ArticleJournal of dental anesthesia and pain medicine2018
The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™).
Article in Journal of dental anesthesia and pain medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- A flexible piezoelectric sensor for non-contact monitoring of respiratory and heart rates: accuracy and clinical feasibility under simulated dental treatment conditions.Clinical oral investigations · 2026Article
- Respiratory monitoring during intravenous sedation using a digital auscultation device.Journal of dental anesthesia and pain medicine · 2025Article
- Dental Suction Interference and Acoustic Respiratory Monitoring.Anesthesia progress · 2024Article
- Letter to the Editor - Response to: The effect of dental scaling noise during intravenous sedation on acoustic respiration rate.Journal of dental anesthesia and pain medicine · 2018Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundRespiration monitoring is necessary during sedation for dental treatment. Recently, acoustic respiration rate (RRa™), an acoustics-based respiration monitoring method, has been used in addition to auscultation or capnography. The accuracy of this method may be compromised in an environment with excessive noise. This study evaluated whether noise from the ultrasonic scaler affects the performance of RRa in respiratory rate measurement.
methodsWe analyzed data from 49 volunteers who underwent scaling under intravenous sedation. Clinical tests were divided into preparation, sedation, and scaling periods; respiratory rate was measured at 2-s intervals for 3 min in each period. Missing values ratios of the RRa during each period were measuerd; correlation analysis and Bland-Altman analysis were performed on respiratory rates measured by RRa and capnogram.
resultsRespective missing values ratio from RRa were 5.62%, 8.03%, and 23.95% in the preparation, sedation, and scaling periods, indicating an increased missing values ratio in the scaling period (P < 0.001). Correlation coefficients of the respiratory rate, measured with two different methods, were 0.692, 0.677, and 0.562 in each respective period. Mean capnography-RRa biases in Bland-Altman analyses were -0.03, -0.27, and -0.61 in each respective period (P < 0.001); limits of agreement were -4.84-4.45, -4.89-4.15, and -6.18-4.95 (P < 0.001).
conclusionsThe probability of missing respiratory rate values was higher during scaling when RRa was used for measurement. Therefore, the use of RRa alone for respiration monitoring during ultrasonic scaling may not be safe.
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