[{"data":1,"prerenderedAt":103},["ShallowReactive",2],{"notizie-en-nitrous-oxide-sedation-dental-anxiety":3},{"post":4,"body":32,"related":33},{"slug":5,"title":6,"date":7,"modified":8,"excerpt":9,"minutes":10,"image":11,"service":14,"en":15},"controllo-del-dolore-e-dellansia-con-il-protossido-dazoto","Controllo del dolore e dell’ansia con il protossido d’azoto","2019-11-08","2021-05-09","La sedazione è ormai parte integrante dell’odontoiatria e rappresenta una valida alternativa al trattamento in anestesia totale per il controllo del dolore e dell’ansia nei pazienti fobici. Tra i…",3,{"width":12,"height":13,"alt":6},1200,628,null,{"slug":16,"title":17,"description":18,"excerpt":19,"minutes":20,"summary":21,"keywords":25,"imageAlt":31},"nitrous-oxide-sedation-dental-anxiety","Nitrous Oxide Sedation for Dental Pain and Anxiety","How nitrous oxide (laughing gas) sedation works at the dentist: its pain-relieving, calming and anti-nausea effects, contraindications and key advantages.","Sedation is now an integral part of dentistry and a valid alternative to treatment under general anaesthesia for controlling pain and anxiety in phobic patients. Among the safest methods available…",2,[22,23,24],"Nitrous oxide has been used in medicine for over 150 years, and today it is always given mixed with at least 30% oxygen to avoid side effects such as loss of consciousness.","Nitrous oxide sedation has analgesic, anxiolytic and antiemetic effects, so less local anaesthetic is needed and procedures such as impressions are easier to tolerate.","It is contraindicated only in pregnancy (especially the first trimester), COPD, vitamin B12 deficiency and difficulty breathing through the nose.",[26,27,28,29,30],"nitrous oxide dental sedation","laughing gas at the dentist","dental anxiety sedation","sedation for children at the dentist","conscious sedation dentistry","Relaxed patient, illustrating nitrous oxide sedation for dental anxiety","\u003Cp>\u003Cem>Sedation is now an integral part of dentistry and a valid alternative to treatment under general anaesthesia for controlling pain and anxiety in phobic patients. Among the safest methods available, including for children, is sedation with nitrous oxide.\u003C\u002Fem>\u003C\u002Fp>\n\u003Cp>Nitrous oxide has been used in medicine for over 150 years and is the oldest and best-studied anaesthetic gas. It was in fact a dentist, the American Horace Wells, who in 1844 discovered the anaesthetic effect of this colourless gas with its faintly sweet smell.\u003C\u002Fp>\n\u003Cp>At first nitrous oxide was used in its pure form, which caused the patient to lose consciousness temporarily and sometimes also triggered uncontrollable fits of laughter; that is why it is more commonly known as \u003Cstrong>laughing gas\u003C\u002Fstrong>.\u003C\u002Fp>\n\u003Cp>Today nitrous oxide is only ever administered mixed with at least 30% oxygen; this avoids negative or potentially dangerous side effects, such as loss of consciousness.\u003C\u002Fp>\n\u003Cp>Through the lungs, the gas reaches the bloodstream and binds temporarily to certain receptors in the brain, producing essentially three effects:\u003C\u002Fp>\n\u003Cp>– \u003Cstrong>Analgesic effect\u003C\u002Fstrong> (pain relief): although nitrous oxide sedation cannot replace local anaesthesia, its analgesic effect means that a much smaller amount of local anaesthetic is needed.\u003Cbr>\n– \u003Cstrong>Anxiolytic effect\u003C\u002Fstrong> (reduces fear): fear and tension in dental-phobic patients give way to a pleasant trance-like state that makes even long and difficult procedures easy to tolerate.\u003Cbr>\n– \u003Cstrong>Antiemetic effect\u003C\u002Fstrong> (prevents vomiting): gagging during dental treatment is a widespread problem. With nitrous oxide this reflex is greatly reduced, so delicate procedures such as taking an impression or an X-ray of the back of the mouth can be carried out without major difficulty.\u003C\u002Fp>\n\u003Cp>In paediatric dentistry, nitrous oxide sedation is a valuable aid in treating children who are frightened but cooperative, helping them accept the planned dental treatment more willingly.\u003C\u002Fp>\n\u003Cp>The use of nitrous oxide is contraindicated only in the following cases:\u003C\u002Fp>\n\u003Cp>– Pregnancy, especially in the first trimester.\u003Cbr>\n– Chronic obstructive pulmonary disease (COPD).\u003Cbr>\n– Vitamin B12 deficiency.\u003Cbr>\n– Difficulty breathing through the nose (including very young children who cannot control their nasal breathing).\u003C\u002Fp>\n\u003Cp>A huge advantage of nitrous oxide sedation is how precisely the procedure can be adjusted: the anxiolytic effect begins immediately with the first breaths, and the depth of sedation can be adjusted at any time by changing the nitrous oxide\u002Foxygen ratio.\u003C\u002Fp>\n\u003Cp>Because it is not metabolised, nitrous oxide is completely eliminated from the body in a very short time, without the after-effects of other sedatives, which remain in the bloodstream and keep acting for hours.\u003C\u002Fp>\n\u003Cp>Another decisive advantage is the safety of the procedure: when correctly administered, it causes practically no side effects apart from occasional nausea.\u003C\u002Fp>\n\u003Cp>In the past, when effective local anaesthesia was not available, the pain-relieving effect of nitrous oxide was particularly important; today it is the anxiolytic effect that takes centre stage. Given the large number of Italians who are \u003Ca href=\"\u002Fen\u002Fnews\u002Fcost-of-avoiding-the-dentist-out-of-fear\">afraid of the dentist\u003C\u002Fa>, we believe it is important to inform patients about this option.\u003C\u002Fp>\n\u003Cp>Credits: Photo by Caleb Woods on Unsplash\u003C\u002Fp>",[34,57,80],{"slug":35,"title":36,"date":37,"modified":37,"excerpt":38,"minutes":20,"image":39,"service":40,"en":41},"una-bocca-sana-aiuta-anche-il-pianeta","Una bocca sana aiuta anche il pianeta","2022-10-13","Forse non tutti sanno che il settore sanitario ha un impatto notevole sull’ambiente: ben il 5% delle emissioni di gas serra sono dovute all’assistenza sanitaria e, in questo ambito, il settore…",{"width":12,"height":13,"alt":36},"igiene-prevenzione",{"slug":42,"title":43,"description":44,"excerpt":45,"minutes":20,"summary":46,"keywords":50,"imageAlt":56},"healthy-mouth-healthy-planet-dentistry-carbon-footprint","A Healthy Mouth Helps the Planet Too","Dentistry has a real carbon footprint, from fillings to nitrous oxide. Find out how prevention and simple daily habits protect both your smile and the planet.","Not everyone knows that the healthcare sector has a significant impact on the environment: as much as 5% of greenhouse gas emissions come from healthcare, and dentistry is a major contributor within…",[47,48,49],"Healthcare causes 5% of greenhouse gas emissions, and dentistry is a major contributor within the sector.","A filling produces about 15 kg of CO2eq, a root canal treatment 23 kg and a denture between 58 and 71 kg.","Prevention through daily brushing with fluoride toothpaste, flossing and professional dental cleaning twice a year is the best way to protect both your mouth and the planet.",[51,52,53,54,55],"dentistry carbon footprint","sustainable dental care","environmental impact of dentistry","nitrous oxide greenhouse gas","eco-friendly oral hygiene","Two bamboo toothbrushes in a glass jar",{"slug":58,"title":59,"date":60,"modified":60,"excerpt":61,"minutes":62,"image":63,"service":14,"en":64},"diagnostica-orale-in-gravidanza-quali-rischi-per-il-nascituro","Diagnostica orale in gravidanza: quali rischi per il nascituro?","2022-09-27","Andare dal dentista durante la gravidanza non solo è sicuro ma, come abbiamo visto, assolutamente necessario per il benessere della mamma e del nascituro in caso di problemi a denti e gengive…",1,{"width":12,"height":13,"alt":59},{"slug":65,"title":66,"description":67,"excerpt":68,"minutes":62,"summary":69,"keywords":73,"imageAlt":79},"dental-x-rays-during-pregnancy-safety","Dental X-Rays During Pregnancy: Are They Safe for Your Baby?","Are dental X-rays safe in pregnancy? A JADA review of studies from 1957 to 2021 found necessary dental radiography safe at any stage with proper equipment.","Going to the dentist during pregnancy is not only safe but, as we have seen, absolutely necessary for the wellbeing of mother and baby if there are problems with the teeth or gums. Unfortunately…",[70,71,72],"Recent data show that fewer than half of pregnant women have dental check-ups, mainly because they worry about anaesthesia and dental X-rays.","A JADA review of findings from 1957 to 2021 concluded that necessary dental radiography is safe at any stage of pregnancy if adequate safety equipment is used.","When performed correctly, dental X-rays produce so little ionising radiation that they are unlikely to cause anomalies or malformations in the embryo or foetus.",[74,75,76,77,78],"dental X-rays during pregnancy","is it safe to go to the dentist when pregnant","pregnancy and oral health","dental radiography safety","dental care in pregnancy","Pregnant woman holding her belly",{"slug":81,"title":82,"date":83,"modified":83,"excerpt":84,"minutes":20,"image":85,"service":86,"en":87},"via-il-dente-via-il-ricordo-la-cattiva-salute-orale-puo-compromettere-la-tua-memoria","Via il dente, via il ricordo: la cattiva salute orale può compromettere la tua memoria","2022-09-08","Se vuoi proteggere il tuo cervello non trascurare l’igiene orale: ogni dente perso, infatti, può causare un aumento del’1,4% del rischio di un deterioramento cognitivo e dell’1,1% di sviluppare…",{"width":12,"height":13,"alt":82},"parodontologia",{"slug":88,"title":89,"description":90,"excerpt":91,"minutes":20,"summary":92,"keywords":96,"imageAlt":102},"tooth-loss-memory-and-dementia-risk","Tooth Loss, Memory and Dementia: How Oral Health Affects the Brain","Each lost tooth raises the risk of cognitive impairment by 1.4% and dementia by 1.1%, a JAMDA meta-analysis found. Learn how oral health protects memory.","If you want to protect your brain, do not neglect your oral hygiene: each tooth you lose can increase the risk of cognitive impairment by 1.4% and the risk of developing some form of dementia by 1.1%.",[93,94,95],"A JAMDA meta-analysis found that each lost tooth increases the risk of cognitive impairment by 1.4% and the risk of developing dementia by 1.1%.","Adults who had lost more than one tooth were 1.5 times more likely to develop cognitive impairment and 1.3 times more likely to develop dementia.","The risk dropped sharply when missing teeth were replaced with prostheses or dentures, possibly because tooth loss makes chewing difficult and leads to nutritional deficiencies.",[97,98,99,100,101],"tooth loss and dementia","oral health and memory","missing teeth cognitive decline","gum disease and alzheimer’s","dentures and dementia risk","Older adult smiling, illustrating oral health and memory",1793907066638]