Abstract
The work deals with the use of factory-prepared mixture of oxygen and carbon oxide in the ratio of 1: 1 (50% N2O / 50% O2) at a dental treatment of children. First, the authors talk about history and the use of nitrous oxide in medicine, which is the main part of the mix.
Then describe physical properties, mechanism of action and pharmacokinetics of nitrous oxide. They also investigate the indications and contraindications treatment of pediatric patients using a factory-prepared mixture of 50% N2O / 50% O2 relative to age child, extent and nature of the exercise performed.
Describe their own devices, applications and technology progress administration of 50% N2O / 50% O2 in clinical practice. After dealing indication in the mixture in a child dentistry.
The authors describe the application technique 50% N2O / 50% O2 nádechovým valve with the mouthpiece nádechovým valve or a face mask. They cite the most vyskytované side and undesirable effects of using a mixture of 50% N2O / 50% O2.
Dealing with chronic exposure to nitrous oxide. Conclusion: Treatment with a child patient, especially preschool age, is often complicated by fear Child of treatment.
When psychotherapeutic methods fail or child comes to acute treatment, in clinical practice is not always possible to use pharmacological methods such as conscious sedation with midazolam or general anesthesia. Treatment inhalant conscious sedation using 50% N2O / 50% O2 and offers fast, affordable and effective treatment option.
This treatment has minimal side effects and correct indication and can be an effective means of cooperation in obtaining child patient. authors emphasize the comprehensive treatment of the child, not just partial treatment of carious lesions.