Sedation Instructions

Nitrous Oxide
Conscious Sedation
I.V. Sedation
Outpatient General Anesthesia

Nitrous Oxide

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 without putting them to sleep. The American Academy of Pediatric Dentistry recognizes this technique as a very safe, effective technique for treating children’s dental needs. The gas is mild, easily taken, and it is quickly eliminated from the body and it is non-addictive. While inhaling nitrous oxide/oxygen, your child remains fully conscious and maintains all of their 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.

Conscious Sedation

Conscious Sedation is recommended for apprehensive children, very young children, and children with special needs. It is used to calm your child and to reduce the anxiety or discomfort associated with dental treatments. Your child may become quite drowsy and may even fall asleep, but they will not become unconscious.

There are a variety of different medications that can be used for conscious sedation. Your dentist or orthodontist will prescribe the medication best suited for your child’s overall health and dental treatment plan. We will be happy to answer any questions you might have concerning the specific medicine we plan to administer to your child.

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 if they have a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.
• Inform the doctor of any prescriptions that your child is currently taking and any drug reactions 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 should only consume 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. Do not leave them unattended.
• 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.
• Your child's 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

I.V. Sedation is recommended for apprehensive children, very young children, and children with special needs that do not work well under conscious sedation. Our dentist performs the dental treatment in our office with the child anesthetized under I.V. sedation, which is administered and monitored by an anesthesiologist.

Prior to your appointment:

• Please notify us of any change in your child’s health and/or medical condition. Do not bring your child in 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.
• Please inform the doctor of any prescriptions 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, like water, apple juice or 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.
• Your child's 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

Outpatient General Anesthesia is recommended for apprehensive children, very young children, and children with special needs that do not work well under conscious sedation or I.V. sedation. General anesthesia renders your child completely asleep. This would be the same as if he/she was having their tonsils removed or having a hernia repaired. Outpatient General Anesthesia is performed in a hospital or outpatient setting only. While the assumed risks are greater than that of other treatment options, the benefits of this treatment greatly outweigh the risks. Most pediatric medical literature places the risk of a serious reaction in the range of 1 in 25,000 to 1 in 200,000, far better than the assumed risk of driving a car. If this is not chosen, your child risks having multiple appointments, potential for physical restraint to complete treatment, and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life threatening hospitalization from a dental infection.

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.
• Please inform the doctor of any prescriptions 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 ONLY clear liquids like water, apple juice, or 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.
• Your child's 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.