Our office is especially designed for children and adolescents. Many children are calm, comfortable, and confident in our pediatric dental office because the doctors specialize in treating children. Sometimes, however, a child my experience anxiety during treatment. Your child may need more support than a gentle, caring manner to help them feel comfortable. Talk to the doctor about which treatment option would be a good fit for your child.
In Office Sedation
Conscious Oral Sedation
For moderate to long treatment procedures, no oral medicine has been proven more safe or effective for anxious or difficult children than the medications we use in our office. Our doctors use up to a 3 medicine combination of Chloral Hydrate, Vistaril, & Demerol to allow the patient to:
- ‘Relax’ during their dental treatment
- Prevent the patient from remembering entire portion of their dental treatment (retro-amnesia) even if they were to awake during the procedure, which in turn decreases any anxiety about coming to the dentist and promotes a positive attitude toward dentistry
- Utilize a systemic pain medication (analgesia) which often will prevent the need for a shot of local anesthesia (lidocaine) and decreases the awareness of the patient during treatment
Our doctors will conservatively dose your child’s medicine based on their weight and age. These medicines are mixed in a liquid and can be taken by cup or by a ‘squirter’ (syringed in the mouth similar to children’s Advil or Tylenol). If the patient has any allergies, you may provide an approved liquid/juice for your child. The onset of action is usually between 30-45 minutes. During this time, you and your child may remain in our waiting area. Once medication has had time to take effect (usually 30-45 minutes), one of our staff will bring patient to treatment room.
Please be sure that your child does not eat or drink anything after midnight prior to their dental appointment! If they eat or drink anything, our doctors will reschedule your appointment.
Nitrous oxide/oxygen is a safe, effective technique that we offer to calm a child’s fear of the dental visit.
What is nitrous oxide/oxygen?
It is a blend of two gases – oxygen and nitrous oxide. When inhaled, it is absorbed by the body and has a calming effect. Normal breathing eliminates nitrous oxide from the body. Room air has approximately 20% oxygen and our nitrous systems are designed to provide at least 50% oxygen.
How will my child feel when breathing nitrous oxide/oxygen?
Your child will smell this “goofy air” and experience a sense of well-being and relaxation. If the sights, sounds, or sensations of dental treatment worry your child, he or she may respond more positively with the use of nitrous oxide.
How safe is nitrous oxide/oxygen?
Very safe! Nitrous oxide/oxygen is perhaps the safest sedative in dentistry. It is non-addictive. It is mild, easily administered and then quickly eliminated by the body. Your child remains fully conscious & keeps all natural reflexes when breathing nitrous oxide/oxygen.
Are there any special instructions for nitrous oxide/oxygen?
- Child may have a small snack before dental visit (occasionally, nausea or vomiting occurs when a child has an over full stomach).
- Tell one of our staff members about any congestions or sickness that makes breathing through the nose difficult for your child (a common cold, sinus problems, etc.). It may limit the effectiveness of nitrous oxide/oxygen.
- Tell our doctors or staff if you child is taking any medication on the day of the appointment.
Will Nitrous oxide/oxygen work for all children?
Our doctors know that all children are not alike. Every service is tailored to your child as an individual. Nitrous oxide/oxygen is not effective for some children, especially those who have severe anxiety, nasal congestion, or extensive treatment needs. Our doctors have comprehensive specialty training and can offer other sedation methods that are right for your child.