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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, 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.
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 be quite drowsy, and may even fall asleep, but they will not
become unconscious.
There are
a variety of different medications, which can be used for conscious
sedation. The doctor will prescribe the medication best suited for your
child’s overall health and dental treatment recommendations. We will be
happy to answer any questions you might have concerning the specific
drugs we plan to give 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 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
I.V.
Sedation is recommended for apprehensive children, very young children,
and children with special needs that would not work well under conscious
sedation. 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.
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.
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Outpatient General Anesthesia
Outpatient General Anesthesia is recommended for
apprehensive children, very young children, and children with special
needs that would 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, ear
tubes, or hernia repaired. This is performed in a hospital or outpatient
setting only. While the assumed risks are greater than that of other
treatment options, if this is suggested for your child, the benefits of
treatment this way have been deemed to 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 even driving a car daily. The inherent risks if this is not
chosen are 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.
-
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.
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