Assessment of Nitrous Oxide Inhalation Sedation Module in Kuwait: A Survey on Undergraduate Dental Training Curriculum

Affiliations

11 December 2021

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doi: 10.2147/AMEP.S331651


Abstract

Introduction: The use of nitrous oxide/oxygen (N2O/O2) inhalation sedation in dentistry has increased worldwide. This study aimed to evaluate the nitrous oxide/oxygen (N2O/O2) inhalation sedation undergraduate teaching curriculum at Kuwait University Faculty of Dentistry.

Methods: A cross-sectional survey involving dental students in their clinical years (5th, 6th, and 7th years) at Kuwait University Faculty of Dentistry was conducted. Participation was voluntary and anonymous. The Likert scale-based survey comprised 17 statements that assessed various aspects of N2O/O2 inhalation sedation in dental procedures. Continuous data variables were compared among different groups using one-way analysis of variance (ANOVA). Categorical data variables were compared using either the Chi-squared test or Fisher's exact test.

Results: Fifty-six students participated in this survey-based study. All students attended an approximately equal number of practical hands-on-training sessions, with a mean of 1.7 (± 1.1) sessions (p = 0.813). Most students expressed confidence in administering N2O/O2 inhalation sedation with an insignificant difference between each group (p = 0.276). However, low confidence level was observed in certain intraoperative and postoperative management aspects of providing N2O/O2 to patients.

Conclusion: This study indicated that the teaching curriculum regarding N2O/O2 inhalation sedation should be regularly evaluated. The quality of students' educational pathways should also be assessed through surveys to improve and develop dental school curricula to the highest standard levels.

Keywords: conscious sedation; curriculum revision; dental education; inhalation sedation; nitrous oxide.


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KMEL References


References

  1.  
    1. Pyle M, Andrieu SC, Chadwick DG, et al. The case for change in dental education. J Dent Educ. 2006;70:921–924. doi:10.1002/j.0022-0337.2006.70.9.tb04162.x - DOI - PubMed
  2.  
    1. Divaris K, Barlow PJ, Chendea SA, et al. The academic environment: the students’ perspective. Eur J Dent Educ. 2008;12(Suppl 1):120–130. doi:10.1111/j.1600-0579.2007.00494.x - DOI - PubMed
  3.  
    1. Malamed SF. Emergency medicine in pediatric dentistry: preparation and management. J Calif Dent Assoc. 2003;31:749–755. - PubMed
  4.  
    1. Ryding HA, Murphy HJ. Use of nitrous oxide and oxygen for conscious sedation to manage pain and anxiety. J Can Dent Assoc. 2007;73:711. - PubMed
  5.  
    1. Beaton L, Freeman R, Humphris G. Why are people afraid of the dentist? Observations and explanations. Med Princ Pract. 2014;23:295–301. doi:10.1159/000357223 - DOI - PMC - PubMed
  6.  
    1. Gazal G, Fareed WM, Zafar MS, Al-Samadani KH. Pain and anxiety management for pediatric dental procedures using various combinations of sedative drugs: a review. Saudi Pharm J. 2016;24:379–385. doi:10.1016/j.jsps.2014.04.004 - DOI - PMC - PubMed
  7.  
    1. Kauffman RE, Banner W, Berlin C, et al. Guidelines for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. Pediatrics. 1992;89:1110–1115. - PubMed
  8.  
    1. (SDCEP) TSDCEP. Conscious sedation in dentistry: NHS Scotland; 2017. Available from: https://www.sdcep.org.uk/wp-content/uploads/2018/07/SDCEP-Conscious-Seda.... Accessed November 9, 2021.
  9.  
    1. Scally KJ, Wilson KE, Girdler NM. A study of dental students’ clinical knowledge acquisition and experiences in conscious sedation. Br Dent J. 2015;218:351–354. doi:10.1038/sj.bdj.2015.198 - DOI - PubMed
  10.  
    1. Boynes SG, Lemak AL, Close JM. General dentists’ evaluation of anesthesia sedation education in U.S. dental schools. J Dent Educ. 2006;70:1289–1293. doi:10.1002/j.0022-0337.2006.70.12.tb04230.x - DOI - PubMed
  11.  
    1. Leitch JA, Girdler NM. A survey of the teaching of conscious sedation in dental schools of the United Kingdom and Ireland. Br Dent J. 2000;188:211–216. doi:10.1038/sj.bdj.4800433 - DOI - PubMed
  12.  
    1. Becker DE, Rosenberg M. Nitrous oxide and the inhalation anesthetics. Anesth Prog. 2008;55:124–30;quiz 31–2. doi:10.2344/0003-3006-55.4.124 - DOI - PMC - PubMed
  13.  
    1. Mitchell L, Mitchell DA, McCaul L. Oxford Handbook of Clinical Dentistry. Sixth ed. Oxford, United Kingdom; New York, NY, United States of America: Oxford University Press; 2014:xviii, 794.
  14.  
    1. Alkandari SA, Almousa F, Abdulwahab M, Boynes SG. Dentists’ and parents’ attitude toward nitrous oxide use in Kuwait. Anesth Prog. 2016;63:8–16. doi:10.2344/14-00008.1 - DOI - PMC - PubMed
  15.  
    1. Abdulwahab M, Al-Sayegh F, Boynes SG, Abdulwahab H, Zovko J, Close J. Assessing the need for anesthesia and sedation services in Kuwaiti dental practice. Anesth Prog. 2010;57:91–95. doi:10.2344/0003-3006-57.3.91 - DOI - PMC - PubMed
  16.  
    1. Dionne RA, Gordon SM, McCullagh LM, Phero JC. Assessing the need for anesthesia and sedation in the general population. J Am Dent Assoc. 1998;129:167–173. doi:10.14219/jada.archive.1998.0173 - DOI - PubMed
  17.  
    1. Chanpong B, Haas DA, Locker D. Need and demand for sedation or general anesthesia in dentistry: a national survey of the Canadian population. Anesth Prog. 2005;52:3–11. doi:10.2344/0003-3006(2005)52[3:NADFSO]2.0.CO;2 - DOI - PMC - PubMed
  18.  
    1. Weerheijm KL, Veerkamp JS, Groen HJ, Zwarts LM. Evaluation of the experiences of fearful children at a Special Dental Care Centre. ASDC J Dent Child. 1999;66:253–7, 28. - PubMed
  19.  
    1. Klingberg G, Berggren U, Carlsson SG, Noren JG. Child dental fear: cause-related factors and clinical effects. Eur J Oral Sci. 1995;103:405–412. doi:10.1111/j.1600-0722.1995.tb01865.x - DOI - PubMed
  20.  
    1. Rafique S, Banerjee A, Fiske J. Management of the petrified dental patient. Dent Update. 2008;35:196–8201-2, 4 passim. doi:10.12968/denu.2008.35.3.196 - DOI - PubMed
  21.  
    1. Formicola AJ. Current state of dental education: executive summary. J Dent Educ. 2017;81:1008–1014. doi:10.21815/JDE.017.053 - DOI - PubMed
  22.  
    1. Crivello BJ, Reddy AA, Pazdernik VK, Davis JM. Impact of experiential learning on dental students’ training in nitrous oxide inhalation sedation. J Dent Educ. 2020;84:1399–1408. doi:10.1002/jdd.12345 - DOI - PubMed
  23.  
    1. Kary AL, Gomez J, Raffaelli SD, Levine MH. Preclinical local anesthesia education in dental schools: a systematic review. J Dent Educ. 2018;82:1059–1064. doi:10.21815/JDE.018.106 - DOI - PubMed
  24.  
    1. Hossaini M. Teaching local anesthesia in dental schools: opinions about the student-to-student administration model. J Dent Educ. 2011;75:1263–1269. doi:10.1002/j.0022-0337.2011.75.9.tb05171.x - DOI - PubMed
  25.  
    1. Custers E. Long-term retention of basic science knowledge: a review study. Adv Health Sci Educ Theory Pract. 2010;15:109–128. doi:10.1007/s10459-008-9101-y - DOI - PubMed
  26.  
    1. D’Eon MF. Knowledge loss of medical students on first year basic science courses at the University of Saskatchewan. BMC Med Educ. 2006;6:5. doi:10.1186/1472-6920-6-5 - DOI - PMC - PubMed
  27.  
    1. Malau-Aduli BS, Lee AY, Cooling N, Catchpole M, Jose M, Turner R. Retention of knowledge and perceived relevance of basic sciences in an integrated case-based learning (CBL) curriculum. BMC Med Educ. 2013;13:139. doi:10.1186/1472-6920-13-139 - DOI - PMC - PubMed
  28.  
    1. Pasaron R, Burnweit C, Zerpa J, et al. Nitrous oxide procedural sedation in non-fasting pediatric patients undergoing minor surgery: a 12-year experience with 1058 patients. Pediatr Surg Int. 2015;31:173–180. doi:10.1007/s00383-014-3608-5 - DOI - PubMed
  29.  
    1. Zier JL, Liu M. Safety of high-concentration nitrous oxide by nasal mask for pediatric procedural sedation: experience with 7802 cases. Pediatr Emerg Care. 2011;27:1107–1112. doi:10.1097/PEC.0b013e31823aff6d - DOI - PubMed
  30.  
    1. Babl FE, Oakley E, Seaman C, Barnett P, Sharwood LN. High-concentration nitrous oxide for procedural sedation in children: adverse events and depth of sedation. Pediatrics. 2008;121:e528–32. doi:10.1542/peds.2007-1044 - DOI - PubMed
  31.  
    1. Zier JL, Tarrago R, Liu M. Level of sedation with nitrous oxide for pediatric medical procedures. Anesth Analg. 2010;110:1399–1405. doi:10.1213/ANE.0b013e3181d539cf - DOI - PubMed