Sedation Dentistry

Imagine your child undergoing a complex dental treatment like a root canal, extraction, or oral surgery. When treatment is complete, your child will have no recollection of the time it took, the pain, the noise, or the discomfort. We are pleased to offer your child the option of comfortable, safe, and effective sedation dentistry. Our pediatric dental patients who benefit from sedation dentistry have:

• A fear or anxiety of being at the dentist
• A hard time sitting still for long periods of time
• A hard time getting (and staying) numb from anesthetics

What is sedation dentistry?

Sedation dentistry allows your pediatric dentist to provide a variety of dental treatments safely and comfortably for children who experience anxiety when visiting the dentist. There are several benefits to sedation dentistry, including:

• No memory of undergoing the procedure
• No sense of time while under sedation
• No sense of smell or sound
• No fear or anxiety during treatment

Levels of Sedation

Sedation dentistry is closely regulated by law, and there are three sedative states at which your child's dentist can administer treatment: mild sedation, moderate sedation, and deep sedation.

• Mild Sedation — Anxiolysis is the lightest form of sedation dentistry and is often used for children with mild anxiety, longer procedures, or more complex situations. Mild sedation is usually administered orally. Your child will remain awake or very sleepy throughout the entire procedure and will be able to breathe normally, but he or she will feel a great sense of relaxation. Patients typically recover from anxiolysis sedation within a few hours after the procedure is complete. Nitrous oxide inhalation (laughing gas) is another form of mild to moderate sedation that results in relaxation during treatment.
• Moderate Sedation — Used for patients with moderate dental anxiety and for patients who need longer or more complex procedures, conscious sedation often refers to the use of light IV sedation. With conscious sedation, your child will remain awake throughout the procedure, but will be in a deep state of relaxation.
• Deep Sedation — Patients receiving deep sedation go between consciousness and unconsciousness during their dental procedure. Patients often have no recollection of the treatment and are unable to respond to commands even if they are awake at times during the procedure.

How are sedatives administered?

• Inhalation — Nitrous oxide, or laughing gas, is the most frequently used method for easing mild to moderate anxiety. Recovery is quick so your child can resume normal activities immediately.
• Oral — An extremely common technique for dental sedation is oral sedation. It is easy and does not require the use of needles. Your child will be given a prescription pill which, taken about an hour before the appointment, will have your child fully relaxed by the time you arrive at our office.

Preparing for your appointment

Nitrous Oxide:

Prior to your appointment:

• Please inform us of any change to your child’s health and/or medical condition.
• Tell us about any respiratory condition that makes breathing through the nose difficult for your child. It may limit the effectiveness of the nitrous oxide/oxygen.
• Let us know if your child is taking any medication on the day of the appointment.

Conscious Sedation:

Prior to your appointment:

• Please notify us of any change in your child’s health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
• You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.
• Please dress your child in loose fitting, comfortable clothing.
• Please make sure that your child goes to the bathroom immediately prior to arriving at the office.
• Your child should not have solid food for at least 6 hours prior to their sedation appointment and only clear liquids for up to 4 hours before the appointment.
• The child’s parent or legal guardian must remain at the office during the complete procedure.
• Please watch your child closely while the medication is taking effect. Hold them in your lap or keep close to you. Do not let them "run around."
• Your child will act drowsy and may become slightly excited at first.

After the sedation appointment:

• Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
• If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
• If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
• Because we use local anesthetic to numb your child’s mouth during the procedure, your child may have the tendency to bite or chew their lips, cheeks, and/or tongue and/or rub and scratch their face after treatment. Please observe your child carefully to prevent any injury to these areas.
• Please call our office for any questions or concerns that you might have.

I.V. Sedation:

Prior to your appointment:

• Please notify us of any change in your child’s health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
• You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.
• Please dress your child in loose fitting, comfortable clothing.
• Please make sure that your child goes to the bathroom immediately prior to arriving at the office.
• Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment.
• The child’s parent or legal guardian must remain at the office during the complete procedure.

After the sedation appointment:

• Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
• If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
• If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
• Please call our office for any questions or concerns that you might have.

Outpatient General Anesthesia:

Prior to your appointment:

• Please notify us of any change in your child’s health. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
• You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.
• Please dress your child in loose fitting, comfortable clothing.
• Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment.
• The child’s parent or legal guardian must remain at the hospital or surgical site waiting room during the complete procedure.

After the appointment:

• Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.
• If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.
• If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.
• Prior to leaving the hospital/outpatient center, you will be given a detailed list of "Post-Op Instructions" and an emergency contact number if needed.

Please contact our practice to schedule a consultation, learn more about sedation dentistry, and find out which sedation dentistry method may be right for your child.