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Sedation Calms Kids for Dental Procedures

Unlike general anesthesia, which makes a child completely unconscious, dental sedation aims only to lessen a child’s anxiety and discomfort during dental visits. While sedated, a child might become sleepy or less active, but these effects will typically wear off shortly after the procedure is finished.

When is Sedation a Helpful Option?

Sedation is used in several situations. Firstly, very young children often find it difficult to stay still for the length of time needed for pediatric dentists to perform precise procedures safely. Sedation makes the visit less stressful for both the child and parents and significantly lowers the risk of accidental injury. Secondly, some children experience significant anxiety during dental appointments. Sedation helps them to relax, manage their fear, and have a more positive experience with treatment. Thirdly, sedation is particularly beneficial for children with special needs, as it helps to prevent unexpected movements and encourages cooperative behavior.

What are the Common Types of Sedation Used in Sky Pediatric Dentistry?

Most pediatric dental offices offer several sedation options, each with its own specific advantages. The dentist will carefully consider the child’s medical history, the anticipated length of the procedure, and the child’s comfort level before recommending a particular sedation method.

Conscious sedation allows children to remain able to communicate, follow instructions, and cooperate throughout the entire procedure. The main methods of conscious sedation are described below:

Nitrous oxide

The pediatric dentist might recommend nitrous oxide (commonly known as “laughing gas”) for children who show noticeable signs of nervousness or anxiety. Nitrous oxide is delivered through a mask placed over the child’s nose. It is always mixed with oxygen, allowing the child to breathe comfortably in through their nose and out through their mouth.

Laughing gas works very quickly to relax children and can create a happy, even euphoric feeling. It is also fast-acting, painless to administer, and its effects wear off within minutes. Before completely removing the mask, the pediatric dentist will administer regular oxygen for several minutes to ensure the nitrous oxide is fully eliminated from the child’s system. In rare cases, nitrous oxide can cause nausea. Because of this, most pediatric dentists advise limiting food intake before the appointment.

Oral sedation

Children who are uncooperative, extremely anxious, or have difficulty controlling their muscles for extended periods might be offered an oral sedative. Oral sedatives come in various forms (typically tablets, pills, and liquids) and can make the child feel drowsy. If oral sedatives are planned, the pediatric dentist may give parents specific instructions on how to prepare the child before the appointment. Common instructions might include limiting food and drink before the appointment, having the child wear comfortable clothing, and being prepared to stay with the child for several hours after the appointment. Serious side effects from oral sedatives are rare; nausea is among the most common.

Other forms of conscious sedation

There are other ways to administer sedative medications, including intramuscular (IM sedation) and even through a nasal spray.
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What About General Anesthesia?

General anesthesia, which puts the child into a deep sleep, is a dental procedure performed in a hospital setting. It is typically used when:
  • A procedure cannot be performed safely while the child is awake.
  • The child has a condition that limits their ability to cooperate or follow instructions.
  • The child requires lengthy treatment.
  • The child needs more complex dental treatment or oral surgery.
General anesthesia requires more extensive preparation before the treatment and a longer recovery period afterward.
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