All about nitrous oxide in dentistry
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- čas přidán 22. 08. 2024
- The name "laughing gas" is misleading, because this drug deserves care and respect. Here's what dental professionals need to know about using it safely in their practices.
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About Dr. Pamela Maragliano-Muniz
Pamela Maragliano-Muniz, DMD, is the chief editor of Dental Economics. Based in Salem, Massachusetts, Dr. Maragliano-Muniz began her clinical career as a dental hygienist. She went on to attend Tufts University School of Dental Medicine, where she earned her doctorate in dental medicine. She then attended the University of California, Los Angeles, School of Dental Medicine, where she became board-certified in prosthodontics. Dr. Maragliano-Muniz owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics.
About Tom Viola, RPh, CCP
With more than 30 years’ experience as a board-certified pharmacist, clinical educator, professional speaker, and published author, Tom Viola, RPh, CCP, has earned the reputation as the go-to specialist for making pharmacology practical and useful for dental teams. He is the founder of Pharmacology Declassified and is a member of the faculty of more than 10 dental professional degree programs. Viola has contributed to several professional journals and pharmacology textbooks, and currently serves as a consultant to the American Dental Association’s Council on Scientific Affairs.
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Our videos are for informational purposes only and do not provide a comprehensive education on any topic, nor do they provide any medical advice for any patient or medical/dental professional that provides patient care. Seek recommendations from your medical professional for any personal medical care.
It would have been great to share more benefits to the practice and patient for using nitrous - which is often overlooked.
Mike, we totally agree there are tons of benefits to offering this service to patients. Thank you for the feedback!
Love the part where you didn't get to the point
Can I have nitrous oxide if I’m on suboxone
The peripheral neuropathy results from NOX preventing the methylation of B12, which is necessary for myelination of nerve tissue, the insulation that allows the firing of the nerve to travel faster and more efficiently. This is especially important in longer nerves like those in toes and fingers. Most people have sufficient stores of methylated B12 so it’s not an issue.
People who are strict vegans who don’t supplement adequately with B12 can have issues.
People taking stomach acid blockers can have issues. And there are genetic mutations of the MTHFR gene that can make nitrous dangerous or be strictly contraindicated in the case of both copies carrying a certain mutation.
People who have more than one of these factors….say strict vegans with mutations of MTHFR can have severe complications…and may have more dental anxiety because of ongoing B12 issues. A good history that includes questions about diet, supplements, and medication is essential.
Office personnel may want to get tested for for the genetic mutations as presentation may be sub clinical and unfairly attributed to attitude or behavior issues when it is actually neurological complications from toxic exposure.
Can dental assistants administer nitrous oxide? Are they required to monitor your vital signs? Recently I had nitrous oxide, administered by the Dental Assistant. No vital signs checked. I stopped breathing and began to have seizures. My husband was present and he was the one who told the dentist and assistant that I wasn’t breathing. They removed the nitrous without administering just oxygen, no vital signs were taken until paramedics were called and I was transported to the ER.
Am I the only person who f***ing despises nitrous oxide?? 😅 I have epilepsy and neuromuscular disease so maybe that's why, IDK.. but the last thing I ever felt like doing on it was laughing 😭...
Had my wisdom teeth removed last week and the nitrous was the worst part. It's like it amplifies all my fears. And I hate not being able to move, it's especially terrifying after decades of sleep paralysis 😓. Never. Again. Anything else is preferable to that... I feel sorry for my surgeon too, having to listen to me say "no. No. No. No. No" for 20mins straight
i thought i was the only one who felt sooooooo weird about it. just did it today hated it.
The part of dental work I hate is the needle. Will it help with that?
Hi Penny, yes, many patients find that the effect of nitrous oxide makes them not as anxious about injections.
it helps a lot IF they will give you enough.
That actually was the ONLY part it helped me with. After a brief feeling of calm/relaxation I started feeling panicked and sweating profusely, then I passed out 😭 barely had time to tell my surgeon I was passing out, just wanted to warn him I couldn't hold my head up or my mouth open any longer lol the only words I could manage to get out were "I think I'm going to pass"
Very interesting! Have never had it!
I accidentally said my drntist was cute
total waste of time
it is NOT odorless and tasteless. it has a sweet odor and taste. stop conning people. (what would the purpose be for saying it's odorless when it isn't?)
Umm whenever I had any, it was flavorless 😅 they can add any number of scents to the oxygen that's applied simultaneously, though. If you prefer it flavorless, request it that way...
@@kims7287 umm Nitrous oxide is a colorless and virtually odorless gas with a faint, sweet smell. fyi
@@MUSTANG96CSR
umm some people (all of whom are scientists/Drs) say it has no flavor, some say it has a "mildly sweet" flavor and some say that it has a "metallic" flavor 😅 All of which are subjective, especially depending how diluted it is, since nobody is inhaling it pure... fyi 👍what are you trying to prove? You're literally mad that people have different taste perceptions than you lmao
@@kims7287 ummm, wow, you finally got it. the key word is subjective. lol, not mad at all but you seem to be. have a nice day, Karen.
@@MUSTANG96CSRyeahhh I totally always laugh hysterically when I'm mad 😂 you're accusing people of "conning" you for having different opinions.. paranoid/neurotic much? If you understand that scents are subjective, how is that a "con"?? 🤔