent use N2O in their office, 18 percent indicated greater than 80 percent of their patient pool required N2O versus six percent in 1996. Fifty percent of parents expressed concerns about N2O use.

Conclusions: Changes have occurred in the use of nitrous oxide since 1996, including: (1) a greater percentage of practitioners using N2O; (2) perceptions that more pediatric patients need N2O; (3) a shift in use of N2O by duration of practitioner experience; (4) an increased percentage of board-certified respondents; and (5) possible increasing parental concerns about N2O.

MeSH terms

  • Air Pollution, Indoor
  • Airway Management
  • Anesthesia, Dental / instrumentation
  • Anesthesia, Dental / statistics & numerical data*
  • Anesthetics, Combined / administration & dosage
  • Anesthetics, Inhalation / administration & dosage
  • Child
  • Conscious Sedation / instrumentation
  • Conscious Sedation / statistics & numerical data*
  • Dental Care for Children / methods
  • Dental Care for Children / statistics & numerical data*
  • Emergencies
  • Gas Scavengers
  • Humans
  • Life Support Care
  • Monitoring, Physiologic
  • Nitrous Oxide / administration & dosage*
  • Occupational Exposure
  • Pediatric Dentistry / methods
  • Pediatric Dentistry / standards*
  • Surveys and Questionnaires
  • United States

Substances

  • Anesthetics, Combined
  • Anesthetics, Inhalation
  • Nitrous Oxide