Was beeinflusst den Erfolg von Lachgasbehandlungen bei Kindern?
摘要
This retrospective study scientifically evaluated nitrous oxide sedation procedures performed in a specialized university paediatric dentistry setting and their success rates in paediatric patients. A total of 192 patients and 337 treatments were analyzed. At the patient level, treatment was considered as optimally successful in 85.9 % of cases and in 89.6 % of individual procedures. Adverse effects such as hyperventilation and vomiting were rare (n = 2). Significant factors reducing treatment success included presence of high caries risk (dmft > age [p = 0.014] and according to health insurance guidelines [p = 0.006], respectively) and children treated by different clinicians (p = 0.005). Age, gender, number of nitrous oxide treatments performed, dental treatment experience of the children, and radiographic diagnostics showed no significant impact (p > 0.05). At the treatment level, planned restorative procedures showed a significant relation to success (p = 0.03) compared to nitrous oxide treatments without planned restorative procedures. However, surgical and endodontic treatments were not related to success (p > 0.05). Nitrous oxide has proven to be an effective, safe, and versatile tool in paediatric dentistry, enhancing children's treatment experience, improving compliance, and serving as a valuable adjunct to various dental procedures.