Efficacy of Inhaled Sevoflurane Sedation Compared with Nitrous Oxide in ManagingChildren Undertaking Dental Extraction: A Randomized Controlled Trial

Background: For many years dental anxiety is considered as a major problem in behavior management. Nitrous Oxide Inhala - tion sedation can be used to reduce anxiety and manage children during treatment, but it is not successful in all cases. The aim of this study was to compare the relative effectiveness of inhalation sedation using nitrous oxide(A) with new inhalation sedation technique using sevoflurane (B), in management of children re - ceiving dental extractions. Methods: A randomized, controlled clinical trial was undertaken. forty children who are anxious aged between (8- 10) years, ASA category I, They were randomly allocated to have inhalation sedation with method (A) or (B), the level of anxiety has been evaluated using Venham Anxiety Scale. Results: There was no statistically significant difference between the success rate of the two methods of sedation. Both methods were effective in reducing the anxiety in children during dental extraction. No adverse cardiorespiratory effects were reported in either method , and there were no significant differences in oxygen saturation, heart rate, or time of recovery between the two methods. Conclusions: The sevoflurane inhalation sedation can be a suitable alternative method to the nitrous oxide inhalation sedation in the management of children.