Kamal Fareed, BDS, MS
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O.Box60169,
Riyadh 11545, Saudi Arabia. 

The form and reproducibility of pantographic tracings under the influence of relaxant drugs and in patients with muscle dysfunction and TMJ disorders, tend to emphasize the dominance of the neuromuscular factors. The purpose of this study was to demonstrate the effect of nitrous oxide induced psychosedation, on the reproducibility of pantographic tracings of border movements of the mandible. This study included four male subjects (with no signs and symptoms of muscular dysfunction and temporomandibular joint problems). Operator guided border tracings were recorded using the Denar pantograph. Three sets of tracings were recorded: (1) three tracings prior to sedation (Tracing I); (2) one tracing prior to sedation and two after sedation (Tracing II); (3) three tracings after psychosedation (Tracing III). The coincidence of tracings I, II, and 111 were statistically analyzed applying the chi-square (X2) analysis. There was a significant difference in the coincidence of tracings between Tracings 1 and II (X2 = 14.892). There was no significant difference in the coincidence of tracings between Tracings I and III (X2 = 1.338). This suggests that nitrous oxide psychosedation produces a centrally induced relaxation of the musculature, by possibly eliminating the extraneous anxiety producing factors.

Saudi Dental Journal 1989;1(2):47-50.