Health Condition 1: K053- Chronic periodontitis
Conditions
Interventions
Intervention1: Nitrous oxide oxygen inhalation sedation with local anesthesia: Nitrous oxide oxygen conscious sedation will be delivered via a nasal hood at titrated concentrations, followed by infilt
Sponsors
Dr Ruchi Ramanujan
Eligibility
Inclusion criteria
Inclusion criteria: 1. Healthy adults (18-65 years) of either sex with moderate to severe periodontitis. 2. Patients with no prior dental experience with a need for scaling and root planing in at least two quadrants. 3. Patients with an ability to understand and sign informed consent. 4. No contraindications for nitrous oxide inhalation sedation or local anesthesia. 5. Patients satisfied with American Society of Anesthesiologists (ASA) grade I and II.
Exclusion criteria
Exclusion criteria: 1. Severe systemic health issues (ASA Grade III or higher). 2. History of allergic reactions to local anesthesia or nitrous oxide 3. Pregnancy or lactation states 4. Severe dental anxiety that may require alternate sedation techniques 5. Patients who had deep dental cleaning in the past 6. Current middle ear surgery 7. Patients on bleomycin sulphate therapy 8. Patient who were mouth breathers/ had claustrophobia/ unwilling to accept nasal hood 9.Patients who had upper respiratory tract infections (common cold, accute or chronic sinus, bronchitis cough, tuberculosis, emphysema) or any other serious respiratory ailment 10. Not willing for Nitrous Oxide Inhalation Sedation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Patient-reported anxiety score associated with non-surgical periodontal therapy under nitrous oxide oxygen inhalation sedation and local anesthesia, measured using a validated anxiety scale (SAI and vital signs). 2. Patient-reported intra-operative pain score during non-surgical periodontal therapy with nitrous oxide oxygen inhalation sedation and local anesthesia, measured using a validated pain scale (VAS). 3. Post-operative patient satisfaction during non-surgical periodontal therapy performed with nitrous oxide oxygen inhalation sedation and local anesthesia, assessed using a patient satisfaction questionnaire.Timepoint: 1. Anxiety levels: Pre-operative, intra-operative, and immediately post-operative for both treatment conditions. 2. Pain levels: Immediately after local anesthetic administration and 15 minutes after onset of instrumentation during each treatment session. 3. Patient Satisfaction Levels: Immediately after completion of each treatment session , within the 2-week treatment period. | — |
Secondary
| Measure | Time frame |
|---|---|
| (i) duration of procedure recorded using a stopwatch from onset of instrumentation to completion under each anesthetic protocol, and (ii) clinical periodontal parameters (PD, CAL, BOP) assessed at baseline and at 2-week follow-up in both quadrants.Timepoint: 1. Duration of procedure: Measured intra-operatively during each treatment session 2. Clinical parameters: Baseline and 2-week post-treatment | — |
Countries
India
Contacts
Public ContactDr Ruchi Ramanujan
A B Shetty Memorial Institute of Dental Sciences
Outcome results
None listed