SEDATION (anesthesia)


What Are The Different Types Of Sedations Used In Pediatric Dentistry?
Nitrous Oxide
Sedation dentistry for kids is used to describe several different types of options. Some children are given nitrous oxide/oxygen, or what you may know as laughing gas, to relax them for their dental treatment. Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide.
Nitrous oxide/oxygen is given through a small breathing mask which is placed over the child’s nose, allowing them to relax, but without putting them to sleep. The American Academy of Pediatric Dentistry recognizes this technique as a very safe, effective technique to use for treating children’s dental needs. The gas is mild, easily taken, then with normal breathing, it is quickly eliminated from the body. It is non-addictive. While inhaling nitrous oxide/oxygen, your child remains fully conscious and keeps all natural reflexes.

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.

I.V.Sedation and General Anesthesia
I.V.sedation is used to calm your child and to reduce the anxiety or discomfort associated with dental treatments. Your child may be quite drowsy, and may even fall asleep, but they will not become unconscious.
The dentist performs the dental treatment in our office with the child anesthetized under I.V. sedation, which is administered and monitored by an anesthesiologist.
There are a variety of different medications, which can be used for I.V. sedation. The anaesthesiologist will choose the medication best suited for your child’s overall health and dental treatment requirements. We will be happy to answer any questions you might have concerning the specific drugs we plan to give to your child.

In selected cases it will be nessessary to perform the dental treatment unter general anesthesia.  This might be the case in especially apprehensive or very young children, in children with special needs or in children who need to undergo a certain specific or expanded dental treatment that would not work well under other forms of sedation.

When a child of any age or with a disability, needs extensive dental treatment, general anesthesia is an accepted standard of care. General anesthesia is also an accepted standard of care for situations involving children who have limited comprehension or children who are extremely uncooperative and require dental care that is technically difficult or sensitive to deliver.

Prior to your sedation / anesthesia appointment:
Please notify the anesthesiologist 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 the anesthesiologist 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 & cool 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, unsweetened tea) for up to 2 hours prior to the appointment.
The anesthesiologist will give you further guidance on this subjects matter and all other concerns you may have during a pre-procedure assessment.

•    The child’s parent or legal guardian must remain at the office during the complete procedure.

After the sedation / anesthesia 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 regarding the dental treatment and call the anesthesiologist for any questions regarding the sedation.

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