Our most effective management technique is a carefully worded, age-appropriate, gentle explanation of what the appointment will be like. Children do not like surprises in the dental office so we do all we can to give them an idea as to what things will feel, sound, and even taste like. The important part of this process is the terminology we use and the manner in which we explain everything. However, for some children this is not enough to alleviate their fears. Sometimes the use of sedatives are necessary in order to complete a child's dental treatment. Either excessive anxiety, extensive dental work, or both, require a discussion about how we can help your son or daughter cope with the dental setting. There is a wide range of options to consider and the decision will be individualized to your child's needs and medical history.
Nitrous Oxide "Laughing Gas"
Nitrous oxide, more commonly known as laughing gas, is often used as a conscious sedative during a dental visit. The gas is administered with a mixture of oxygen and has a calming effect that helps anxious children relax during their dental treatment. Because it is a mild sedative, patients are still 100% conscious and talk and respond to us throughout the appointment. After treatment, the nitrous is turned off and oxygen is administered for a few minutes to help flush any remaining gas. The effects wear off almost immediately.
Conscious Sedation
For children who have more significant anxiety and/or more extensive dental needs we sometimes complete dental work using safe, proven, oral medications that have a more profound effect on a child. The goal of this is to distract them from the dental work and surroundings. The details of this option are specific to your child and would be discussed with you thoroughly following our examination.
General Anesthesia
General Anesthesia in an outpatient surgery center is sometimes the best option based on a child's anxiety level and the amount and nature of dental work to be completed. This is also very specific and individualized and would be discussed following our examination.