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Year : 2020  |  Volume : 10  |  Issue : 1  |  Page : 3-5

Professional negligence during nitrous oxide sedation and child fatality in dental office and suggested precautions: A short communication on childcare and nitrous oxide sedation


1 Department of Forensic Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas-RS, Brazil
2 Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas-RS, Brazil
3 Department of Forensic Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, Gujarat, India

Correspondence Address:
Mohammed Irfan
School of Dentistry, Federal University of Pelotas, Pelotas-RS 96020-010
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AIHB.AIHB_118_19

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Paediatric death inside dental office by the effect of anaesthesia in dentistry is a very difficult case but not rare. In this article, we reviewed more than thirty studies with data focussing on death associated with dental anaesthesia using nitrous oxide (N2O). In children, most cases died at the age of 2–5 years. Hypoxia was the most common cause of death and cardiovascular, respiratory. Although rare death following general anaesthesia in dentistry, it is a critical side effect mostly seen in adult patients with compromised health conditions. Therefore, appropriate case selection in regard to patient's general health status as well as standard technical and equipment conditions is mandatory to reduce the risk of death during N2O dental anaesthesia in children. We have also given the list of guidelines and dietary care for children during N2O anaesthetic procedures inside the dental office.


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