Question · asked by 1 review

Nitrous oxide/oxygen vs placebo or no intervention: Behaviour

Population
Children and adolescents (0 to 16 years) needing dental treatment
Intervention
Nitrous oxide/oxygen
Comparison
placebo or no intervention
Outcome
Behaviour

It is very uncertain whether nitrous oxide/oxygen changes behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (very low certainty).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 3 · 75%Very low 1 · 25%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Nitrous oxide/oxygen vs Placebo (including no intervention)
Behaviour (Houpt/behavioural score) · Children and adolescents (0 to 16 years) needing dental treatment
It is very uncertain whether nitrous oxide/oxygen changes behaviour (Houpt/behavioural score) compared with placebo (including no intervention) (very low certainty).
Sedation of children undergoing dental treatment (2018) · Cochrane All outcomes
SMD 0.69 [0.13, 1.26]1 study · 52 participantsVery low
Nitrous oxide/oxygen vs Placebo (including no intervention)
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Sedation of children undergoing dental treatment (2012) · Cochrane All outcomesearlier version CD003877.PUB4, superseded
Two trials (Nathan 1988; Veerkamp 1993) reported changes favouring nitrous oxide; no data available from Nathan; could not be pooled. Very weak evidence. Narrative.2 studiesGRADE not reported
Nitrous oxide/oxygen vs Placebo (including no intervention)
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Sedation of children undergoing dental treatment (2006) · Cochrane All outcomesearlier version CD003877.PUB3, superseded
Four studies (Lindsay 1980; Nathan 1988; Primosch 1999; Veerkamp 1993) reported changes favouring nitrous oxide. Narrative; not pooled.4 studiesGRADE not reported
Nitrous oxide/oxygen vs Placebo (including no intervention)
Behaviour · Children and adolescents (0 to 16 years) needing dental treatment
Sedation of children undergoing dental treatment (2005) · Cochrane All outcomesearlier version CD003877.PUB2, superseded
Four studies (Lindsay 1980; Nathan 1988; Primosch 1999; Veerkamp 1993) all reported changes in behaviour or anxiety favouring nitrous oxide (50:50 to 20:80 N2O:O2). Narrative; not pooled.4 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Sedation of children undergoing dental treatment
2018 · Cochrane All outcomes
22 February 2018Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.