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Nitrous with respiratory problems?

Recently saw new patient with asthma, emphysema, frequent lung infections like bronchitis & pneumonia that wants nitrous for all hygiene appointments and IV sedation for treatment. Last hygiene visit >5 years ago & multiple areas of decay. How would you proceed with this patient?



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http://media.dentalcare.com/media/en-us/education/ce396/ce396.pdf

This lists guidelines for using Nitrous, as well as contraindications.

“If a patient indicates health problems associated with chronic bronchitis or emphysema, N2O/O2 sedation is a contraindication due to narrowed or enlarged airways that prevent proper inhalation or exhalation of the gases”

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That’s exactly what I thought but the dentist said it was fine. I voiced concerns & she said she would research it. I was proactive and started working on medical clearance and later dentist said she agreed to get clearance. It was awesome to say I’m already working on it :-). Thank youdentalhygiene1000

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