Anxiety & Sedation Dentistry

There are 3 types of sedation used at Kidzone Dental and Orthodontics.

1) Nitrous Oxide Inhalation Sedation.
2) Oral Conscious Sedation.
3) Intravenous Sedation.
 

Nitrous Oxide

Some children benefit from nitrous oxide/oxygen inhalation sedation. It is more commonly called as laughing gas and is very commonly used to relax them for their dental treatment. Nitrous oxide/oxygen is a mixture of two gases, oxygen and nitrous oxide, where oxygen is more percentage wise than nitrous oxide in a dental setting. Nitrous oxide/oxygen is given through a small flavored (cherry, strawberry, bubblegum, vanilla) breathing mask which is placed over the child's nose. It allows them to relax, but without putting them to sleep. The American Academy of Pediatric Dentistry, recognizes this technique as a very safe and effective modality to use for treating children's dental needs. The gas is mild, easily tolerated by most and immediately reversible (it is quickly eliminated from the body by normal breathing). It is also 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 in your child's health and/or medical condition even common cold or seasonal allergies.
  • Tell us about any breathing difficulty, snoring habits or respiratory condition that makes breathing through the nose difficult for your child. It may limit the effectiveness of the nitrous oxide/oxygen.
  • Inform us if your child took any medication on the day of the appointment.

 

Oral Conscious Sedation

With this modality your child may be quite drowsy, and may even fall asleep, but will not become unconscious. There are different medications used used for conscious sedation, sometimes alone and sometimes in a cocktail. Often they are taken by mouth mixed with a flavored syrup, but if the child does not cooperate with the oral dose, they can be administered through the nose or through an intramuscular injection. The doctor will prescribe the medication best suited for your child. We will be happy to answer any questions you might have concerning sedation or the specific drugs we plan to give to your child.

Prior to your Appointment

  • Please inform us of any drugs that your child is currently taking, any past drug reactions and change in medical history.
  • Please inform 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. Under such situations contact us to see if it is necessary to postpone the appointment.
  • Please dress your child in loose fitting, comfortable clothing. A change of clothes sometimes come in handy.
  • The child's parent or legal guardian must remain at the office during the complete procedure.
  • Please make sure that your child uses the restroom immediately before being taken to the operatory.
  • Please make sure that the child does not have milk or solid food for at least 6 hours and only clear liquids only (water, apple juice, Gatorade) for up to 4 hours prior to their sedation appointment. This is critical for the safety of the child.
  • Please watch your child closely while the medication is taking effect preferably in your lap and do not let him/her "run around".
  • Your child may get excited at first and may get very drowsy as the medication takes effect. We will keep assessing the effect from time to time.
  • The total waiting time may vary from 15 min to 1 hour depending on the type and route of medication used.

 

After the Sedation Appointment

  • Your child will be drowsy and will need to be monitored very closely. Please keep your child away from areas of potential harm.
  • If your child wants to sleep, place him/her on the side with the chin up. Wake up your child every hour and encourage them to have something to drink in order to keep them hydrated. Start with clear liquids, then semi solids like a shake, smoothie or a yogurt followed by regular meals in the course of the day. Feed little but more frequently. These measures prevent nausea and vomitting.
  • If your child vomits, help them bend over or turn their head to the side to insure that they do not inhale the vomit.
  • Children have a tendency to bite or chew their lips, cheeks, and/or tongue and/or rub and scratch their face after treatment. This is because they want to "explore" and "check out" the numb areas in their mouth. Please observe your child carefully to prevent any injury. These injuries typically take a long time to heal. Avoid hot, hard and chewy food items.
  • Please call our office for any questions or concerns that you might have.

 

Intravenous Sedation

Whereas Conscious sedation works well for majority of anxious and apprehensive children, it is not the "magic bullet". For children who would not respond well to CS, I.V. Sedation could be the answer. It is the best controlled form of sedation and most predictable of all. The dentist performs the dental treatment in our office with the child anesthetized under I.V. administered and monitored by an anesthesiologist. This is a multidisciplinary team approach towards the care of your child.

 

Prior to your Appointment

  • Please inform us of any drugs that your child is currently taking, any past drug reactions and change in medical history.
  • Please inform 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. Under such situations contact us to see if it is necessary to postpone the appointment.
  • Please dress your child in loose fitting, comfortable clothing. A change of clothes sometimes come in handy.
  • The child's parent or legal guardian must remain at the office during the complete procedure.Please make sure that your child uses the restroom immediately before being taken to the operatory.
  • Please make sure that your child does not have milk or solid food after midnight prior to the day of 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. Please keep your child away from areas of potential harm. Let your child rest and watch him or her throughout the day. There should be no heavy exercise or outdoor activities.
  • If your child wants to sleep, place him/her on the side with the chin up. Wake up your child every hour and encourage them to have something to drink in order to keep them hydrated. Start with clear liquids, When eating, start with bananas, rice apples (peeled), toast or dry cereals or crackers. Stay away from dairy (milk) products, and greasy kid stuff. Regular meals can ensue in the course of the day as tolerated. Feed little but more frequently. These measures prevent nausea and vomitting.
  • If your child vomits, help them bend over or turn their head to the side to insure that they do not inhale the vomit.
  • Children have a tendency to bite or chew their lips, cheeks, and/or tongue and/or rub and scratch their face after treatment. This is because they want to "explore" and "check out" the numb areas in their mouth. Please observe your child carefully to prevent any injury. These injuries typically take a long time to heal. Avoid hot, hard and chewy food items.
  • Give your child Children's Tylenol, Advil or Motrin as needed for discomfort.
  • Please call our office for any questions or concerns that you might have.