THE USE OF HYPNOSIS AS AN ADJUNCT TO NITROUS OXIDE/OXYGEN SEDATION: A CASE SERIES

Received 2024-02-28; Accepted 2024-04-19; Published 2024-10-28

Authors

  • Dayang Fadzlina Abang Ibrahim Paediatric Dental Specialist Clinic, Sarawak General Hospital, Ministry of Health Malaysia, Kuching, Sarawak, Malaysia.
  • Norsaima Ismail Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh Campus, Selangor, Malaysia.
  • Zaridah Zainal Abidin Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh Campus, Selangor, Malaysia.
  • Zalikha Adila Zainuren Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh Campus, Selangor, Malaysia.
  • Mohd Zulfadli Harun Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh Campus, Selangor, Malaysia.
  • Annapurny Venkiteswaran Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh Campus, Selangor, Malaysia.
  • Rohaida Abdul Halim Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh Campus, Selangor, Malaysia.

DOI:

https://doi.org/10.22452/jummec.vol27no2.29

Keywords:

Hypnosis, Dental anxiety, Nitrous oxide, Children

Abstract

It is known that managing patients with dental fear and anxiety is challenging for clinicians and patients. This series of case reports highlights the importance and benefits of dental management under clinical hypnosis as an adjunct to nitrous oxide inhalation sedation for ages six to fifteen. These treatments range from pulp therapy, extraction and minor oral surgery. Customised hypnosis scripts were utilised for each patient, and the metaphors used were tailored to the patient’s interest and preference. The intended treatment was successfully carried out in all the patients. Five cases discussed in this case series were initially indicated for treatment under general anaesthesia, but treatment was successfully carried out using hypnosis and nitrous oxide/oxygen sedation. In the two surgical cases, nitrous oxide was tapered off once local anaesthesia was achieved, and the state of relaxation was maintained using a hypnotic trance, reducing the anaesthetic agent’s utilisation. Hypnosis successfully reduces patients’ anxiety, allowing them to feel more relaxed and confident about accepting future dental treatment without the need for pharmacological intervention.

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Published

2024-10-28

Issue

Vol. 27 No. 2 (2024)

Section

Research article

License

All authors agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0 to allow others to freely access, copy and use research provided the author is correctly attributed, unless otherwise stated. All articles are available online without charge or other barriers to access. However, anyone wishing to reproduce large quantities of an article (250+) should inform the publisher. Any opinion expressed in the articles are those of the authors and do not reflect that of the University of Malaya, 50603 Kuala Lumpur, Malaysia. 

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