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ÇOCUK DIŞHEKIMLIGINDE AZOT PROTOKSIT OKSİJEN SEDASYONUNUN ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

EVELUATING EFFECTIVENESS OF AZOTE PROTOXIDE OXYGEN SEDATION IN PEDIATRIC DENTISTRY

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 1998

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this study we wanted 'to evaluate the effectiveness of azote protoxide oxygen sedation on severely anxious pediatric patients. We applied azote protoxide oxygen sedation with Quintiflex MDM-azote protoxide oxygen sedation device by slow induction method. The sedation and analgesia levels of the total of 22 subjects which were 14 girls and 8 boys, were evaluated according to different scales. The oxygen saturations aiui the heart rates of tlie patients were followed from a pulse oximeters device during the procedures. The means of the values were statistically calculated in microsoft excel 4.0 descriptive statistics programme. The difference of the means of the heart rate and oxygen saturation values were calculated with the pogrammes called " The coincidence blocks model and the variance analyse in Ege University Computer Research Center". According to the five points sedation test children reached the highest sedation level at the fifteenth and the tventy fifth minutes. Venham's clinical anxiety values were found as 1.76± 1.81 and 2.18± 1.79 in between the fifteenth and the tventy fifth minutes at when the dental treatments were performed. Venham's cooperative behavior scale values were found as 1.71 ± 1.90 and 2.27± 1.88. One out of 15 children who were applied local anaesthesia did not show any reaction , 8 of them showed mild reactions and 6 showed moderate reactions. Heart rate and oxygen saturations values were stable during the procedures. The difference between the average heart rate values was not found statistically significant. In conclusion , in pediatric dentistry especially in the severely anxious patient group azote protoxide oxygen sedation is found very safe and especially very effective in short duration dental treatments like deciduous teeth extractions.
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Abstract (Original Language): 
Çalışmamız azot protoksit oksijen sedasyonunun, yoğun anksieteli çocuk hastalar üzerindeki etkisini değerlendirmek amacıyla gerçekleştirilmiştir. Uygulamamızda azot protoksit oksijen çocuklara Quintiflex MDM marka cihaz ile yavaş indüksiyon yöntemiyle verilmiştir. Çalışmamızda yer alan 14' ü kız, sekizi erkek toplam 22 çocuğun sedasyon ve analjezi düzeyleri değişik skalalarla değerlendirilmiştir. Tüm prosedür süresince bir pals oksimetre aracılığıyla kan oksijen doygunlukları ve kalp atını hızları izlenmiştir. Tüm değerlerin ortalamaları Microsoft Excel 4.0 alandaki descriptive statistics, kalp atım hızı ve kan oksijen doygunluğu değerlerinin ortalamalarının farkları ise tesadüf blokları modeli vc varyans analizi uygulanarak Ege Üniversitesi Bilgisayar Araştırma ve Uygulama Merkezinde hesaplanmıştır. Beş nokta sedasyon testine göre çocuklar en yüksek sedasyon düzeyine 15. ile 25. dk' 1ar arası ulaşmışlardır. Venham'ın klinik anksiete değerleri dental müdahalenin gerçekleştirildiği 15. ve 25. dk' 1ar arası 1.76 1 1. 81 ile 2.18 ± 1.79, Venham' ın kooperatif davranış skalası değerleri ise 1.71 ± 1.90 ve 2.27 ± 1.88 olarak saptanmışür. Lokal anestezi yapılan 15 çocuktan altısı orta, sekizi az ve biri hiç tepki göstermemişlerdir. Kalp atım hızı ve kan oksijen doygunluğu değerleri stabil seyretmiştir. Ortalama kalp aüm hızı değerleri arasındaki fark istatistiksel olarak anlamlı bulunmamıştır. Sonuç olarak çocuk diş hekimliğinde anksieteli zor hasta grubunda azot protoksit oksijen ile sedasyon güvenilir olduğu kadar özellikle diş çekimi gibi kısa süreli dental müdahaleler için oldukça etkilidir.
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