Evidence map›Paper›PMID 40633956›Full record

ArticleBMJ open2025

Analgesia and sedative effects of a fixed nitrous oxide/oxygen mixture on supragingival scaling patients: a study protocol for a randomised controlled trial.

Chenxi Sun, Xiaona Sui, Lingjun Zhou, Xiaochen Jiang, Weifeng Wang, Xueling Qiu, Fan Sun, Yuchen Wang, Lu Tang

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chenxi Sun *School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China.ORCID http://orcid.org/0009-0002-2179-8608
Xiaona Sui *School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China.
Lingjun Zhou *School of Nursing, Naval Medical University, Shanghai, China.
Xiaochen JiangDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, Shandong, China.
Weifeng WangDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, Shandong, China.
Xueling QiuDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, Shandong, China.ORCID http://orcid.org/0009-0009-9577-0342
Fan SunDepartment of Stomatology, The 960th Hospital of People's Liberation Army of China (PLA), Jinan, Shandong, China.
Yuchen WangSchool of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China.
Lu TangGraduate Training Base of Jinzhou Medical University, The 960th Hospital of People's Liberation Army of China, Jinan, Shandong, China tanglu_office@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPain during supragingival scaling is often uncomfortable for patients, causing varying degrees of fear and anxiety, thus affecting patient comfort and compliance during treatment and reducing the effectiveness of treatment. Nitrous oxide/oxygen mixtures have the advantages of analgesic and sedative effects and are well tolerated. The purpose of this study is to explore the safety and effectiveness of a fixed inhaled nitrous oxide/oxygen mixture analgesia technology in the process of supragingival scaling and to provide empirical evidence for patients to reduce pain and reduce anxiety during supragingival scaling. METHODS AND ANALYSIS: This is a randomised, double-blind, placebo-controlled trial that is expected to enrol 120 patients. We will recruit patients undergoing supragingival scaling procedures. Participants will be allocated randomly to either the intervention group (A) or the control group (B) in a 1:1 ratio. Dental hygienists, dental assistants, patients and the collector of the data will all blind themselves to the study. Nurses who carry out the intervention will give doctors envelopes containing the patient's identification code and the group to which they have been assigned (Group A or Group B). Group A will be given the standard treatment plus a premixed combination of nitrous oxide and oxygen, while Group B will receive oxygen alone in the standard treatment without any sedative analgesics, all under uniform conditions. Evaluations will take place prior to treatment (T0), at 5 min into the intervention (T1), at 15 min during the intervention (T2) and 5 min following the treatment (T3). The primary outcomes will be pain scores and anxiety scores, which will be assessed using the Numeric Rating Scale and the Visual Analogue Scale for Anxiety. Secondary outcome indicators in this study will include patients' vital signs, side effects and physician and patient satisfaction. ETHICS AND DISSEMINATION: This study was approved by the Medical Ethics Committee of the 960th Logistics Support Force of the People's Liberation Army. Written informed consent form will be obtained from each participant. Results will be submitted for publication in peer-reviewed journals. TRIAL REGISTRATION NUMBER: ChiCTR2400090261. PROTOCOL VERSION: Protocol version 1.1.

Indexed as

AnalgesiaAnesthetics, InhalationHypnotics and SedativesNitrous OxideOxygenAdultDouble-Blind MethodFemaleHumansMaleRandomized Controlled Trials as TopicAnesthetics, InhalationHypnotics and SedativesNitrous OxideOxygenClinical ProtocolsClinical TrialRandomized Controlled Trial

Identifiers

PMID40633956
PMCPMC12243600

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.